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 Simi Valley man pleads guilty to workers’ compensation fraud

    A 67-year-old former Simi Valley man recently pleaded guilty to workers’ compensation fraud, prosecutors said Monday. The felony violation involves allegedly making a fraudulent statement in order to obtain workers’ compensation benefits, according to the Ventura County District Attorney’s Office. VC Star

  • California: Peninsula correctional officer resigns after workers’ comp fraud plea

    A 44-year-old San Mateo County sheriff’s correctional officer who pleaded no contest last week to misdemeanor workers’ compensation fraud and was sentenced to 10 days in county jail has resigned. While on disability for a purported shoulder injury, he was reportedly seen participating in a “Spartan Race” navigating obstacles in the course. SFGate

  • Alabama lawmakers look to protect cancer-prone profession

    The Centers for Disease Control found firefighters have a 9 percent higher risk of being diagnosed with cancer and a 14 percent higher risk of dying from cancer than the general U.S. population. An Alabama state representative who is also a retired firefighter wants to change the state’s workers’ comp laws so cancer would be […]

  • Workers’ comp fraud over $100K lands Florida man in jail

    A Vero Beach, Florida man was charged with insurance fraud after deputies said he filed a fraudulent workers’ compensation claim worth more than $100,000 following a crash in June that was not work-related. Investigators say he was actually headed to a court date to stand trial for charges stemming from a prior arrest when the […]