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Narrowing Contractors Workers’ Comp Exemption

The Contractors State Licensing Board is proposing to limit the workers’ comp exemption to sole proprietorships only. The Board’s choice excludes limited partnerships, limited liability corporations, joint ventures, and others who can presently apply for the exemption and maintain a license. CSLB detailed its plan to apply the exemption only to sole proprietors in a … Read More »

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Workers’ Comp Profitability Continues

The national workers’ comp industry reported underwriting profit for the 12th consecutive year in 2025, with a calendar-year combined ratio of 91%. The industry’s loss ratio was under 50% for … Read More »

10% of Injured Workers Shortchanged

The Division of Workers’ Compensation’s 2024 audits of claims shops found that over 10% of randomly selected claims had unpaid benefits owed to injured workers. Overall, 271 workers were owed an average of $1,625 each (or a total of $440,714), but the amounts varied greatly by adjuster. Applicant’s attorneys routinely cite an injured worker’s inability … Read More »

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Plaintiff Faces Workers’ Comp Exclusivity

The Fourth District Court of Appeal ruled that a lower court was correct to dismiss an injured employee’s lawsuit alleging fraud and violations of California’s unfair competition law and the federal RICO Act. The court says the actions of the third-party administrators, claims adjuster, and provider were all covered under the Workers’ Compensation Act’s exclusive … Read More »

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Workers’ Comp Fraudster Linked To $270M Medi-Cal Fraud

Federal prosecutors secured a guilty plea in a $270 million Medi-Cal fraud scheme that submitted fraudulent bills for high-cost compounded medications made from generic ingredients that were not medically necessary or, in many cases, not even provided. It was a page straight out of the workers’ compensation fraud handbook – literally. Pleading guilty was Paul … Read More »

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Charges Filed In Deadly Explosion

The Yolo County District Attorney filed criminal charges, including conspiracy and murder, against individuals connected to a deadly explosion last year that killed seven workers. Included among the charges are allegations that the business ownership was cheating on its workers’ comp insurance by paying workers in cash and not reporting the payroll to lower its … Read More »

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Workers’ Comp Reform Coming

A seemingly routine panel discussion at a recent Commission on Health, Safety, and Workers’ Compensation may prove to be the starting point for California’s next round of workers’ compensation reforms. Representatives for injured workers, providers, and payers were discussing what is and isn’t working in the system when a representative for employers and workers’ comp … Read More »

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Bill Proposes More Attorney Disbarments

Assemblyman Rick Chavez Zbur (D-Los Angeles) amended AB 2039 last week to propose strict penalties for attorneys caught in capping arrangements. The bill would require an attorney to be disbarred if convicted as part of a capping scheme. The measure also proposes protections for whistleblowers who expose wrongdoing. The California State Bar is notorious for … Read More »

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