Form WC-128 Individual Self-insurance Application Checklist - Missouri

What Is Form WC-128?

This is a legal form that was released by the Missouri Department of Labor and Industrial Relations - a government authority operating within Missouri. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the Form WC-128?
A: The Form WC-128 is an Individual Self-insurance Application Checklist in Missouri.

Q: Why do I need the Form WC-128?
A: You need the Form WC-128 if you want to apply for individual self-insurance in Missouri.

Q: What is individual self-insurance?
A: Individual self-insurance is when an employer chooses to self-insure their workers' compensation liabilities instead of purchasing insurance from a commercial insurance carrier.

Q: How do I fill out the Form WC-128?
A: You need to complete the checklist on the Form WC-128 and provide all the required documents and information.

Q: Are there any fees associated with the Form WC-128?
A: Yes, there is a non-refundable application fee for individual self-insurance in Missouri.

Q: What happens after I submit the Form WC-128?
A: After you submit the Form WC-128 and all the required documents, the Missouri Division of Workers' Compensation will review your application and notify you of their decision.

Q: Can I appeal if my application for individual self-insurance is denied?
A: Yes, you have the right to appeal the decision if your application for individual self-insurance is denied.

Q: What are the requirements for individual self-insurance in Missouri?
A: The requirements for individual self-insurance in Missouri include meeting certain financial criteria, providing proof of financial stability, and demonstrating the ability to administer workers' compensation claims.

Q: Is individual self-insurance a good option for every employer?
A: Individual self-insurance may be a good option for some employers, but it is not recommended for every employer. It requires careful consideration of the financial implications and the ability to effectively manage workers' compensation claims.