NY - Regulators Approve 11.7% Rate Reduction for Third Cut in Three Years
The New York Department of Financial Services has approved an overall loss-cost rate decrease of 11.7%, the third straight year that the department has fully endorsed a recommended rate cut.
The New York Compensation Insurance Rating Board recommended the latest reduction in May, and the DFS approved it last week. It takes effect Oct. 1.
The recommended change, following a 4.5% reduction a year ago, was based on the latest statistical data reported by the rating board’s member carriers and reflects the application of generally accepted actuarial principles and methodologies, the b...
CA - Remaining Defendants in Pain Relief Health Center Case Plead Guilty
A chiropractor accused of running medical mills in Los Angeles and California’s Central Valley pleaded guilty to a single count of aiding and abetting health care fraud, and a psychologist charged with paying kickbacks for referrals pleaded guilty to fraud.
Bahar Gharib-Danesh, a chiropractor in Woodland Hills, pleaded guilty July 5 to aiding the fraudulent activities of another chiropractor.
Danesh signed a plea agreement saying she directed staff to forward to a third-party billing agency invoices submitted by a person identified as “N.E.” Danesh forwarded the invoic...
OH - Five Employers Plead Guilty to $269,000 in Fraud for Lapsed Coverage
| 3 min read
Five employers and one injured worker have been convicted of defrauding the Ohio workers' compensation system of more than $269,000.
“If these employers had just played by the rules and reached out to us for help when they were struggling, we could have had a better outcome for all involved,” Jim Wernecke, director of BWC’s special investigations department, said in a statement issued Friday. “Instead, they went in a different direction and now they have a criminal record in addition to their unpaid BWC premiums.”
The six were convicted in June aft...
NE - Schroeder Named Court Administrator
| 6 min read
Longtime workers' compensation attorney Jill Gradwohl Schroeder has been named administrator for the Nebraska Workers' Compensation Court.
Schroeder, who has spent 30 years with the Lincoln firm of Baylor Evnen, will assume her new duties Monday, the court announced. She replaces general counsel Lorra O'Banion, who has served as acting administrator for the past eight weeks.
The court administrator manages the court functions, is the primary liaison between the presiding judge and administrative and operational side of the court, and oversees implementation and enforcement of adm...