Texas workers' comp audit

Workers' comp audits in Texas: NCCI rules, non-subscribers and disputes

Texas is the one state where most private employers can choose not to carry workers' comp. If you do carry it, here is how the audit works and how to dispute one.

Quick answer

Texas uses NCCI's Basic Manual with Texas exceptions, adopted by the Commissioner of Insurance and required for policies effective on or after 10/1/2014. Texas kept its own class codes rather than the national ones. NCCI assigns class codes, inspects businesses on request and runs the appeals process, and the Texas Department of Insurance (TDI) approves or rejects NCCI's filings.

Under these rules the premium part of overtime and voluntary tips are excluded from payroll, and executive officers count at a weekly minimum and maximum set in TDI's loss cost filing. Owners and officers are covered unless an endorsement excludes them.

Most private employers in Texas may choose not to carry coverage. These non-subscribers have no premium audit, but they have filing and notice duties with TDI's Division of Workers' Compensation, and they lose key defenses if an employee sues.

How Texas counts payroll at audit

From TDI orders adopting NCCI's Texas rules. Officer limits are weekly, effective 7/1/2026.

ItemTexas ruleWhat to keep
OvertimeThe extra part of overtime pay is excluded when the records show it. For double time recorded separately, one half of the double time pay is excludedPayroll register with overtime premium in its own column
TipsFor policies effective on or after 1/1/2024, voluntary tips are excluded. Service charges and automatic gratuities are payrollTip reports kept apart from service charges
Executive officersCounted at no less than $150 and no more than $1,200 a week eachNames, titles, pay and weeks active
Owners and officersSole proprietors, partners and corporate officers are covered unless the policy has an endorsement that excludes themA copy of any exclusion endorsement
Non-subscribersNo policy and no premium audit, but DWC Form-005 must be filed every year between February 1 and April 30, and employees must be notifiedFiled Form-005 copies and the posted Notice 5
Government building projectsA contractor on a building or construction contract with a governmental entity must certify coverage for each employee, and subcontractors must give certificates of coverage before starting workCertificates of coverage for everyone on the project, and the posted site notice

Texas-specific mistakes

  • Using a national NCCI class code number on a Texas policy, when Texas kept its own codes
  • Lumping service charges in with tips, or tips in with wages
  • Assuming an owner or officer is excluded when the policy has no exclusion endorsement
  • Dropping coverage mid-year without filing Form-005 within 10 days and telling employees within 15 days
  • Starting a government building job without collecting certificates of coverage from every subcontractor
  • Disputing an audit without first paying the undisputed premium, which NCCI's process requires

Texas audit checklist

  1. Confirm whether you carry a policy (subscriber) or not (non-subscriber). Non-subscribers: check that this year's DWC Form-005 was filed between February 1 and April 30.
  2. Pull payroll by employee and class for the policy period, with overtime premium shown separately.
  3. Separate voluntary tips from service charges and automatic gratuities.
  4. List every owner and officer with pay and weeks active, and find any exclusion endorsement.
  5. For government building projects, collect each subcontractor's certificate of coverage.
  6. Collect certificates of insurance for every other subcontractor for the dates of the work.
  7. Check the final audit results line by line against your records.

How a Texas audit dispute works

From NCCI's dispute resolution process and TDI's orders. You do not need a lawyer.

  1. Try to resolve the dispute directly with your carrier, in writing, with the records that support your position.
  2. Pay the carrier all undisputed premium, and give it an estimate of the premium in dispute with a written explanation.
  3. If that fails, ask NCCI to review it through its dispute resolution process (disputes about class codes, payroll allocation and the experience mod). NCCI can send it to Texas's five-member appeals board.
  4. If you disagree with the appeals board, you as the policyholder can appeal to the Texas Department of Insurance. The board's decision notice gives the deadline.

Keep reading

More on this topic

California audit rules

The WCIRB's rules, officer limits, dual wage classes and disputes.

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Florida audit rules

Construction exemptions, subcontractor proof and disputes.

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New Jersey audit rules

CRIB rules, tips as payroll, officer limits and appeals.

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New York audit rules

NYCIRB rules, officer limits, the construction cap and appeals.

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Pennsylvania audit rules

PCRB rules, full overtime, officer exclusions and appeals.

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Payroll reconciliation template

A free template that lines up the payroll register, Form 941s, and workers' comp payroll by quarter.

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Frequently asked questions

Does Texas require workers' comp insurance?

Not for most private employers. They can choose to carry it (subscribers) or not (non-subscribers). Non-subscribers must file DWC Form-005 with TDI's Division of Workers' Compensation each year between February 1 and April 30, post notice for employees, and lose defenses such as contributory negligence if an injured employee sues.

Does Texas use NCCI class codes?

Texas uses NCCI's Basic Manual with Texas exceptions, but it kept its own Texas classification codes instead of switching to the national codes used in most NCCI states.

What are the Texas executive officer payroll limits?

Effective 7/1/2026, TDI's loss cost filing sets a minimum of $150 and a maximum of $1,200 a week for each executive officer.

Are tips included in Texas workers' comp payroll?

For policies effective on or after 1/1/2024, voluntary tips are excluded, while service charges and automatic gratuities are included.

Do contractors on public jobs in Texas need coverage?

Yes. On a building or construction contract with a governmental entity, the contractor must certify coverage for each employee, and everyone working on the project must provide a certificate of coverage before starting.

How do I dispute a Texas workers' comp audit?

Work it out with the carrier first and pay the undisputed premium. Then use NCCI's dispute resolution process and the Texas appeals board. The policyholder can appeal the board's decision to TDI.

Important scope note

Practical prep guidance only.

This page summarizes Texas rules published by the Texas Department of Insurance and NCCI for audit prep. It is not legal, tax or insurance advice, it is not a ruling on your policy, and your policy, the Texas manual and your carrier's audit are the final word.

Get your Texas records in order before the audit

Start with the free checklist, check the likely bill with the estimator, or use the workbook to keep payroll, officer pay and subcontractor certificates in one file.