Applied Underwriters’ Must Face Fraud Charges
Applied Underwriters will have to face a California employer’s fraud charges over its controversial EquityComp program after a federal district court judge refused to dismiss the claims. The case was …
Tagged in: fraud
State Agencies Respond To Fraud Audit Recommendations
The Department of Industrial Relations and the California Department of Insurance have either fully implemented the recommendations made by the California state auditor for improving their fight against workers’ comp fraud or are well on their way to compliance. The Assembly Insurance Committee is also preparing to add recommendations from that December report to legislation …
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DWC: More Providers Bounced For Fraud
The number of physicians suspended from California’s workers’ comp system under the AB 1244 rules is increasing. It is now up to thirteen. The Division of Workers’ Compensation’s Administrative Director approved the suspension of three providers after they challenged the orders before Workers’ Compensation Appeals Board administrative law judges. Four others were suspended from the …
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Refiled Charges Against Alleged Fraudsters
Old charges were dismissed and new felony charges filed against the alleged co-conspirators in a Los Angeles workers’ comp fraud scheme that reportedly bilked California employers and carriers out of $150 million. The legal maneuverings split the case into three separate actions in a bid to streamline the prosecutions of 12 defendants in the alleged …
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New Lawsuit In DA Sex Case
The widow of a former San Diego deputy district attorney previously accused of using workers’ comp fraud prosecutions to further sexual relations with defendants, including her, is now suing claiming that she too was a victim of malicious prosecution. Before their marriage, the widow and her former husband, a construction industry contractor, were allegedly prosecuted for …
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Apparel Company Execs Convicted For Fraud
Two executives and the accountant for a high-end garment manufacturer will be sentenced next month for their role in cheating a handful of workers’ compensation carriers out of nearly $3.2 million in workers’ comp premiums. The trio also cheated the state out of employment taxes when they underreported their payroll. Sung Hyun Kim and Jae …
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Provider Fraud Regulations Comin
Regulations designed to implement the anti-fraud reforms enacted this year as part of the SB 1160 legislation are just about out. The Workers’ Compensation Appeals Board is also opening the public comment period on a set of regulations to introduce new rules for workers’ comp liens. The Division of Workers’ Compensation is also nearly ready …
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Anti-Fraud Bills Signed, Rate Filing Amended
Gov. Jerry Brown signed two workers’ comp anti-fraud bills. One targets provider fraud and the other aims to knock out fraudulent medical liens. As a result of the bill signings, the bureau also amended its Jan. 1, 2017 rate filing to boost its recommended rate cut from 2.6% to 4.3% next year. The added rate …
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