An opportunity for LWCC to understand your business operations so that you are charged the correct premium.
LWCC covers only Louisiana businesses and organizations
Guaranteeing your workplace is as safe as possible for your workforce is the best way to minimize risk and decrease chances of workplace injury.
system of free resources
A vast online library of regularly-updated safety resources, tools, and references made available to policyholder for free.
LWCC’s Consultants on Call are dedicated to understanding your operations and customizing safety solutions to meet your needs.
mutual insurance company
We are mandated to serve the mutual benefits of its members.
Our Agency Relations Representatives are available to partner with you to serve your policyholders through in-person or virtual visits, depending on your preference.
Specialized team with in-depth knowledge of the unique needs of companies of various sizes and specialties.
tools and information
The team assists agents in connecting to relevant department contacts, as well as resources, tools, guides, and educational materials available from LWCC.
dedicated agent resource
LWCC Agency Relations are here to serve agents and their staff only.
Genuine compassion requires the experience to know what matters and what help is actually needed.
WorkAction plans are customized to the injured workers’ needs by vocational rehabilitation specialists.
Our WorkAction return-to-work program capitalizes on the window of opportunity right after an employee is injured to help create a return-to-work plan that works for you.
Our experienced team helps design the right program for individual claims, or assist you in creating a proactive program to safely get your employee back to work — all at no cost.
quality medical care
Including hospitals, clinics, specialists, pharmacies, physical therapists, chiropractors, diagnostic testing, durable medical equipment vendors, rehabilitation, and home healthcare providers.
LWCC has selected providers across the state based on their expertise in occupational medicine, professional credentials, use of established treatment guidelines, and effective return-to-work practices.
With OMNET®, injured employees are guaranteed appointments with specialists on a priority basis.
The first of its kind in Louisiana, OMNET includes providers across the state, even in rural areas.
strong financial results
Dividends are made possible through the sound counsel of agent partners, employees’ dedication to excellence in execution, and policyholders’ continued commitment to safety and wellness.
Returns are maximized by long-term policyholders who become fully vested in the dividend program.
A unique benefit for policyholders of a mutual insurance company.
workers’ compensation related
Provide a broad range of litigation services in the workers’ compensation arena.
The team handles cases of all sizes, regardless of the complexity of the dispute at issue.
in-house legal team
The Johnson, Rahman & Thomas team has approximately 19 lawyers, paralegals and legal assistants.
Per the policy, the final premium is determined after the policy ends by using the actual premium (validated at the audit), along with proper classifications and rates.
The amount of premium due.
The audit is an important step in the workers’ comp insurance process.
Can include paid benefits, unnecessary treatment or prescriptions, misrepresenting business details, and more.
Deception by a member of the workforce, a company leader, or a healthcare provider.
Workers’ compensation is a form of insurance providing wage replacement and medical benefits to employees injured on the job.
Agents solicit and negotiate insurance contracts for the best fit between an insurer and a business or organization.
LWCC does not write workers’ comp policies directly with employers. We are proud to partner with agents across the state to provide outstanding service to our policyholders and their workers.
LWCC covers only Louisiana businesses and organizations
Our focus always has and always will be workers’ comp insurance
business or individual
LWCC covers only Louisiana businesses and organizations
LWCC understands the difficulty of being injured on the job and is there to help those requiring assistance in recovery and return to work.
A form of insurance providing wage replacement and medical benefits to employees injured on the job.
We are mandated to serve the mutual benefits of our members.
evaluate corporate performance
The broader impact a company is having on the community and the world.
Non financial factors
Environmental, social, and governance
Training, information, and experienced professionals made available to policyholders to prevent workplace accidents and improve overall workplace safety.
ONLINE AUDIT PORTAL
Ready to perform your online audit?
If your policy has been selected for an online audit, you will receive a letter via email or by mail. The letter will contain a secure and unique pin and passcode that will allow you access to the online portal. Click the link below to get started.
THE BASICS OF PREMIUM AUDIT
When and How Audits Occur
Depending upon your policy’s premium size and class of business, audits may be performed annually, every other year, or as needed. Audits may be conducted physically at your place of business, virtually, by telephone, or by mail.
Conducted near policy inception to verify payroll information and to ensure business risks match those analyzed during the underwriting process
May be performed periodically to address mid-term changes in business and/or operations
Conducted at the end of your policy year to obtain actual payroll for your exposure, since this may vary from the estimate upon which your premium was based
Conducted upon policy cancellation to obtain actual exposure
Additional Audit Information
In the event you do not agree with the findings on the audit statement, we encourage you to contact your agent for assistance in notifying LWCC. Notification of the audit dispute must be in writing and should provide specifics (e.g. payroll amounts, class code issues, etc.) of what is being disputed. It is also important to remember that payment is expected on the undisputed portion of the audit.Click here to access the Audit Dispute Form
Audits are handled by one of LWCC’s staff auditors or an audit firm with whom LWCC contracts services. Accounts under $5,000 in annual premium are typically assigned to a vendor. It is likely that the auditor will vary each year.
Upon completion of your audit, you and your agent will receive a payroll audit statement outlining any premium changes that have occurred as a result of the audit. This is not a bill. You will be responsible for any additional premium charges once they are reflected on your invoice. Due to the confidential nature of the information obtained during your audit, written or verbal consent is required prior to the release of your audit information to your agent.
It’s much less disruptive to cash flow if premium is paid as costs are incurred rather than making up for any discrepancies after an audit. There are several things you can do during the year to minimize the chance of owing additional premium at audit:
- Give your agent detailed information about your business and the types of work employees will perform so the proper class codes are chosen.
- If you pay premium via payroll reports, do so as accurately as possible and always complete and submit them by the due date. Be sure to include uninsured contractors and subcontractors when reporting employee payroll monthly. Maintain copies of these reports as well as any worksheets or information used in your calculations.
- Know what your policy payroll estimates and class codes are. Periodically compare your actual payroll figures to the estimated payroll figures. If you see that your actual payrolls are higher than what was estimated, you should reach out to your agent to increase your estimates.
- Notify your agent immediately anytime your operations change in size or nature. For example, if you are awarded a large contract during the year, your policy estimates may need to be reviewed and increased to account for the increase in payroll exposure.
Questions about your premium audit?
We're here to help.
Replies are usually sent
within 24-48 hrs.
Frequently Asked Questions
The audit may be performed with a CPA or at a CPA’s office. You (the insured) should be aware of the time and date of the audit so you can be available to the CPA if the auditor has questions that the CPA cannot answer or if the auditor needs documents the CPA does not keep at their site.
Payroll or remuneration is usually given in the form of a check but may be paid in cash. LWCC does not encourage the use of cash for payroll or remuneration purposes. If you (the insured) pay your workers in cash, strict record-keeping requirements must be met.
The National Council on Compensation Insurance defines payroll as money or substitutes for money. Payroll may sometimes be referred to as “remuneration.”
To dispute an audit, you should submit an audit dispute form through your agent to the LWCC Audit Department via e-mail to email@example.com or via fax to 225-231-6542. In the form, you should include the exact reason for the dispute including codes, payrolls or individual workers whose code or payroll with which you do not agree. Attached to the form should be copies of payroll journals, invoices, etc. that support the position taken.
If records are not available at the time of the audit, the auditor will request that you provide the necessary records in a reasonable period of time. If those records are not provided, and depending upon the relative importance of the records, the auditor may return the audit marked as unproductive, or the premium audit reviewer or underwriter at LWCC may decide to classify the audit as unproductive after review. The information concerning the audit’s unproductive status will be communicated to you by the auditor. If you do not provide the information after being informed that the audit was unproductive, a notice of cancellation may be sent. The types of missing information that could cause an audit to be unproductive include, but are not limited to, the following:
- Missing verification documents. For example, 941 Federal Quarterly Reports; 1096/1099 forms for contract or subcontract labor; tax returns
- Missing information about entities, officers, locations, or operations
- Missing payroll or wage source information
- Missing information for cash labor
Yes, overtime is included in the gross payroll calculation at audit. A credit of the “premium portion” of the overtime is made by the auditor if you have maintained records in a manner that allows the auditor to easily identify overtime and make the proper deduction.
The premium portion of overtime is the amount of overtime paid that is in excess of the worker’s hourly rate of pay. The premium portion of overtime is broken out as a percentage of the amount paid for overtime depending on whether or not the overtime is paid at a rate of time-and-a-half per hour or double-time per hour.
For example: Joe is paid $10 per hour for a 40-hour week. This week Joe works 42 hours. Joe is paid overtime at time-and-a-half for the two additional hours. To determine how much of Joe’s payroll this week is included as gross payroll, multiply $10 by 40 hours to equal $400. Half of Joe's hourly pay rate is $5. For the two additional hours Joe worked, he would be paid two hours times $15 plus $400 to equal $430. At audit, the auditor will determine Joe’s gross pay for the week to be $430. However, the auditor will calculate Joe’s auditable payroll to be $420. The $30 overtime pay is divided by 3 to determine the premium portion of the overtime, and a deduction is made in the audit for $10.
The audit is based on gross payroll. Gross payroll is the entire payroll of the worker before taxes or other deductions are made. Net payroll is the amount of payroll that remains after taxes and deductions such as medical insurance, life insurance, any Cafeteria 125 plan deductions, and 401K or qualified retirement plan deductions.
The documents needed for an audit can be verified when you (the insured) or the auditor call to confirm the audit appointment. You should ask specifically what documents are needed and discuss which documents you will have available at the appointment with the auditor. The records required for the audit will depend on the type of business being audited.
For example: The documents needed to audit a doctor’s office that utilizes only W-2 payroll will be different from the documents needed to audit a construction general contractor who utilizes W-2 employees, contract labor, and subcontractor labor.
For the doctor’s office, the documents required at a minimum are: a payroll journal, Federal Quarterly Reports (941s), State Unemployment Reports (SUTAs), a general ledger or bank statements and cancelled checks, and the most recent tax return filed for the business.
For the construction contractor, the documents required at a minimum are: a payroll journal, Federal Quarterly Reports, SUTAs, a general ledger or bank statements and cancelled checks, cash disbursements journal, Form 1096 with 1099s, certificates of workers’ compensation insurance for the subcontractors, and the most recent tax return filed for the business.
A certificate of insurance (COI) is a document that shows that a business has workers’ compensation coverage. The COI will show the name of the business, the coverage dates, the policy number, the carrier providing workers’ compensation coverage, the insurance agent for the business, and the name of the business receiving the certificate. COIs are commonly used for businesses that are subcontracting their services to another business.
For more information on certificates of insurance, please click here.
An executive supervisor is a supervisory person in the construction industry. The class code 5606 is used to classify project managers, construction managers, or construction superintendents on construction sites. There are specific requirements that must be met to use this code:
- Used for construction or erection risks only
- The executive supervisor must exercise control through superintendents or foremen of the employer and cannot have direct control over the workers at the construction or erection site
Tips or gratuities, severance pay, payments for active military duty, work uniform allowances, employer contributions to retirement plans, or Cafeteria 125 plans are not included in gross payroll.
Payroll includes bonuses, holiday, vacation and sick pay, meals and lodging if those items are provided to the worker as part of his or her wages.
The insured should receive a letter or phone call from the auditor assigned to perform the audit. The letter will include a list of documents needed for the audit. If the auditor makes contact by phone, the auditor should inform the insured of the documents needed and answer any questions the insured may have about the upcoming audit.
LWCC prefers that the audit be performed with an owner or officer of the company. If an owner/officer is not available, then the audit should be conducted with an individual who is knowledgeable about the company’s operations, the employees and their job duties, whether the insured uses contract or subcontract labor, and the accounting system that is used to record payroll or non-employee exposure.
The person to contact is the agent who wrote the policy. The agent will know whom to contact at LWCC for the answers to your questions.
The general rule is payroll cannot be split. The exception is if you have workers who have an interchange of labor during a workday or work week, the payroll may be split between different codes, especially if you are a construction contractor. In order for the split to be given at audit, you must keep separate records of the activities of the workers. The separation of payroll should show the date, the hours worked in that activity, and the amount paid to the worker for the different types of work performed.
Caution: Payroll cannot be split if one of the codes for work done is a standard exception code. Standard exception codes include Clerical Work (8810); Sales (8742); Clerical Telecommuting (8871); Automobile Sales (8748); and Drivers, Chauffeurs & Helpers (7380). In some situations, Drivers (7380) can be split with another code if proper records are kept.