Start with the purpose of the coverage
Workers' compensation helps employers address medical costs, lost wages, and statutory obligations following covered workplace injuries. Classification, payroll, states, and actual employee duties drive the review.
Immediate safety and loss mitigation
Connect this decision to the insured operation, credible loss scenarios, current information, policy wording, and requested protection.
Notice, documentation, and evidence
Connect this decision to the insured operation, credible loss scenarios, current information, policy wording, and requested protection.
Continuity, recovery, and claim follow-through
Connect this decision to the insured operation, credible loss scenarios, current information, policy wording, and requested protection.
What the policy may help address
Employee medical expenses
Confirm covered causes, insured parties, locations, limits, deductibles, conditions, and exclusions in the actual proposal and issued policy.
Lost-wage benefits
Confirm covered causes, insured parties, locations, limits, deductibles, conditions, and exclusions in the actual proposal and issued policy.
Employer liability exposures
Confirm covered causes, insured parties, locations, limits, deductibles, conditions, and exclusions in the actual proposal and issued policy.
Details to examine for this decision
- Correct class codes and payroll allocation
- Owners, officers, subcontractors, and multi-state work
- Experience modification, safety controls, and return-to-work practices
Information to prepare
A complete submission helps distinguish the account and reduces avoidable follow-up. Prepare current records rather than relying on estimates from a prior policy period.
- Payroll by class code, duty, and state
- Employee counts and ownership information
- Loss runs, subcontractor records, and safety program
Questions the review should answer
How does the program address correct class codes and payroll allocation?
Document the answer in the proposal, applicable forms, endorsements, schedules, or written underwriting confirmation. Do not rely only on a certificate or marketing summary.
How does the program address owners, officers, subcontractors, and multi-state work?
Document the answer in the proposal, applicable forms, endorsements, schedules, or written underwriting confirmation. Do not rely only on a certificate or marketing summary.
How does the program address experience modification, safety controls, and return-to-work practices?
Document the answer in the proposal, applicable forms, endorsements, schedules, or written underwriting confirmation. Do not rely only on a certificate or marketing summary.
Frequently asked questions
What should a business prepare for a Workers' Compensation claims readiness review?
Useful starting information includes payroll by class code, duty, and state, employee counts and ownership information, loss runs, subcontractor records, and safety program. The specialist may request additional details based on the operation and available insurance markets.
Why should Workers' Compensation be reviewed separately from other policies?
Workers' compensation helps employers address medical costs, lost wages, and statutory obligations following covered workplace injuries. Classification, payroll, states, and actual employee duties drive the review. The policy should also be coordinated with related property, liability, vehicle, people, contract, and continuity exposures.
Coverage descriptions are general and do not amend a policy. Eligibility, availability, limits, deductibles, exclusions, definitions, and terms vary by risk and insurance market. Actual policy documents control.