Our Department aggressively investigates all fraud tips and complaints submitted to our office. In order to hold those who violate the law accountable for their actions, we depend on these fraud submissions. Please read the areas of fraud and noncompliance below and contact us if you have any questions.
Workers’ Compensation Fraud and Noncompliance
Knowingly making a claim for workers’ compensation benefits to which an employee knows he/she is not entitled or knowingly presenting multiple claims for the same occurrence is a class D felony, punishable by a fine of up to $10,000, or double the value of the fraud, whichever is greater. A subsequent violation is a class C felony. Report Fraud
Knowingly misrepresenting an employee’s job classification to obtain insurance at less than the proper rate is a class A misdemeanor. A subsequent violation is a class D felony. An employer who knowingly makes a false or fraudulent statement regarding an employee’s entitlement to benefits to discourage the worker from making a legitimate claim or who knowingly makes a false or fraudulent material statement or material representation to deny benefits to a worker is guilty of a class A misdemeanor punishable by a fine of up to $10,000. A subsequent violation is a class C felony. Report Fraud
Knowingly and intentionally refusing to comply with workers’ compensation obligations to which an insurance company or self-insurer knows an employee is entitled is a class D felony, punishable by a fine of up to $10,000 or double the value of the fraud, whichever is greater. A subsequent violation is a class C felony. Report Fraud
Knowingly failing to insure workers’ compensation liability under the law is a class A misdemeanor punishable by a fine of up to three times the annual premium the employer would have paid had it been insured or up to $50,000 whichever is greater. A subsequent violation is a class D felony. An employer who willfully fails to post the notice of workers’ compensation at the workplace is guilty of a class A misdemeanor punishable by a fine of $50 to $1,000 or by imprisonment or both fine and imprisonment. Report Noncompliance
How to Report Workers' Compensation Fraud and Noncompliance
Any person may file a complaint alleging fraud and noncompliance with the Fraud and Noncompliance Unit (FNU). All investigations conducted by the FNU are criminal in nature and must be kept confidential. Due to the confidentiality of FNU investigations, persons lodging complaints are not provided information on the outcome of the investigation prior to prosecution. If the investigation reveals a violation of the statute, the FNU presents the findings of fraud and noncompliance to the director of the Division of Workers’ Compensation. The director may refer the case to the Missouri Attorney General for prosecution.
Any fines or penalties levied and received as a result of prosecution under this law shall be paid to the Workers’ Compensation Fund. The FNU does not settle claims or pay benefits. If you believe you have accurate information with regard to someone not complying with workers’ compensation laws, or know someone who may have committed fraud, please report it.
To report WORKERS' COMPENSATION FRAUD, you may call the Fraud and Noncompliance Unit at 800-592-6003.
To report WORKERS' COMPENSATION NONCOMPLIANCE, please fill out the form below and send it to:Department of Labor and Industrial Relations
Division of Workers’ Compensation
Fraud and Noncompliance Unit
P.O. Box 1009
Jefferson City, MO 65102-1009