Filed: $17M Premium Fraud Case

The Orange County District Attorney is pursuing a seven-count felony indictment with enhancements against the owner of a security firm for allegedly cheating two workers’ comp insurance carriers out of $17 million in workers’ comp premium. The complaint alleges that Simon Semaan, a former reserve Orange County Sheriff’s Office deputy, illegally reduced his workers’ comp … Read More »

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TPA Owes Carrier $18.5M In Claims Handling Dispute

A third-party administrator that failed to timely respond to a settlement offer for $30,000 is now on the hook for the full $18.5 million an arbitration panel awarded the carrier on the case for the TPA’s malfeasance. The underlying case had settled for $15 million after a trial court returned an award for the plaintiff … Read More »

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