Workers' Compensation Premium Audit

Premium Audit

Officers & Partners Annual Maximum Payrolls

State

Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware ****** District of Columbia Florida* Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana***** Nebraska Nevada ** New Hampshire **** New Jersey New Mexico New York * North Carolina Oklahoma Oregon Pennsylvania****** Rhode Island South Carolina South Dakota Tennessee *** Texas Utah Vermont Virginia West Virginia Wisconsin

Officer Min

52,000 28,600 59,800 49,400 57,200 66,200 Flat 75,400 62,244 80,600 52,000 59,800 46,800 44,200 62,400 44,200 26,000 52,000 46,800 52,000 52,000 54,600 14,040 28,184 64,064 41,600 48,200 Flat 10,400 46,800 6,000 31,200 39,520 49,400 45,500 52,000 46,800 65,000 58,760 59,800 23,400 49,400 54,600 7,800 54,600 26,000 31,200 46,800 18,096

Officer Max

202,800 114,400 239,200 192,400 149,500 66,200 Flat 150,800 249,600 322,400 156,000 239,200 187,200 176,800 249,600 208,000 208,000 202,800 192,400 156,000 202,800 218,400 70,200 114,400 256,256 135,200 48,200 Flat 75,920 192,400 36,000 260,000 158,600 197,600 135,200 104,000 192,400 260,000 148,200 239,200 187,200 192,400 218,400 62,400 218,400 213,200 124,800 192,400 90,428

Partner Max

51,100 Flat 36,000 Flat 60,363.96 Max 48,400 Flat 149,500 Max 66,200 Flat 75,200 Flat 249,600 Max 80,800 Flat 52,600 Flat 59,700 Flat 47,400 Flat 21,900 Flat 62,900 Flat 208,000 Max 208,000 Max 51,100 Flat 47,700 Flat 51,500 Flat 51,200 Flat 54,600 Flat 61,700 Flat 22,200 Flat 256,256 Max 40,800 Flat 48,200 Flat 75,920 Max 47,500 Flat 3,600 Flat 32,300 Flat 158,600 Max 49,100 Flat 135,200 Max 52,100 Flat 48,000 Flat 64,900 Flat 148,200 Max Not Applicable 47,000 Flat 48,600 Flat 55,100 Flat 68,800 Flat 54,000 Flat 26,700 Flat 62,100 Flat 47,700 Flat 60,268 Flat

Policy EFF. After

3/1/2022 1/1/2022 1/1/2022 7/1/2022 9/1/2022 1/1/2022 1/1/2022 12/1/2021 11/1/2020 1/1/2022 3/1/2022 1/1/2022 1/1/2022 1/1/2022 1/1/2022 1/1/2022 1/1/2022 1/1/2022 5/1/2022 4/1/2022 1/1/2022 10/1/2021 1/1/2022 1/1/2022 3/1/2022 1/1/2022 7/1/2022 2/1/2022 7/1/1999 1/1/2022 1/1/2022 1/1/2022 10/1/2022 4/1/2022 1/1/2021 1/1/2022 4/1/2022 8/1/2022 4/1/2022 7/1/2022 3/1/2022 10/1/2022 1/1/2022 4/1/2022 4/1/2022 11/1/2021 10/1/2022

* FL Construction MIN 26,000; NY Construction codes MAX: 135,200. ** NV Sole proprietor or partner electing higher benefits: 21,600. *** TN Construction codes MIN $28,600; MAX $81,000. **** NH Officers of unincorporated assc. MIN 15,600, MAX 130,000. *****MT Individual & Partner MIN $10,800 ****** DE for Individuals or Partners not on payroll MIN $64,170.08; PA for Individuals or Partners not on payroll MIN $62,660.00 State requires a signed waiver for officers to be excluded from coverage.



Maximum Payroll_rev0120922

Insurance Company of the West | Explorer Insurance Company | ICW Premier Insurance Company ICW National Insurance Company | ICW Casualty Insurance Company | Verterra Insurance Company

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