Audits
What does an SOPC stand for?
Statement of Premium Collections
What HRIS Screen do you go to to check the status of an LWCC?
Client Issue Tracking
When are Cycle 5 Billing statements generated?
Cycle 5 Billing statements are generated on the first Tuesday of every month
Does Disability cover part-time employees?
Yes
Name the monopolistic states.
North Dakota
Ohio
Washington
Wyoming
Name the 5 types of Audits.
Subject Wage File/Statement, Online/Virtual, Telephone, Physical, Estimated
What should the client do if they receive an LPC notice?
Contact Service (to either switch to Direct Bill or cancel the policy)
Can you have an Umbrella policy without having a GL/BOP policy?
No. A GL/BOP policy is needed in order to obtain an Umbrella policy.
Which states do we handle DBL coverage for?
NY Only.
Life of a policy starts where?
If the client has placed coverage with another insurance carrier, are they still required to complete an audit?
Yes. Audits are based on expired or cancelled policies. Every policyholder is required to complete an audit regardless of how the policy ends.
If the client is charged a NOPR charge, are they paying the Expense Constant twice? (Y/N)
Yes
What is EPLI coverage and what does it stand for?
EPLI policies protect business owners/managers from claims/lawsuits made by their employees for Discrimination, Retaliation, Violation of FMLA, Wrongful Discipline, Wrongful Termination and Harassment. It stands for Employment Practices Liability Insurance.
If a client doesn't run payroll on a NY employee, will we still collect premium for the DBL/PFL policy?
Yes. We would collect the minimum premium ($22.50)
What are the 4 reasons of cancellation for Worker's Comp?
1 - Business Closed
2 - Business Sold
3 - No Employees
4 - Other Coverage
We cannot give a client a 2/3rd's refund without this.
What is the order (timeframe) in which a LWCC/DNOC occurs?
LWCC Issue Created - 20 Days
$30 ACH Generated - 30 days
DNOC Request Letter Generated - 45 Days
DNOC Request to Carrier - 60 Days
Which products are under Cycle 5 Billing?
Auto, BOP, Cyber, Disability/Paid Family Leave, ERISA Bonds, Ohio BWC, and Umbrella.
If an Agency-Billed Disability policy is cancelling for Non-Payment of Premium, name the 2 reasons why that might be.
1 - Premium owed on a prior term
2 - Premium collections have NSF’d
Can a Worker's Comp policy be switched from Direct Bill to Agency Bill midterm?
No. The client would need to wait 30 days before or after renewal. (Will accept - Technically yes, they would need their policy cancelled and rewritten on AB and they'll have an early audit)
Name the 4 types of audits results when a breakdown cannot be done.
1 - When the audit is estimated
2 - When it's an 'Equal to Min' audit
3 - When it's a 'Short Rate' audit
4 - When the audit is less than $100.
If the policy is already pending cancellation on the carrier's website, would we submit a case to PC DNOC to rescind the DNOC or submit a case to PC WorkGroup to request reinstatement?
We would submit a case to PC WorkGroup to request reinstatement.
What is 'Stop Gap' Coverage?
It provides employer's liability for business owners in North Dakota, Ohio, Washington, Wyoming. It protects business owners from lawsuits that may arise when an employee is experiences a workplace injury or illness.
Where do you go to check if a client NSF'd on a DBL/PFL premium payment.
.NET - Application – Bank Processing – Bank Balance Adjustments
What is the SAVE program?
When we switch the client to Direct Bill instead of sending a DNOC to the carrier to cancel the policy.