In a previous story, Workers’ Comp Executive reported about a company, GT’s Living Foods (GTLF), a kombucha bottling company, which filed an appeal with the CDI to challenge the calculation of its 850 X-Mod for 2022 and its 999+ X-Mod for 2023. The company admits the X-Mods were inflated because it hadn’t reported over $100 …
A mental health treatment center is disputing a $104,000 audit bill from its workers’ comp carrier for premiums related to payments made to certain individuals who received 1099 statements. The …
A startup company focused on converting plastic waste into construction materials withdrew the appeal it filed with the California Department of Insurance’s Administrative Hearing Bureau after a disputed classification assignment …
California’s legislators completed their work for the session last month by passing many bills, but only a few related to the workers’ comp community. Earlier in the session, there was chatter about a comprehensive workers’ comp reform package, but in the end, any such discussion was put off until the next legislative session. Before legislators …
The California Department of Insurance is being asked to adjudicate a workers’ comp premium dispute over payments that drivers receive from Uber through a third-party vehicle leasing arrangement. The State Compensation Insurance Fund considers the payments payroll and is demanding premium from the leasing company, but the insured, Losy LLC, argues that the drivers are …
Acting on the advice of the California Department of Insurance’s actuary, the Insurance Commissioner approved a 6.6% increase in California’s workers’ comp advisory pure premium rates. The approved rate was 3.8 points below what the insurance industry requested and 1.8 points above what an independent actuary representing employers and organized labor recommended. “While the indicated …
The California Department of Insurance is proposing updates to the regulations governing grant funding programs that fight fraud in workers’ compensation, automobile, disability, and healthcare insurance. The regulations haven’t been updated in decades. Tens of millions of dollars are awarded annually to county district attorneys (see related story on page 6). The Department will hold …
The Fraud Assessment Commission and Insurance Commissioner Ricardo Lara approved a review panel’s recommendations for splitting $55.6 million in anti-fraud funds among 30 District Attorneys. The number of DAs getting funding this year to fight workers’ comp fraud is down by two after Merced and Tulare counties did not apply this year. In 2025, Tehama …