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Division of Family and Medical Leave Insurance
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Colorado Department of Labor and Employment
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PO BOX 2330
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Denver, CO 80201-2330 | 1-866-CO-FAMLI (1-866-263-2654)
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Family and Medical Leave Insurance Self-Insured Private Plan Surety Bond Calculator
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Account NameFAMLI ID
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Account AddressAccount FEIN
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Surety Bond Amount
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$0.00
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Employers requesting approval to substitute a self-insured private plan for state FAMLI coverage must provide a surety bond in an amount equal to one year of total premiums pursuant to C.R.S. 8-13.3-507. The bond amount is based on four quarters of projected wages, as represented by:
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The previous four quarters of wages you reported to the Colorado Division of Unemployment Insurance supported by a copy of the Unemployment Insurance Your Report of Individual Employee's Wages (Form UITR-1a) for each quarter.
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If you have not reported wages to the Colorado Division of Unemployment Insurance, the previous four quarters of wages paid to your employees supported by documentation, such as a payroll summary for each quarter.
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If neither of the above is possible, a reasonable estimate of one year of projected wages supported by documentation, such as estimates of the number of individuals you plan to employ and their estimated pay rate.
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Wages used to calculate security (select one)
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Quarter 1
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Quarter 2
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Quarter 3Total Wages$0.00
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Quarter 4Surety Bond Amount$0.00
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The surety bond must be in effect for the duration of the self-insured private plan. You will be notified annually to review your surety bond amount and, if the bond amount must be increased, you must submit an updated surety bond.
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Print a copy of this calculator (or export to PDF) to provide to a surety company that has been approved by the Colorado Insurance Commisioner as confirmation of the required surety bond amount.
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For more information on private plan rules and for other resources, visit: famli.colorado.gov/employers/private-plans.
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