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CA DOI Awards $32 Million in Grants to Fight Workers’ Compensation Fraud

October 28, 2013 - WorkCompWire

Sacramento, CA – Insurance Commissioner Dave Jones recently announced he has awarded $32 million in grants to district attorneys across 36 counties in California to combat workers’ compensation fraud. The grants, funded through employer assessments, support law enforcement efforts in investigating and prosecuting workers’ compensation insurance fraud.

“Last fiscal year 2012-13, my department received more than 5,000 referrals for suspected workers’ compensation fraud, with losses totaling more than $340 million,” said Commissioner Jones. “The impact of fraud is felt across California businesses and is a drain on our economy. These grants will assist district attorneys across the state in uncovering workers’ compensation fraud schemes and prosecuting those who rip-off insurers and employers.”

County

Workers’ Compensation

County

Workers’ Compensation

Alameda

$1,425,916

Sacramento

$880,794

Amador

$410,333

San Bernardino

$2,244,246

Butte

$75,421

San Diego

$4,477,303

Contra Costa

$619,000

San Francisco

$702,366

El Dorado

$251,615

San Joaquin

$484,647

Fresno

$1,152,108

San Luis Obispo

$62,254

Humboldt

$179,016

San Mateo

$680,286

Imperial

$163,495

Santa Barbara

$272,800

Kern

$827,500

Santa Clara

$2,446,586

Kings

$263,875

Santa Cruz

$149,332

Los Angeles

$5,805,244

Shasta

$157,739

Marin

$233,585

Siskiyou

$34,606

Merced

$94,012

Solano

$169,710

Monterey

$607,200

Sonoma

$56,804

Napa

$130,153

Tehama

$84,017

Nevada

$66,190

Tulare

$504,211

Orange

$3,620,608

Ventura

$686,997

Riverside

$1,529,658

Yolo

$224,765

TOTAL

$31,774,392

 
(Amounts by county are grants specifically for workers’ compensation insurance fraud)

Grant funding is based on assessments from California employers. The California Department of Insurance leads the Workers’ Compensation Grant Review Panel that reviews and makes grant funding recommendations based on multiple criteria such as previous year performance, applications, arrests and convictions. The panel 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, and then the grants are awarded.

Source: CA DOI

Filed Under: Claims, Legal, & Compliance News, Industry News, Legislative & Regulatory News, Top Stories, Work Force & Human Resource News, Workers' Compensation

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