Key Takeaways
- Kentucky requires workers' compensation for employers with 1 or more employees
- This is one of the strictest thresholds in the country
- Workers' comp is a no-fault system providing benefits regardless of who caused the injury
- Benefits include medical care, disability payments, and death benefits
- Employers who fail to provide coverage face significant penalties
Kentucky Workers' Compensation
Overview
Kentucky has one of the most comprehensive workers' compensation requirements in the country, mandating coverage for employers with just one employee. Understanding these requirements is essential for P&C producers serving Kentucky businesses.
Coverage Requirements
Who Must Provide Coverage
All Kentucky employers with 1 or more employees must maintain workers' compensation insurance.
This includes:
- Private sector employers
- Public sector employers
- Part-time employees
- Full-time employees
- Temporary workers
- Corporate officers (unless exempt)
Threshold Comparison
| State | Employee Threshold |
|---|---|
| Kentucky | 1 employee |
| Texas | Voluntary |
| Arkansas | 3 employees |
| Tennessee | 5 employees |
| Ohio | 1 employee |
Kentucky's single-employee threshold is among the strictest in the nation.
Exemptions
Who May Be Exempt
Certain categories may be exempt from mandatory coverage:
| Category | Exemption Details |
|---|---|
| Agricultural Workers | Certain farm laborers |
| Domestic Servants | Less than 2 employees, less than 40 hours/week |
| Maintenance Workers | In private home for 20 days or less |
| Religious Workers | Aid or sustenance from religious organizations |
| Voluntary Carpool Drivers | Ride-sharing arrangements |
| Executive Officers | 10%+ ownership may opt out |
Corporate Officers
- Officers with less than 10% ownership are employees
- Officers with 10% or more may exclude themselves
- Exclusion must be formally documented
- Does not affect other employee coverage
Workers' Compensation Benefits
Medical Benefits
| Benefit | Coverage |
|---|---|
| Medical Treatment | All reasonable and necessary care |
| Hospital Services | Inpatient and outpatient |
| Prescription Drugs | Related to injury |
| Physical Therapy | Rehabilitation services |
| Medical Devices | Prosthetics, wheelchairs, etc. |
Key features:
- No deductible for employees
- No copayments
- Choice of physician (with limitations)
- Lifetime medical for covered injuries
Disability Benefits
Temporary Total Disability (TTD)
| Factor | Benefit |
|---|---|
| When Paid | Worker cannot work during recovery |
| Calculation | 66 2/3% of average weekly wage |
| Maximum | State-set weekly maximum |
| Duration | Until maximum medical improvement |
Temporary Partial Disability (TPD)
Paid when worker can perform limited work:
- Difference between pre-injury and post-injury wages
- 66 2/3% of the difference
- Subject to weekly maximum
Permanent Partial Disability (PPD)
For permanent impairment after recovery:
- Based on percentage of impairment
- AMA Guides used for evaluation
- Multipliers for occupational disability
- May be paid as lump sum or periodic payments
Permanent Total Disability (PTD)
For workers who cannot return to any work:
- 66 2/3% of average weekly wage
- Paid until age 65 or for life (depending on circumstances)
- Subject to cost-of-living adjustments
Death Benefits
| Benefit | Amount |
|---|---|
| Funeral Expenses | Up to state maximum |
| Spouse Benefits | Percentage of worker's wages |
| Dependent Children | Additional benefits per child |
| Duration | Until remarriage (spouse) or age 18/23 (children) |
Exclusive Remedy Doctrine
How It Works
Workers' compensation is the exclusive remedy for workplace injuries:
| What Employee Gets | What Employee Gives Up |
|---|---|
| Guaranteed benefits | Right to sue employer |
| No need to prove fault | Potential for larger jury awards |
| Quick access to care | Pain and suffering damages |
Exceptions to Exclusive Remedy
Employees may sue employers when:
- Intentional harm by employer
- Employer fails to provide coverage
- Third-party liability (not employer)
- Dual capacity doctrine applies
Employer Responsibilities
Posting Requirements
Every Kentucky employer must:
- Display workers' comp notice in conspicuous location
- Post in primary place of business
- Include carrier information
- Update when information changes
Reporting Requirements
| Event | Reporting Timeline |
|---|---|
| Injury Reported to Employer | Document immediately |
| Report to Insurer | Within 28 days of notice |
| Serious Injury/Death | Immediate notification |
Record Keeping
Employers must maintain:
- Injury logs
- First report of injury forms
- Medical treatment records
- Return-to-work documentation
Penalties for Non-Compliance
Civil Penalties
| Violation | Penalty |
|---|---|
| Failure to Secure Coverage | $100-$1,000 per employee per day |
| Continued Non-Compliance | Business shutdown |
| Reimbursement | Must repay Uninsured Employers' Fund |
Loss of Protection
Uninsured employers:
- Lose exclusive remedy protection
- Can be sued for negligence
- Subject to pain and suffering claims
- Face punitive damages
Obtaining Workers' Compensation Insurance
Options for Kentucky Employers
| Option | Description |
|---|---|
| Private Insurer | Standard insurance policy |
| Self-Insurance | Large employers with DOI approval |
| State Fund | Kentucky Employers' Mutual Insurance (KEMI) |
| Group Self-Insurance | Association programs |
Self-Insurance Requirements
To self-insure in Kentucky:
- Minimum $10 million in assets
- Three years audited financial statements
- Posted security ($500,000 minimum)
- Excess insurance ($10 million minimum)
Exam Tip: Remember that Kentucky requires workers' compensation for employers with just ONE employee - this is one of the strictest thresholds in the country. Agricultural employers and certain other categories may be exempt.
When does Kentucky require employers to carry workers' compensation insurance?
What percentage of an employee's average weekly wage does Kentucky workers' compensation pay for temporary total disability?
What is the penalty for a Kentucky employer who fails to maintain workers' compensation coverage?