ASSOCIATION SAFETY PROGRAM
[ENROLLMENT
FORM]

Designed exclusively for SCF Arizona policyholders, the
SCF Association Safety Program enables trade and
business associations to offer members the opportunity
to lower the cost of their workers' compensation
insurance.
By participating in the group plan, policyholders may
earn a bonus dividend in addition to their
individual dividends, based on the safety success of
the association to which they belong. (The earned
bonus dividend is calculated on the total premiums and
losses of all participating association members.)
Since 1970 when the program was created, members have
earned more than $1 billion in individual and bonus
dividends. While dividends cannot be guaranteed, SCF has
paid them every year since it was separated in 1969 from
the Industrial Commission of Arizona (ICA).
At SCF Arizona, we want to reward our participating
policyholders for their good safety records. Join now
and you too can receive the rewards.
How does it work?
- Association members that are qualified
policyholders in good standing are eligible to
participate.
- Each participating member maintains an
individual policy and remains responsible to SCF for
payroll and premium reporting. The member may have
an individual experience rating and will be entitled
to a premium discount on an individual basis, if
eligible.
- It is required that association approval be
obtained for participation in the program.
What are the rewards?
- The program allows members the opportunity to
share in an additional bonus dividend through
the association.
- Each participating member will receive no less
than its earned individual dividend and, in
addition, will share in the group bonus dividend, if
earned.
- Dividend Benefits:
Bonus Dividend -Averages 40 percent to 50 percent
more than your individual dividend.
(All earned dividends are paid approximately 10 to
12 months after the association base year ends.)
Shock Loss Protection - $75,000 loss limit applied
to each claim for dividend purposes.
- An active and unified approach to accident
prevention can mean a larger potential dividend for
members. By working closely with SCF and the
association, members can pave the way toward safer
operations and higher dividend returns.
How can you participate?
If your association has a safety program and
you are a qualified SCF policyholder but not yet a
participating member, we welcome your enrollment. If you
are not an SCF policyholder, we welcome the opportunity
to serve you.
ASSOCIATION SAFETY PROGRAM*
Questions & Answers
- Q. When is the Association Safety Program
dividend paid?
A. Approximately 10 to 12 months after the
Association Safety Program's base year ends.
- Q. Will my individual policy be affected if I
join the Association Safety Program?
A. No. Your policy with SCF Arizona remains exactly
the same, but your dividend year will be changed to
coincide with the Association Safety Program's base
year.
- Q. If the association has high losses, will I
lose my earned individual dividend?
A. No. If you earned a dividend based on your own
premium and losses, you will receive that amount.
- Q. Does enrolling in the Association Safety
Program cost me anything?
A. No, but you must be a member of the association.
- Q. When can I enroll in the Association Safety
Program?
A. Anytime during the association's policy period.
Enrollment is effective the date of association
approval.
- Q. Who decides whether or not my policy is
accepted into an Association Safety Program?
A. The particular association to which you belong
makes that decision.