Prosecutors & Carriers Are Failing in Anti-Fraud Results

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 … Read More »

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Rate Hike Proposals Under CDI Consideration

The California Department of Insurance took testimony from the Workers’ Compensation Insurance Rating Bureau, the independent actuary representing employers and organized labor, and a member of the workers’ comp community … Read More »

Department Hears Dispute Over Premium Charge For Licensed Contractors

A California Department of Insurance administrative law judge is reviewing evidence in a dispute between a couple that owns a handful of rental properties and State Farm. The carrier is trying to collect additional premium on a minimum premium workers’ comp policy charging for the licensed businesses they hired to maintain the properties. Nancy Rasmussen … Read More »

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Nonprofit Wins Classification Dispute

Norcal Crew, a 501(c)(3) nonprofit competitive youth rowing program, prevailed in a dispute with its workers’ comp carrier and the Workers’ Compensation Insurance Rating Bureau. The organization successfully fought off reclassification of its operations to a class with an advisory pure premium rate 2.5 times higher than the workers’ comp rate for its historical classification … Read More »

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CDI Enforcement Bill Advances On Promised Amendments

The Senate Insurance Committee voted 5-2 to advance a bill by Sen. Ben Allen (D-El Segundo) to give the Insurance Commissioner explicit authority to levy penalties of up to $20,000 if insurance companies fail to take corrective action on problems identified during an examination. Insurance Commissioner Ricardo Lara and insurance industry representatives testified that they … Read More »

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Major Employer Fights X-Mod

A California employer is facing the double whammy of an X-Mod that’s bloated by years of unreported payroll, skewing its experience rating calculation. Now, it’s facing the impact of an 850 X-Mod on the additional premium that’s due as it seeks to bring its payroll reports into compliance. Law enforcement is involved, but no charges … Read More »

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WCIRB Files Regulatory Changes

The Workers’ Compensation Insurance Rating Bureau officially requested approval of across-the-board increases to the dual wage thresholds, as well as increases in payroll minimums and maximums in limited classes. The California Department of Insurance will take public comment and hold a hearing later this spring on the proposed changes for September 1, 2026, policies. The … Read More »

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Salesman’s Payroll Reclassification Challenged

A roofing contractor is asking the Department of Insurance hearing bureau to block a workers’ comp carrier from reassigning the payroll of its outside salesman from outside sales to the 5553 classification covering high-wage roofers. The difference in the current advisory pure premium rate is $13.29 per $100 of payroll, more than the rate for … Read More »

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