$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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Public Agencies Workers’ Comp Experience

Public agencies, including cities, counties, and special districts across the state, reported a drop in workers’ comp claim frequency during the latest fiscal year while also experiencing a sharp increase in claim severity. Costs were up for both medical and indemnity benefits. Taxpayers’ overall liability for future claims costs is more than $10 billion. Some … Read More »

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What Changes Might Improve Accuracy Of Rates and X-Mods

The New York Compensation Insurance Rating Board announced that it is rolling out a change to its operations next year that it says will improve the accuracy of the workers’ comp rates and the experience rating modification factors it generates. The National Council on Compensation Insurance says it too is proposing to make the same … Read More »

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Covid-19 Claims To Count Against X-Mods

The Workers’ Compensation Insurance Rating Bureau’s Classification and Rating Committee voted to recommend updating the experience rating system to put Covid-19 claims into employers’ X-Mods. The experience from Covid-19 claims has never been included in the rating calculation, but that could change as of September 1, 2024. The Bureau is a private organization with quasi-governmental … Read More »

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Workers’ Comp Regulatory Filing Approved

The California Department of Insurance fully adopted the Workers’ Compensation Insurance Rating Bureau’s September 1, 2023, regulatory filing. A separate decision on the advisory pure premium rates is still pending. … Read More »

April Hearing For September 1st Workers’ Comp Regulations

Insurance Commissioner Ricardo Lara will hold a virtual public hearing on April 24th to take public comment on the Workers’ Compensation Insurance Rating Bureau’s proposed regulatory changes for workers’ comp policies incepting on or after September 1st, 2023. The rule changes include a major restructuring of the classifications for the restaurant and tavern industry, updated … Read More »

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Covid-19 Claims And X-Mods

Insurance Commissioner Ricardo Lara rejected a call from the Workers’ Compensation Insurance Rating Bureau and his staff’s recommendation when nixing a plan to allow Covid-19 claims to count against employers’ X-Mods. Covid claims remain excluded from the experience rating process. The Bureau is a private organization with quasi-governmental responsibility, financially supported exclusively by insurance carriers … Read More »

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New Companion Classes, Experience Rating Changes Proposed

The Workers’ Compensation Insurance Rating Bureau’s governing committee approved making a regulatory filing to create a new companion class for two classifications in the Electronics Industry Group. The filing will also bring changes to the experience rating plan that would allow Covid-19 claims to factor into an employer’s X-Mod. The Bureau is a private organization … Read More »

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