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  • Ks K-wc 113 2017

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: (785) 296-0025 Election of Individual, Partner, Member of a Limited Liability Company or Self-Employed Individual to Come Within the Provisions of the Kansas Workers Compensation Act To be processed, ALL entries on this form must be completed. If not completed using the fillable form feature, entries must be neatly printed in black ink or typewritten. This form must be signed and the Social Security number provided. This Election is effective upon receipt by the Kansas Division of Workers Co.

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My name is Jeff King and I'm the Director of the Kansas Department of Labor's Division of Workers Compensation.

The benefits are calculated at 66 2/3% of the employee's average weekly earnings as of the date of the injury, not to exceed a maximum amount set by the law.

It is an insurance policy that is provided by the employer (by law) to pay employee benefits for job-related injuries, disability or death. The present law covers all Kansas employers except for those in certain agricultural pursuits or those with a gross annual payroll of $20,000 or less.

Be aware that workers' comp only covers a portion of your income, not your full salary. Replacement funds for lost wages under workers' compensation in Kansas equals two-thirds of your average weekly wage, up to a limit of 75% of the statewide average weekly wage.

In Kansas, almost every employer needs workers' compensation coverage, also known as workers' comp and workmans' comp. This insurance helps give employees who have work-related injuries or illnesses important weekly benefits which can help pay for: Medical bills. Lost wages if your employees need time off to recover.

Permanent Total Disability Benefits are 66.67 percent of an employee's average gross weekly wage, but not less than $25 nor more than the statutory maximum. Total compensation may not exceed $155,000 per injury. An employee is not allowed to receive more than one award of permanent total disability in a lifetime.

Temporary Total Disability There is a one-week waiting period (seven calendar days) before TTD benefits are paid.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232