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Dispute Over Million Dollar Premium Charge

A construction company is asking the California Department of Insurance Administrative Hearing Bureau to settle two disputes with the State Compensation Insurance Fund over the premium calculation. The company, Mid-Construction Group, is contesting the inclusion of payroll for a licensed subcontractor on a project and State Fund’s application of its tier modifier to the policy. … Read More »

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Doctors Offices & The Borello Test

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Rate Hearing Controversy

The California Department of Insurance took testimony from the Workers’ Compensation Insurance Rating Bureau about why it believes California’s advisory pure premium rates should increase by 0.9% and from the actuary representing employers and organized labor about why the rates should drop by an average of 3.5%. The hearing was not without controversy. “This annual … Read More »

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CDI Investigator Pay Bill Advances

Former Assemblyman Ricardo Lara was back in the Building in his position as California’s Insurance Commissioner to advocate for a pay raise for the fraud investigators employed by the California Department of Insurance. The Commissioner is sponsoring AB 2872 to give the sworn peace officers pay parity with their counterparts at the state’s Department of … Read More »

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Bill Would Give Pay Parity To CDI’s Sworn Officers

The Assembly Insurance Committee will hear a bill to give rank-and-file sworn peace officers at the California Department of Insurance a pay raise. The bill would bring the CDI officers’ salaries in line with their counterparts at the state’s Department of Justice. The pay discrepancy between two state government units for the same job has … Read More »

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Conservation Court Confirms CDI Consequences

The San Mateo Superior Court judge handling the conservation of Applied Underwriters California Insurance Company issued a stinging rebuke of Applied Underwriters’ California Insurance Company for flaunting its indifference to … Read More »

CDI Comments On Fraud Referral Trigger

The California Department of Insurance Enforcement Branch has decided against rolling back the suspected workers’ comp fraud referral standard. Special investigations units (SIUs) are required to complete fraud investigations before making a report to the Department. The agency considered returning to the prior standard, which required referrals within 60 days of the carrier having a … Read More »

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SIU Reporting Changes Still A Work In Progress

The California Department of Insurance is not yet ready to say how it plans to change – if at all – the regulations governing reporting of suspected fraud cases by the special investigations units (SIUs) at workers’ comp carriers and self-insured employers. The Department is still mulling over the mixed bag of comments it received … Read More »

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