February 1, Circular Letter No
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1 Minnesota Workers Compensation Insurers Association, Inc. 771 France Avenue South Suite 45 Minneapolis, MN February 1, 25 ALL ASSOCIATION MEMBERS Circular Letter No RE: 24 Test Audit Summary Report Attached are the summary sheets showing the results of the 24 Test Audit Program of the Minnesota Workers Compensation Insurers Association, Inc. For your convenience, the report lists all test audits completed between January 1, 24 and December 31, 24 and is sorted by Carrier ID PH FX
2 Carrier ID AFN Number Test Audit Payroll Company Audit Payroll Reason Code(s) Total Payroll Difference ,95 674, , ,126 P ,619 3, , , , , ,31 315, ,324 28,337 P5-7, ,18,348 1,18,261 P , , , ,861 P , ,519 P ,56,729 1,56,654 P ,439 83, ,597 43,4 P , ,955 P ,176,174 1,175,93 P ,21 98, ,642 19,584 P , ,24 P ,617 41, ,127 41,352 P ,847 93,75 P ,97 198, ,95 126, ,144 62, ,127 45,41 P ,495,894 1,495,679 P , ,637 P , ,397 P ,681 96, ,739 46,789 P ,677 71,677 January 1, 25 Page 1 of 17
3 , ,539 P , ,38 P , ,62 P5-9, , ,444 P ,523 38,491 P , ,43 P ,215 37, ,234 14,94 P , ,612 P ,789 15, P , , ,348 61,991 P ,596,942 1,596,82 P ,71 968,356 P ,921 77,5 P ,921 66,84 P , ,434 P ,91 87,618 P , ,32 P ,145 63,7 P , , ,359 63, ,477 84,631 P ,489,895 1,488,191 P5 1, , ,235 P ,472 96,312 P , ,128 P , ,253 P7 66, , ,41 C5, P7-26, ,526 52,28 P7-5, , ,168 P January 1, 25 Page 2 of 17
4 ,925 42,925 P7 4, ,535 62,512 P3-46, , ,565 P ,371 47,9 P7 77, , , ,293 7,625 P7 61, ,52 4,763 P7-1, ,96 471,249 P7 7, , ,944 P3-76, ,862 74,65 P3-72, , ,422 P7 11, , ,36 P7 79, ,998 8,998 P7 8, , ,829 P7-3, ,131 23,731 P7 8, , ,14 P7-2, , , ,74 296,845 P2, P , ,261 P7-2, ,11 18, ,582 6,962 P7 8, ,715 89,391 P7 17, ,38 365,713 P1, P7-16, ,956 43,571 P ,472 97, ,26 21,81 P7 2, , ,369 P7-1, , ,22 C5, P7-1, ,365 2,365 P7 43, , , ,922 17, , ,712 P7 4, ,478 22,287 P1, P7 2, ,36 7, P1, P7 2, ,98 74,44 P7-1, ,68 289,724 C5, P7 58, ,747 62,311 P7 26, ,939 7,331 P ,4 1, ,84 115,272 P3-12, ,286 42,887 P3-14, ,41 79,423 P7 2, ,248 15,248 January 1, 25 Page 3 of 17
5 , ,274 P3 9, ,263 47,959 P3-12, ,64 133, , ,473 P4-5, , 38,713 P7-11, ,56 177,66 P7 48, ,44 141,881 P7-32, ,278 87,248 P3 16, ,118 33,129 C1, P7-2, ,19 8,7 P ,6 63,945 P3-47, ,74 121, , ,363 P7 26, , ,319 C5, P1 24, ,388 77,281 P ,52 166,52 C , ,842 P3-248, ,66 2, ,92 254,491 P7-15, ,82 66, , ,332 C1, P , ,795 P1 82, ,36 21, ,47 24,677 P ,624 9, ,79 19,257 P7 3, ,143 6,286 P ,24 29,485 P7 1, ,73 456,637 P7-156, , 47,975 P7 2, , 87, P7 1, ,28 4,345 P ,5 38,46 P , ,5 P3-91, , ,865 C5, P7 144, ,771 74,355 P7 1, ,86 21, P3-8, ,793 85,822 P7-3, ,26 38,99 P , ,18 P ,699 55, ,33,268 1,33,148 P5 12 January 1, 25 Page 4 of 17
6 ,692 83,54 P , , ,721 14,97 P , , , ,22 P5 1 Quarter: 1 Total Test Audit Payroll : Total Company Audit Payroll : 41,84,62 41,896,965 Total Payroll Difference : (92,93) January 1, 25 Page 5 of 17
7 Carrier ID AFN Number Test Audit Payroll Company Audit Payroll Reason Code(s) Total Payroll Difference ,12 874,8 P5 1, ,118,124 1,118,598 P ,223 36,855 P , ,652 P ,93,921 1,93,719 P ,5 81,869 P ,881 68, ,38 153, ,194,556 1,194, , ,456 P , , ,63 275, ,64 479,974 P5 1, , ,937 P ,673 86, ,825 69,12 P ,248 78,876 P , , , , , , ,425 68, , , , ,22 P ,514 72, , ,429 P , , ,47 821, , , , ,446 P , ,215 P6 46 January 1, 25 Page 6 of 17
8 ,781 81, , , , ,957 P , , , ,254 P , , ,185,668 1,184,375 P5 1, , , ,24,874 1,24,176 P , ,9 P , , , ,449 P ,841 67,611 P ,74 857, , , ,521 61,232 P , ,986 P6-1, , , ,73,753 9,73, ,81 17,81 P7 7, , ,353 P2, P ,172 43,48 P7 37, ,39 437,468 P5 195, , 44, ,136 44,223 C5, P7 13, , ,194 P7 11, ,145 6, ,851 66,58 P ,62 129, ,733 95,368 C2, P7 17, ,81 11,515 P7 29, , ,372 P7-3, , 59,479 P7-17,479 January 1, 25 Page 7 of 17
9 ,365 2,365 P7 43, ,938 26,835 C5, P7 72, ,326 11,184 P2, P ,64 12,64 P5, P7 144, ,938 83,622 P7 3, ,329 6, ,883 16,47 P ,358 15, ,924 67,583 C5, P7-45, ,154 51,668 P1, P7-26, ,83 57,886 P7-6, ,738 36,738 P7 1, ,58 232,525 P7-1, ,15 29,343 P7 1, ,266 95,265 P7 2, ,8 34, ,195 21, P7 32, ,98 74,827 P7 6, , ,353 C5, P1, P7-85, ,817 65,423 P7-3, ,192,559 2,183,572 P6 8, ,318,27 1,32,152 P1, P2-2, ,98,49 1,98,312 C ,99,61 1,99, ,72 59, ,872,367 1,873,7 P ,53,129 1,53,129 C ,417,268 1,465,32 P2, P6-47, ,786 39, ,67 829,952 P6-179, , ,54 P6 69, ,81 239,457 P ,31 239,795 P1 73, ,28 33, ,93 13, , , , ,822 P ,221,423 1,29,878 P5 11, , ,299 P ,87 33, , , ,73 59,72 P5 1,1 January 1, 25 Page 8 of 17
10 , , , , , ,517 P , ,698 P ,145,875 1,145,437 P , ,563 P ,36 74,187 P6-1, ,58,791 2,58,5 P ,13 997,64 P ,373,41 1,372,44 P , ,23 P ,25 83, ,862,978 1,862, ,5 77,66 P5-46, , ,557 Quarter: 2 Total Test Audit Payroll : Total Company Audit Payroll : 74,545,924 73,933,881 Total Payroll Difference : 612,43 January 1, 25 Page 9 of 17
11 Carrier ID AFN Number Test Audit Payroll Company Audit Payroll Reason Code(s) Total Payroll Difference , , ,47,934 1,47,135 P ,73 649, ,257,846 1,256,265 P5 1, ,63,652 1,63, , , , , , ,42 P ,835 52, , ,992 P , ,468 P ,358,746 1,359,697 P , ,49 P , ,294 P ,465 4, ,156,164 1,156, , , , , , , ,747 46,528 P ,238 63,676 P , , ,148 55, ,24,17 1,23,718 P ,754 72, , ,868 P , , ,164,873 1,165,434 P ,253 25,253 January 1, 25 Page 1 of 17
12 ,427 8,4 P ,147,186 1,147, ,31,778 1,31, , , ,641 46, ,539 34,83 P ,847 62,342 P ,221,742 1,22,72 P5 1, , ,913 P , ,565 P , ,428 P ,29 668, , , ,582 92,86 P7 42, , ,164 P7 26, ,84 153, , ,924 P5 11, , ,299 P1, P2, P7-54, , ,37 P6 2, ,822 75,536 P6 31, ,42 96, ,426 66, , ,995 C , , ,212 45,412 P6-13, ,83,657 1,42,93 41, ,98 151,391 P6-1, ,367 13,964 P1-8, , , ,353 22, ,634,491 1,512,17 P2, P6 122, ,76,693 1,77,213 P ,173 27,622 P6 1, , , , ,25 P , ,27 P6 6, ,46,944 1,46,779 C5 165 January 1, 25 Page 11 of 17
13 ,82,88 2,81,319 P2-7, ,655,861 3,694,11 P2-38, ,7,224 4,61,69 P5-54, ,94,473 1,94,95 P ,765,787 3,784,849 C5, P2, P7-19, ,877,314 1,99,883 P1, P2, P6-113, ,592,658 1,581,585 P2 11, ,35 64, , , ,65 19, ,38 182,136 P1 36, , ,461 P6-1, ,45 473,369 C5 1, ,2 179,784 P5, P6 131, ,939 3,853 P6 56, , , ,713 96, ,774 93, ,394,57 2,389,934 P2, P6 4, ,21 59,495 P6-1, ,68 91,78 P6-19, ,263,358 1,181,273 P5 82, ,237 16,34 P ,85 239,85 P1 7, , , , ,52 P2-1, , , , ,486 P6 9, , , ,98 687,679 P2-1, , ,276 P ,138 4, ,11,624 1,11,251 P , , ,768 77, , , , , ,35 592, , ,9 P5-179 January 1, 25 Page 12 of 17
14 ,93,498 1,93, ,662 74, , ,434 P ,89,784 1,89, ,412 76,412 Quarter: 3 Total Test Audit Payroll : Total Company Audit Payroll : 79,766,462 79,495,749 Total Payroll Difference : 27,713 January 1, 25 Page 13 of 17
15 Carrier ID AFN Number Test Audit Payroll Company Audit Payroll Reason Code(s) Total Payroll Difference ,52,321 1,5,496 P6 1, , ,859 P , ,171 P5 1, ,455,352 4,455,352 C ,526,728 1,524,786 P5 1, ,113,482 7,112,779 P ,142,283 1,141,652 P , , ,674,82 3,674, ,477,495 3,477, , ,97 P5 1, ,371,817 2,371, ,952,717 1,952, ,287 98, P5 1, ,595,938 1,596,89 P , ,664 P ,965,67 1,965, , ,49 P , , , ,659 P2, P7-3, , ,36 P7-1, , ,48 P7 96, , ,978 P1-135, , ,11 P2-1, ,85 32,973 P ,51 222,529 P5, P7-5, ,93 42,368 P , ,53 P ,561 73, , ,42 P2-1, ,422 38,657 P ,257 53,723 P , ,937 C5, P7 4,499 January 1, 25 Page 14 of 17
16 ,418 72, ,915 67,592 P7-2, ,11 9,968 P7 1, , , P ,39 858,659 P6 15, , , , ,29 P1, P7-85, ,3 7, , ,72 P7 38, ,82 626,386 P2, P5 29, ,138,6 1,138, , ,67 P6-17, , 24, C5 1, , ,93 P1, P7-74, , ,49 P7 32, ,52 449,58 P5-88, ,778,182 1,778, ,825 45,25 P1 7, , ,536 P5 21, , 42, ,965 24,51 C5, P , ,188 P6 1, ,914 84, ,783 1,147,698 P6-258, ,82,149 1,83,966 P2-1, ,51,356 1,899,778 P2, P6 151, ,211,394 5,221,699 P1-1, ,369,726 3,38,531 P6-1, ,49,122 1,412,498 P2-3, , ,577 P2-7, ,22,471 1,131,89 P6 71, ,7 289,7 C , ,271 P1, P6-8, ,97 312,965 P6 1, ,512,671 1,512,76 C ,22 51,54 P6 5, , , ,799 48,14 P1 47, , , , ,755 P6 7, , ,164 P6 12, ,894,637 2,82,348 C5, P1, P2 74, ,6 62,4 P6 1,2 January 1, 25 Page 15 of 17
17 , ,32 P6 2, ,522,623 2,522,623 C ,259,26 4,259, ,784,247 1,783,131 P5 1, , ,111 P5 1, ,546 69, ,62,185 1,6,875 P5 1, , ,39 P5 1, ,385,621 1,384,963 P , , ,486,295 3,487,745 P5-1, , , , , P5-1, , ,7 P ,128,992 1,128, ,4,864 5,4, ,42 768, ,18 388, , ,573 P ,94 638, ,45,178 7,44,244 P6 934 Quarter: 4 Total Test Audit Payroll : Total Company Audit Payroll : 17,775,731 17,821,897 Total Payroll Difference : (46,166) January 1, 25 Page 16 of 17
18 Total Test Audit Payroll : Total Company Audit Payroll : 33,892,179 33,148,492 Total Payroll Difference : 743,687 Summary of Errors : Error Count of Errors Error Count of Errors Total Audits: Total Audits w/ Differences: P1 P2 P3 P4 P5 P6 P C1 C2 C3 C4 C Percentage of Audits showing Differences: 67.9 % Difference Reasons Payroll Differences: P1: Officer, partner, individual payroll limitations P2: Overtime Credit P3: No payroll verification P4: Rule IV payroll inclusions/exclusions P5: Mathematical - extension errors P6: All other differences P7: Accepting insured figures without an audit Classification Differences: C1: Standard exceptions C2: Executive officers, partners, sole proprieters C3: Improper splitting of individuals payrolls C4: Change of claim on audit C5: All Other January 1, 25 Page 17 of 17
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