What is the basis of audit in WC policy for a paycheck?

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Answers (1-10)

When you purchase a workers comp policy the premium is based on the amount of employees and your payroll size and the SIC code.  Some jobs are more dangerous than others.   An office worker doesn't have the same dangers as an oil rig driller.  As happens with most employer groups, they lose people and hire new and sometimes they will hire more than they lose.  The premium you pay will actually match the exposure for that year based on actual number of employees, not the estimated amounts.  It's called "Firming Up"

Not sure of your question, however, a Workers Compensation policy premium is based on total payroll.  At the end of the year most if not all States mandate that the insurance company do an audit of the actual payroll vs. what was reported at the beginning of the year and then the premium is adjusted for the past year.  If you are asking about what you receive as a WC benefit it is based on your payroll and what the State benefits are.  You can usually find the State benefits online or just call your States WC Department. 

The premium is primarily based on payroll, but it's also based on the class codes that designate what type of job the employee has. For instance, employees that have the 8810 clerical class code will have a lower rate generally because their job is associated with less WC claims.  Rates also differ per State. 

Good morning Hameed.  This is outside of my realm of expertise so I did a Google search.  There are great FAQ sites available to help you prepare for your audit.  I would recommend you look for these sites.  Hope this helps, Diane.

What is a Workers’ Compensation Premium Audit?

A policy is normally effective for one year, and the premium is based on the annual compensation that is anticipated at the beginning of that year. A workers’ compensation premium audit is the process that determines how much the compensation has changed by the end of the year so that the final premium paid can be made proportionate to the actual compensation amount.

I'm not sure I understand your question. The workers Compensation policy is based on payroll of the employee and or owner/officer.  There is a minimum and maximum payroll should the owner/officer elect to be covered.  The policy is an audited policy, in that you estimate the payroll and at the end of the term the payroll will be audited and adjusted based on the actual payroll. Hope this helps!


Premium calculations: based on gross payroll, not net payroll. Gross wages include salaries, commissions, bonuses, vacation, holiday pay, sick pay, overtime base wages, the market value of gifts, all substitutes for money earned or paid during the policy period including meals and lodging in lieu of wages, automobile allowances.       

Not Subject to Premium:
Payroll for officers specifically excluded from coverage under the policy, overtime excess tips, severance pay, the value of an automobile furnished to an employee, reimbursement for expenses with receipts, and salary reductions to fund the welfare or fringe benefit portion of a Section 125 cafeteria plan. 


In some cases the workers comp premium is based on the payroll.. the audit can result in the insured Owing some money to the company or not.

Premium rates are typically charged by total payroll.  The higher the payroll, the higher the premium as there is more exposure from higher head count.

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