Coverage and Compliance

Primary Functions

The Compliance Section monitors and assists employers to ensure that employers fulfill two requirements under the Workers Compensation Act - the requirement to secure workers compensation benefits for employees, and the requirement to file reports of alleged work accidents. Failure to secure workers compensation benefits, and failure to report accidents, can result in monetary penalties against the employer or its coverage provider. Failure to secure workers compensation benefits can also result in closure of the business.

Generally, an employer in a non-agricultural business, with more than $20,000 in non-family payroll, must secure workers compensation benefits for its employees. An employer can secure workers compensation benefits in one of three ways:

• By purchasing a workers compensation insurance policy
• By joining a group-funded workers compensation pool
• By qualifying as a self-insurer.

Additional employer information regarding Workers’ Compensation Laws and Regulations can be accessed here.

For information on self-insurance, contact the Self-Insurance and Business Section at (800) 332-0353 or (785) 296-4000.

IMPORTANT
Unless self-insured, the employer must advise its insurance carrier or group-funded pool of employee’s injury.

Per K.S.A. 44-557, it is the duty of every employer to make or cause to be made a report to the director of any accident, or claimed or alleged accident, to any employee which occurs in the course of the employee’s employment and of which the employer or the employer’s supervisor has knowledge, which report shall be made upon a form to be prepared by the director, within 28 days, after the receipt of such knowledge, if the personal injuries which are sustained by such accidents, are sufficient wholly or partially to incapacitate the person injured from labor or service for more than the remainder of the day, shift or turn on which such injuries were sustained.

As outlined in K.A.R. 51-9-17, all insurance carriers, group pools and self-insurers are required to use Electronic Data Interchange (EDI) to file First Reports of Injury (FROI) and Subsequent Reports of Injury (SROI) using the Release 3 standards. For details contact Techs and Stats, Division of Workers Compensation at 785-296-4000 or 800-332-0353. You may access our website at http://www.dol.ks.gov/WorkComp/edinews.aspx.

IMPORTANTE
A menos que esté auto-asegurado, el empleador debe informar a su compañía de seguros o grupo financiero con fondos en común de la lesión del empleado.

Por KSA 44-557, es deber de cada empleador hacer o causar que se haga un informe al director de cualquier accidente, reclamo o supuesto accidente a cualquier empleado que le ocurra en el curso de su empleo, y del cual el empleador o su supervisor tienen conocimiento, dicho informe deberá ser hecho en un formulario preparado por el director, dentro de los próximos 28 días después de la recepción de dicho conocimiento, si las lesiones sufridas por tales accidentes, son suficientes para incapacitar parcial o totalmente a la persona lesionada ya sea en trabajo de mano de obra o prestando algún servicio por más que el resto del día o turno en el que tales lesiones fueron sufridas.

Como se describe en K.A.R. 51-9-17, todas las compañías de seguros, grupos mancomunados y auto-asegurados están obligados a utilizar Intercambio Electrónico de Datos (EDI) para presentar el Primer Reporte de Accidente (FROI) y posteriores informes de lesiones (SROI) utilizando los “Release 3 Standards.” Para obtener más información póngase en contacto con la unidad de tecnología y estadísticas de la División de Compensación para Trabajadores al 785-296-4000 o al 800-332-0353. Puede acceder a nuestro sitio web en http://www.dol.ks.gov/WorkComp/edinews.aspx.