Missouri Self Insurers Annual Financial Statement is an accounting form used by self-insured employers in the state of Missouri to provide a comprehensive overview of their financial status. It is required by the Missouri Department of Labor and Industrial Relations (DOLOR) to be filed annually. The statement includes details on the employer’s assets, liabilities, and net worth, as well as information about the self-insured employer’s funding and reserves. The statement also includes detailed information about the employer’s experience rating, which is used to determine their self-insurance premiums. There are two types of Missouri Self Insurers Annual Financial Statements: the Regular Statement and the Excess Loss Statement. The Regular Statement must be filed by all self-insured employers and contains information about the employer’s assets, liabilities, and net worth, as well as their funding and reserves. The Excess Loss Statement is an optional statement used by employers who have an excess loss policy. This statement provides additional information about the employer’s experience rating, including their self-insured claims, premium amount, and loss ratio.