Class Code 7332 applies to ambulance services in California, including both emergency (911) and non-emergency ground patient transport. The September 1, 2026 approved pure premium rate for this classification is $3.658 per $100 of payroll. Proper classification and safety practices directly affect payroll allocation, claims, and your final workers' comp cost.
This classification covers ground ambulance operations: emergency response, interfacility transfers, stretcher-based non-emergency medical transport and associated vehicle support. It includes work performed by EMTs, paramedics, ambulance drivers/attendants, patient care technicians when they ride in or work from ambulances, plus on-scene patient handling and ambulance loading/unloading. Routine vehicle maintenance, decontamination, oxygen and medication handling, portable ventilator and defibrillator operation, and securement of patients and medical equipment are core operations under this code. Purely clerical or office staff who do not ride in or service ambulances may be assigned to different clerical or administrative class codes, so payroll split and job duties must be documented.
The pure premium rate of $3.658 per $100 of payroll represents the WCIRB's estimated loss cost for this work class and is used to calculate expected claim costs. To estimate premium, divide payroll by 100 and multiply by the rate; insurers then add expense loads, fraud assessments and adjustments (experience modification, schedule credits/debits, policy options) to produce the employer's final premium. Final cost is affected by your actual payroll mix, claim history (experience modification), workplace safety programs, and correct job classification.
Ambulance employers must maintain an effective Injury and Illness Prevention Program (IIPP) and comply with Cal/OSHA standards for Bloodborne Pathogens, respiratory protection and PPE. Employers should implement TB screening, fit-testing for respirators where required, training in safe patient handling and decontamination procedures, and maintain vehicle safety and driver qualification records. Serious work-related injuries and hospitalizations must be reported to Cal/OSHA within required timeframes, and documentation and training records should be retained for inspections.
A PEO like Key HR can centralize California workers' comp coverage, provide targeted loss-control programs (safe patient handling, vehicle safety, decontamination protocols), and manage claims and return-to-work to reduce lost-time costs. Key HR delivers California-specific compliance support, training, pre-employment screening and driver monitoring, plus experienced claims adjusters and nurse case managers to control frequency and severity of claims.
Get a QuoteYes. Class code 7332 covers ground ambulance operations whether provided by private companies or hospital systems, including emergency response and interfacility transfers that use stretchers, EMTs, or paramedics. Administrative staff not engaged in field ambulance work may be classified differently.
Implement safe patient handling programs and mechanical lift devices, driver training and route safety policies, infection control and bloodborne pathogen protections, early return-to-work transitional duties, strict incident documentation, and a proactive drug and driver screening program to lower frequency and severity of claims and improve your experience modification.
Coverage depends on payroll reporting and legal relationships. Volunteers may or may not be covered by workers' comp depending on employer policy and state rules; independent contractors should be properly classified and documented. Misclassification can lead to audits and retroactive assessments—discuss specific arrangements with Key HR or your workers' comp carrier.
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Get a Quoteor call (800) 922-4133Key HR provides California employers with pay-as-you-go workers' comp, HR compliance support, and payroll — all through one PEO partnership.