Missouri workers' compensation insurance: Your guide to requirements and getting a policy

If you’re a Missouri employer looking to protect both your business and your team, you’re in the right place. At Beyond, we provide the essential information you need to understand how workers’ compensation works and how to stay compliant.

What are Missouri’s workers’ compensation requirements for employers?

Employers with five (5) or more employees are required to purchase workers’ compensation insurance. This includes full-time, part-time, seasonal, and temporary workers. Additionally, construction industry employers with even one employee must provide coverage. Missouri also requires LLC members and corporate officers to be covered.

Any Missouri business subject to these requirements must post a notice of coverage at their place of business.

Are there any exemptions?

Yes. Workers covered by federal law such as railroad, postal, and maritime employees are exempt. Other exempt categories include:

  • Businesses with 1–4 employees

  • Farm laborers

  • Domestic servants in private homes

  • Casual labor in a private home

  • Real estate agents and direct sellers

  • Volunteers at tax-exempt organizations

  • Sports officials and contest workers

  • Sole proprietors

  • Members of a partnership

Even if exempt, employers may voluntarily purchase coverage for themselves or their employees.

What benefits does workers’ compensation cover for employees in Missouri?

Missouri workers’ compensation covers the following:

Medical Treatment

Covers necessary medical care, prescriptions, and medical devices. Travel required for treatment is also reimbursed.

Temporary Partial Disability (TPD)

If the employee can’t return to full duties but can work in a limited capacity, TPD benefits compensate for lost wages during recovery.

Temporary Total Disability (TTD)

If the injury prevents any work, employees receive weekly TTD benefits until they can return.

Permanent Partial Disability

If the injury causes partial, lifelong limitations, the employee may receive a lump-sum payment based on impairment level.

Permanent Total Disability

If an employee can never return to work, they may receive weekly lifetime benefits or opt for a lump sum.

Death Benefits

If a work-related death occurs, survivors (spouse or dependents) may receive weekly compensation and funeral expenses.

How can Missouri employers purchase workers’ compensation insurance?

Most employers purchase coverage through a private carrier. Alternatively, they can apply to self-insure via the Missouri Division of Workers’ Compensation—either individually or as part of a group trust. For more details, refer to Chapter 3 of the Missouri Department of Labor’s Division of Workers’ Compensation.

If you’re having trouble securing coverage, your business can obtain it through Missouri’s assigned risk pool.

What are the penalties for not having workers’ compensation insurance?

Failing to provide required coverage may result in:

  • A Class A misdemeanor

  • Fines up to 3x the required premium, capped at $50,000

  • Personal liability for any uncovered employee injuries

  • A second violation may be charged as a Class D felony

What happens when an employee is injured?

Employees must provide written notice of the injury within 30 days, including:

  • Date, time, and place of the incident

  • Nature of the injury

  • Name and address of the employee

The employer must then report the injury to their carrier or third-party administrator within 5 days. They also must file the First Report of Injury (FROI) with the Missouri Division of Workers’ Compensation within 30 days.

Can employees see their own physician?

The employer or insurance company typically selects the healthcare provider. Employees may use their own physician, but they will be financially responsible unless prior approval is granted.

Additional Missouri Resources

Workers’ compensation protects Missouri employers and employees

Even if not legally required, having workers’ compensation insurance is smart. It protects your team and shields your business from legal risk and financial penalties. If you have questions or need help choosing a policy, the Beyond team is here to help.

Why workers’ compensation matters in Mississippi

Having a workers’ compensation policy is a smart business decision. It protects employers from costly lawsuits and noncompliance penalties, while giving workers peace of mind knowing they’ll be taken care of after an injury or illness on the job.

If you have questions or need help setting up a policy, the team at Beyond is here to assist.