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Workers Compensation

Worker's Compensation Billing

Work comp policies have two basic methods of billing.

  • Stipulated (sometimes referred to as 'stips')
  • Reporting. State Fund calls their system "paygo" but it is by reporting.

With stipulated billing an annual estimate of payroll is made at the beginning of the policy year. A deposit premium is charged and the balance of the estimated premium is billed in equal amounts usually over 10 payments. After the policy term an audit is performed to determine what the actual payroll for the year ended up at. Depending on the results of the audit the insured will either owe more premium or they will be due a return of excess premium.

With payroll reporting the insured submits a payroll report on a regular basis either monthly or quarterly or bi-annually. In theory at the end of the policy year the payroll would have been reported exactly but in actuality sometimes the payroll is misreported as to amount or classification. For this reason an audit is usuallly performed and based on the audit there may be differences.

If an insured does not agree with an audit it can be disputed with the proper documentation.

 


Venture Insurance Services
866-726-8442

Worker's Compensation Information

This is provides information to employees regarding on the job injury. It provides information for new employees as well as links to pertinent information regarding Workers' Compensation for employees. Click on any of the links below for more information.

Notice to Employees - Injuries Caused by Work

Worker's Compensation Claim Form (DWC1)

Guidebook for injured workers (Department of Industrial Relations - State of California)

Division of Workers' Compensation – Answers to frequently asked questions about SB 899 (Work Comp reform signed into law in 2004)

 Information for Specific Carriers

Worker's Compensation Surcharges

The surcharges are statutory programs. The surcharge percentages are determined by the Director of the California Department of Insurance and may vary from year to year.
 
CIGA - California Insurance Guarantee Assn., created by the California Legislature, makes certain that injured individuals receive benefits if their insurance Carrier becomes insolvent. CIGA sets up the unpaid claims of insolvent insurers operating in the state of California and offering any line of insurance. Section 1063 requires all authorized California insurers to participate in CIGA. Under the California Insurance Code, CIGA must fund itself by surcharging each of its members.
 
WCA - Workers' Compensation Administration helps to defray the administrative cost of implementing some of the provisions in the Workers' Compensation Reform Act of 1989 to speed resolution of claims. WCA funds itself by surcharging its members.
 
WCFA - Workers' Compensation Fraud Assessment. Senate Bill 1218 created the WCFA to fund investigation and prosecution of workers' compensation fraud. The WCFA funds itself by surcharging its members and from fines collected from convictions.
 
UEBT - Uninsured Employers Benefits Trust Fund was created by Legislature Assembly Bill 227. The UEBT pays for benefits to injured employees of illegally uninsured employers.
 
SIBT - Subsequent Injuries Benefit Trust Fund was also created by Legislature Assembly Bill 227. The SIBT pays for benefits to workers who are suffering from previous and serious permanent disabilities or physical impairments.

(08/2008)