OAKLAND — Carriers, self-insured employers and third-party administrators who are slow to pay for authorized medical care for injured workers soon will be subject to higher penalties under new rules filed by the Division of Workers’ Compensation (DWC). But if current trends hold true, most of the industry is in no real danger of incurring …
“To prove fraud, we have to have a lie and we have to be able to show intent,” says Christina Smith, a California Department of Insurance fraud investigator. That was the message delivered to attendees at the Ninth Annual Workers’ Compensation Insurance Fraud Seminar put on by the Contra Costa County District Attorney’s Office. The …
Dear Readers and Viewers: As we begin a new year, one that will be tough economically for both of our industries, I want to take a few minutes to communicate directly with you. Change, according to our elected leaders, is upon us all. While many of us experience reductions in force and rebalancing of staff, and …
Employers and carriers are up in arms over what they call a blatant attempt by some radiologists to twist the meaning of a new anti-fraud bill. They charge radiologists with trying to turn it into a weapon against networks that hold down costs for California’s workers’ comp system. But providers say the legislation created real …
The Mervyn’s retail chain, which has been winding down its operations through Chapter 11 bankruptcy, is now formally in default on its self-insured workers’ comp claims. The California Department of Industrial Relations officially declared the chain in default yesterday after it halted payments on its estimated $20 million in unpaid workers’ comp claims. The chain …
The announcement by the Mervyns retail chain that its planned reorganization under Chapter 11 is being turned into a liquidation has put the state Office of Self-Insured Plans (OSIP) and the California Self-Insurer’s Security Fund (CSISF) on notice that they will soon be called into action. Mervyns, no longer self-insured, has liabilities upward of $20 …
More Details on New York Trust Crisis Richard S. Flaherty, president and CEO of First Cardinal LLC of Latham, N.Y., which manages a group self-insured trusts, said state legislation, passed …
CRM to Surrender License in Settlement Compensation Risk Managers LLC, also known as CRM, will surrender its license to run self-insured workers’ compensation trusts, the New York State Workers’ Compensation …