December 15, 2017

CA Insurance Commissioner Announces $32 Million in Grants to Fight Workers’ Comp Fraud

Sacramento, CA – Insurance Commissioner Dave Jones recently announced that nearly $32 million in grants will be distributed to District Attorneys in California by the California Department of Insurance (CDI) in order to support their efforts in investigating and prosecuting workers’ compensation insurance fraud.

“Without question, workers’ compensation insurance fraud is problem that brings a significant cost with it in California,” Commissioner Jones said. “During any time, but especially during these challenging economic times, this type of fraud places a significant added burden on the system. We have an obligation to provide protection to injured workers who require both care and compensation so they are able to get back to work as quickly as possible, while also rooting out fraud perpetrated by those seeking to game the system.”

Every year, the Fraud Assessment Commission determines the grant funding based on assessments placed on California employers. CDI leads the Workers’ Compensation Grant Review Panel that reviews and makes grant funding recommendations based on multiple criteria including previous year performance based on application submitted by counties. Subsequently, the panel then sends a recommendation to the Insurance Commissioner who either accepts or amends the panel’s recommendation. Upon completion, the Commissioner’s recommendation is submitted to the Fraud Assessment Commission for their advice and consent.

The Fraud Assessment Commission agreed with the Commissioner’s recommendations in their meeting on June 20, ratifying the grant allocations. Below is a list of funding to the counties:

Insurance Commissioner’s Funding Recommendation
2012-2013 Potential Spending Authority

Alameda$1,425,916
Amador$413,186
Butte$108,600
Contra Costa$603,400
El Dorado$257,247
Fresno$1,122,000
Humboldt$178,400
Imperial$143,087
Kern$715,000
Kings$269,791
Lake$44,698
Los Angeles$5,937,916
Marin$233,731
Merced$94,012
Monterey$600,000
Napa$130,153
Orange$3,588,116
Plumas$0
Riverside$1,488,786
Sacramento$884,657
San Bernardino$2,206,339
San Diego$4,527,303
San Francisco$702,366
San Joaquin$478,031
San Luis Obispo$62,254
San Mateo$660,318
Santa Barbara$286,000
Santa Clara$2,452,358
Santa Cruz$149,332
Shasta$166,000
Siskiyou$33,007
Solano$173,388
Sonoma$74,419
Tehama$83,528
Tulare$504,393
Ventura$729,984
Yolo$246,676
TOTAL$31,774,392

Source: CA DOI

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