Private Self-Insureds’ Results

Private employers that self-insure their workers’ compensation liabilities saw an uptick in claims and workers’ comp costs last year compared to 2019. Self-insured employers saw paid indemnity benefits increase by $25 million to a five-year high of $135 million. In comparison, medical costs dropped by $10 million to $132 million, according to the latest summary … Read More »

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Division Gets Pushback, Support For Draft QME Regulations

Draft regulations to boost the training and educational requirements for qualified medical evaluators (QMEs), including anti-bias training that the Division of Workers’ Compensation agreed to require of QMEs two years ago, generated significant feedback from employers and providers alike. The Division is reviewing 20-some pages of comments in preparation for starting the formal rulemaking process. … Read More »

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Newly Published Decision Annuls 100% PD Award

The Sixth District Court of Appeal ordered publication of a decision annulling a 100% permanent and total disability award that was based solely on a psychiatric injury stemming from the sexual abuse by a treating physician. The court remanded the case to the Workers’ Compensation Appeals Board to consider permanent disability issues surrounding the underlying … Read More »

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Democrat Proposal A Major Cost Driver For Employers

California employers can expect to pay more, a lot more, if a proposed bill to create a state-run wraparound medical provider network (MPN) becomes law. Experts note that employers will pay millions to develop and maintain this state-run all-encompassing network. The proposed change will drive up the cost of care by losing network discounts on … Read More »

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Injuries Were Treated As Fast Or Faster During The Pandemic

Industry veterans expressed concerns last year about an interesting trend in emerging workers’ comp data. It showed a sharp drop off in medical treatment during the stay-at-home periods ordered in response to the COVID-19 pandemic. Studies have shown that delays in the initial treatment of an injury have long-term, costly effects on workers’ comp claims. … Read More »

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Fourth Quarter Surge In COVID-19 Workers’ Comp Claims

Newly released data from the California Workers’ Compensation Information System shows a spike in filed workers’ comp claims related to the COVID-19 pandemic during the fourth quarter of the year. The trend in workers’ comp claims parallels the surge in coronavirus cases statewide during the same period. As of January 14th, the state reports that … Read More »

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Conoravirus Death Claims

California’s workers’ compensation system has received reports for 59,559 cases alleging a workplace injury due to COVID-19. But nearly 30%, some 17,690, tested negative and were rejected.  The filings equal 11% of all workers’ comp claims so far this year but the number is only 8% after the rejected are removed. The concentration of COVID-19 … Read More »

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