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  • Workers Compensation Or Payroll Based General Liability Phr Form

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Premium Audit P.O. Box 2927 Hartford, CT 061042927POLICYHOLDER AUDIT REPORT Insured Name: Address 1: Address 2: City: State: Zip: Policy Number: (i.e. xxxx1A234567) Policy Term: FAX (800) 8790892.

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A premium audit is a review of your company's sales and payroll to make sure you paid the appropriate premium for the insurance coverage you needed over the policy period.

Information Needed for an Insurance Audit Description of company operations. Officers'/Owners' names and titles. Employee names and job duties. Number of employees at each location. Names of subcontractors and certificates of insurance for subcontractors.

Payments made by the employer of amounts that would have been legally withheld from employees' pay to meet statutory obligations should be included in the employee's payroll. Such payments include, but are not limited to Social Security, FICA, SUTA, and payments to pension plans.

If you fail to comply with your insurance audit, you will suffer adverse consequences. Carriers can legally charge you up to three times your annual premium for a non-compliant audit. If you don't perform your workers' compensation audit, it will negatively impact your experience modification factor.

Updated January 05, 2023. A Florida notary acknowledgment form is a sworn statement, commonly attached to a legal document, that confirms the authenticity of the person signing.

Policyholder Reports (PHR) Refer to your Online Invitation letter to determine if payroll or sales (or both) are requested and choose from the following: Workers Compensation or Payroll-based General Liability. Sales-based General Liability.

If you have urgent questions regarding your Premium Audit, our Customer Service team is available 8am - 7pm EST Monday - Friday at 800.842. 4271.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232