The Missouri Electronic Partnering/Confidentiality Agreement (Second Injury Fund Surcharge) is a state-mandated agreement between employers and insurers in Missouri. It is used to ensure the confidentiality of information exchanged between the two and to provide employers with a mechanism to recover certain costs associated with workers’ compensation claims. The agreement is required by Missouri law and is used to protect the interests of employers and insurers in the state. The agreement requires employers to pay a surcharge to the Second Injury Fund for any claims in which an employee’s work-related injury is caused or aggravated by a pre-existing condition. The agreement also requires employers and insurers to exchange confidential information, including medical records, related to any claim involving a pre-existing condition. The agreement has two main types: the Missouri Electronic Partnering Agreement and the Missouri Confidentiality Agreement. The Missouri Electronic Partnering Agreement requires employers and insurers to exchange confidential information electronically, while the Missouri Confidentiality Agreement requires employers and insurers to exchange confidential information in writing. The Second Injury Fund Surcharge is used to reimburse the Second Injury Fund for any costs associated with workers’ compensation claims involving a pre-existing condition. It is the employer’s responsibility to pay the surcharge and the amount of the surcharge is determined by the severity of the pre-existing condition.