Billing/Audit

Billing Contact Information

ico_mail
By Mail
Policy Services Department
P.O. Box 97488
Raleigh, NC 27624-7308
ico_email
ico_fax
By Fax
(888) 647-3833
Attention: Policy Services
ico_phone

By Phone
(919) 882-3500 Option 2
OR
(800) 780-7454 Option 2

Make A Payment

ico_portal
ico_mail
By Mail
Policy Services Department

P.O. Box 97488
Raleigh, NC 27624

Loss Run Request Contact Info

ico_email

Premium Audit Information

Premium Audit Guide

Documents Needed for Workers' Compensation Audit

  1. Payroll ledger for audit period
  2. Federal 941 Quarterly Reports
  3. State Quarterly Filings
  4. W-2s and corresponding W-3s
  5. 1099s and corresponding 1096 for subcontractors
  6. Certificates of Insurance for subcontractors
  7. Written job descriptions for employees or subcontractors
  8. Check stub

What happens if we can't complete an audit?

Failure to cooperate or provide all of the documentation needed, will result in a non-compliance audit. Falls Lake Insurance will charge an additional 25% of your estimated payroll and issue a cancellation on your current policy.

How to handle an audit dispute:

Audit disputes must be in writing and outline discrepancies within 30 days of the original audit invoice. Only 1 revision is allowed. Please complete the following form Audit Dispute Form and return to Audits@fallslakeins.com.    


Premium Audit Contact Information

ico_mail
By Mail
Premium Audit Department
P.O. Box 97488
Raleigh, NC 27624
ico_email
ico_fax
By Fax
(888) 647-3833
Attention: Premium Audit