What’s the Difference Between Workers’ Compensation and Third-Party Claims in Missouri?

Workers’ Compensation vs. Third-Party Claims in Missouri

Quick Answer: Missouri workers’ compensation covers medical bills and lost wages for job injuries without requiring proof of fault, but it limits recovery and bars lawsuits against employers. Third-party claims allow injured workers to sue negligent parties other than their employer, such as equipment manufacturers or subcontractors, for broader damages, like pain and suffering. Still, they require proving negligence within a 5-year window.

A workplace injury in Missouri can upend a worker’s finances, health, and sense of stability almost overnight. Fortunately, Missouri law offers more than one path toward financial recovery. Depending on the circumstances of an accident, an injured worker may be entitled to workers’ compensation, a third-party claim, or both.

Knowing the difference between these two legal options isn’t just a technicality. It can directly affect how much compensation a worker receives and how long they have to pursue it. Labovitz Law Firm breaks down what Missouri workers’ compensation covers, what third-party claims involve, and how to determine which route makes the most sense after an on-the-job injury.

What Is Workers’ Compensation in Missouri?

Missouri workers’ compensation is a no-fault insurance system that provides financial support to employees who are injured or become ill because of their job. Fault doesn’t need to be proven for a worker to receive benefits, which makes it one of the fastest ways to get help paying for medical care and lost income.

What Benefits Does Missouri Workers’ Compensation Cover?

Missouri workers’ compensation benefits typically include:

  • Medical treatment costs: Coverage for doctor visits, hospital stays, surgeries, and rehabilitation related to the injury.
  • Temporary total disability benefits: Partial wage replacement while the employee is unable to work during recovery.
  • Permanent disability benefits: Compensation for lasting impairments that affect a worker’s ability to earn a living.

What Are the Filing Requirements for Missouri Workers’ Compensation?

Injured employees must notify their employer within 30 days of the injury to preserve their right to benefits. Missing this deadline is one of the most common reasons workers’ compensation claims get denied.

What Is the Exclusive Remedy Doctrine?

Missouri’s exclusive remedy doctrine generally prevents employees from suing their employer for a workplace injury. In exchange for guaranteed, no-fault benefits, workers give up the right to pursue a personal injury lawsuit against their employer directly. 

This doctrine protects employers from civil liability, but it also caps how much an injured worker can recover through the workers’ compensation system alone.

What Are Third-Party Claims in Missouri Workplace Injury Cases?

A third-party claim is a civil lawsuit filed against a party other than the injured worker’s employer, such as a subcontractor, equipment manufacturer, delivery driver, or another negligent individual whose actions contributed to the accident.

What Compensation Can a Third-Party Claim Provide?

Unlike workers’ compensation, third-party claims can pursue full compensation for the harm caused, including:

  • Full wage reimbursement, rather than partial wage replacement
  • Medical treatment from a physician of the worker’s choosing
  • Compensation for pain and suffering
  • Recovery for future income losses
  • Punitive damages, in cases involving egregious misconduct

How Long Do You Have to File a Third-Party Claim in Missouri?

Third-party claims generally must be filed within five years of the injury, a significantly longer window than the 30-day notification requirement under workers’ compensation. This extended timeframe gives injured workers more time to investigate the accident and build a strong case.

What Are the Key Differences Between Workers’ Compensation and Third-Party Claims?

  • Proof of fault
    • Workers’ Compensation: Not required
    • Third-Party Claims: Required
  • Filing deadline
    • Workers’ Compensation: 30 days to notify employer
    • Third-Party Claims: 5 years to file
  • Compensation types
    • Workers’ Compensation: Medical costs, partial wages, disability benefits
    • Third-Party Claims: Full wages, pain and suffering, punitive damages
  • Who can be sued
    • Workers’ Compensation: Employer is protected from lawsuits
    • Third-Party Claims: Negligent third parties, such as subcontractors or manufacturers

Which Option Is Right for You After a Missouri Workplace Injury?

Choose workers’ compensation if the priority is getting medical bills and partial lost wages covered quickly, since fault doesn’t need to be established. Choose a third-party claim if a party outside the employment relationship, such as an equipment manufacturer or another driver, contributed to the accident, since this path allows for full wage recovery and compensation for pain and suffering.

Many injured workers in Missouri are entitled to pursue both a workers’ compensation claim and a third-party claim simultaneously, maximizing their total recovery. Determining eligibility often requires a close look at how the accident happened and who was involved.

Frequently Asked Questions

Can I file both a workers’ compensation claim and a third-party claim for the same injury?

Yes. Missouri workers’ compensation and third-party claims are not mutually exclusive. If a party outside your employer contributed to your injury, you may be able to pursue both simultaneously.

How long do I have to report a workplace injury in Missouri?

Employees must notify their employer within 30 days of the injury to remain eligible for Missouri workers’ compensation benefits.

What happens if my workers’ compensation claim is denied?

An injured worker can appeal the denial through the Missouri Labor and Industrial Relations Commission. Contacting a law firm can help ensure deadlines are met and evidence is properly presented.

Who can be held liable in a third-party claim?

Third-party claims can be filed against subcontractors, equipment manufacturers, drivers, or other negligent parties whose actions contributed to the workplace accident.

Are punitive damages available in a Missouri workers’ compensation claim?

No. Punitive damages are only available through a third-party claim, not through the Missouri workers’ compensation system.

Were You Denied Workers’ Compensation in St. Louis?

Navigating the difference between workers’ compensation vs. third-party claims in Missouri can be confusing, especially while recovering from an injury. If your workers’ compensation claim was denied in or around St. Louis, Missouri, the team at Labovitz Law Firm can review your case and help you understand every legal option available. Contact Labovitz Law Firm today for a free consultation.

Written by Brent Labovitz

Brent Labovitz is a St. Louis personal injury lawyer who specializes in accident cases and is as dedicated to his clients as he is to his family — because at the end of the day, it's all about people.

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