Original Articles

  • 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 […]

  • Applicant attorney suspended, awaits sentencing

    State officials suspended a Southern California applicant attorney from practicing law in California, and the attorney is awaiting sentencing for tax fraud. The fraudulent activity stemmed from reputed charitable donations that were actually payments for client referrals. The California State Bar suspended attorney Ronald Mix’s license indefinitely effective September 26. The move follows Mix’s conviction […]

  • DWC Releases Report on 2013 Claims-Handling Practices of Workers Comp Administrators

    The California Department of Industrial Relations Division of Workers Compensation (DWC) Audit Unit has released a report to the state legislature on 2013 audits that specifically focuses on the claims-handling practices of workers comp administrators. The report finds that 70 claims businesses representing California workers comp carriers and self-insured employers failed to pay a total […]

Curated Content Articles of Interest from Around the Web

  • Orange County sheriff’s deputies file workers’ comp claims for physical, psychological injuries from Las Vegas shooting

    Four Orange County sheriff’s deputies have filed workers’ compensation claims against the county for physical and psychological injuries they say they suffered when they attended a country music festival in Las Vegas where a gunman killed 58 people and injured hundreds more. The Orange County Board of Supervisors was set to meet Tuesday in closed […]

  • California: Deputy denies workers’ comp fraud

    A six-year veteran of the San Diego County Sheriff’s Department faces charges of filing false workers’ compensation claims. The 40-year-old man allegedly misrepresented his physical condition and abilities repeatedly and faces up to 15 years in prison if he is convicted. Times of San Diego

  • Shot while serving, ‘hero’ deputy still fighting for workers’ comp

    Four years after he was shot while pursuing a gang member, in an incident that led to his being awarded the FBI Star, New Hanover County, North Carolina Sheriff’s Deputy Mike Spencer’s law enforcement career is over, but his workers’ compensation claim is not. Port City Daily (Wilmington, N.C.)

  • Pennsylvania insurance agent faces more fraud charges

    A Lackawanna County, Pennsylvania insurance agent, who earlier this year was charged with defrauding clients by allowing a workers’ compensation policy to lapse while continuing to bill for it, was arrested last week on violations involving three additional firms, according to authorities. Times-Tribune (Scranton, Pa.)

  • Mississippi: Jackson woman arrested for workers’ comp fraud

    A 35-year-old Jackson, Mississippi woman has been charged with one count of workers’ compensation fraud for allegedly making misleading statements to an insurer that she wasn’t getting secondary income while receiving workers’ comp benefits. WLBT/WDBD (Jackson, Miss.)

  • Employee’s stress lawsuit possible even after workers’ comp

    If an employer violates California’s Fair Employment and Housing Act, for example by retaliating against an employee–the employee may be able to sue for intentional infliction of emotional distress even if the employee already received workers’ comp benefits for stress, according to a recent state appellate court decision. Business Management Daily