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: Corona physician pleads not guilty in insurance fraud case

    A 42-year-old A Corona physician pleaded not guilty to charges of felony workers’ compensation insurance fraud and perjury, and can continue to practice medicine while his case proceeds. Prosecutors say Dr. Sanjoy Banerjee illegally billed for more than $180,000 worth of urine toxicology testing and epidural injections through a laboratory and a surgical center that […]

  • Final defendant pleads guilty in fraud case with Bakersfield connection

    The final defendant involved in a scheme to defraud the California workers’ compensation insurance system pleaded guilty Monday. The 75-year-old Marina del Rey clinical psychologist who saw patients in Bakersfield via videoconferencing software generated reports for each patient that were virtually identical, and then submitted identical bills to the insurance companies, according to court documents. […]

  • Mississippi: Lawsuits filed in deaths of father-son crew

    Two wrongful death lawsuits have been filed against the city of Petal, Mississippi and other individuals alleging the wrongful deaths of a father and son who died in June 2017 while replacing a pump at a city lift station. The city is accused of multiple deficiencies in safety and emergency rescue procedures, including failure to […]

  • Pennsylvania issues opioid prescription guidelines

    Citing a study that said Pennsylvania ranked third in the nation in the percentage of injured workers who became long-term opioid users, Pennsylvania Gov. Tom Wolf’s administration on Monday announced new guidelines for prescribing opioids in workers’ compensation cases. Ellwood City Ledger

  • New Hampshire bill will allow firefighters to claim workers’ comp for cancer

    New Hampshire Gov. Gov. Chris Sununu on July 10 signed into law a bill that will allow firefighters to make workers’ compensation claims for cancer. Those who received physical examinations upon hire and who work for departments with cancer-prevention policies can apply for workers’ comp if they get cancer. WMUR (Manchester, N.H.)