The First District Court of Appeal says a trial court was correct in allowing the Receiver in a workers’ comp premium fraud case to collect on the proceeds from a bankruptcy sale of a seized property rather than allowing the money to go to another creditor. The action was taken under Penal Code section 186.11, …
The California Fraud Assessment Commission voted for a one-time change to the formula for splitting the $90 million California employers give county district attorneys and the California Department of Insurance’s Fraud Division. The commissioners were unsure if Insurance Commissioner Ricardo Lara was asking for a permanent change to the formula or only a change for …
Insurance Commissioner Ricardo Lara is asking the California Fraud Assessment Commission to approve a change to the formula that splits employers’ assessment dollars between local District Attorneys and the Department’s anti-fraud unit. The proposal would redirect millions of dollars from the DAs to the Department of Insurance. The DAs are pushing back against the effort. …
The California Department of Insurance’s Fraud Assessment Commission is holding a special meeting tomorrow to consider a major shift in where and how the dollars are distributed in the state’s fight against workers’ comp fraud (see related item on page 1). Five commissioners reviewed the proposal at the Commission’s January 10th meeting, but it is …
The California Department of Insurance is floating the idea of undoing a change to the reporting rules for special investigations units (SIUs) amid concerns that the current standard undermines some prosecutions. The Department backed a change to the insurance code to get more complete reports of suspected fraudulent activity, but there are now new issues. …
The Division of Workers’ Compensation’s annual report about its audits of workers’ compensation claims adjusting locations shows it inspected 48 shops and that 46 were able to pass the audit at the initial stage. Of the two shops that failed to meet the Profile Audit Review (PAR) standard, one passed a more in-depth Full Compliance …
The Workers’ Compensation Insurance Rating Bureau will conduct targeted inspection audits on the food and beverage service industry next year. The audits will target many of the 16,000 experience-rated risks currently in the 9079 classification. That, as it prepares to deconstruct the 9079 Restaurants or Taverns classification into six new classes effective this year on …
The California Department of Insurance’s Fraud Assessment Commission voted 3-2 to increase the workers’ comp fraud assessment on California employers by 5% next year to $89,985,405. The two commissioners who voted against the proposal wanted an increase closer to the 16% that the District Attorneys requested and would have boosted the total bill to nearly …