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Updated Anti-Fraud Grant Regulations

The California Department of Insurance is circulating an amended proposal for standardizing its oversight of programs that provide grant funding to district attorneys to fight insurance fraud across multiple lines of coverage. The proposal was out for public comment earlier this summer, and the new version incorporates responses the Department received in that initial period. … Read More »

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Owner Exclusion Dispute Prompts Appeal

Here is a case brokers should be aware of and understand: A farm management company is fighting a $19,000 additional premium bill from its workers’ comp carrier. The carrier says … Read More »

CDI-Backed Bills Signed Into Law

Several bills backed by the California Department of Insurance were signed into law, but two in particular interest the workers’ comp community. Those two are SB 1209 by Sen. Ben Allen (D-El Segundo) and SB 1206 by the Senate Insurance Committee. Allen, a candidate to succeed Lara as Insurance Commissioner, carried the bill to expand … Read More »

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State Fund Petitions To Stay Involved In X-Mod Dispute

In a previous story, Workers’ Comp Executive reported about a company, GT’s Living Foods (GTLF), a kombucha bottling company, which filed an appeal with the CDI to challenge the calculation of its 850 X-Mod for 2022 and its 999+ X-Mod for 2023. The company admits the X-Mods were inflated because it hadn’t reported over $100 … Read More »

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Audit Dispute Over Independent Contractor Payments

A mental health treatment center is disputing a $104,000 audit bill from its workers’ comp carrier for premiums related to payments made to certain individuals who received 1099 statements. The employer is asking the California Department of Insurance’s Administrative Hearing Bureau to referee the dispute after an appeal to the carrier failed to change the … Read More »

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Workers’ Comp Classification Dispute

A startup company focused on converting plastic waste into construction materials withdrew the appeal it filed with the California Department of Insurance’s Administrative Hearing Bureau after a disputed classification assignment was changed. The dispute between ByFusion Global and CompWest Insurance Company prompted the Workers’ Compensation Insurance Rating Bureau to conduct a classification inspection that helped … Read More »

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Legislators Wrap Up Session Without Major Reforms

California’s legislators completed their work for the session last month by passing many bills, but only a few related to the workers’ comp community. Earlier in the session, there was chatter about a comprehensive workers’ comp reform package, but in the end, any such discussion was put off until the next legislative session. Before legislators … Read More »

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Independent Contractors or Employees?

The California Department of Insurance is being asked to adjudicate a workers’ comp premium dispute over payments that drivers receive from Uber through a third-party vehicle leasing arrangement. The State Compensation Insurance Fund considers the payments payroll and is demanding premium from the leasing company, but the insured, Losy LLC, argues that the drivers are … Read More »

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