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: Monterey bar owner pleads guilty to insurance fraud

    The 58-year-old owner of Sal’s Alley Side Cafe and Carbone’s Bar in Monterey will serve 40 days in jail after pleading no contest to insurance fraud. The District Attorney’s Office concluded that he intentionally misrepresented payroll in order to obtain a lower insurance premium from the State Compensation Insurance Fund. Monterey Herald

  • Reports suggest trouble looms for nuclear workers’ compensation program

    The federal government had paid more than $15 billion to more than 61,000 workers or their surviving family members through the Energy Employees Occupational Illness Compensation Program, but reports predict that accepted claims may disappear in a few decades. WSFA (Montgomery, Ala.) [with video]

  • New Hampshire fireman navigates workers’ comp claim for cancer

    New Hampshire has a new law that allows firefighters to apply for workers’ compensation for cancer that’s presumed to be work-related, but a deputy chief says he’s been denied coverage for two weeks of work he missed in September after surgery for testicular cancer. Although he has a history of smoking, he says the cancer […]

  • Ohio town challenging fireman’s surviving family over benefits

    Pursuant to a new law, the state of Ohio has acknowledged that Norwich Township fireman Bryan Davis’s cancer was work-related. Davis died of cancer in 2016, and the township is now trying to avoid paying his family workers’ compensation benefits. WCMH (Columbus, Ohio) [with video]