A proposal to help insurance carriers fight workers’ comp fraud will not be moving forward this session. The measure would have given carriers access to employers’ payroll records to crack down on premium fraud, but the Assembly Appropriations Committee did not advance the bill because of cost concerns. The bill would have created a cumbersome …
For the third year in a row, California employers are paying nearly $90 million to fight workers’ comp fraud in its various forms but are getting far fewer results from district attorneys than they did when the assessment was $30 million less a decade ago. Newly compiled data show that the number of suspected fraudulent …
California legislators returned to Sacramento this week for the final weeks of the session with a hefty load of bills to work through. The measures of interest to the workers’ comp community include bills to enhance anti-fraud efforts, hold carriers accountable for correcting problems, and enact staffing industry reforms. Already off the table were controversial …
The California Department of Insurance is proposing updates to the regulations governing grant funding programs that fight fraud in workers’ compensation, automobile, disability, and healthcare insurance. The regulations haven’t been updated in decades. Tens of millions of dollars are awarded annually to county district attorneys (see related story on page 6). The Department will hold …
The Fraud Assessment Commission and Insurance Commissioner Ricardo Lara approved a review panel’s recommendations for splitting $55.6 million in anti-fraud funds among 30 District Attorneys. The number of DAs getting funding this year to fight workers’ comp fraud is down by two after Merced and Tulare counties did not apply this year. In 2025, Tehama …
District attorneys from around the state made their case for a share of the anti-fraud funds to a panel of experts in the field. Many DAs faced pushback for the meager results they have produced to date, but their partners in the fight against workers’ comp fraud – the workers’ comp carriers – also took …
A proposal to help insurers fight workers’ comp premium fraud was amended by Members ahead of a hearing before the Assembly Insurance Committee scheduled for later this morning. The legislation, designed to provide insurers with greater access to the payroll records employers submit to the Employment Development Department, was narrowed in a bid to advance …
The Fourth District Court of Appeal ruled that a lower court was correct to dismiss an injured employee’s lawsuit alleging fraud and violations of California’s unfair competition law and the federal RICO Act. The court says the actions of the third-party administrators, claims adjuster, and provider were all covered under the Workers’ Compensation Act’s exclusive …