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What is a premium audit?
An accurate premium audit is a benefit to you and your business. An initial
premium for some policy types is estimated based on past records of your
operations. After the policy period ends, a premium auditor conducts a premium
audit to determine what your exact insurance exposures were during the policy
period. If necessary, your insurance premium is then adjusted to reflect your
actual exposures.
What types of business policies are audited?
Policies with variable or fluctuating exposures, such as payroll, total cost,
sales/receipts, and admissions have estimated exposures when written.
Typically, policies such as Workers’ Compensation, General Liability, Garage
Liability, and Inland Marine Installation Floater polices are audited.
Who performs the audit?
Our own staff of premium auditors performs our audits whenever possible. Due to
geographical constraints, capacity and size of account, we may also contract
with outside premium audit service providers.
What information/records are needed?
Having the proper records saves you time, and can save you money by ensuring
that you receive an accurate audit. Depending on the type of policy, your
auditor will let you know the records that will be needed in advance.
Typically, the audit will include a review your business operations, as well as
financial and business records. Please be assured that we consider
confidentiality of the utmost importance, and we keep all information in the
strictest of confidence.
Examples of operational review activities:
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Tools, materials & processes
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Employee job duties
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How & where product/services are delivered
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Tour of facility
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Type of business entity
Examples of financial and business records requested:
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Payroll records of original entry
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General ledger
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Job cost records
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Sales and receipts journals
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Subcontractors cost
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Hire/termination dates for employees
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Quarterly tax returns (Federal 941 & state unemployment returns)
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Cash disbursements
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Financial statements
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State sales tax returns
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Certificates of insurance for subcontractors used
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Cost of hired equipment/vehicles
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What is considered payroll?
Many insurance policies, such as Workers’ Compensation, are based on payroll.
Payroll includes:
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Gross wages or salaries
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Bonuses
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Holiday pay
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Sick pay
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Other money substitutes received by employees as part of their pay
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Commissions
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Overtime pay
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Vacation pay
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Piecework
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In addition, some states have specific rules concerning what should be included
in determining your Workers’ Compensation coverage premium. For example,
although overtime pay is included, the amount paid in excess of straight time
can be deducted; if your records can verify this excess. This is not applicable
in Pennsylvania and Delaware for workers compensation coverage.
What is considered gross sales?
Gross sales is the gross amount charged by the named insured for all
goods/products sold or distributed; operations performed during the policy
period; rentals; and dues or fees. This would include discounts or allowances.
If your policy premium is based on gross sales, certain items can be deducted
from gross sales such as sales or excise taxes submitted to a government
division; credits for repossessed, damaged or returned merchandise; finance
charges; freight charges; and royalty income from patents or copyrights, which
are not product sales.
What is the definition of total cost?
Polices based on total cost are primarily for general liability when
subcontractors are used. This includes the cost of all labor, materials, and
equipment furnished, used or delivered for use in the execution of the work.
This would also include all fees, bonuses or commissions made, paid, or due.
What does interchange of labor mean in respect to workers compensation
policies?
Interchange of labor means some employees may perform duties related to more
than one basic assigned classification. For workers’ compensation policies,
some states allow the split between two or more basic classifications as long
as the employer maintains proper payroll records which reflect the actual time
spent performing work in each classification (percentages are not accepted).
Several states do not allow a split unless the insured is involved in
construction or erection work. Otherwise, the entire payroll is assigned to the
highest rated classification.
Why is it important to have certificates of insurance for subcontractors
available during the audit process?
In order to protect your business, you should always secure a certificate of
insurance for both workers compensation and general liability coverage at the
time you hire each subcontractor or independent contractor, to work on your
behalf. Having proof of proper and adequate insurance and coverages/limits for
your subcontractors (by securing certificates of insurance) will lessen the
chargeable premium at time of audit.
For more information, visit our Adequately insured independent contractors and Independent contractor or employee? page.
Why is it important to notify your agent about wrap-up projects in which we
are involved?
An owner controlled insurance program (OCIP), or a wrap-up project, should be
specifically endorsed on your policy with Penn National Insurance prior to the
start of the job. This way, the owner of the project’s insurance will cover
those exposures directly (and your policy with us will exclude those exposures
and charges). Without such an endorsement, it is unclear as to who is
responsible for those exposures, and result in audit charges on both policies.
It is certainly to your advantage to make sure your agent is aware of any
wrap-up projects and that your policies are endorsed appropriately.
To download a PDF version of these Q&As, please click
here.
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