The Division of Workers’ Compensation (DWC) has posted the fiscal year 2010-2011 assessment rates for the Workers’ Compensation Administration Revolving Fund (WCARF) and other funds on its website. Insurance companies and self-insured employers will also receive assessment notices in the mail. The assessments are authorized by Labor Code sections 62.5 and 62.6. The 2010-11… [Read more]
Claims, Legal, & Compliance News
An Audit Report on Medical Quality Reviews at the Division of Workers’ Compensation within the Texas Department of Insurance
State Audit Report Finds Deficiencies Austin, TX., November, 2010–WorkCompWire–Significant process and information issues at the Division of Workers’ Compensation (DWC) within the Texas Department of Insurance (TDI) significantly inhibit DWC’s ability to monitor the quality of health care in the workers’ compensation system. The issues are in four primary areas: – Unreliable information. – Weaknesses… [Read more]
Over 95% of Plaintiffs Accept World Trade Center Settlement
NEW YORK, Nov. 19, 2010 /PRNewswire/ — Over 95% of the eligible plaintiffs have accepted a settlement worth at least $625 million in compensation, which will result in the dismissal of their claims against the City of New York and its contractors for injuries they say they suffered from their work during the rescue, recovery… [Read more]
DIR Defaults California Self Insured Group
Department of Industrial Relations (DIR) Director John C. Duncan today declared a default of the Contractors Access Program of California (CAP), a self insured group, due to insufficient funding required for continued operation.
Court Denies Surgery Centers’ Request to Reconsider its Ruling
Phoenix, AZ., November 17, 2010–WorkCompWire–Last week the Arizona Court of Appeals declined to reconsider its earlier decision that affirmed a 2008 Maricopa County Superior Court ruling in SCF Arizona’s favor. The trial court held, and the appellate court confirmed, that SCF Arizona paid a “reasonable amount” to two ambulatory surgical centers, rejecting the argument that… [Read more]
Reed Group to Provide NY Treatment Guidelines Navigation Software for Use by New York State Workers’ Compensation Board Personnel
MDGuidelines New York Medical Treatment Guidelines Software Available For All Stakeholders WESTMINSTER, Colorado — (November 17, 2010)–WorkCompWire — Reed Group®, publisher of the MDGuidelines return-to-work reference toolset, announced today that it has entered into an agreement to provide its MDGuidelines New York Medical Treatment Guidelines navigation software to the New York State Workers’ Compensation Board… [Read more]
Division of Workers’ Compensation Announces October Enforcement Actions
AUSTIN, TX., November 10, 2010–WorkCompWire– Commissioner of Workers’ Compensation Rod Bordelon recently announced final disciplinary actions taken by the Texas Department of Insurance, Division of Workers’ Compensation (TDI-DWC). The final actions include orders related to violations of the Texas Labor Code and rules promulgated by the Commissioner of Workers’ Compensation. Commissioner’s orders are subject to… [Read more]
Sullivan County Man Accused Of Workers’ Comp Fraud
NEW YORK, NY (11/05/2010)(readMedia)– A Sullivan County man accused of running a home repair and painting business while collecting workers’ compensation benefits was arrested Wednesday, the New York State Insurance Department reported. State police arrested Homer Spangler, 54, of Kenoza Lake, following an investigation by the Insurance Department’s Frauds Bureau. Spangler is accused of fraudulently… [Read more]
Rochester Woman Who Collected $245,900 Arrested For Fraud
NEW YORK, NY (11/02/2010)(readMedia)– A Rochester woman who fraudulently collected $245,900 in workers’ compensation benefits by sending her insurance company fake prescription drug claims was arrested Oct. 8, the New York Insurance Department reported. Monroe County sheriffs arrested Sarah L. Northern, 46, of Hillendale Street. Northern is accused of submitting false documents to Kemper Insurance… [Read more]
PCIS Introduces ClaimsVISION Claims Administration System
Highly configurable browser-based ClaimsVISION designed to enhance claims service while reducing claims costs for Workers’ Compensation and P&C insurers NEW YORK–(BUSINESS WIRE)–PCIS, a proven and trusted provider of policy administration and claims solutions, today announced the release and immediate availability of ClaimsVISION, a highly automated and user configurable, Software as a Service (SaaS) delivered claims… [Read more]