December 6, 2017

CA Father and Son Sentenced in $400,000 Workers’ Comp Scheme

Salinas, CA – Jaime Rosario Del Real, 61, and son Israel Del Real, 37, both recently pleaded guilty to four felony counts for their role in a $400,000 insurance fraud scheme denying workers’ compensation insurance and medical care for injured workers. The father and son duo were sentenced to 250 days in jail, 10 years felony probation, and ordered to pay $382,951 in restitution. This case was prosecuted by the Monterey County District Attorney’s Office. “Business owners are…[Continue Reading]

WCRI Study: FL Medical Payments per Workers’ Comp Claim Stabilized After Years of Moderate Growth

Cambridge, MA – Medical payments per workers’ compensation claim in Florida remained stable in 2015 following moderate growth from 2010 through 2014, according to a recent study by the Workers Compensation Research Institute (WCRI). The study, CompScope™ Medical Benchmarks for Florida, 18th Edition, examined medical payments, prices, and utilization in Florida and compared them with 17 other states over a period from 2010 through 2015. “Florida implemented several…[Continue Reading]

NC Workplace Injury and Illness Rate Unchanged from Previous Year

Raleigh, NC – New figures show North Carolina’s workplace injury and illness rate for private industry in 2016 was statistically unchanged from its historic low in 2015. The 2016 rate is 2.5 cases per 100 full-time workers, compared to 2.6 in 2015. The Tar Heel state remains one of the safest states in which to work with a rate below the national average of 2.9 cases per 100 full-time workers. “I take great pride in the fact that North Carolina’s injury and illness rate has dropped…[Continue Reading]

SFM Foundation Ladies’ Night Out Brings in More Than $30,000 for Scholarship Fund

Bloomington, MN – The SFM Foundation hosted its sixth annual Ladies’ Night Out fundraiser on Friday, November 3. The Foundation raised more than $30,000 for scholarships that night, marking the highest total ever for this event. “The process of bringing this evening together has proven a very rewarding experience,” said event organizer Ashley Punches. “The funds we raise at this event go a long way to help make higher education affordable for some very deserving families…[Continue Reading]

CA Division of Workers’ Compensation Suspends 12 Medical Providers

San Francisco, CA – The Division of Workers’ Compensation (DWC) has suspended 12 more medical providers from participating in California’s workers’ compensation system, bringing the total number of providers suspended this year to 85. Nine providers were suspended for fraud or criminal actions and three for administrative reasons. DWC Administrative Director George Parisotto issued suspension orders against the following providers: Paul Richard Randall of Orange, health care marketer…[Continue Reading]

CA DWC Launches New Online Education Module for Qualified Medical Evaluators

San Francisco, CA – The Division of Workers’ Compensation (DWC) recently launched its second free online physician education course. This course is highly recommended for California’s Qualified Medical Evaluators (QMEs). It is also available to the public and may be useful for attorneys, claims administrators and medical providers participating in the California workers’ compensation system. “Evaluating California’s Injured Workers: Qualified Medical Evaluators (QME)” is the second…[Continue Reading]

The FCBI Fund Celebrates 40 Years of Protecting Florida Workers

West Palm Beach, FL – The Florida Citrus, Business & Industries Fund is celebrating 40 years of providing workers’ compensation products to protect Florida workers. FCBI currently has 6,500 member policyholders across the state and has built a strong reputation for helping small businesses and their employees who get injured on the job. “In our 40 years, FCBI has provided support for small businesses from Pensacola to Jacksonville to Miami who form the backbone…[Continue Reading]

CT Man Charged with Illegally Collecting Workers’ Compensation Benefits

Rocky Hill, CT – A Woodbridge man was recently arrested and charged with illegally collecting more than $30,000 in Workers’ Compensation benefits while he was working for another company. Michael Steinfeld was arrested by Inspectors from the Workers Compensation Fraud Unit in the Office of the Chief State’s Attorney on an arrest warrant charging him with one count of Fraudulent Claim or Receipt of Benefits. According to the arrest warrant affidavit, Steinfeld collected approximately…[Continue Reading]

EMPLOYERS Survey: Policyholders Want More Digital Tools, Omni-Channel Experience from Workers’ Comp Insurers

Reno, NV – Technology is changing how small business owners interact with their insurance carriers, according to a new study from EMPLOYERS® (NYSE:EIG). Nearly one in four (23 percent) small business owners believe more online or self-service tools would enable their carrier to provide a better policyholder experience. Better communication and faster claims resolution also topped the list of desired improvements business owners want.The study found that 67 percent of small…[Continue Reading]

CA Nonfatal Worker Injuries, Illnesses Rate Remains Level in 2016

Oakland, CA – The Department of Industrial Relations (DIR) has posted California’s 2016 occupational injury and illness data on employer-reported injuries. According to the estimates provided by the U.S. Bureau of Labor Statistics’ Survey of Occupational Injuries and Illnesses (SOII), California’s overall incidence rate of nonfatal occupational injuries and illnesses remains steady at 3.7 cases per 100 workers for full time employees, the lowest rate in over a decade. The data posted includes…[Continue Reading]

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