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"O
ver the past five years, The O'Neill Group has provided us with a professional service relationship and a unique sense of friendliness and compassion. They've understood the diverse environment of a charter school, in addition to realizing the financial constraints of a newly established entity. The O'Neill Group was not only very responsive in providing for our insurance needs; they offered it at a resonable cost" -Ron King, Business Manager, Eagle Heights Academy, Youngstown, OH






Special Report Reveals...

The Insider's Edge to Work Comp Audits

"Comp auditors are all human-but they are not all geniuses"

They will look at what you show them-if you are not prepared they will not go one step out of their way to help you-they are not mean, they only lack the energy and time to help you personally.

You may be wondering, "Why do I have to be bothered with this at all?"

Your comp policy is elastic-it stretches and shrinks to meet your needs and reflect your activity. Believe me, you would not want it any other way!

This elastic quality means that at the end of a policy year the ompany has the right to go back and look over what you did and CHANGE THE PREMIUM TO REFLECT YOUR ACTIVITY.

The audit process lets you go about your business during the course of the year and pay the freight at the end of the term. No worries about reporting a job as you go as long as you stay in your state. Your work will be covered by this elastic policy.

WARNING! Most people don't know this! Comp policies have a 3-year "Look Back Window." Your company can look into your records dating 3-years back and conduct an audit. This is not uncommon. I have personally seen it happen.

THERE ARE TWO KINDS OF AUDIT-PHYSICAL AND VOLUNTARY. IN A VOLUNTARY AUDIT YOU SEND IN YOUR INFO ON THEIR FORM-I LIKE THIS ONE!

Audit Mechanics:

There are three basic things the auditor will want to do during the audit:

Your policy is based on payroll-so the auditor will want to get the payroll information for your business from a reliable source. Count on having to provide your completed "941's" (your federal payroll tax returns).

DANGER! He may also want to see if your employees are "properly classified." If your payroll is listed as "clerical" and you work on the job site-you will be re-classified.

THE RATE FOR CLERICAL PAYROLL IS ABOUT $0.25. But some classes have rates of up to $40.00 or more!

RECLASSIFICATION CAN BE DANGEROUS TO YOUR BOTTOM LINE!

If you don't have certificates all the payments you made to subs will be charged as direct payroll to you.You can be sure that the results of this audit will be applied to your next policy. So, if your payroll took a temporary jump because of a once in a blue moon job-be sure it gets noted! If not, then your next policy will include that jump!

HAVE YOUR STUFF READY-MOST AUDITORS WILL BE HAPPY TO TAKE WHAT YOU GIVE THEM AND GO. YOU CAN HAVE THEM OUT IN 10 MINUTES.

Tying it all together...

The auditor will try to verify your payroll from the last year. Have your payroll tax returns ready-If you don't have them, then get your payroll service summaries. If you don't have them then the auditor will go through your checkbook-AVOID THIS AT ALL COSTS!

The auditor will be looking to re-classify your workers.Know your lines! If you classify yourself as payroll don't talk about working on the job site. If you do mainly job site supervision-say so. BE CONSISTENT! The auditor will classify subs as your employees in a heartbeat.

Have certificates for ALL SUBCONTRACTED WORK. I don't care if it's YOUR BROTHER. Take the certificates and wave them in the face of the auditor and MAKE SURE YOU HAVE COPIES!

Do Not Lie!
You can do plenty to help yourself while staying in the bounds of truth. I never counsel a customer to lie. Its wrong and its bad and it will come back to bite you on the behind. One should never lie, however, we should know the rules and be aware for what we are accountable.

Take the advantages available to you. The insurance company will do the same. To think or do otherwise is to be a dreamer. One of the advantages of working with an Independent Insurance Agent is that you can get real world unbiased information when you need it. Call me if you need help!

When All Else Fails
In the event of an audit outcome that you think is flat out unfair and wrong-there is a process that will STOP ALL BILLING DEAD IN ITS TRACKS AND FORCE A RESOLUTION BEFORE ANY PAYMENT IS MADE!

 

 

 
   

The Charter School Insurance Center
A Division of The O'Neill Group

Toll Free Phone 1-800-334-1561
Fax 330-336-5697

111 High Street
Suite 201
Wadsworth, OH 44281
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