Kentucky Labor Cabinet - Department of Workers' Claims


Please Note

We are a service company that can help you file with the Kentucky Labor Cabinet - Department of Workers' Claims. We are not associated with this nor any other government agency. We offer paid services and software to help you file. You are not required to purchase our service to file - you may file directly with this agency without using our service.


Contact Information

Physical address:
657 Chamberlin Avenue
Frankfort, KY 40601

Phone: (502) 564-5550

Web: Home
Email: Kimberly.McKenzie@ky.gov

Licenses

We track the following licenses with the Kentucky Labor Cabinet - Department of Workers' Claims in order to provide compliance services to our clients. As a client, you see this and other Compliance Core™ data in License Manager in-line with your licenses.

A laptop placed on a desk with our License Manager software on display

Kentucky Employee Leasing Company Registration

Agency:Kentucky Labor Cabinet - Department of Workers' Claims
Law:

KRS § 342.615

Eligible Entity Types:

  • Corporation
  • Sole Proprietorship
  • Partnership
Registered Agent (Special Agency) Required?No

Initial Registration

Form:

Employee Leasing Application

Agency Fee:

$0

Notarization Required?:Required
Notes:
  • Must report workers’ compensation policies issued to the employee leasing company or its predecessor(s) that have been canceled or non-renewed within the last five (5) years
Required Attachments:
  • List, by jurisdiction, of each and every name Lessor has operated under in preceding five years including any
    alternative names and names of predecessors or successors
  • List of each and every person or entity currently owning a five percent or greater interest in the employee leasing company
  • List of each and every person or entity formerly owning a five percent or greater interest in the employee leasing company or its predecessors, successors or alter egos in the preceding five years

Registration Renewal

Form:

Employee Leasing Application (Renewal)

Agency Fee:

$0

Due:

Annually by the date the application was originally submitted.

Required Attachments:
  • List, by jurisdiction, of each and every name Lessor has operated under in preceding five years including any
    alternative names and names of predecessors or successors
  • List of each and every person or entity currently owning a five percent or greater interest in the employee leasing company
  • List of each and every person or entity formerly owning a five percent or greater interest in the employee leasing company or its predecessors, successors or alter egos in the preceding five years

Supplemental Reporting
Lessee Information Disclosure

Form:

Form EL-2: Lessee Information Form

Agency Fee:

$0

Due:

Within 90 days of initial registration and every 6 months from the anniversary of the registration.

Notes:

Every Kentucky Lessee whose workers' compensation insurance coverage for leased employees, as required by KRS 342.340 and KRS 342.640, is provided by an insurance policy in the name of the Employee Leasing Company or related entity must submit this form periodically.

Kentucky Utilization Review/Medical Bill Audit Certification

Type of Review:

Workers' Compensation Utilization Review

Agency:Kentucky Labor Cabinet - Department of Workers' Claims

Initial Registration

Form:

Utilization Review/Medical Bill Audit Application

Agency Fee:

$0

Original Ink:Not required
Notarization Required?:Not required

Registration Renewal

Form:

Utilization Review/Medical Bill Audit Application (Renewal)

Agency Fee:

$0

Due:

4 years from the date of submission.

Original Ink:Not required
Notarization Required?:Not required

Related Government Agencies

Explore other Kentucky government agencies we can help you stay compliant with:


Order Registered Agent Service

In my opinion, their "Human Touch" element is what really makes this company stand out! I wouldn't go anywhere else!
JanaeLaw Offices of Donald W. Hudspeth, PC
It's awesome to know that Harbor Compliance is looking out for my customers' best interests and will only do what's right for them.
RyanFOUR16 CPA