Original Articles

  • Flash: BAKER RESPONDS TO AUDITOR’S REPORT

    In exclusive interviews and written communications with Workers’ Comp Executive former DIR Director Christine Baker responds directly to the State Auditor’s recent critical report. Baker, in her own inimitable fashion goes directly to the relevant points. This story can’t be found anywhere else – and we include links to the full text of the Auditors […]

  • Division’s Latest Amnesty Program Intended to Boost Reporting by Claims Adjusters

    The California Division of Workers’ Compensation (DWC) is rolling out its second amnesty program of 2017 intended to persuade claims adjusters to comply with state reporting requirements for workers’ comp data. The goal is to increase the amount of Subsequent Report of Injury (SROI) data that makes it into the Workers’ Compensation Information System (WCIS) […]

  • Company Officials Charged in Electrocution

    The Orange County District Attorney has filed criminal charges against the safety coordinator and two other principals of Five Star Plastering, based in Laguna Hills. Its employee was involved in a 2014 electrocution. The employer itself also faces charges. A two-man crew was erecting a banner at the Mission Viejo High School stadium to support […]

  • Insurance Department nabs trio for billing fraud

    The California Department of Insurance arrested three individuals including a registered qualified medical evaluator (QME) in a scheme to defraud health insurers by artificially inflating bills. The three face charges of conspiracy to submit at least $380,000 in fraudulent bills for laboratory services. Arrested were Dr. Edward Albert G. Balbas, chiropractor Jon Brunelle, and Alejandra […]

Curated Content Articles of Interest from Around the Web

    News Digest 8-13-2020

     

    Flash: Bureau: 2021 Workers’ Comp Rate Increase

    It’s ugly. The California workers’ comp bureau approved its plans for a 2021 workers’ comp rate filing and the outcome is significantly different from what the employer and labor representatives recommended. Some say unfair. What will be the final impact on rates? Get the details here. Workers’ Comp Executive

     

    California: Central Valley man charged with falsely claiming stabbing was work-related

    A 23-year-old Atwater, California construction worker who claimed that stab wounds suffered in a fight he started were work-related faces an insurance fraud charge, according to the California Department of Insurance. The Merced County District Attorney’s Office alleges he filed a workers’ compensation claim with his employer and provided false statements about the incident. Merced Sun-Star [with audio]

     

    California: Bakersfield dental office employee arrested for failing to pay restitution

    An employee of a Bakersfield, California dental office has been arrested after failing to pay back funds stolen through her and her husband’s alleged submission of dozens of fraudulent dental insurance claim forms for services she or her family never received. 23 ABC News (Bakersfield, Calif.)

     

    Delaware court upholds denial of workers’ comp for medical cannabis

    The Delaware Superior Court has ruled that compensability of medical marijuana costs for a workers’ compensation claim turns on an individualized inquiry of whether such treatment is reasonable and necessary, and not whether the use of medical cannabis is permissible under state law. JD Supra

     

    Man injured lifting scale settles workers’ comp suit for $3.22M

    A hotel maintenance supervisor who became paraplegic after he lifted a laundry scale while at work has confidentially settled a workers’ compensation lawsuit against his employer’s insurance carrier for $3.22 million, the man’s attorneys report. South Carolina Lawyers Weekly