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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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Doctors Offices & The Borello Test

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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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WCAB Levies $40,000 In Sanctions Plus Fees & Costs

The Workers’ Compensation Appeals Board has decided to sanction an applicant’s attorney and her hearing rep $20,000 each for repeatedly using frivolous tactics to delay workers’ comp cases. The WCAB gave attorney Susan Garrett and hearing representative Lance Garrett 20 days to explain their actions to avoid the sanctions. The Board found their responses lacking … Read More »

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State Fund Sees Premium Dip

State Compensation Insurance Fund officials say its first quarter 2024 net premium dropped 4.1% compared to the total in the prior year period. They attribute the decline to a drop in new and renewal business. State Fund says it earned $260 million in net premium during the first quarter of 2024 compared to $271 million … Read More »

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State Fund Holding Firm

The State Compensation Insurance Fund says while its net premiums earned are down 4.6% through the first nine months of 2023 compared to 2022, its earnings of $846 million are close the to $886 it earned last year (see chart). Officials say the decline in net premium is due to a reduction in new and … Read More »

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Silver Lining in State Fund Appeal Loss?

State Compensation Insurance Fund won and lost the same case simultaneously. In an interesting decision, the Third District Court of Appeal agrees with the State Compensation Insurance Fund’s interpretation of a settlement agreement it reached with the California Department of Insurance. Nonetheless, it found that State Fund waited too long to challenge the underlying case … Read More »

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State Fund’s Premium Decrease

State Compensation Insurance Fund executives told the carrier’s board of directors that net earned premium is down 6.4% through the first half of 2023. Management explained that less new business is coming in the door, and renewals are also down in the competitive California workers’ comp market. The mid-year totals are an improvement over the … Read More »

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