Tagged in: X-Mod

State Fund Gives Policyholders $50M In COVID-19 Relief

The State Compensation Insurance Fund is not waiting for a compensability finding to aid policyholders and essential workers impacted by the COVID-19 pandemic. The carrier has created two funds,  one to help policyholders buy necessary safety-related equipment and another to help their workers with medical bills or lost wages if they become ill with COVID-19 … Read More »

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Brokers Seeing Bonus Commissions

California’s workers’ comp carriers are on an impressive run of profitability with five straight years of combined ratios well below 100 in spite of continued rate decreases. The overall soft market, however, has carriers competing for premium. Brokers report numerous bonus opportunities for delivering new accounts in the competitive workers’ comp market. Workers’ Comp Executive … Read More »

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Applied Underwriters Ignored X-Mod Change

Insurance Commissioner Ricardo Lara finds more controversy about Applied Underwriters. Commissioner Lara determined California Insurance Company (CIC), an Applied Underwriters unit, violated Insurance Code sections 11734 and 11735 by using … Read More »

SCIF’s Tier Modifier In Dispute Again

State Compensation Insurance Fund and Sessions Payroll Management have a contentious history, and that’s not about to change any time soon. The companies are engaged in ongoing litigation and are now back at it. Now it’s before the California Department of Insurance’s administrative hearing bureau for another fight over SCIF’s tiered rating system. State Fund’s … Read More »

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Brother & Sister Face Workers’ Comp Fraud Charges

The Los Angeles District Attorney’s Office filed a 12-count indictment against the brother and sister owners of a Southern California construction company.  Allegedly State Compensation Insurance Fund was cheated out of $6 million in premium. Charged are Enrique Vera, the owner of Ultimate Inc., and his sister Gloria Vera the company’s office manager. The pair … Read More »

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Coverage B Fight Goes to The Ninth Circuit

A former insured of the State Compensation Insurance Fund is taking to the Ninth Circuit Court of Appeal its demand for SCIF to defend it in three civil lawsuits. State Fund prevailed in the lower court arguing that it has no duty to defend the company under Part 2 [aka coverage B] of its workers’ … Read More »

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X-Mod Changes for 2019

Brokers and employers should get ready for yet more changes to California’s experience rating formula. In 2019 changes will reduce the impact of first aid type claims on employers’ X-Mods but will also result in small X-Mod increases for loss-free accounts. The changes eliminate the first $250 from all claims which means that claims with … Read More »

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