Self Insurers Annual Financial Statement {WC-85} | Pdf Fpdf Doc Docx | Missouri

 Missouri   Workers Comp 
Self Insurers Annual Financial Statement {WC-85} | Pdf Fpdf Doc Docx | Missouri

Last updated: 8/25/2023

Self Insurers Annual Financial Statement {WC-85}

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Description

WC-85 - SELF-INSURER'S ANNUAL FINANCIAL STATEMENT. This is a confidential report to the Division of Workers’ Compensation for the purpose of showing financial ability to pay worker’s compensation liabilities as a self-insurer under Section 287.280 Workers’ Compensation Law. it is required that the financial statement be for the self-insured entity only and shall be executed on this form. all financial information must be audited. you may attach an annual report or audited internal financial statement with account details. however, summary figures must be on this report. financial statements for the parent may not be substituted for the subsidiary’s individual financial information unless prior approval has been given by the division. www.FormsWorkflow.com

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