PURPOSE: This rule sets forth the notice requirements that an employer must provide to an employee who has suffered an injury or illness for which compensation is payable under the Missouri Workers’ Compensation Law and the accident involves less than five hundred dollars in total medical costs and no lost time from the employment. It is necessary that this rule become effective in order to comply with the requirements of section 287.380.2. of Senate Bill No. 251, as truly agreed to and finally passed in the first regular session of the 87th General Assembly.

1. (1) Upon being notified that an employee has suffered an injury or illness for which compensation is payable under the Missouri Workers’ Compensation Law, and the accident involves less than five hundred dollars ($500) in total medical costs and no lost time from the employment, the employer shall notify the employee, in writing, of his/her rights under the Missouri Workers’ Compensation Law.
2. (2) The notice shall be signed by the employee; and the employer shall retain a copy of this notice. The employer shall file with the Division of Workers’ Compensation the notice, as signed by the employee and accompanied by or affixed to the Report of Injury.
3. (3) The notice provided for under this rule shall be made available by the division upon request.
4. (4) If, at any time, the total medical costs exceed five hundred dollars ($500) or an incident of lost time from the employment occurs, the employer shall notify the division, in writing, of the change in circumstances.

AUTHORITY: section 287.650, RSMo Supp. 1993.* Emergency rule filed Sept. 15, 1993, effective Sept. 25, 1993, expired Jan. 13, 1994. Emergency rule filed Jan. 12, 1994, effective Jan 22, 1994, expired May 21, 1994. Original rule filed Jan. 31, 1994, effective July 30, 1994.

*Original authority 1939, amended 1949, 1961, 1980, 1993.