STATE OF NEW YORK
________________________________________________________________________
552
2019-2020 Regular Sessions
IN ASSEMBLY(Prefiled)
January 9, 2019
___________
Introduced by M. of A. CAHILL -- read once and referred to the Committee
on Labor
AN ACT to amend the workers' compensation law, in relation to providing
incentives for productive workers' compensation audits
The People of the State of New York, represented in Senate and Assem-bly, do enact as follows:
1 Section 1. The workers' compensation law is amended by adding a new
2 section 112-a to read as follows:
3 § 112-a. Audits of employers. 1. (a) Employers in all classes other
4 than the construction class shall be audited not less frequently than
5 biennially and the chair or board may provide for more frequent audits
6 of employers in specified classifications based on factors such as
7 amount of premium, type of business, loss ratios, or other relevant
8 factors. In no event shall employers in the construction class, generat-
9 ing more than the amount of premium required to be experience rated, be
10 audited less frequently than annually. The annual audits required for
11 construction classes may be a physical, onsite review of original
12 payroll records, employee records, checkbooks, cash book (disbursements
13 and receipts), general ledger, contracts, tax returns including quarter-
14 ly payroll filings, and original certificates of insurance. The audit of
15 all employers shall be conducted no more than one hundred twenty days
16 after the expiration of a policy period. At the completion of an audit,
17 if requested by the auditor, the employer or officer of the corporation
18 must print and sign their names on the audit document affirming the
19 accuracy of the information provided therein. As required by section one
20 hundred twelve of this article, employers shall make available all books
21 and records necessary for the payroll verification audit and permit the
22 auditor to make a physical inspection of the employer's operation. If
23 an employer fails to provide reasonable access to all such books and
24 records necessary for a payroll verification audit, including a physical
EXPLANATION--Matter in italics (underscored) is new; matter in brackets
[] is old law to be omitted.
LBD03119-01-9
A. 552 2
1 inspection of the employer's operation, the employer shall pay a
2 surcharge to the carrier of two times the most recent estimated annual
3 premium.
4 (b) Employers that fail to provide reasonable access to the carrier
5 for the purpose of conducting an audit shall be reported to the New York
6 compensation insurance rating board.
7 (c) If an employer knowingly understates or knowingly conceals
8 payroll, knowingly misrepresents or knowingly conceals employee duties
9 so as to avoid proper classification for premium calculations, or know-
10 ingly misrepresents or knowingly conceals information pertinent to the
11 computation and application of an experience rating modification factor,
12 said knowing misrepresentations or knowing concealments shall be consid-
13 ered fraudulent practices in violation of applicable provisions of
14 section one hundred fourteen of this article and insurance fraud in
15 violation of applicable provisions of section 176.05 of the penal law.
16 (d) If during the course of an audit conducted under this section, an
17 insurance carrier obtains information indicating a violation of the
18 provisions of paragraph (c) of this subdivision, then the carrier shall
19 report such information to the board.
20 2. This section shall not apply to employers that self-insure or
21 employers that are members of a workers' compensation group self-insured
22 trust.
23 3. For the purposes of this section, "construction class" means the
24 work or occupation described in "Group 3" of subdivision one of section
25 three of this chapter.
26 § 2. This act shall take effect January 1, 2021.
