Tagged in: Audit

Premium Audit Accuracy Fines Approved

The Workers’ Compensation Insurance Rating Bureau adopted updates to its data quality enforcement program that could lead to more carriers facing sanctions for classification errors. The changes also clarify that carriers could face fines under each section of the Premium Audit Accuracy Program if violations are found. The Bureau is a private organization with quasi-governmental … Read More »

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Audit Dispute Over Independent Contractor Payments

A mental health treatment center is disputing a $104,000 audit bill from its workers’ comp carrier for premiums related to payments made to certain individuals who received 1099 statements. The employer is asking the California Department of Insurance’s Administrative Hearing Bureau to referee the dispute after an appeal to the carrier failed to change the … Read More »

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Premium Audit Dispute Over Timecards & Dual Wage

A small electrical contractor who appealed a premium audit bill to the California Department of Insurance Administrative Hearing Bureau is getting some of the additional premium back. The parties settled before trial. But it is an interesting story and lesson. D&D Electrical and State Farm ask the Department to dismiss D&D’s appeal, filed last year, … Read More »

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Complaint Audit Results

The Division of Workers’ Compensation revealed that its audit and enforcement unit conducted three civil penalty audits in 2023 based on credible complaints filed against the audited claims adjusters. The Division’s 2023 audit report showed the number of violations found at each of these locations, but it did not include details about the nature of … Read More »

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Timecards Audit Fight

The California Department of Insurance’s Administrative Hearing Bureau may soon adjudicate a fight between an electrical contractor and its workers’ comp carrier. The fight centers on an audit bill for an additional premium under California’s dual-wage system for contractors. The company is contesting the reassignment of its payroll to the low-wage/high-rate classification for its electrical … Read More »

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