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Workers Compensation Mistakes That Can Cost Business Owners Thousands

  • Writer: Vincent Fuccilli
    Vincent Fuccilli
  • 14 hours ago
  • 4 min read

Bergen Insurance Group | Workers Compensation Insurance Education


Workers compensation audit overview
Many workers compensation issues are not discovered until an audit, injury claim, or policy review occurs.


Workers Compensation Mistakes That Can Cost Business Owners Thousands


Most business owners understand that workers compensation insurance helps protect employees who suffer work-related injuries.


What many business owners do not realize is that some of the largest workers compensation costs do not originate from workplace injuries themselves.


Instead, they often stem from administrative mistakes, payroll reporting issues, subcontractor misunderstandings, and employee classification errors.


In many situations, these problems remain hidden until:

  • a workers compensation audit

  • an employee injury

  • a state compliance review

  • a policy renewal


At that point, correcting the issue can become far more expensive.



Why Workers Compensation Mistakes Are So Common

Workers compensation insurance is often based on information such as:

  • payroll

  • employee duties

  • business operations

  • job classifications


As businesses grow, change, or add employees, these details may evolve over time.


Unfortunately, insurance records do not always evolve at the same pace.


A policy that accurately reflected a business two years ago may no longer reflect how the business operates today.



Mistake #1: Employee Misclassification

One of the most common workers compensation issues involves employee classification.


Insurance companies use classification codes to help determine workers compensation rates. Different jobs carry different levels of risk.


For example:

  • office employees

  • property managers

  • retail workers

  • warehouse employees

may all have very different classifications.


When employees are classified incorrectly, premiums may not accurately reflect the business's actual exposure.

This often becomes apparent during an audit.



Example: Office Employee vs Field Employee

A business originally employs administrative staff working exclusively in an office environment.


Over time, several employees begin visiting job sites, properties, or customer locations.


If classifications are not updated appropriately, audit adjustments may occur later.


Office vs field: workers' comp comparison
Employee duties often evolve over time, making periodic workers compensation reviews important.


Mistake #2: Uninsured Subcontractors

This is one of the most misunderstood workers compensation issues among small businesses.


Many business owners assume:

"They're an independent contractor."

or

"They have their own business."

and assume no further review is necessary.


However, workers compensation rules and insurance requirements can be more complex.


In some situations, businesses may be asked to provide proof of coverage for subcontractors.


If documentation is unavailable, audit complications may arise.


This is one reason many businesses collect certificates of insurance from subcontractors on a regular basis.


Example: The Uninsured Subcontractor

A business hires an independent subcontractor for several projects throughout the year. The owner assumes the subcontractor maintains their own insurance.


At audit time, no workers compensation documentation can be produced. Questions arise regarding payroll inclusion and coverage responsibility.


A situation that seemed simple during the year suddenly becomes more complicated.


Mistake #3: Payroll Reporting Errors

Workers compensation premiums are frequently based on payroll information. Errors involving payroll reporting may create significant premium adjustments during audits.


Common examples include:

  • estimated payroll that differs significantly from actual payroll

  • rapid business growth

  • employee additions

  • inaccurate payroll records


Many business owners underestimate how much payroll can change throughout the policy period.


Example: Rapid Business Growth

A company begins the year with five employees. By year-end, the workforce has doubled. Payroll increases substantially beyond original estimates.


When the workers compensation audit occurs, additional premium is assessed based on actual payroll figures.

The owner is surprised by the adjustment even though the business experienced successful growth.


Why Audits Often Surprise Business Owners

Many business owners view workers compensation audits as something negative.


In reality, audits are generally designed to reconcile estimated exposures with actual exposures.


The audit process often reviews:

  • payroll records

  • employee classifications

  • subcontractor documentation

  • business operations


The goal is to ensure the policy accurately reflects the business that was insured during the policy period.


Why These Issues Are Becoming More Common

Today's businesses often experience:

  • employee turnover

  • workforce expansion

  • remote work arrangements

  • changing job responsibilities

  • subcontractor relationships


As operations become more dynamic, maintaining accurate workers compensation information becomes increasingly important.


How Business Owners Can Help Avoid Costly Surprises

Business owners should periodically review:

  • employee duties

  • payroll estimates

  • subcontractor documentation

  • certificates of insurance

  • business operations

  • classification assignments


Many workers compensation concerns are easier to address before an audit than after one.


Why Independent Insurance Advice Matters

Workers compensation insurance is not simply about purchasing a policy.

It also involves understanding how payroll, classifications, subcontractors, and business operations affect coverage and premiums.


At Bergen Insurance Group, we help New Jersey business owners review workers compensation exposures, understand audit considerations, and identify potential issues before they become costly surprises.



FAQs

What is employee misclassification in workers compensation?

Employee misclassification occurs when workers are assigned an incorrect workers compensation classification code that does not accurately reflect their job duties.


Why do workers compensation audits occur?

Audits are generally conducted to compare estimated payroll and business operations against actual payroll and operations during the policy period.


Can uninsured subcontractors create workers compensation problems?

In certain situations, subcontractor documentation may be reviewed during audits. Maintaining proper certificates of insurance is often important.


Why can payroll reporting affect workers compensation premiums?

Workers compensation premiums are frequently based on payroll estimates and actual payroll figures. Significant differences may result in audit adjustments.


How often should workers compensation information be reviewed?

Many businesses benefit from reviewing payroll, classifications, and subcontractor documentation throughout the year, especially when operations change.


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Disclaimer

The information provided in this article is intended for general informational purposes only and should not be interpreted as insurance, legal, tax, payroll, or employment advice. Workers compensation laws, classifications, audit procedures, and coverage requirements vary by state, insurance company, and individual business circumstances. Business owners should consult with qualified insurance, legal, accounting, or payroll professionals regarding their specific situation.

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