Workers' Compensation

How to prepare for a workers' comp premium audit

By Chris Blom, Brokerage ManagerUpdated July 23, 20266 min read
A workers' compensation premium audit is a year-end review in which your insurer reconciles the estimated payroll used to price your policy against your actual payroll and class codes, then issues a final premium — either an additional charge or a refund.

Audits are routine, but they are where employers most often overpay: uncaptured overtime rules, misapplied class codes, and undocumented subcontractors can all inflate the final bill. Preparation is the difference between a clean audit and a surprise invoice.

How to prepare for a workers' comp audit

  1. Gather your payroll records. Pull gross wages by employee and by class code for the full policy period, plus quarterly tax filings (DE 9 in California) to reconcile against.
  2. Separate overtime premium. In most states the extra third of overtime pay is excluded from the audit basis. If overtime isn't broken out, you may be charged comp on it.
  3. Confirm your class codes. Make sure each employee is assigned to the correct code. Clerical and outside-sales staff carry far lower rates than field labor — misclassification is a common overcharge.
  4. Document subcontractors. Collect certificates of insurance for every sub. Uninsured subs can be added to your payroll basis, so missing certificates cost real money.
  5. Exclude what's excludable. Depending on the state, tips, severance, and certain reimbursements may be excluded from payroll. Know your state's rules.
  6. Reconcile before the auditor arrives. Your reported figures should tie to payroll registers and tax filings. Discrepancies invite a higher assessment.
  7. Have your broker review the findings. Never sign the audit worksheet without a second set of eyes. Errors are correctable through a dispute, but far easier to catch before the premium is billed.

What auditors actually check

ItemWhy it mattersCommon overcharge
Payroll by class codeSets the premium basisField rate applied to clerical staff
Overtime recordsExcess OT often excludableFull OT included in basis
Subcontractor COIsUninsured subs get addedMissing certificates = added payroll
Owner/officer payrollOften capped or excludableUncapped owner wages
Cash payroll / 1099sMay be reclassified as employeesReclassification adds premium

What to do if the audit is wrong

If your final premium looks too high, you have the right to dispute the audit. Request the auditor's worksheet, identify the specific line — usually a class code or an overtime figure — and submit documentation supporting the correction. This is far easier when your broker is involved from the start, which is why an audit-defense relationship, not just a low quote, is what protects your bottom line.

Frequently Asked Questions

What triggers a workers' comp premium audit?

Nearly every workers' comp policy includes a mandatory audit at the end of the term. It is not a sign of a problem — it is how the insurer converts the estimated premium into a final premium based on your actual payroll.

Can I lower my premium during the audit?

Yes. Correct class codes, excluded overtime premium, capped owner payroll, and documented subcontractor insurance can all reduce the final premium. That's why preparing records and reviewing the worksheet before signing is essential.

What happens if I ignore a workers' comp audit?

Refusing or ignoring an audit typically lets the insurer estimate your payroll — often at the highest reasonable figure — and can result in an audit-noncompliance charge or non-renewal. Always complete the audit.

How far back can a workers' comp audit go?

A standard audit covers the just-completed policy period. However, insurers can also perform later 'test audits' or corrections, generally within a few years, so keep payroll and class-code records for at least three years.

SM
Chris Blom, Brokerage ManagerSixth Man Employer & Insurance Services — San Bernardino, CA. CA Lic #0I01929. Chris leads brokerage operations, advising California employers on workers' compensation, employee benefits, and employer risk.

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