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There are so many instances of businesses overpaying for their workers compensation simply due inaccurate data between the parties involved. When it comes to workers compensation in Georgia, the parties involved in the premium determination are: the business (you), the insurance company, and the National Council on Compensation Insurance (NCCI).
Most of the time there is a breakdown in sharing of incorrect data it amounts to the business paying more in workers compensation insurance premiums than they otherwise should. The data is usually related to claims data and occupation data. Claims Data- How It Impacts Your Workers Comp Premiums The most common way that businesses end up paying more than they should for their workers comp is due to claims data being inaccurately reported. When workers comp claims arise, that data gets reported to NCCI. NCCI then uses the claims data to determine the experience modification factor (E-Mod) for the business. Once the E-Mod is generated, the insurance company applies the E-Mod to the premium for the business, which results in an increase in premium. What often happens is a claim will be opened and the insurance company will report what they expect to pay for that claim to NCCI, even if it hasn't closed out. If the claim closes out for less than what was anticipated by the insurance company, it often times does not get reported, which makes the E-Mod higher than it should be and leaves the business paying more in premium than they should. Something we recommend businesses to take advantage of is having their commercial insurance agent audit their experience mod. As a commercial insurance agent, we use software to audit E-Mods to ensure accuracy. It will also show the business the financial impact on each and every claim and allow them to walk through several "what-if" scenarios. It is worth noting that about 65% of the E-Mods being used are inaccurate, meaning there's a 65%+ chance your business is overpaying for workers compensation. Occupation Data And Class Codes- How It Impacts Your Workers Comp Premiums The second issue we frequently see that causes business to pay more than they should for their existing workers comp program is the use of incorrect class codes. Class codes are used to break down the different occupations within your organization based on how hazardous they are. This can somewhat depend on the industry you are in, but in many cases Georgia businesses can take advantage of using itemized class codes for their payroll. For example, an auto repair and sales shop may have $500,000 in total payroll. $250,000 for technicians, $150,000 for sales persons, and $100,000 for clerical employees. The most hazardous and highest premium employees are going to be the technicians because they are much more likely to get injured while on the job. Instead of paying premium on $500,000 of payroll for auto repair, this business can pay $250,000 for auto repair technician payroll and then can use less hazardous class codes for the sales people and clerical workers, which would save them 35-40% on their workers comp premiums. So What Can Your Business Do To Find Out If You Are Overpaying? The simple answer is to reach out to us and schedule a free consultation. If there is money being left on the table, we can work with you to get that adjusted and help your business recover overpayment from the past couple of years. Our CompCostControl Program is designed to audit your company's workers compensation program to ensure you're not overpaying. Click below if you'd like to schedule a consultation to see what we can do for your company!
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So your company just renewed your commercial insurance for another term. Then, out of no where, you receive an invoice for additional premiums. Why? What is this for, you may ask? That is what we will dive into in this article:
Let's start with the question: How are Workers Compensation premiums calculated? Workers Compensation Insurance, along with some General Liability policies are rated at the beginning of the policy period based on certain factors. With Workers Comp, it is rated based off of your payroll 100% of the time. With General Liability, it can be rated based off of payroll, revenue, building square footage, or other factors. For now, let's focus on workers comp insurance. At the beginning of the policy period, your policy will be issued based on the estimated payroll for your business. Essentially, whatever you tell the insurance company you expect for payroll figures over the next 12 months is what will determine your estimated premium. Consider 2 companies in the exact same industry. Company A has $750,000 of payroll expenses. Company B has $200,000 of payroll expenses. Due to the fact that the insurance company is at risk for paying out more in workers comp claims to Company A, Company A will have to pay more in workers comp premiums. This gets broken down even further by class code. For instance, a worker that is a window washer for high-rise sky scrapers is more likely to get hurt or killed while on the job versus a clerical worker that sits behind a desk all day. Since it is more likely that the person with a dangerous job will get hurt, the insurance company has to charge more to cover that employee. So How Does The Insurance Company Know That The Figures Provided At The Beginning Of The Policy Period Are Accurate? Through a premium and payroll audit. At the end of the policy term, workers comp insurance carriers will perform an audit to ensure that the right amount of premium was collected. For small businesses, insurance companies may just send forms for the owner to complete and request a copy of payroll tax information. For middle to large companies, there is usually more paper works and documentation involved. After the audit is complete, the insurance company will either owe money back to your company because you were over-charged throughout the policy term. Or this could mean that your business owes money to the insurance company because you were under-paying throughout the policy term. What Specifically Causes A Business To Owe More Money Back To The Insurance Company? There's usually a few reasons why a business will owe additional premium to the insurance company:
So What Can Your Company Do To Make Sure You Aren't Stuck With A Massive Bill At The End Of The Policy Term? The number 1 things that companies can do is get on a Pay As You Go workers comp billing plan. With Pay As You Go billing, your company is audited in real-time, meaning whatever you pay in payroll this month is appropriately charged to the company next month. You can either do a self-audit each month where someone from the company logs into an online portal with the insurance company and enters in payroll information or you can set it up where your payroll company reports it directly to the insurance carrier. In both of these instances, it is still important that employees are classified correctly and that you're collecting certificates from subcontractors. What If My Workers Comp Insurance Company Doesn't Offer Pay As You Go? Some carriers are still behind with the times. If you're company doesn't offer this billing option, I would recommend checking in with your commercial insurance agent every couple of months to update on changes with payroll. What Happens If My Company Doesn't Complete The Audit? If your company doesn't complete the audit then you will be charged with what is called a non-compliance audit. Essentially, the insurance company will charge you 2-3 times the estimated premium as additional premium owed. How Can The Roberts Insurance Group Help? For starters, we are very well-versed in workers compensation insurance and specialize in helping companies get set-up with the right plan from the start. At The Roberts Insurance Group, we have developed our CompCostControl Program that is specifically designed to help companies recoup money from past audits, among other things. We will also provide audit support on current and past audits. We are often are able to review past audits for new clients to find additional money that is owed back to you. Give us a call at (678) 250-8133 or click below to see how we can help with your company's workers compensation program. Something that most business owners and executives aren't aware of is the fact that Workers Compensation Insurance is one of the only types of insurance where employers have a direct control over the premiums they pay. Yes, you read that correctly. But why is that? There are a few different reasons but the main reason is because of the experience modification factor, or E-Mod. What is an Experience Modification Factor and How Does It Work? An E-Mod works as a surcharge or credit mechanism with workers comp policies. The actual calculation is pretty tricky, but here are the main things to know:
So How Can Your Business Take Control of Your Experience Modification Factor? There are 2 main ways that companies can positively impact their E-Mod and their premiums:
If you have questions on how to take control of your workers compensation premiums or want to know how much a particular claim is impacting your company's premium, click below and we'd love to help! The Roberts Insurance Group is a Georgia Insurance Broker specializing in commercial and personal insurance for our clients throughout the state of Georgia. We help our clients lower their cost of insurance with our superior claim and risk management expertise and our extensive carrier access. We are in the business of building relationships with our clients to help them grow and succeed. Contact us today to see what we can do for your family or business.
If you're one of our clients or someone who follows along with our content, you probably know that businesses have the most control over their Workers Compensation premiums versus any other type of business insurance, at least in Georgia. Helping companies reduce their Workers Compensation premiums is one of the biggest value-adds that we provide for our business clients here in Georgia. It is also the type of insurance that we receive the most questions about.
In light of the influx of questions regarding Workers Compensation insurance, we thought it would be good to do a series on some of the most commonly asked questions. Welcome to the Workers Comp Series Episode 1: How Workers Compensation insurance works. What Is Workers Compensation Insurance? Workers Compensation insurance, also called Workers Comp or Workmans Comp, is a type of business insurance that provides benefits, or compensation, to members of an organization that are sustain injuries or death while on the job. Benefits are generally broken into two categories: medical and indemnity. Medical benefits are provided to pay for the medical care a member of an organization receives as the result or a workplace accident. Indemnity is paid to reimburse the injured or deceased worker for lost wages. When Is A Business Required To Carry Workers Compensation Insurance? We recommend all businesses with employees to carry Workers Comp. However, the State Board of Workers Compensation in Georgia requires all employers with 3 or more employees to provide Workers Comp insurance. Remember, just because it isn't required, doesn't mean your business can't be sued. How To Get Workers Compensation Insurance In Georgia In Georgia, this is very similar to any other type of business insurance. You will need to find an insurance agent that has experience writing Workers Comp insurance. The agent will help you fill out applications and market your insurance to different insurance companies. Then, you and your agent will decide on a policy that fits best with your company. Once this is completed, you will begin to pay premiums to your insurance company, who guarantees to provide benefits if one of your employees is involved in a workplace accident. What's Next? In Episode 2 of our series, we will be diving into Workers Compensation premiums and on-going service. We will discuss what impacts your company's premiums and things you can be doing to drive down your costs. The Roberts Insurance Group is a Georgia Insurance Broker specializing in commercial and personal insurance for our clients throughout the state of Georgia. We help our clients lower their cost of insurance with our superior claim and risk management expertise and our extensive carrier access. We are in the business of building relationships with our clients to help them grow and succeed. Contact us today to see what we can do for your family or business. Whether you're in between homes or just simply don't have enough storage at your current home, most folks in Georgia have used a storage facility at one point or another. If you have, you know that the storage facility will always try to sell you an insurance policy to cover your belongings while they are at the facility. So, should you buy the policy from the facility? This depends on how much personal property and what type of personal property will be stored at the facility. Homeowners policies in Georgia do have coverage for your items in storage off-premises, but not without some restrictions or limitations: Lower Coverage Limit In Georgia, home insurance policies have a separate limit for personal property coverage off-premises and it is usually 10% of your personal property coverage listed on your declarations page. For example, if you have $200,000 of personal property coverage, this means you will have up to $20,000 of coverage while your items are in storage. Depending on the value of the items in storage, this may not be enough. Luckily, many carriers will offer you the chance to increase this coverage, if needed. Make sure to discuss your options with your local independent insurance agent. Limitations On Business Property And Specialty Items If you are storing work-related property, tools, or equipment away from your home, your Georgia homeowners policy will not provide any coverage for those items. This is why you should consider a commercial insurance policy or a commercial inland marine policy. As for specialty items like guns, jewelry, art, collectibles, etc., those are already limited by the homeowners policy to a sub-limit of insurance. Even if the items were lost, damaged, stolen at your home, there is limited coverage available- usually $1,500 to $2,500 per item up to a maximum of $2,500 to $5,000. How Can You Make Sure Your Belongings At Properly Covered At Home And In Storage? The best way to guarantee you're properly insured is to give us a call at The Roberts Insurance Group. We are an independent insurance agency based in Canton, GA and help homeowners throughout the state. Give us a call at 678-250-8133 or click below! In a perfect world, you would never have to use your home insurance. No one ever wants something unexpected to damage their home or property. But life happens, which is why at the Roberts Insurance Group, we are dedicated to ensuring our clients are well-prepared when it comes time to use their insurance. Even if you have a perfectly designed homeowners policy, there are steps every homeowner in Georgia needs to take to ensure claims are minimized and that they are fully indemnified after a claim. Here are 4 things we think every homeowner should do to make sure they are in good shape the next time something unexpected happens to their home: Room-By-Room Inventory Although it is not necessarily a requirement for insurance companies, it is a piece of advice that we recommend every homeowner in Georgia follow. Here at the Roberts Insurance Group, we recommend that our clients take an inventory of their home. It does not have to be elaborate, but in today's world you can just shoot a quick video walking from room-to-room in your home. Why is this important? In major claims, especially in a total loss, you're going to have to work with contractors and adjuster to properly adjust your claim. What kind of trim was on the baseboard of this room? What kind of doors were in the interior of your home? What pieces of furniture did you have in this room? What about all of the stuff in your attic? What about your entire wardrobe? You get the picture. It is almost impossible for anyone to answer any of these questions off of the top of their head, much less after experiencing a traumatic loss to their home and/or property. Taking a video inventory of your home can help jog your memory so that you and your family are totally indemnified following a loss. Knowing Where The Water Shut Off Is Located Every able-bodied household member needs to be made aware of where the water shut-off is located in the home. When a pipe bursts and water is pouring into your home, this can be the difference between a $25,000 claim and a $125,000 claim. Just imagine how much damage can occur if water is continuously pouring into your home for hours until a plumber or handyman can get to you. Knowing where the water shut-off is located will allow you to get the water turned off quickly and minimize any damage, which will result in lower premiums over time. Know Your Deductible Knowing you deductible or deductibles will help you make an informed decision the next time you file a claim. A homeowner with a $1,000 deductible will have a different perspective on how to handle $6,500 of damage to their home versus a homeowner with a $5,000 deductible. Know Who To Call Knowing who to call when something unexpected happens is another great thing to know. If you have a local insurance agent or agency that you work with, have their contact info easily accessible. If you work directly with an insurance carrier, have their claims number readily available. If you work with an independent insurance agency, like the Roberts Insurance Group, we recommend that you call us directly when filing a claim so that we can properly advise on what to do and what to expect before you speak with your insurance company. The Roberts Insurance Group is an independent insurance agency based in Canton, GA and we help homeowners throughout the state protect their home, personal property, and other assets. Give us a call at 678-250-8133 or click below to see how we can help you and your family! As an independent insurance agency based in Canton with clients throughout the state of Georgia, the number one question we get when our homeowner clients call after they find damage to their home is: Will this be covered? Here at the Roberts Insurance Group, we use very comprehensive homeowners policies and coverage forms to help protect our clients' homes as much as possible. Even then, there will be some things that just simply aren't covered by any homeowners policy in the marketplace. Any time there is damage to your home that isn't covered, it is because it is explicitly excluded in your policy. Today, we're going over 5 common issues homeowners run into that aren't covered by homeowners insurance in Georgia. Note that, in some instances, these issues or causes of loss CAN be covered with a different (extra) type of policy or a special endorsement. Flood Here in Georgia, there is not a homeowners policy that will cover flood damage. You must buy a Flood Insurance Policy in order for that to be covered. Just because you don't live next to a lake, river, or ocean, doesn't mean your home isn't at risk of flood damage. What do I mean by that? For insurance purposes, water damage is considered flood damage if your home is damaged by water that comes from the ground. Here are a couple of examples:
Earthquake Here in Georgia, damage from earthquakes are only covered if you have your homeowners policy endorsed with earthquake coverage. Some carriers do not even offer this endorsement but some do. Typically, you will be required to carry a pretty high deductible. Earthquakes aren't necessarily common here in Georgia but they do happen, so this may be something to consider discussing with your independent insurance agent. Construction Defects This is something that is not covered by any homeowners policy in Georgia. In fact, there is absolutely no way to have this covered by endorsement or a separate policy. Construction defects can be described as faulty craftsmanship by a contractor or home builder that causes damage to your home. If a contractor uses faulty materials when building or fixing your home, this would fall into the construction defect category as well. Example: you get a new roof for your home but the roofing contractor does not install your new roof properly, which leads to water leaks and interior damage in your home. Your insurance company MAY cover the damage to the interior and try to subrogate against the roofing contractor's General Liability policy. But the cost of getting your roof repaired and properly installed would fall on the homeowner. Of course, you could sue the contractor for the faulty work but it is not likely to get you the funds needed to get a new roof in a timely manner. Appliances (HVAC, Water Heater, Furnace, Refrigerators, etc.) Appliances like those listed above are not covered by a Georgia homeowners policy if they break down or malfunction. If they were to leak and cause subsequent damage, the damage they caused can be covered but that is it. The only time these items can be covered under a Georgia homeowners policy is if they are stolen or struck by lightning. Even though they are not covered by Georgia homeowners policies, they can be covered with a special endorsement or by a home warranty. If you would like coverage for these things, we recommend you discuss your options with your independent insurance agent. Trees Falling On Your Property This can be somewhat misleading to Georgia homeowners. On the majority of Georgia home insurance policies, there is coverage for tree removal. However, this coverage only applies if something else is damaged such as your home, other structures, or personal property. If you have trees fall on your property and nothing is damaged but it ends up costing $3,000 to have them removed, there's really nothing you can do expect do it yourself or pay someone to do it. However, if trees fall on your property and damage your home, other structures, or personal property, your homeowners policy will pay up to the sub-limit listed in your policy to have the trees removed. So How Can You Make Sure You Are Protected? The best way to make sure you're protected is to discuss any concerns you have with your independent insurance agent. Here at the Roberts Insurance Group, we work with homeowners throughout Georgia to help them design a coverage plan that works best for them and their family to make sure they have as much protected as possible. If you have questions about your coverage or policy, we would love to help! We're located in Canton, GA and have clients throughout the state. Give us a call at 678-250-8133 or click below! Canton and the rest of Georgia have experienced several storms over the past few months. As a matter of fact, one just came through today. As a result, there are many homeowners here in Canton and throughout Georgia that have had to file claims with their home insurance company to get damage fixed. One of the questions that has been asked more than once is: when do I have to pay my deductible? Before we answer that question, it is important to know that you absolutely have to pay your deductible. This may seem redundant or common sense to some, but many contractors will make it seem like you do not have to pay your deductible. They do this by committing insurance fraud- submitting higher-than-needed estimates and invoices directly to the insurance company. If a contractor tells you that you do not have to pay your deductible, just know that this business practice is illegal and the contractor will lose their license and face criminal charges and fines if they are caught. It also contributes to higher insurance rates for Georgia homeowners as a whole. Back to the question at hand... Typically, the contractor is responsible for collecting the deductible from you, the homeowner. When a claim is filed and it is determined that the loss will be covered, the insurance company will write a check for the amount to repair/replace the damage, minus your deductible, minus depreciation. These funds should be used as the down payment to the contractor to get work started. Once work is completed, the contractor will send proof of completion to your insurance company. At that point, the insurance company will release the depreciation funds that were deducted from the first check, leaving your deductible as the only amount owed to the contractor. By this time, the contractor should have received all funds related to this project minus your deductible. This is usually when the deductible will be due and need to be paid. Every contractor runs their business differently, so you may be able to work out a payment plan or pay using a credit card. This is entirely up to the contractor and something you should discuss with them before you sign a contract. Here at the Roberts Insurance Group, we work with homeowners to help them find the right policy and coverage that will work just the way they want when they need it! We are located in Canton, GA and have clients throughout the state. Give us a call at 678-250-8133 or click below to get started and see how we can help you or your family! For most Georgians, their home is their biggest asset. It's what gives you shelter and a place to raise your family, which is why it is imperative to make sure there's a way to fix or replace it if it is unexpectedly damaged. The most efficient way to do this is to have a comprehensive homeowners insurance policy in place. In Georgia, you'll pay as low as $50 per month to have great coverage that will be there to pay for damages when the unexpected happens. When you buy a home insurance policy in Georgia, these are just a few of the important coverages and features that will come with your policy: Homeowners Insurance Property Coverage In Georgia, the property coverage is the most important coverage to consider when selecting a homeowners insurance policy. Property coverage will pay to fix or replace your home, personal belongings, or detached structures if they are lost, damaged, or stolen. This includes any additions, improvements, or upgrades you have made to your home before the unexpected event. For example, if you have $500,000 of coverage for your home and $250,000 of coverage for your personal property and there's a fire that causes a total loss, your home insurance company will pay up to $500,000 to rebuild your home and up to $250,000 to replace your belongings- a grand total of $750,000. Not bad for paying a $50 per month premium, right? Homeowners Insurance Deductibles A deductible is a predetermined amount of money that a Georgia homeowners agrees to pay out-of-pocket for a claim before the insurance company begins to pay for the damages. Homeowners insurance policies in Georgia have a variety of deductibles to choose from. The way it works: the higher deductible, the lower your premium, and vise-versa. Typical deductible options for Georgia home insurance policies include flat deductibles (meaning your deductible will never increase unless you change it) ranging from $1,000 to $10,000 or percentage-based deductibles (meaning it is a percentage of the dwelling coverage) ranging from 0.5% up to 5%. An example of a percentage-based deductible would be: 1% on a $500,000 home, means your deductible is $5,000 for this policy term. We typically recommend staying away from percentage-based deductibles because they increase each year. Homeowners Liability Insurance Liability insurance is a coverage on Georgia homeowners policies that help pay for legal defense and settlements if you are named in a lawsuit involving bodily injury or property damage to another person or their property. This coverage is very inexpensive, so we recommend higher limits. For Georgia homeowners, this means $300,000 at a bare minimum. You can typically purchase up to $1,000,000 of liability coverage on a homeowners policy in Georgia. If higher limits are needed or desired, you will need to purchase a personal liability umbrella policy. How Can You Make Sure You Have The Right Features And Coverages On Your Home Insurance Policy? By working with the Roberts Insurance Group! We're an independent insurance agency based in Canton and we help homeowners throughout the state of Georgia get the very best value with their home insurance. We have over 40 insurance companies, which means our clients are guaranteed to get the coverage they need at the best price possible. Give us a call at 678-250-8133 or click below to get the coverage you need today! If you have an extra room or basement in your home or if you have a second home or investment property, you've probably considered renting it out as a short term rental property at one point or another. This has become a great way to make money and create passive revenue streams. The best part is the return on your investment. These properties tend to bring in much more revenue than a traditional long term rental. If this is something you have considered in the past or are considering now, here are some things you need to know: Need To Work With An Independent Insurance Agent Why is this important? Because it is the best way for you to get the coverage you need at the best possible price. After all, you're doing this to make money and turn a profit, so it only makes since to improve your bottom line. By working with an independent insurance agency like the Roberts Insurance Group, you will get personalized guidance on the coverage you need and the benefit of having us shop your coverage around with over 40 different carriers to find you the best possible value for your home or investment property. Make Your Agent Aware That Your Home Or Property Will Be Rented Short Term If your agent doesn't know, then they can't help. If you plan on renting your property out on places like Airbnb, make sure your agent knows so that they can add the proper endorsement to your home policy or have it rewritten as an investment property with short term tenants. Adequate Liability Coverage Having increased liability coverage is a must-have for homes or properties that are rented short term. There's much more foot traffic and a higher likelihood of an injury, claim, or lawsuit. We recommend having at least $1,000,000 of liability coverage. This can be increased on your policy or with the help of an umbrella policy. Loss Of Income Loss of income coverage is crucial for your new investment. If a claim arises and you are unable to generate income for a period of time, it is important that the money keeps coming in. Having loss of income or loss of rent coverage will guarantee you continue to get a paycheck if your home is unable to generate revenue due to a claim. At the Roberts Insurance Group, we specialize in working with homeowners and real estate investors. We're located in Canton, GA and help homeowners, investors, and landlords throughout the state. Give us a call at 678-250-8133 or click below to see how we can help you! |
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