Arrests in Alleged $36 Million DME Fraud Scheme

Four former executives at a Southern California durable medical equipment supplier are facing charges for their role in an alleged $36 million scheme to defraud workers’ comp carriers and self-insured employers. The scheme likely affected the experience mods of large numbers of California employers. [see sidebar for action items]. The indictment handed down by an … Read More »

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Carriers Reap Double Digit Rate Increases For California Workers’ Comp

Major insurance carriers in the California workers’ compensation industry report that they are continuing to see average rate increases on new and renewal business in the double-digit realm and in some cases the increases are even topping 20%. Both AmTrust Financial Services (NYSE: AFSI) and Meadowbrook Insurance Group (NYSE: MIG) report that the increases from … Read More »

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Contractor’s Guilty Plea For Workers’ Comp Fraud Stands

A Southern California framing contractor asked the courts to set aside his guilty pleas in a workers’ comp fraud case alleging that prosecutorial misconduct tainted the case against him, but the courts are refusing. The Fourth District Court of Appeal reviewed the case but says the convictions can stand because the alleged prosecutorial misconduct occurred … Read More »

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Embezzlement, Fraud Charges Linked to Workers’ Comp

Prosecutors are busily clamping down on suspected fraudsters linked to the California’s workers’ compensation system and a rash of recent cases illustrates the fact that fraud comes in many different forms. A Southern California employer is going to jail in part for avoiding workers’ comp premiums, while a former risk manager at a major staffing … Read More »

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Former New York Giants Linebacker Marcus Buckley and Sacramento Adjuster Kimberly Jones Charged in $1.6M Workers’ Comp Fraud

A federal grand jury indictment details an alleged scheme that funneled nearly $1.6 million to a former professional football player to pay for medical treatments that were never delivered. Federal prosecutors in Sacramento say an adjuster on the claim knew the bills were fictitious and was a willing accomplice in the alleged fraud. Facing charges … Read More »

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Riverside County Charges Duo with Payroll Fraud

The Riverside County District Attorney’s office is charging a father and daughter team with cheating three different workers’ compensation carriers and the state’s Employment Development Department out of payroll taxes and workers’ comp premiums. The duo ran an employee leasing company that officials say were paying workers in cash to hide the true size of … Read More »

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Employer Gets Seven Years For Workers’ Comp Premium Fraud

A Southern California contractor received a seven-year prison sentence for helping orchestrate a scheme that cheated State Compensation Insurance Fund and other insurers out of $3.1 million in workers’ comp premiums. Steven Morales faced up to 17 years in jail, but Riverside County Superior Court Judge Michael Donner reduced the sentence after considering the 65-year-old’s … Read More »

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Labor Commissioner Seeks Back Wages for Farm Laborers

California Labor Commissioner Julie Su is asking a Monterey County Superior Court to order a farm labor contractor to cough up $1.26 million that she says it owes its workers and workers’ comp issues have also allegedly been found. The complaint against Zavala Farms and owner Salvador Zavala Chavez alleges a four year scheme that … Read More »

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