$3 Million In Restitution In Two Premium Fraud Cases

District Attorneys in Los Angeles and San Diego notched victories against two employers for underreporting payroll to avoid workers’ comp premiums. The San Diego DA won a $1 million restitution order against a plumbing company, while the Los Angeles DA’s office secured a nearly $2.3 million order against a couple operating three delivery services. John … Read More »

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Latest UR Reg Changes Create Problems

The Division of Workers’ Compensation proposed a set of updates to California’s utilization review regulations last year and, in response to public feedback at the time, made some tweaks to the package. But industry commentators say the changes went too far, put the onus on the innocent party, and are urging the Division to undo … Read More »

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State Fund’s 3Q Results

State Compensation Insurance Fund officials reported at the mid-year mark that the carrier’s net premiums earned were running slightly ahead of 2023 results. However, with another quarter in the books, officials now say it is trailing its prior year performance. Executives say the change is due to a drop in new and renewal business coming … Read More »

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Roofer Gets Second Chance In Premium Dispute

A California employer will get a second chance to fight a collection effort for allegedly unpaid workers’ comp premium. The employer failed to respond to the complaint and summons in a timely manner but claimed it confused the dates for responding with a later date for a case management conference that was listed in the … Read More »

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Dispute Over Million Dollar Premium Charge

A construction company is asking the California Department of Insurance Administrative Hearing Bureau to settle two disputes with the State Compensation Insurance Fund over the premium calculation. The company, Mid-Construction Group, is contesting the inclusion of payroll for a licensed subcontractor on a project and State Fund’s application of its tier modifier to the policy. … Read More »

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State Fund’s Results

State Compensation Insurance Fund officials say the carrier’s net premiums earned in the first half of 2024 are up slightly from a year ago, at $555 million or 0.3% higher than the $554 million it had last year at this point. The carrier rebounded from a first quarter that saw its premium down 4.1% from … Read More »

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