Workers' Compensation News


	Surgeon Arraigned on Fraud Charges for Alleged Overbilling		06/14/2018

	State: CA \| Segment: WEST \| 2120 \| 0 \| Popular with Legal \| 127 min read
	A California orthopedic surgeon was arraigned Wednesday on charges that he bilked workers’ compensation carriers and other insurers out of $700,000 by providing unnecessary and excessive treatment. ...Read More


	Sunz Subsidiary Opening Branch Office in Sacramento		06/14/2018

	State: CA \| Segment: WEST \| 345 \| 0 \| Popular with Legal \| 79 min read
	Next Level Administrators, a subsidiary of Sunz Holdings that provides claims administration services, is expanding into the California market with the opening of an office in Sacramento. ...Read More


	Senate Resolution Keeps Reform Bill Alive		06/14/2018

	State: AK \| Segment: WEST \| 166 \| 0 \| Popular with Legal \| 37 min read
	The Alaska state Senate passed a resolution to suspend legislative rules and allow a vote on a bill that would overhaul the state workers’ compensation system even though the Senate did not take a vote on the measure before adjourning its regular session. ...Read More


	San Jose Mulling Elimination of In-House Claims Staff		06/12/2018

	State: CA \| Segment: WEST \| 1158 \| 0 \| Popular with Legal \| 82 min read
	Officials with San Jose, California, are proposing the elimination of the city’s in-house claims shop and handing off administration of all of the city’s workers’ compensation claims to a third-party administrator. ...Read More


	Supreme Court Upholds Denial of Benefits to Worker Struck by Drunken Driver		06/12/2018
	Source: WorkCompCentral
	State: KS \| Segment: NORTH \| 220 \| 0 \| Popular with Legal \| 8 min read
	The Kansas Supreme Court unanimously ruled that a worker was not entitled to benefits for his injuries from being stuck by a drunken driver while on an out-of-town construction job. ...Read More


	SAIF Board Elects Chairman, Welcomes New Member		06/12/2018

	State: OR \| Segment: WEST \| 462 \| 0 \| Popular with Legal \| 89 min read
	The board of directors for SAIF Corp. elected Jeff Stone as chairman, and Krishna Balasubramani vice chair, the carrier announced Monday. ...Read More


	Supreme Court Suspends Attorney for Embezzlement From Firm		06/12/2018

	State: TN \| Segment: SOUTH \| 156 \| 0 \| Popular with Legal \| 59 min read
	The Tennessee Supreme Court last week suspended a Knoxville workers’ compensation attorney from the practice of law for having stolen funds from his former firm. ...Read More


	Supreme Court Upholds Denial of Healing Period Benefits to Worker After Unauthorized Surgery		06/11/2018
	Source: WorkCompCentral
	State: IA \| Segment: NORTH \| 171 \| 0 \| Popular with Insurance \| 28 min read
	The Iowa Supreme Court ruled that an injured worker was not entitled to healing period benefits for her recovery time after undergoing surgery that her employer had not authorized. ...Read More


	State Supreme Court Holds That Successor Company Must Pay $3.5 Million in Premiums		06/08/2018
	By: William Rabb (Reporter)
	State: OH \| Segment: Top \| 250 \| 0 \| Popular with Legal \| 11 min read
	The Ohio Supreme Court this week upheld the power of the Bureau of Workers' Compensation to protect the state-run insurance fund, overturning a lower court ruling and holding that a company owner cannot avoid premiums simply by folding one firm into another. ...Read More


	State's Claim Costs Fell Following Reforms, WCRI Finds		06/08/2018

	State: TN \| Segment: SOUTH \| 163 \| 0 \| Popular with Legal \| 13 min read
	The average total cost per workers’ compensation claim in Tennessee decreased 6% in 2015, a trend that was partly due to reforms enacted in 2013, according to a study from the Workers Compensation Research Institute. ...Read More

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Today's Round Up

NY - Regulators Approve 11.7% Rate Reduction for Third Cut in Three Years

07/18/2018 | 32 | 0

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... Read More

CA - Remaining Defendants in Pain Relief Health Center Case Plead Guilty

07/18/2018 | 52 | 0 | 1 min read

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... Read More

CA - Paragon Expands to San Diego, Hires Senior Vice President

07/18/2018 | 31 | 0

Connecticut-based Paragon Insurance Holdings LLC opened a new office in San Diego, and hired Robert Etzler as senior vice president and director of workers’ compensation. Etzler held leadership roles at Cypress Point-Arrowhead General Insurance Agency, Atlas General insurance Services and Midwestern Insurance Alliance prior to joining Paragon, the agency said in a statement. Paragon, a national multi-line specialty managing general agency based in Avon, Connecticut, also announced that it opened a new office in downtown San Diego. The company said it is in negotiations with other indus... Read More

WA - L&I Fines Asbestos Removal Co. $229,700

07/18/2018 | 24 | 0

The Washington state Department of Labor and Industries fined an asbestos removal company $229,700 for exposing workers and the public to unsafe conditions. The department said in a statement that Above & Beyond Asbestos Removal is also under further review for having “demonstrated a continuous indifference to Washington’s asbestos handling rules which protect workers and the public from harm.” Inspections at two job sites found similar violations, according to L&I. Above & Beyond was hired to remove boiler insulation at a Seattle apartment complex. The co... Read More

MA - Democratic Candidate Lacks Work Comp Insurance

07/18/2018 | 38 | 0 | 1 min read

A Democratic candidate for the Massachusetts governor’s office neglected to purchase workers’ compensation insurance for his campaign staff, a possible violation of state law, The Boston Globe reported. Bob Massie The newspaper said that a spokesman for the state Office of Labor and Workforce Development confirmed that the Friends of Bob Massie committee did not have an insurance policy in place and that it has referred the matter to the Department of Industrial Relations “for further inquiry.” The Massie campaign told the Globe that it was “working to addres... Read More

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