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Employers To Pay $49 Million For Workers’ Comp Anti-Fraud Efforts

The California Department of Insurance’s Fraud Assessment Commission resisted a call from one corner of the district attorney community to increase the assessments that California employers pay to fund statewide workers’ compensation anti-fraud efforts. It voted to hold the line at the last assessment total of $53.4 million for the coming year — $31.8 million … Read More »

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Window Cleaning Firm Guilty of Fraud

The Los Angeles County District Attorney’s Office won a workers’ comp premium fraud and payroll tax evasion case involving a San Francisco based cleaning firm, WWC Window Cleaning. The prosecutors secured a plea of no contest to three felony counts and a restitution agreement for $321,350, half of which State Compensation Insurance Fund (SCIF) will receive. … Read More »

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California Workers’ Comp Fraud File (7)

The California Labor Commissioner’s office is pursuing charges against a Visalia-area farm labor contractor that it says was violating California’s workers’ comp and wage and hour laws. The lawsuit is seeking repayment of wages and damages on behalf of 129 farm workers and an injunction to prevent further violations of the law. Department of Industrial … Read More »

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California Workers’ Comp Fraud File (6)

Investigators from the California Department of Insurance (CDI) and the San Mateo County District Attorney’s Office are pursuing felony charges for workers’ comp premium fraud against the owners of A&F Engineering in San Mateo. The case stems from an investigation into a worksite accident in December 2009 that resulted in one worker being killed. Prosecutors … Read More »

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Employer Faces Workers’ Comp Fraud Charges

The District Attorney’s office in San Bernardino County is pursuing charges against two individuals for allegedly conspiring to defraud FirstComp Insurance Co. of more than $100,000 in workers’ comp premiums. One of the defendants — Gregory Santolucito of Hesperia — is also accused of then lying on an application for workers’ comp coverage that was … Read More »

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Third Appellate District Discusses Individual’s Fraud, Breach of Duty Suit against Medical Examiner

In Alexander A. de los Reyes v. Kevin F. Hanley, the Third Appellate District discussed an individual’s claim that a qualified medical examiner filed a false medical report in connection with the individual’s application for workers’ compensation benefits. Background. The plaintiff alleged that, acting as a “qualified medical examiner,” the defendant prepared a report that … Read More »

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Business Owners Tagged For Premium Fraud

Investigators from the California Department of Insurance (CDI) say they have the goods on a Bay Area couple for hiding payroll from their workers’ comp carrier, while prosecutors in Southern California are making similar allegations against business owners in Orange and San Bernardino counties. All told, millions in payroll was allegedly hidden to avoid paying … Read More »

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Contractors, Car Washes and Restaurants Busted

Field investigators for several state agencies are finding success battling the underground economy in California and nabbing employers operating outside the rules, including those not carrying workers’ comp insurance. But are investigators missing out on an opportunity to bring other pressures to bear on these scofflaws? Observers say they are. A recent multiagency sweep led … Read More »

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