Articles

Report: California Workers’ Comp Written Premium for 2021 Down 2%
June 6, 2022
California written premium for 2021 was 2% below 2020 and 14% below 2019, a new report shows.  
The Workers’ Compensation Insurance Rating Bureau of California issued released its quarterly experience report, an update on California statewide insurer experience valued as of Dec. 31, 2021.

How to identify Workers’ Compensation Premium Fraud
By:  Michael T. LoBue, June 2, 2022
Workers’ compensation premium (WCP) fraud investigators identify the three most common indicators that criminal fraud is taking place.  It’s important to recognize that “intent” also needs to be present for a successful criminal conviction.  Establishing intent is for professional investigators to discover.  However, for many in the staffing and insurance industries, the following signs may be sufficient to suggest that authorities conduct investigations:

  1. Significantly low rates
  2. Certificate issues: Listed insurer doesn’t match the risk, or is not properly written
  3. Self-adjusting claims

The Coalition Quarterly
This 12-page newsletter provides updates to the Coalition, outreach, advocacy, legal updates, anti-fraud research and fraud fighting in action.
Coalition Against Insurance Fraud | Fall 2021

SIU E-Blast 2021-69 – AB 1511 Adds New Application Fraud Language
On October 7, 2021, Assembly Bill (AB) 1511 was signed into law by Governor Newsom. This bill included Fraud Division initiated language that amended California Insurance Code Section 1871.2 and added new Section1871.10. AB 1511 was the annual California Department of Insurance technical cleanup bill (Omnibus Bill). 
October 14, 2021

WC Lobbyists Look to Upcoming State, Federal Sessions 
Marijuana, air ambulance fees, and limitations on direction of care are among the "issues to watch" for the coming year. Several workers' compensation industry government relations pros summed up what likely lies ahead in Congress and state legislatures.
by Nancy Grover | October 28, 2021

Employer Premium Fraud Is Hurting Everyone — Including Honest Businesses
Insurers are prosecuting premium fraud, because it’s creating unfair competition for honest businesses unable to compare with cheats reducing their expenses by failing to care for their workers.
by  | October 15, 2018