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 11-14-2019

     

    California: Roofer’s fall leads to workers’ comp fraud charges

    The Sacramento County District Attorney’s Office is prosecuting after investigators found more than $730,000 in medical and disability benefits have been paid by State Compensation Insurance Fund to a workers’ compensation claim after an employee of a Sacramento County-based company fell 25 feet while working at a jobsite in early 2015. The number of employees the owner stated worked for his company did not coincide with the yearly audits State Fund conducted to verify premium and payroll. CrimeVoice

     

    California: Homeless epidemic, trash buildup blamed for serious illnesses among Los Angeles police

    Los Angeles Mayor Eric Garcetti takes heat for his failure to address the city’s growing homeless population. Fox News [with video]

     

    Florida prosecutors charge contractor cashed nearly $1M in paychecks

    A Broward County, Florida masonry contractor evaded paying for workers’ compensation for at least a year by having employees cash nearly $1 million in checks at a convenience store, and faces charges in two other similar alleged scams, prosecutors say. An audit reportedly showed the company’s payroll was double what the company owner originally declared. Palm Beach Post

     

    Ohio man pleads guilty to $200K workers’ comp fraud

    A 51-year-old Lexington Twp., Ohio man has admitted to defrauding the Ohio Bureau of Workers’ Compensation of almost $200,000 by operating a tree services business without required workers’ compensation coverage, underreporting payroll and misclassifying workers in order to pay a lower premium. Investigators reportedly recorded video of him operating a tow truck for a towing services company twice last year when he was purportedly permanently disabled. Canton Repository

     

    Phoenix-area fireman starts stem cell transplant after initially being denied workers’ comp

    After a five-month delay, a Glendale, Arizona fireman, who initially was not allowed to collect workers’ compensation for his job-related multiple myeloma, has begun stem cell treatments. KTAR (Phoenix) [with audio]

     

    East Lansing to pay former employee $125K to workers’ comp claim and lawsuit

    Ending a seven-month dispute, East Lansing, Michigan city officials have agreed to pay a former wastewater treatment plant employee $125,000 as part of a settlement agreement of a wrongful termination lawsuit and workers’ compensation claim. An attorney representing the city indicated the settlement is unusual in that it allows the former employee to file a workers’ compensation claim in the future if he’s diagnosed with an asbestos-related disease. Lansing State Journal

     

    Texas: Firefighters’ denied claims explained

    A biennial report from the Texas Department of Insurance shows the denial rate of firefighters’ workers’ compensation claims is high: From 2010 to 2018, 87 percent of the total claims were denied. KRGV [with video]