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Payroll and Other Remuneration Used to Compute Workers' Compensation Insurance Premiums                                                          
 

 

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In all states but one, Workers' Compensation insurance uses "remuneration" as the exclusive basis for computing premiums. (Washington State currently allows contractors to use hours worked instead.)  But although payroll is the most common component of remuneration, it is not the only one. In most states, the rules about remuneration are written by the National Council on Compensation Insurance, or NCCI. But keep in mind that some states are non-NCCI jurisdictions, where there may be some significant differences in how remuneration is defined. The primary differences is that a few non-NCCI states (Delaware and Pennsylvania) do not allow for the premium portion of overtime pay to be excluded. Most other states, even non-NCCI ones, follow NCCI rules in this regard pretty closely. Please keep in mind that this information is offered only as a general guide. We recommend that employers check with their local state regulators to verify what specific rules and exceptions to these general guidelines may apply. Under NCCI rules, remuneration includes:

 Regular pay, including salary or hourly;

 Commissions;

 Bonuses

 Overtime pay, less the premium portion;

 Holiday, vacation, and sick pay;

 Payments by employer of contributions required by law to statutory insurance or pension plans such as Social Security which would otherwise be paid by employee;

 Piecework, incentive plans, profit-sharing plans;

 Payments to employees for hand or power tools supplied by employees;

 Rental value of housing provided to employee;

 Value of lodging provided by employer;

 Value of meals provided by employer;

 Value of store certificates, merchandise, or credits given to employees by employer

Remuneration excludes:

 Tips and gratuities received by employee;

 Payments by employer to group insurance plans;

 Value of special awards paid for invention or discovery;

 Dismissal or severance pay except for time worked or accrued vacation;

 Value of employer-provided aircraft;

 Value of employer-provided automobile;

 Value of employer-provided free or discounted aircraft flight;

 Value of employer-provided incentive vacation (contest winner);

 Employer-provided discount on property or services;

 Employer-provided ticket to an entertainment event;

 Employer payments to military reservists called to active duty-these payments make up the difference between military pay and employee's pay prior to conscription.

OVERTIME: The only pay differential that can be adjusted back to straight time, under NCCI rules, is overtime (either time and a half or double time). Other pay differentials, such as paying nine hours pay for eight hours work, can not be adjusted under NCCI manual rules. Also, keep in mind that although most states follow this NCCI rule regarding overtime, there are some exceptions. Pennsylvania and Delaware, for example, do not allow the premium portion of overtime to be removed from the payroll calculation. So always check and make sure about the rules in your particular state or state.

Prevailing Wages (Davis-Bacon Act)

Contractors that pay prevailing wages to workers can deduct from the Workers' Compensation payroll used to compute premiums payments made to qualified health and pension benefit programs for workers subject to prevailing wage contracts.

 

Remember, Workers Compensation policies start with an estimated premium, but after the policy expires the insurance company will want to determine actual audited premium, by determining actual remuneration (or payroll) for the policy period. A good way to avoid mistakes in the audit process is to request a copy of the auditor's workpapers. This can serve as a roadmap, showing how the auditor determined remuneration and how it was placed into particular classifications.

 

 

 

 

 "...unlike any other workers' compensation guide...it is a must-have for those who manage workers' compensation insurance...does an excellent job of exploring the ins and outs of a workers compensation policy, especially all the intricacies of premium calculations and common mistakes in areas such as classifications and experience modification factors."--Professional Safety magazine

 

 

 


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