Missouri workers' compensation insurance: Your ultimate resource

Everything to know about workers’ compensation for

Missouri

businesses

What does workers’ compensation cover?

A standard workers’ comp policy covers four primary areas: medical expenses, lost wages, employer liability and ongoing rehabilitation. EverPeak policies ensure your crew gets the care they need to return to work safely while protecting your business from the costs of workplace accidents.

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Medical care

Coverage for the necessary treatment resulting from a work-related injury or illness.

payments

Lost wages

Partial pay for employees unable to work while recovering from an injury.

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Legal protection

Financial support for your business if an employee files a lawsuit related to an accident.

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Ongoing care

Rehabilitation and training to support employees re-enter the workforce, and ongoing benefits for permanent injuries.

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Death benefits

Financial support for the families.

What are

Missouri

's workers' comp laws?

Located in the American Midwest, Missouri has a distinct history and charm. From the bustling cities of Kansas City and St. Louis to the beautiful Ozark Mountains, the Show-Me state is rich with pioneer spirit and culture.

With a diverse and robust economy spanning manufacturing, agriculture and technology, Missouri offers plenty of opportunities for businesses to flourish. When it comes to protecting your business and employees, securing the right workers’ compensation insurance is crucial.


What is workers' compensation?

Workers' compensation is a state-mandated insurance program for employers with five or more employees. It’s designed to provide benefits such as medical care and lost wages for employees who suffer work-related injuries or illnesses.

Full and part-time, casual laborers and family members are considered employees under Missouri workers’ compensation law. 

Without workers’ compensation, the cost of a work-related injured or ill employee’s medical treatment could become the responsibility of your business.

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Missouri workers' compensation rules

The Missouri Department of Labor and Industrial Relations is responsible for administering the workers’ comp law in Missouri. The law requires employers with five or more employees to be covered by an active workers’ compensation insurance policy.    

Workers’ comp coverage can be obtained through a partner like EverPeak Insurance. The Division of Workers’ Compensation can approve self-insured requests based on financial status.

Employees can verify online if their employer has coverage.

Who is covered and exempt from

Missouri

workers' comp?

Who is covered?

Policies include protection for full and part-time workers.

Some exemptions from workers’ comp in Missouri include:

  • Railroad, postal and maritime workers
  • Farm laborers 
  • Domestic servants in a private home
  • Qualified real estate agents
  • Direct sellers
    ‍

Covered injuries and illnesses

Workers' compensation covers a range of work-related injuries and illnesses, including physical injuries resulting from an accident and occupational diseases developed over time due to job conditions. 

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Benefits provided

Missouri workers’ comp insurance provides three types of benefits for work injuries:

  • Medical benefits
  • Lost wages 
  • Death benefits

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These benefits include:

  • Medical treatment for work-related accidents, injuries and/or illnesses 
  • Temporary disability benefits 
  • Permanent disability benefits
  • Death and funeral benefits

‍

Missouri workers’ compensation rates

The weekly compensation rate is two-thirds of the employee’s average weekly wage, not to exceed a maximum amount set by the law. The average weekly wage is based on gross wages.

Find more information on Missouri workers’ compensation rates.

How much does workers’ comp cost in

Missouri

?

Pricing factor
How it’s evaluated
Industry trade classification:
The specific risk level of the day-to-day work a crew performs.
Annual payroll volume:
The total baseline gross payroll distributed to covered workers.
Specific physical operations:
The exact structural nature of the business environment.
Historical workplace safety:
The history of on-the-job claims and safety incidents.

How do you file a workers’ compensation claim in

Missouri

?

Filing a workers' compensation claim

In the event of a work-related injury or illness: 

Step 1: Employee reports injury to employer 

Employees in Missouri should report their injury to their employer immediately but no later than 30 days after the accident. 

Step 2: Seek medical care

The employee should immediately seek medical attention. 

Step 3: Employer reports injury

Once notified of the injury, employers should file a report of the accident within 30 days to their workers' compensation insurance carrier.‍

Step 4: Receive benefits

If an employer’s insurance provider accepts the claim, the worker may begin receiving benefits to cover medical expenses and lost wages. 

‍Step 5: Return to work/permanent disability benefits

Following their recovery, a worker is expected to resume work safely. If a work injury has left an injured employee unable to do any type of work, the employee might be entitled to permanent disability benefits.


Choosing a healthcare provider 

The employer or its workers’ comp insurance carrier has the right to choose the healthcare provider or treating physician. The employee can select their treating physician at their own expense.

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Compensation for missed work

If an employee is out of work:

  • Less than three days: They are not eligible for temporary disability payments. 
  • More than three but less than 14 days: They are eligible for lost time benefits beginning on the fourth day. 
  • More than 14 days: They are eligible for benefits retroactive to the first day they stopped work.   

‍

Resolving disputes

To resolve a workers’ compensation dispute, the employer and employee can take advantage of the Division’s Dispute Management Unit, which offers mediation services. Mediation is an informal process in which a neutral person facilitates communication between the parties to work toward a mutual agreement.

How to get workers' compensation

Insurance requirements for employers

Employers in Missouri with five or more employees must carry workers' compensation insurance or qualify for self-insurance. Compliance with this requirement is essential to protect both the employer and employees.

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Choosing the right insurance provider

When selecting a workers' compensation insurance provider, consider factors such as the provider's experience in the industry, financial stability, coverage options, claims process, customer service, and cost. 

We recommend requesting multiple quotes and comparing the offerings before making a decision.

Covering your business and employees with a trusted insurance partner — like EverPeak — brings peace of mind so you can focus on your bottom line.

Insurance regulations, laws, and available coverages can change. The information provided on this website is for general informational purposes only. Please consult the
Missouri
Departments of Insurance and/or Labor for the most up-to-date and detailed information. If you have specific legal questions please contact an attorney within
Missouri
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FAQs

What is workers' compensation?

Workers’ compensation is a form of insurance that benefits employers and employees in the case of a work-related injury or illness.

Who do I contact if I have a question that isn’t covered here?

Reach out to our customer service team directly at 833.929.0523, or fill out our contact form, and we’ll point you in the right direction.

Does workers' comp cover injuries caused by patients?

Workers' compensation can cover staff injuries that happen on the job, including incidents involving patients, depending on the circumstances and your policy's terms.

Do I need proof of insurance before starting a job?

Many general contractors, property owners or permitting offices require proof of insurance — often a certificate of insurance — before work begins. Confirm with the requesting party what's required for your specific job.

Do subcontractors need their own insurance?

In many cases, yes — general contractors often require subcontractors to carry their own coverage before starting work. Requirements vary by project and state, so confirm with your contractor and an agent.

What steps can I take to prevent a workers’ compensation claim?

Enforcing safety protocols, providing proper employee training, maintaining a clean and hazard-free work environment, and regularly reviewing safety practices can significantly reduce workplace injuries.

How much does workers’ compensation insurance cost?

Your premium is primarily determined by your industry payroll classifications, geographic location and total annual payroll. Your business’s safety history can also play a major role in determining your final rate. Three key factors influence your base insurance rate:

  • Industry classification codes: Higher-hazard trades naturally carry higher baseline rates.
  • Geographic location: Rates and statutory benefit structures fluctuate heavily by state lines.‍
  • Historical safety record: Maintaining an accident-free workplace lowers your Experience Modification Rate (E-mod), resulting in built-in premium discounts.

Learn more: How much does workers' compensation cost

How long do I have to report a work-related injury or illness?

Work-related injuries or illnesses should be reported immediately or within a few days of occurrence. State statutes typically set strict deadlines—for example, Georgia law (O.C.G.A. § 34-9-80) requires notice within 30 days of the accident. Prompt reporting ensures timely medical care and protects your right to benefits.

Man in apron and cap roasting coffee beans with a large roasting machine and smoke around him.

Why choose EverPeak for workers’ comp coverage?

EverPeak protects the hardest-working businesses in

Missouri

with simple, reliable workers’ comp starting as low as $18 a month. Backed by over a century of specialized experience, customers get multi-state coverage, fast and easy claims support, and a vast network of brokers.

Missouri

workers’ comp resources

Workers’ Compensation FAQs

Workers’ Compensation Resources

Forms

Missouri Division of Workers’ Compensation

Customer Care

Learn more about workers’ compensation in your state

Learn more about specific workers' comp insurance requirements and local compliance guidelines in your state.

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