Employees vs Independent Contractors in Claims

Employees vs Independent Contractors

Updated 05/18/2024…

Many times, we need to determine whether the difference between employees vs independent contractors. Under a general liability policy, an employee is not eligible for benefits. In general, employees are only covered under workers’ compensation for injuries.

Sometimes, it is difficult to determine whether someone is an employee or a subcontractor. This is particularly problematic with a sole proprietor who has no other employees. This is common for small businesses such as a painter working for a business.

Control Over the Work

One of the most important aspects of determining worker classification is the degree of control exercised by the employer. If a business hires a person as a subcontractor, the adjuster must assess whether the employer directs or controls how the work is done. The level of control can be indicated by whether the employer dictates when the work is done, where it is performed, and how it should be completed. Providing tools or equipment to the worker further indicates employer control. Additionally, reimbursing the worker’s expenses can suggest that the individual is an employee rather than an independent contractor.

Example: Consider a small business owner who hires a painter to renovate their office space. If the business owner specifies the exact hours the painter must work, directs the painter to use specific paints and brushes provided by the business, and supervises the painter closely to ensure the work is done according to precise instructions, this demonstrates significant control over the work process. Additionally, if the business owner reimburses the painter for travel expenses to and from the office, this further indicates that the painter may be classified as an employee.

On the other hand, if the painter sets their own schedule, chooses their own materials, and completes the job with minimal supervision, this suggests an independent contractor status. In this scenario, the painter might provide their own tools, take on other painting jobs simultaneously, and invoice the business owner for the completed work without any expense reimbursements from the owner. This independence and lack of direct control by the business owner point towards an independent contractor relationship.

Financial Control

Financial control is another key factor in determining worker classification. It involves examining the degree to which the employer controls the economic aspects of the worker’s job. If the employer bears the financial outlay for materials or equipment, this can indicate an employment relationship. On the other hand, independent contractors typically make a significant investment in their own tools and materials and handle their own business expenses.

Example: Imagine a software development company that needs a new project management software implemented. If the company hires a project manager and provides them with a company laptop, software licenses, and office space, and reimburses any additional expenses such as travel or conference fees, this shows a high level of financial control by the employer. The company is essentially absorbing the costs related to the work, which is a strong indicator that the project manager is an employee.

Conversely, if the company hires a freelance project manager to implement the software, the financial dynamics are different. The freelancer might use their own laptop, purchase their own software licenses, and work from their own office or remotely. They might also bear their own travel and conference expenses without expecting reimbursement from the company. The freelancer invoices the company for their services, covering their own business expenses, and possibly investing in their own training and development. This independence in managing financial outlays and business costs is a hallmark of an independent contractor.

Additionally, employees are typically paid a regular wage or salary and may receive benefits such as health insurance, retirement plans, and paid time off. Independent contractors, on the other hand, generally receive payments for specific tasks or projects and are responsible for their own insurance, retirement savings, and other benefits. For instance, an employee may receive a steady paycheck every two weeks, while an independent contractor might invoice the client upon completion of each phase of the project, reflecting their independent status.

Employers must consider who is making the significant financial investment and bearing the business expenses to correctly classify workers and comply with labor laws and tax regulations.

Contracts and Agreements

The type of relationship between employees vs independent contractors is also influenced by the presence of a written contract or an independent contractor agreement. Written contracts provide clear terms and are easier to interpret than verbal agreements, which can be ambiguous. These contracts can clarify whether a person is an employee or an independent contractor. The terms specified in the contract, such as the nature of the work, the payment structure, and the duration of the engagement, all play a role in determining the worker’s status.

Example: Consider a marketing firm that needs to develop a new advertising campaign. If the firm hires a graphic designer and they sign an employment contract that specifies the designer will work a set number of hours per week, receive a regular salary, and be eligible for benefits like health insurance and paid vacation, this indicates an employee relationship. The employment contract likely includes details about the designer’s role within the company, the expected work hours, and the provision of company equipment and resources. Such contracts typically imply an ongoing relationship, where the graphic designer is expected to be an integral part of the firm’s operations and may work on various projects as assigned by the employer.

In contrast, if the marketing firm hires a freelance graphic designer and both parties sign an independent contractor agreement, the terms are usually quite different. The agreement might specify that the designer is hired to complete a specific project by a certain deadline, outline the payment terms upon project completion, and clarify that the designer will use their own tools and workspace. The contract may state that the designer has the flexibility to set their own hours and may take on other clients simultaneously. The independent contractor agreement emphasizes the project’s scope and deliverables, not an ongoing employment relationship.

Such contracts also protect both parties by clearly delineating the expectations and responsibilities. For instance, if the independent contractor agreement includes a clause that the designer is responsible for their own insurance and tax obligations, it further reinforces their status as an independent contractor. In this case, the designer is treated as a self-employed individual who invoices the firm for services rendered rather than receiving a regular paycheck.

The presence and content of these contracts are vital in worker classification. A well-drafted contract helps avoid disputes and provides clarity on whether the worker is considered an employee, entitled to benefits and subject to payroll taxes, or an independent contractor, responsible for their own business expenses and tax obligations.

Employers must be diligent in drafting and reviewing these contracts to ensure they accurately reflect the intended nature of the relationship. Misclassification can lead to significant legal and financial consequences, including back taxes, penalties, and liabilities for unpaid benefits. Therefore, obtaining legal advice when creating contracts and agreements is often a prudent step to ensure compliance with federal and state labor laws.

Government Agencies and Legal Standards

Several government agencies, including the Internal Revenue Service (IRS) and the U.S. Department of Labor (DOL), have guidelines for determining worker status. These guidelines help distinguish between employees and independent contractors, ensuring compliance with labor laws and tax regulations. The IRS uses specific criteria, such as the “ABC Test” and the “Form SS-8,” to evaluate whether a worker should be classified as an employee or an independent contractor for federal employment taxes. The DOL’s Wage and Hour Division also plays a significant role in defining worker classification, particularly under the Fair Labor Standards Act (FLSA). In recent years, the DOL has introduced new rules and economic reality tests to better define independent contractor status.

Example: Consider a construction company that frequently hires workers for various projects. The company needs to classify these workers correctly to comply with tax and labor laws. To do this, the company refers to the IRS guidelines and the DOL standards.

Internal Revenue Service (IRS): The IRS evaluates the relationship between the worker and the business using factors such as behavioral control, financial control, and the type of relationship. One of the tools the IRS provides is Form SS-8, which businesses can use to request a determination of worker status for federal employment taxes.

For example, the construction company hires a carpenter for a specific building project. To determine if the carpenter is an employee or an independent contractor, the company fills out Form SS-8. The form asks questions about the level of control the company has over the carpenter, including who provides tools and materials, whether the carpenter sets their own schedule, and how they are paid (hourly or per project). Based on these answers, the IRS will determine the carpenter’s status.

If the IRS finds that the company exercises significant control over the carpenter’s work, provides tools, and reimburses expenses, the carpenter may be classified as an employee. This means the company must withhold income taxes, Social Security, and Medicare taxes, and pay unemployment taxes for the carpenter.

U.S. Department of Labor (DOL): The DOL also has guidelines to determine worker classification under the FLSA. The DOL’s Wage and Hour Division examines factors such as the permanency of the relationship, the worker’s investment in equipment, the worker’s opportunity for profit or loss, and the degree to which the worker’s services are an integral part of the business.

For instance, the same construction company hires another worker, a plumber, for ongoing maintenance across multiple projects. If the plumber has a long-term relationship with the company, works exclusively for them, and receives regular payments, the DOL may classify the plumber as an employee. This classification would entitle the plumber to benefits such as overtime pay, minimum wage, and health insurance, as mandated by the FLSA.

Recent Legal Developments: In recent years, the DOL introduced the “new economic reality test” to further clarify independent contractor status. This test considers whether the worker is in business for themselves or economically dependent on the employer for work. The construction company must apply this test to ensure compliance with the latest regulations.

State Labor Laws: State labor laws can also influence worker classifications as employees vs independent contractors. For example, the California ABC Test, codified in Assembly Bill 5 (AB 5), is stricter than federal guidelines. According to the ABC Test, a worker is considered an employee unless they meet all three conditions: (A) the worker is free from the control and direction of the hiring entity in performing the work, (B) the worker performs work outside the usual course of the hiring entity’s business, and (C) the worker is customarily engaged in an independently established trade, occupation, or business.

If the construction company operates in California, it must apply the ABC Test to its workers. Suppose the company hires a roofer. Under the ABC Test, if the roofer works under the company’s control, performs roofing (a core aspect of the construction business), and does not have an independent roofing business, the roofer must be classified as an employee.

By understanding and adhering to the guidelines set by government agencies like the IRS and DOL, as well as state-specific labor laws, employers can accurately classify their workers. This ensures compliance with tax and labor regulations, avoiding legal and financial consequences associated with worker misclassification. Employers must stay updated on legal standards and seek legal advice when necessary to navigate the complexities of worker classification.

Behavioral Control

Behavioral control refers to the right of an employer to direct and control how a worker performs their tasks. This includes the level of instruction, training, and supervision provided to the worker. If an employer exercises significant behavioral control over a worker, it often indicates an employee relationship. Independent contractors, in contrast, typically operate with more autonomy and less oversight from the hiring party.

Example: Consider a company that needs to develop a new website. They have the option to hire either an in-house web developer or an independent contractor to complete the project.

Employee Scenario: If the company hires an in-house web developer as an employee, they may exercise substantial behavioral control over the worker. For instance, the company provides detailed instructions on how the website should be designed, including the color schemes, layout, and specific functionalities. The web developer is required to work in the company office from 9 AM to 5 PM, attend daily team meetings, and follow the company’s standard operating procedures for coding and design.

Additionally, the company might provide ongoing training to ensure the web developer adheres to the latest industry standards and company practices. The web developer’s work is closely supervised by a project manager, who reviews their progress regularly and provides feedback and corrections as needed. The company supplies all the necessary tools and software for the job, reinforcing the idea that the web developer is an integral part of the organization’s operations.

This high level of behavioral control—dictating the worker’s schedule, providing specific instructions and training, and supervising their work closely—indicates that the web developer is an employee.

Independent Contractor Scenario: Alternatively, if the company hires a freelance web developer as an independent contractor, the level of behavioral control is significantly different. The company outlines the overall project goals, deadlines, and desired outcomes in a contract but does not provide detailed instructions on how to achieve these goals. The independent contractor has the freedom to decide how, when, and where to work on the project. They might choose to work from their home office, a co-working space, or another location of their choice.

The contractor uses their own tools and software and is responsible for their own training and staying updated with industry trends. The company does not provide regular training or require the contractor to follow specific operating procedures. While the company may review the contractor’s work at major milestones or project completion, the contractor largely operates independently without daily supervision.

For instance, the contractor might work on the project late at night or on weekends, based on their own schedule and other commitments. They might also take on additional clients simultaneously, balancing multiple projects. This autonomy in how they perform their tasks and the lack of detailed oversight from the company are strong indicators of an independent contractor relationship.

These examples highlight the differences in behavioral control between employees and independent contractors. Employees often work under close supervision, following specific instructions and company protocols, with the employer providing the necessary tools and training. Independent contractors, on the other hand, have greater freedom in how they perform their work, using their own tools and setting their own schedules, with minimal oversight from the hiring party.

Misclassifying workers can lead to legal and financial repercussions, including back taxes, penalties, and liabilities for unpaid benefits. Employers must carefully consider the degree of behavioral control they exercise over their workers and ensure compliance with labor laws and tax regulations.

Financial and Tax Implications

Employees vs independent contractors have different financial and tax obligations. Employers must withhold income taxes, Social Security tax, and Medicare taxes for employees, and they must pay unemployment taxes and provide workers’ compensation insurance. Employees also benefit from various employment benefits such as health insurance, retirement plans, and vacation pay. In contrast, independent contractors are responsible for their own taxes, including self-employment tax, and do not receive employment benefits from the hiring entity.

Example: Consider a graphic design firm that needs additional help for a large project. They have two options: hire a full-time employee or engage an independent contractor.

Employee Scenario: If the firm decides to hire a full-time graphic designer as an employee, it has several financial and tax obligations. The firm must withhold federal and state income taxes from the employee’s paycheck. Additionally, the firm must withhold Social Security and Medicare taxes (FICA) and match the employee’s contribution to these taxes. For instance, if the employee earns $50,000 annually, the firm must withhold 6.2% for Social Security tax and 1.45% for Medicare tax, and also contribute the same amounts.

The firm must also pay federal and state unemployment taxes and provide workers’ compensation insurance. These costs can add significantly to the firm’s expenses. The employee may also receive benefits such as health insurance, contributions to a retirement plan, paid vacation, and sick leave. These benefits further increase the firm’s financial obligations.

For example, the firm may offer a health insurance plan that costs $5,000 annually per employee and contribute 3% of the employee’s salary to a retirement plan, amounting to $1,500 per year for an employee earning $50,000. Additionally, if the employee is entitled to two weeks of paid vacation, the firm must cover their salary during this period, adding to the overall financial burden.

Independent Contractor Scenario: Alternatively, if the firm hires a freelance graphic designer as an independent contractor, the financial and tax obligations are different. The firm does not withhold any taxes from the payments made to the contractor. Instead, the contractor is responsible for paying their own income taxes and self-employment tax, which includes both the employee and employer portions of Social Security and Medicare taxes.

For instance, if the contractor charges $60,000 for the project, they must calculate and pay their own taxes. The self-employment tax rate is currently 15.3%, which includes 12.4% for Social Security and 2.9% for Medicare. The contractor can deduct half of the self-employment tax as an adjustment to income on their tax return. They also need to make estimated tax payments quarterly to avoid penalties.

The firm is not required to provide benefits such as health insurance, retirement contributions, or paid vacation to the contractor. The contractor must obtain their own health insurance, plan for their own retirement, and manage their time off. This reduces the firm’s financial obligations significantly compared to hiring an employee.

Additionally, independent contractors can deduct business expenses related to their work, such as the cost of equipment, office supplies, and professional development. For example, the contractor might purchase a high-end computer and design software costing $5,000, which they can deduct as a business expense on their tax return. This can reduce their taxable income and overall tax liability.

The financial and tax implications of hiring an employee versus an independent contractor are substantial. Employers must consider the costs of taxes, benefits, and compliance with labor laws when deciding how to classify workers. Misclassification can lead to significant legal and financial repercussions, including back taxes, fines, and liabilities for unpaid benefits. Employers should carefully evaluate the nature of the work relationship and seek legal advice if necessary to ensure proper classification and compliance with federal and state regulations.

Legal Consequences and Misclassification

​Example: Consider a delivery company that hires drivers to transport goods to customers. To minimize costs, the company classifies all its drivers as independent contractors. However, the drivers perform duties similar to those of employees: they follow specific routes and schedules set by the company, wear company uniforms, use company-provided vehicles, and are closely supervised by managers.

Misclassifying employees as independent contractors can lead to significant legal and financial consequences for businesses. These repercussions can include back taxes, fines, penalties, and liabilities for unpaid benefits. 

IRS and State Tax Consequences: The IRS and state tax authorities may conduct an audit and determine that the drivers should be classified as employees based on the degree of control the company exercises over their work. As a result, the company may be required to pay back taxes, including Social Security and Medicare taxes, federal and state income tax withholdings, and unemployment taxes.

For example, if the company misclassified 50 drivers over three years, it could owe substantial amounts in back taxes and penalties. The IRS could impose fines for failing to withhold taxes, and state tax authorities could also assess penalties for not paying unemployment insurance contributions.

Department of Labor (DOL) and Wage Violations: The U.S. Department of Labor (DOL) could investigate the company for wage and hour violations under the Fair Labor Standards Act (FLSA). If the DOL finds that the drivers were entitled to minimum wage and overtime pay as employees, the company could be required to compensate the drivers for unpaid wages. This could include back pay for regular hours worked, overtime pay (typically 1.5 times the regular hourly rate) for hours worked beyond 40 in a week, and possibly additional damages.

For instance, if each driver worked an average of 10 hours of overtime per week over three years, the company could owe significant amounts in unpaid wages and damages. The DOL may also impose civil monetary penalties for repeated or willful violations of the FLSA.

Workers’ Compensation and Benefits Liabilities: Misclassified workers may also seek workers’ compensation benefits if they are injured on the job. In this example, if one of the drivers is injured in a delivery accident, they could file a claim for workers’ compensation benefits. If the state workers’ compensation board determines that the driver should be classified as an employee, the company could be liable for medical expenses, lost wages, and other benefits associated with the injury.

Additionally, the company could face lawsuits from misclassified drivers seeking benefits such as health insurance, retirement plan contributions, and paid leave. If the court determines that the drivers were employees, the company might be ordered to provide these benefits retroactively.

Legal Actions and Class-Action Lawsuits: Misclassified workers can also bring legal actions against the company. Individual drivers or groups of drivers might file lawsuits alleging misclassification and seeking unpaid wages, benefits, and damages. In some cases, these lawsuits can become class-action cases, where a large group of affected workers collectively sues the company.

For example, if a group of 50 drivers files a class-action lawsuit, the potential damages could be substantial. The company could be ordered to pay back wages, benefits, and legal fees, significantly impacting its financial stability.

Reputation and Business Impact: Beyond financial and legal repercussions, misclassification can damage a company’s reputation. Negative publicity from lawsuits, audits, and regulatory investigations can harm the company’s brand and customer trust. Potential clients and partners may be wary of engaging with a company involved in legal disputes, affecting business growth and opportunities.

Conclusion: The legal consequences of misclassifying employees as independent contractors are severe. Employers must thoroughly evaluate their worker relationships and ensure compliance with federal and state labor laws to avoid costly misclassification errors. Seeking legal advice and conducting regular reviews of worker classifications can help businesses stay compliant and mitigate the risks associated with misclassification.

Employment Relationship and Control

The overall employment relationship and the level of control exercised by the employer are critical factors in determining worker status. Traditional employees typically have set schedules, are integral parts of the employer’s business, and receive hourly rates or salaries. Independent contractors, on the other hand, often set their own schedules, work on specific projects, and are paid per job or project. The nature of the employment relationship—how the employer and worker interact and the extent of control the employer has over the worker’s activities—plays a pivotal role in worker classification.

Example: Consider a tech company that needs to develop a new mobile application. They can either hire a software developer as an employee or engage an independent contractor for the project.

Employee Scenario: If the company hires a software developer as an employee, the relationship typically involves a high level of control and integration into the company’s operations. The developer works from the company’s office, follows a set 9-to-5 schedule, and attends regular team meetings. The company provides the necessary tools, such as a computer and software licenses, and offers ongoing training to ensure the developer is up to date with the latest technologies and practices.

The developer is assigned tasks by a project manager, who monitors progress and provides detailed instructions on how to complete the work. The developer’s performance is regularly reviewed, and they receive feedback and directions for improvements. As an employee, the developer is an integral part of the company’s workforce, contributing to various projects beyond just the mobile application and collaborating closely with other team members.

The developer receives a regular salary, health insurance, retirement benefits, paid time off, and other employee benefits. The company withholds income taxes, Social Security, and Medicare taxes from the developer’s paycheck and pays unemployment taxes and workers’ compensation insurance. This structured relationship, with the company exercising significant control over the developer’s work and providing comprehensive benefits, indicates an employment relationship.

Independent Contractor Scenario: Alternatively, if the company hires an independent contractor to develop the mobile application, the nature of the relationship is different. The contractor operates with a high degree of autonomy, setting their own schedule and working from their own office or home. The company outlines the project requirements, deadlines, and desired outcomes in a contract but does not provide detailed instructions on how the work should be performed.

The contractor uses their own tools and software and is responsible for their own training and professional development. They may take on other clients simultaneously, balancing multiple projects. The company does not supervise the contractor’s daily activities or monitor their work closely. Instead, the company reviews the contractor’s progress at major milestones or upon project completion to ensure it meets the agreed-upon specifications.

The contractor is paid a fixed fee for the project or hourly rates for the work completed, as specified in the contract. They are responsible for paying their own taxes, including self-employment tax, and do not receive benefits such as health insurance, retirement contributions, or paid time off from the company. This independent and project-based arrangement, with minimal control from the company, indicates an independent contractor relationship.

The key differences between these scenarios illustrate the importance of understanding the employment relationship and level of control when classifying workers. Employees are closely integrated into the company’s operations, follow set schedules, use company-provided tools, and receive detailed instructions and supervision. They benefit from regular salaries and comprehensive benefits, with the company bearing the responsibility for tax withholdings and other obligations.

In contrast, independent contractors operate independently, set their own schedules, use their own tools, and work on a project basis with minimal supervision. They are responsible for their own taxes and benefits, and the company’s control over their work is limited to specifying project requirements and reviewing completed work.

Misclassifying workers can lead to significant legal and financial consequences, including back taxes, fines, and liabilities for unpaid benefits. Employers must carefully evaluate the nature of the employment relationship and the level of control exercised to ensure proper worker classification and compliance with labor laws and tax regulations. Seeking legal advice and conducting regular reviews of worker classifications can help businesses mitigate the risks associated with misclassification.

Determining whether a worker is an employee or an independent contractor involves examining multiple factors, including control over the work, financial arrangements, contracts, and tax obligations. As a liability adjuster, it is important to gather as many facts and documents as possible to clarify these issues. Employers must take a cautious approach and adhere to legal standards to ensure proper worker classification and avoid the pitfalls of employee misclassification.

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