Original Articles

  • 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 […]

  • 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 […]

Curated Content Articles of Interest from Around the Web

  • California: Former deputy sentenced for workers’ comp fraud

    A 40-year-old former San Diego County sheriff’s deputy who was seen lifting heavy weights after filing workers’ compensation claims for a back injury has been sentenced to three years’ probation and 180 days in work furlough. San Diego Union-Tribune

  • Flash: Is the Bureau’s Mid-Year Cut Deep Enough?

    A mid-year workers’ comp rate cut is officially in the offing. What’s the requested amount and why might there be more savings to be had? Get the details here. Workers’ Comp Executive

  • Oxnard cleaning service owner pleads guilty to workers’ comp fraud

    A 52-year-old owner of an Oxnard, California business pleaded guilty Friday to four felony insurance code violations related to workers’ compensation payments, according to the Ventura County District Attorney’s Office. The defendant allegedly systematically underreported more than $1 million in payroll to his workers’ compensation insurance carriers. VC Star

  • Radiologists seek repeal of Kentucky black lung law

    The American College of Radiologists is asking Kentucky lawmakers to repeal a new law that has removed radiologists from the workers’ compensation claims process for black lung disease. Under the new law, the national certification for diagnosing diseases like black lung is not sufficient: they now also must be certified as pulmonologists. Kentucky is one […]