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CDI Enforcement Bill Advances On Promised Amendments

The Senate Insurance Committee voted 5-2 to advance a bill by Sen. Ben Allen (D-El Segundo) to give the Insurance Commissioner explicit authority to levy penalties of up to $20,000 if insurance companies fail to take corrective action on problems identified during an examination. Insurance Commissioner Ricardo Lara and insurance industry representatives testified that they … Read More »

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Major Employer Fights X-Mod

A California employer is facing the double whammy of an X-Mod that’s bloated by years of unreported payroll, skewing its experience rating calculation. Now, it’s facing the impact of an 850 X-Mod on the additional premium that’s due as it seeks to bring its payroll reports into compliance. Law enforcement is involved, but no charges … Read More »

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WCIRB Files Regulatory Changes

The Workers’ Compensation Insurance Rating Bureau officially requested approval of across-the-board increases to the dual wage thresholds, as well as increases in payroll minimums and maximums in limited classes. The California Department of Insurance will take public comment and hold a hearing later this spring on the proposed changes for September 1, 2026, policies. The … Read More »

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Salesman’s Payroll Reclassification Challenged

A roofing contractor is asking the Department of Insurance hearing bureau to block a workers’ comp carrier from reassigning the payroll of its outside salesman from outside sales to the 5553 classification covering high-wage roofers. The difference in the current advisory pure premium rate is $13.29 per $100 of payroll, more than the rate for … Read More »

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And a Fight Breaks Out

Insurance Commissioner Ricardo Lara and the California Department of Insurance asked, for the third time in three years, that the Fraud Assessment Commission approve a one-time realignment of how anti-fraud funds are divided between CDI and county District Attorneys. CDI argued for a bigger piece of the pie given that the DAs were again leaving … Read More »

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CDI Looks To Tighten Oversight Of Anti-Fraud Grants

The California Department of Insurance will hold a public meeting to discuss potential changes to regulations governing insurance fraud grant programs. The agency has developed draft regulations to standardize oversight of programs that grant California’s district attorneys funding to pursue insurance fraud. “The proposed regulations aim to standardize the management of grant programs administered by … Read More »

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Anti-Fraud Funding Assessment Steady For Another Year

The California Department of Insurance Fraud Assessment Commission (FAC) voted to hold the anti-fraud assessment steady next year. That marks the third year the Commission has voted not to increase the employer assessment for fraud fighting. The Commission may review a potential one-time shift in the funding split between District Attorneys and CDI’s Fraud division … Read More »

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Dual Wage Timecard Dispute Set For Hearing

The California Department of Insurance Administrative Hearing Bureau will hold an evidentiary hearing this month as it attempts to resolve a dispute over how timecards affect the proper assignment of a very small electrical contractor’s payroll. The carrier is standing behind its reassignment of payroll to the low-wage/high-rate class because the company’s cards allegedly didn’t … Read More »

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