Golden State Risk Management Authority (GSRMA) provides small to medium sized public entities in California a solution to their insurance and risk management needs.
Larger California public entities like counties, cities and school districts have a dedicated staff of risk managers, legal counsel, claims specialists and loss prevention experts to administrate their insurance and risk management programs.
Smaller entities including rural counties, smaller municipalities, schools and special districts often do not have the budgets to support some or all of these staff positions.
GSRMA provides its member entities with the same level of support, knowledge and sophistication that larger districts enjoy and we do so at a lower cost than members were paying for their insurance coverage alone with their previous carrier.
Welcome to a Unique Risk Management Option
At GSRMA we:
- Provide members with the tools, resources and training to help protect their employees and their property from harm.
- Provide members the best, most comprehensive coverage available for when a loss does occur.
- Provide all services in the most efficient and cost-effective manner possible to keep rates as low as possible.
- Embrace the philosophy that GSRMA exists for the benefit of its members.
If you are not satisfied with the quality or cost of your current coverage, let’s talk. We are the answer to over 280 California public entities risk pooling needs. We could be the answer for your entity.
Services Available to GSRMA Member Agencies at No Cost
Medcor is our toll-free nurse triage program used for reporting workplace injuries and illnesses. The nurse triage system provides employees with immediate access to medical professionals and sound medical advice, as well as it provides prompt, consolidated reporting of the incidents. Click here for more information (PDF).
Staff will come to your site and conduct a safety inspection of your facilities. For more information, or to request an inspection, contact our staff at Loss Prevention.
Certified Playground Inspector will come to your site and conduct an inspection of your playground facilities. For more information, or to request an inspection, contact our staff at Loss Prevention.
Staff will come to your site and conduct ergonomic evaluations for requested staff. To request an evaluation please submit your request to Loss Prevention.
An anonymous crime reporting program which offers cash rewards of up to $1,000. For additional details regarding WeTip please click here.
GSRMA is pleased to announce that members now can seek legal advice regarding employment-related issues, at no cost to their district. Members can consult the Eyres Law Group, LLP for answers to questions or to seek guidance on human resources matters. Learn more here.
Members can request this subsidy to offset training expense up to $1,000 annually. To apply for funding fill out the document below, print it out and send it to: GSRMA, Attn: Mark Marshall, P.O. Box 706, Willows, CA 95988, or via fax at (530) 934-8133. Download the LPSF Request Form (pdf)
This program replaces the Loss Prevention Incentive Plan (LPIP) with a best practices emphasis where accreditation is possible. Members may qualify for this award by completing and submitting their RMAP application. The first step is to review the application and note the time requirements. The maximum award is 10% of their annual contribution (maximum$75,000) based upon qualifications. Accreditation is earned when a member achieves the maximum award of 10%.
PLEASE NOTE: this program is intended to function as a “road map” for improving operations at your district, reducing claims and preventing losses.
We are happy to provide further explanation of the program and provide assistance. Please call (530) 934-5633 or email Loss Prevention. RMAP Application Form (pdf)
TargetSolutions is our comprehensive online training service. Please click here to access TargetSolutions. If your district is not currently set up in TargetSolutions, please reach out to Loss Prevention so that we may begin that process.
GSRMA Calendar
| Date | Time | Event | Location |
|---|---|---|---|
| May 12, 2021 | 6PM | GSRMA Board Meeting | GSRMA Office |
| May 31, 2021 | 8AM-5PM | Office Closure – Memorial Day | GSRMA Office |
Note: All GSRMA Board meetings are held at the GSRMA conference room at 243 W. Sycamore Street, Willows, CA.
Training Calendar
As a GSRMA Member, your training options are many. From inviting our Loss Prevention staff on-site to facilitating on-line training on timely topics, we take great pride in offering an array of options to meet your needs. Examples of class offerings are: Ergonomics, Defensive Driving, Board Etiquette and Backhoe Safety.
Classes such as Fire Extinguisher training, Heat Illness Prevention, Distracted Driving are a phone call (or e-mail) away. If the training you seek is beyond our offerings, we encourage you to apply for our Loss Prevention Subsidy Fund. Each year, up to $1,000 per member is to reimburse training costs and expenses.
| Date | Time | Event | Location | REGISTER |
|---|---|---|---|---|
| April 15, 2021 | 10:00AM | Safe Driving Practices | Zoom Webinar | Click here |
| May 06, 2021 | 10:00AM | Heat Illness Prevention | Zoom Webinar | Click here |
| May 13, 2021 | 10:00AM | Everything you Need to Know to Prepare for Recruiting and Hiring Remote and Physical Worksites | PrismTV Webinar | Click here |
| May 27, 2021 | 10:00AM | Claims Trends for Public Entities | Zoom Webinar | Click here |
Contact our Events Team for more information regarding events and training opportunities.
Claim Forms
| Claims | Download |
|---|---|
| Form Completion Instructions | Download Form Instructions |
| Claim for Damages | Download Claim Damages Form |
| Accident Incident – Schools Only | Download Accident Incident Form |
| Auto Loss Notice | Download Auto Loss Notice Form |
| Incident Report | Download Incident Report Form |
| Property Loss Notice | Download Property Loss Notice Form |
| WC Mileage Form 2021 | Download WC Mileage Form 2021 |
| Rejection of Timely Claim | Download Rejection of Timely Claim Form |
| Rejection of Timely Claim with Proof | Download Rejection of Timely Claim with Proof Form |
| OSHA Form 300 | Download OSHA Form 300 |
| OSHA Form 300A, 301 | Download OSHA Form 300A, 301 |
| Time of Hire Pamphlet | Download Time of Hire Pamphlet |
| DWC Form | Download DWC Form |
| Form 5020 | Download Form 5020 |
Loss Prevention Forms
| Loss Prevention | Download |
|---|---|
| School District Employee Training Matrix | Download School District Employee Training Matrix |
| Risk Management Accreditation Program (RMAP) | Download Risk Management Accreditation Program (RMAP) Form |
| Loss Prevention Subsidy Fund (LPSF) request | Download Loss Prevention Subsidy Fund (LPSF) request |
Member Services Forms
| Member Services | Download |
|---|---|
| Volunteer Workers’ Compensation Coverage – Information Page | Download Volunteer Workers’ Compensation Coverage – Information Page |
| Workers’ Compensation Coverage for Unpaid Volunteers – Declination | Download Workers’ Compensation Coverage for Unpaid Volunteers – Declination |
| Workers’ Compensation Resolution – Board Only – Sample | Download Workers’ Compensation Resolution – Board Only – Sample |
| Workers’ Compensation Resolution – Board Only | Download Workers’ Compensation Resolution – Board Only |
| Workers’ Compensation Resolution – Board and Volunteers – Sample | Download Workers’ Compensation Resolution – Board and Volunteers – Sample |
| Workers’ Compensation Resolution – Board and Volunteers | Download Workers’ Compensation Resolution – Board and Volunteers |
| Workers’ Compensation Resolution – Volunteers Only – Sample | Download Workers’ Compensation Resolution – Volunteers Only – Sample |
| Workers’ Compensation Resolution – Volunteers Only | Download Workers’ Compensation Resolution – Volunteers Only |
Miscellaneous Forms
| Loss Prevention | Download |
|---|---|
| Certificate Request | Download Certificate Request |
| Ergo Evaluation Request Form | Download Ergo Evaluation Request Form (Word) (PDF) |
| Member Expense Form 2020 | Download Member Expense Form 2020 |
| Member Expense Form 2021 | Download Member Expense Form 2021 |
Miscellaneous Resources
| Loss Prevention | Download |
|---|---|
| Insurance Requirements in Contracts(IRIC) | Download IRIC |