Annual Reporting Forms For Self Insured Trusts {WC-135}

WC-135 - 2024 WORKERS’ COMPENSATION TRUST SELF-INSURANCE ANNUAL REPORTING. This form issued by the Missouri Department of Labor and Industrial Relations, Division of Workers’ Compensation, is required under 8 CSR 50-3.010(6)(A) for all workers’ compensation group self-insurance trusts—active or terminated—with ongoing claims. The report collects detailed annual data including general trust information, trustee and administrator contact lists, financial and actuarial details, investment summaries, and claim development records. Trusts must submit the completed form and supporting documents by May 31, 2025, either electronically through a secure Box account or by email to the Division. The form includes sections for calendar year data, IBNR (Incurred But Not Reported) surplus reporting, and cumulative claim development, ensuring compliance with Missouri’s self-insurance regulations. www.FormsWorkflow.com