Title 803 | Chapter 025 | Regulation 200
PREVIOUS VERSION
The previous document that this document is based upon is available.
Technical Amendment: 10/31/2022
803 KAR 25:200.Workers' compensation notice.
Section 1.
Content and Format.(1)
The employer's notice to employees required by KRS 342.610(6) shall be conspicuously posted at the employer's principle office and each other location where an employee customarily reports for payroll and personnel matters. The notice shall:(a)
Be in an identical format as the "Workers Compensation Notice"; and(b)
Contain the information required by subsection (2) of this section.(2)
The notice shall state:(a)
The employer's name and address;(b)
The workers' compensation carrier or third-party administrator's:1.
Name;2.
Policy number;3.
Effective dates;4.
Address;5.
Telephone number; and6.
Contact person;(c)
1.
Whether the employer participates in a managed care plan for medical care; and2.
If he does participate, the name of the managed care plan, its representative, and the phone number of the representative; and(d)
The other information required by KRS 342.610(6) as stated on the Workers Compensation Notice.Section 2.
Size. (1) The notice shall not be smaller than eight and one-half (8 1/2) by eleven (11) inches. The print shall not be smaller than twelve (12) point font.Section 3.
Incorporation by Reference.(1)
"Workers Compensation Notice" (January 1, 1997 Edition), Office of Workers' Claims, is incorporated by reference.(2)
The material may be inspected, copied, or obtained at the Department of Workers' Claims Monday through Friday, 9 a.m. to 4 p.m. at the following locations:(a)
Frankfort - Mayo-Underwood Building, 3rd Floor, 500 Mero Street, Frankfort, Kentucky 40601.(b)
Paducah - 220B North 8th St., Paducah, Kentucky 42001.(c)
Pikeville - 107 Coal Hollow Road, Pikeville, Kentucky 41501.HISTORY: (23 Ky.R. 4022; 24 Ky.R. 361; eff. 7-17-1997; TAm eff. 8-9-2007; Cert eff. 3-29-2019; TAm eff. 10-31-2022.)
FILED WITH LRC: October 31, 2022
Technical Amendment: 10/31/2022
803 KAR 25:200.Workers' compensation notice.
Section 1.
Content and Format.(1)
The employer's notice to employees required by KRS 342.610(6) shall be conspicuously posted at the employer's principle office and each other location where an employee customarily reports for payroll and personnel matters. The notice shall:(a)
Be in an identical format as the "Workers Compensation Notice"; and(b)
Contain the information required by subsection (2) of this section.(2)
The notice shall state:(a)
The employer's name and address;(b)
The workers' compensation carrier or third-party administrator's:1.
Name;2.
Policy number;3.
Effective dates;4.
Address;5.
Telephone number; and6.
Contact person;(c)
1.
Whether the employer participates in a managed care plan for medical care; and2.
If he does participate, the name of the managed care plan, its representative, and the phone number of the representative; and(d)
The other information required by KRS 342.610(6) as stated on the Workers Compensation Notice.Section 2.
Size. (1) The notice shall not be smaller than eight and one-half (8 1/2) by eleven (11) inches. The print shall not be smaller than twelve (12) point font.Section 3.
Incorporation by Reference.(1)
"Workers Compensation Notice" (January 1, 1997 Edition), Office of Workers' Claims, is incorporated by reference.(2)
The material may be inspected, copied, or obtained at the Department(a)
Frankfort - Mayo-Underwood Building, 3rd Floor, 500 Mero Street(b)
Paducah - 220B North 8th St., Paducah, Kentucky 42001.(c)
Pikeville - 107 Coal Hollow Road, Pikeville, Kentucky 41501.HISTORY: (23 Ky.R. 4022; 24 Ky.R. 361; eff. 7-17-1997; TAm eff. 8-9-2007; Cert eff. 3-29-2019; TAm eff. 10-31-2022.)
FILED WITH LRC: October 31, 2022