Medical Treatment Outside of Comp Plan

[bassman1282]

My question involves workers compensation law for the state of: Missouri

Have en employee who has been treating for a comp injury with doctors who is not sent to by the comp program. I know he has to pay for that out of pocket, and I also know that our standard health insurance is not supposed to be paying for treatment related to a comp injury. Our health plan administrator has not figured this out. Can I, as the employer, alert them to this fact? Any authority on your answer? Thanks.

[Mr. Knowitall]

If the employee is paying for his own care out-of-pocket, he can do that.

If you believe that your employee is seeking workers comp care through regular health insurance instead of worker's comp, I don't see any reason why you couldn't share your concerns with your health plan administrator.

If you want legal authority, hire a lawyer. No offense, I'm not going to research your state's statutes and case law over an issue this petty. At least not for free. I wouldn't expect to find any relevant authority.