James River Group HoldingsJRG Reinsurance Company Ltd.James River Insurance CompanyFalls Lake InsuranceJames River TPA Services Partners Programs / Partners Current Programs Package, BOP, & Artisan Contractors Package Franchised Auto Dealers North American Timber Program Commercial Auto Liability (NSA) through the NC Reinsurance Facility Commercial Property Commercial General Liability Preferred Workers' Compensation Property Public Auto Homeowners Non-Standard Personal Auto Earthquake Business Income Collateral Protection Trucking & Commercial Auto Cannabis Mid-Market Specialty Workers’ Compensation Aviation Insurance Residential and Commercial Contractor Liability including wrap up Copyright 2021 by Falls Lake Insurance (a James River Group Company) | Privacy Statement | Terms Of Use

James River Group HoldingsJRG Reinsurance Company Ltd.James River Insurance CompanyFalls Lake InsuranceJames River TPA Services Worker's Compensation Billing/Audit Services / Worker's Compensation Billing/Audit Billing Contact Information By Mail Policy Services P.O. Box 97488 Raleigh, NC 27624 By E-mail PolicyServices@fallslakeins.com By FAX (888) 647-3833, Attention: Policy Services By Phone (919)882-3500 Option 2 OR (800)780-7454 Option 2 Make A Payment Online Portal By Mail Policy Services Department PO Box 97488 Raleigh, NC 27624 Loss Run Request Contact Info By E-mail LossRun.Request@fallslakeins.com Premium Audit Contact Information By Mail Premium Audit Department P.O. Box 97488 Raleigh, NC 27624 By E-mail audits@fallslakeins.com By FAX (888) 647-3833 Attention: Premium Audit Premium Audit Information Documents Needed for Worker's Compensation Audit Payroll ledger for audit period Federal 941 Quarterly Reports State Quarterly Filings W-2’s and corresponding W-3’s 1099’s and corresponding 1096 for subcontractors Certificates of insurance for subcontractors Written job descriptions for employees or subcontractors Check stubs 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. Stonewood 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. Copyright 2021 by Falls Lake Insurance (a James River Group Company) | Privacy Statement | Terms Of Use