How to Read Your Bill

Workers' compensation billing statements reflect all transactions that occur during the billing period.

Policyholders also receive various information pages, including:

Information Page

Summarizes coverage, detailing classification codes, payroll and modifications used to determine premium. You receive an Information Page when your policy is written, renewed or revised.

Sample Information Page

Revised Information Page

Shows the details of a revision to a previously-issued Information Page.

Sample revised information page

Audit

Summarizes final premium for a specific policy period based on the actual payroll audit done by NYSIF.

audit sample

Desk Audit

Summarizes final premium for a specific policy period based on actual payroll records submitted to NYSIF.

Report

Summarizes final premium for a specific policy period based on a report of actual payroll submitted to NYSIF.

Estimate

Summarizes estimated final premium for a specific policy period based on estimated payroll in lieu of actual payroll.

Deposit Rescind

Gives credit for deposit premium billed for the period that is being revised.

Earned Premium Rescind

Reverses previously issued earned premium for a policy period.

Dividend Rescind

Reverses previously issued dividends for a policy period.

Audit Adjustment

Adjusts the audit bill(s) in a policy period, either to correct the amount of payroll billed, to reallocate payroll from one classification to another, or to delete payroll billed for a subcontractor when the subcontractor provides proof of coverage.

Dividend

Credits the audited premium of each member of a safety group by a percentage declared by that safety group.

Recomp

Announcement adding, changing or deleting an Experience or PAP modification.

Adjustment EXP/PAP MOD

Issued after a recomp to correct the Experience Modification/PAP applied on audit bills produced for the policy period covered by the recomp.

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