The Kansas Department of Labor Workers Compensation Division is responsible for the administration of the Kansas Workers Compensation laws and rules. The division focuses on ensuring employees injured at work, employers, health care providers and insurance carriers receive timely, impartial and fair claim resolution.
null Accident Prevention Program
Accident Prevention under the Workers Compensation Division of the Kansas Department of Labor monitors insurance company and group-funded self-insurance plan compliance with provisions of K.S.A. 44-5,104.
An inspection ensures insurance companies and group-funded self-insurance plans licensed to write workers compensation coverage in Kansas are providing services when requested by a policyholder, submitting the annual report, using qualified field safety representatives, and printing the notice required under Kansas statute on the front page of every policy delivered or issued for delivery in this state.
Under Kansas statute K.S.A. 44-5,104, you must maintain accident prevention services and provide such services at the request of a policyholder as a prerequisite for authority to provide such insurance or coverage in the state of Kansas.
As soon as you click the [Submit] button, your completed form is automatically sent to our server through a secure Internet connection. We no longer accept paper forms for this report.
As long as an insurance carrier or group-funded self-insurance plan has a license to write workers compensation in Kansas, the report must be submitted. Complete or update Section I. Check “No” in Section II, and enter your name and title in the Affirmation section as your “signature.” If your company or plan should start writing business in Kansas, we will have a record of the business.
Yes, the connection is secure.
No, for consistency and to provide what is required in the state statute, we will only accept our automated form and the Excel spreadsheet as found on our website.
You may contact the Accident Prevention Administrator at (785) 296-4000 ext. 7360 or kdol.wc@ks.gov.
