State Fund is Number One Again

The 2019 market share totals are telling. While the ten largest groups writing workers’ comp coverage in California are unchanged from 2018, there is significant movement among the players starting from the top on down. Berkshire Hathaway Group (NYSE: BRK.A) relinquished the crown it claimed from the State Compensation Insurance Fund in 2017 as the … Read More »

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NAIC’s Top 25 Workers’ Comp Carriers

Initial results from the National Association of Insurance Commissioners show that the Travelers Group (NYSE: TRV) and Hartford Fire & Casualty Group (NYSE: HIG) remained the most prominent players in the workers’ comp market nationwide. Still, the 2019 totals show significant movement among other carriers in the top 10 (see chart). Overall, however, the list … Read More »

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$20 Million Fraud Scheme Busted

Orange County prosecutors filed felony charges against two people in an alleged kickback and workers’ comp insurance fraud scheme. Prosecutors say that Bradley Dan Groscost and Felix Koltsov concocted a plan that ultimately billed workers’ comp carriers over $20 million for urine drug screenings and prescriptions for compounded creams. The scheme was driven by $2 … Read More »

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Travelers, CDI Heading To Court

Attorneys representing the California Department of Insurance and The Travelers will be in a Los Angeles courtroom next month to continue a nearly four-year-old dispute over what the Department says is the the illegality of the unfiled side agreements Travelers used in its large deductible workers’ comp program. Former Insurance Commissioner Dave Jones issued a … Read More »

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No Restitution In Spinal Kickback Case

A federal judge in the Michael Drobot spinal surgery kickback case is refusing to order any of the seven defendants to pay restitution. The Judge says the workers’ comp carriers and the federal government failed to follow her directions for calculating and proving the amount of restitution potentially owed. It was AIG, State Compensation Insurance … Read More »

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Convictions In Newly Disclosed SJDB Fraud Scam

Workers’ comp fraud investigators and local prosecutors continue to crack down on scams that are bilking the Supplemental Job Displacement Benefit (SJDB) system for thousands of dollars at a time. The latest case involved two principles behind a Southern California technical school that made fraudulent claims with at least a half-dozen different carriers. These cases, … Read More »

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Could 2018 Be the Turning Point For Workers’ Comp?

California’s workers’ comp results are still showing the positive impact of the Baker SB 863 reforms, but the industry’s emerging 2018 data reveals a puzzling uptick in indemnity severity. That uptick, combined with the perennial questions about when medical cost inflation is going to ramp up, has some insurance carrier actuaries asking if the industry’s … Read More »

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Travelers Sues To Overturn CDI Ruling

Travelers Property Casualty Company of America is asking the Los Angeles County Superior Court to overturn a decision by former Insurance Commissioner Dave Jones. Jones found that its large deductible program agreements were invalid because they were never filed for approval. The Travelers maintains in its writ of mandamus that “CDI told Travelers that it … Read More »

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