Location focus: United States (spotlighting California, New York, and Texas)
Employers who take payroll record-keeping lightly are playing with fire. In workers’ compensation insurance, payroll is the single biggest driver of premium. If your books are sloppy, an auditor can — and will — re-classify exposure, add unreported wages, and back-bill you (often with interest and penalties). In severe cases, owners face misdemeanor or even felony charges.
This ultimate guide (≈ 2,800 words) breaks down every document you need, state record-keeping rules, software options, pricing, real-world penalties, and pro tips to sail through an audit.
Why Auditors Obsess Over Payroll
1. Payroll = Premium Formula
Across 38 NCCI states and most independent-bureau jurisdictions, the premium formula is:
Audited Payroll × (Manual Rate ÷ 100) × Experience Modifier × Schedule Credits/Debits
Even a 5 % payroll understatement on a $1 million payroll at an average U.S. manual rate of $1.05 per $100 (Oregon DCBS 2025 study) can mean an extra $525 in annual premium — before modifiers!
| Scenario | Reported Payroll | True Payroll | Rate | Premium Owed | Premium After Audit | Surprise Bill |
|---|---|---|---|---|---|---|
| Accurate books | $1,000,000 | $1,000,000 | $1.05 | $10,500 | $10,500 | $0 |
| 5 % under-report | $950,000 | $1,000,000 | $1.05 | $9,975 | $10,500 | $525 |
| 20 % under-report | $800,000 | $1,000,000 | $1.05 | $8,400 | $10,500 | $2,100 |
(Loaded pure-premium index rate — Oregon DCBS press release, June 17 2025)
2. Audits Are Mandatory
Every standard-market workers’ compensation policy in the U.S. contains an “Audit & Inspection” clause. Carriers can examine:
- Cash-books, journals, ledgers
- Timecards & time-tracking exports
- 941s, 940s, state unemployment returns
- Subcontractor 1099s and certificates of insurance
- Job cost reports and general ledger entries
Refusal (or inability) to furnish records allows insurers to estimate payroll — nearly always higher than reality.
What Records Do Auditors Request?
Core Payroll Files
| Record | Retention (Federal) | State Variations |
|---|---|---|
| Weekly timecards / electronic punches | 3 years (FLSA) | CA: 4 yrs; NY: 4 yrs; TX: 5 yrs for injury logs |
| Payroll registers & summaries | 4 years (IRS) | Same in most states |
| Quarterly 941/940, state UI returns | 4 years | Some states (e.g., CA EDD) ask for 8 yrs in fraud cases |
| W-2s & 1099s | 4 years | — |
| Certificates of insurance for subcontractors | Policy term + 3 yrs | NY WCB may demand 6 yrs if coverage gaps emerge |
Supplemental Docs
- Job costing by project & location (crucial for multi-state employers)
- Owner/officer payroll exclusion forms per state rules
- Overtime breakout — auditors credit the excess premium portion in some states
- Tip logs & gratuity payouts (hospitality sector)
- Piece-rate or bonus schedules (agriculture, logistics)
State Record-Keeping Rules You Can’t Ignore
1. New York – WCL §131
- Must keep four years of payroll, class code and injury data.
- Failure = misdemeanor, $5,000–$10,000 fine; repeat within 10 yrs becomes Class E felony (Up to $25,000).
- Intentional understatement: $2,000 per 10-day period or 2× unpaid premium (NY WCB Violations page).
2. California – 8 CCR §10111.1 & §10111.2
- Audit Unit can fine $100–$5,000 per violation for late, missing, or falsified documents.
- Producing altered/fraudulent payroll = automatic $5,000 per document.
- Records generally required for 5 years.
3. Texas – 28 TAC §120.1
- Employers must keep detailed injury & wage logs for five years.
- Non-compliance can trigger an administrative penalty up to $500 per occurrence.
Best Practices to Capture Payroll Correctly
Break Wages Into Creditable Buckets
- Regular pay – hourly or salary
- Overtime premium – excess portion may be excludable (check state rules)
- Bonuses & commissions – always included
- Vacation / sick – included
- Tips – include cash tips you control; reported tips count
- Section 125 pre-tax deductions – included before cafeteria plan deductions
- Subcontract labor – included unless valid COI proves independent WC coverage
Class-Code Segmentation
Separate time (or dollars) by largest exposure groupings. The golden rule: If you can’t segregate, the entire payroll falls into the highest-rated class.
Example: A California HVAC contractor (#5537, ~$5.94 rate) also does sheet-metal fabrication (#3724, ~$7.33). Without job-costing, the auditor may move the whole payroll to #3724, inflating premium by 23 %.
Payroll Software & Pricing Comparison (2026)
| Vendor | Base Fee | Per-Employee | Built-in Workers’ Comp Pay-As-You-Go? | Best For |
|---|---|---|---|---|
| Gusto – Simple | $49/mo | $6 | Yes (The Hartford, Pie, AP Intego feeds) | Start-ups needing quick NCCI reporting (Gusto Pricing page, Jan 2026) |
| ADP RUN – Essential | $59–$79/mo | $4–$8 | Optional (AP Intego link) | Firms that need 24/7 payroll support & multi-state tax filing (CostBench Jan 26 2026) |
| Paychex Flex – Essentials | $39/mo | $5 | Yes (Pay-as-you-go module + NYSIF link) | Employers wanting live payroll specialists & local tax notice handling (Forbes Advisor review, Jan 2026) |
Tip: Pay-as-you-go billing feeds actual wages to your carrier each cycle, dramatically reducing audit surprises, especially if you have seasonal swings.
Pre-Audit Timeline & Checklist
Need a fuller list? See our Workers' Compensation Insurance Compliance Checklist for Small Businesses.
60–90 Days Before Policy Expiration
- Reconcile year-to-date payroll vs. class allocations.
- Request missing COIs from 1099 subs.
- Verify officer inclusion/exclusion forms are filed with carrier.
30 Days Out
- Close out prior quarter’s 941/940 and state SUTA reports.
- Export payroll registers (CSV + PDF).
- Lock timesheets and prevent edits.
Audit Notification (typically within 60 days after policy end)
- Confirm on-site vs. remote audit methodology.
- Provide secure file transfer (Box, OneDrive) if remote.
- Assign a single internal point of contact (Payroll/HR).
Audit Day
- Have accountant or broker present to explain allocations.
- Walk auditor through any unusual wage codes (shift differentials, piece rates).
- Keep copies of everything handed over.
Post-Audit
- Review preliminary worksheet; dispute misclassifications within 10 business days.
- Pay additional premium or collect return premium.
- File updated experience-mod worksheet with broker.
Real-World Penalties for Bad Records
Missed the mark? Penalties stack fast — and sometimes criminally. For a full rundown, see Fines & Criminal Charges: Real-World Penalties for Lacking Workers' Compensation Insurance.
| State | Violation | Statute | Monetary Penalty |
|---|---|---|---|
| NY | Fail to keep 4 yrs of payroll records | WCL §131(1) | $1,000 per 10-day gap or 2× premium; plus misdemeanor $5k–$10k |
| CA | Provide back-dated or falsified doc | 8 CCR §10111.1(c)(6) | $5,000 each document |
| TX | No injury/payroll log | 28 TAC §120.1(d) | Up to $500 per violation |
| FL (NCCI state) | Intentional misclassification | §440.107 F.S. | Stop-work order + 1.5× premium for 3 yrs, min $1,000 |
Local Case Snapshots
A. California – Bay Area Solar Installer
Mis-allocated 50 % of field installers to “clerical” code 8810. Audit re-classified $1.2 M payroll to 5190. Additional premium: $42,000 plus $10,000 CA Audit Unit penalties for missing time segmentation.
B. New York – Manhattan Retail Chain
Paid weekend stockers “off the books.” Anonymous tip led to NY WCB investigation. Audit imputed payroll using state average weekly wage × 1.5. Final bill: $128,000 premium + $20,000 civil fines + misdemeanor plea.
C. Texas – Midland Oilfield Services
Lost five years of injury logs after server crash. TDI-DWC levied $2,500 total (five violations). While modest, the insurer estimated payroll, adding $18,600 in premium. Off-site backups now required by company policy.
Advanced Tips from Insurance & Payroll Experts
- Implement class-coded time-tracking. Solutions like TSheets/Gusto or QuickBooks Time let employees tag hours to a WC class code; exports line up exactly with auditor worksheets.
- Archive PDF payroll reports monthly. Carriers often ask for any month in the policy term; generating 52 weeks retroactively is painful.
- Document fringe exclusions. Some states let you deduct severance or third-party sick pay — but only if you can prove it.
- Schedule mid-term “pre-audits.” Your broker or an independent premium-audit consultant can review discrepancies long before the carrier’s auditor.
- Keep subs honest. Require WC + liability COIs before the sub sets foot on the job. Missing certificates almost always default the cost back to you.
- Invest in cyber-secure file sharing. A breach of SSNs during audit file transfer creates HIPAA and privacy liabilities.
Frequently Asked Questions
Q1. How long should I keep audit workpapers?
Four years minimum federally; keep five years if you operate in Texas or if your carrier’s service agreement is longer.
Q2. Are owner draws counted as payroll?
Generally no — but if an S-corp officer takes draws instead of reasonable wages, auditors can impute salary equal to comparable positions.
Q3. Can I refuse an on-site audit?
Carriers can cancel coverage or issue estimated (inflated) premiums. Some will accept remote audits if records are complete, but it’s their discretion.
Q4. Does pay-as-you-go eliminate audits?
No. It reduces audit variances, but carriers still verify class codes, subcontractor exposure, and exclusions annually.
Key Takeaways
- Accurate, segregated payroll is the linchpin of fair workers’ comp premiums.
- State laws (CA, NY, TX) layer stiff fines — up to $5,000 per document — on top of back premium.
- Cloud payroll platforms such as Gusto ($49 + $6/EE), ADP RUN ($59–$79 + $4–$8/EE), and Paychex Flex ($39 + $5/EE) embed workers' comp data streams, slashing audit pain.
- Follow a 60-day pre-audit checklist and store five years of records in tamper-proof format.
- Use internal links and resources like Onboarding Contractors: Avoiding Misclassification Under Workers' Compensation Insurance Laws to build a culture of compliance.
Keep your books clean, and workers’ compensation audits become a formality — not a fiscal nightmare.