AUSTIN, TX – 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. Copies of Commissioner of Workers’ Compensation orders… [Read more]
Claims, Legal, & Compliance News
Gould & Lamb Announces Contract with Lloyd’s of London
Bradenton, Florida – Gould & Lamb, LLC is pleased to announce that it has signed contracts with all of the Managing Agents within the Lloyd’s insurance market that will be required to report Medicare claims information to the Centers for Medicare and Medicaid Services. Gould & Lamb was selected by the Lloyd’s market to provide… [Read more]
Jopari: New California Medical Bill Regulations Require Fast Action
CONCORD, CA—New California electronic medical billing regulations and revised paper medical billing requirements were released January 6th for public comment by California’s Division of Workers Compensation (DWC). The regulations, part of the Division’s 12-point plan to help control medical costs in California’s workers’ compensation system, will be signed into law in approximately 60 days. California… [Read more]
CA Insurance Commissioner Jones Announces Arrest Of Central Valley Man For Insurance Fraud And Grand Theft
Charges include 13 Felony Counts (Jan 10, 2011) Today, Insurance Commissioner Dave Jones announced that Rob Cavazos, 38, has been arrested on 12 separate counts of Insurance fraud including one count of Grand Theft for filing false claims with the State Compensation Insurance Fund (SCIF). Cavazos was booked into the Fresno County Jail. His bail… [Read more]
US Labor Department, Massey Energy Reach Settlement Agreement
Case involved motion for preliminary injunction against Freedom Energy ARLINGTON, Va. — The U.S. Department of Labor’s Mine Safety and Health Administration and Massey Energy reached a settlement agreement today in a case involving Freedom Energy Mining Co.’s Mine No. 1 located in Pike County, Ky. Last November, MSHA filed in federal court a motion… [Read more]
Insurance Commissioner Poizner Annouces Arrest of Business Owner for Insurance Premium Fraud
Owner’s actions put employees at severe risk Sacramento, CA-California Insurance Commissioner Steve Poizner today announced that Benjamin Gutierrez, 47, of the Los Angeles area business owner has been arrested on three felony counts of Premium Fraud, risking his employees’ safety should a worksite incident occur. Premium Fraud is a specific type of insurance… [Read more]
AIG to Pay $100 Million in Fines Under Multi-State Settlement in Pennsylvania
HARRISBURG, Pa — AIG and its workers compensation insurance affiliates have agreed to pay $100 million in fines to insurance regulators in all 50 states and the District of Columbia for alleged premium under-reporting, acting Pennsylvania Insurance Commissioner Robert L. Pratter announced today. The fines are included under a settlement resolving a multi-state probe that examined whether AIG violated premium reporting rules governing workers compensation insurance.
Insurance Commissioner Poizner Announces Arrest Of Business Owner For Insurance Premium Fraud
West Hills man faces 4 felony charges Sacramento, CA–December 20, 2010–California Insurance Commissioner Steve Poizner today announced that Abraham Dvir, 66, of West Hills has been arrested on four felony counts of Premium Fraud, in violation of section 11880 (a) of the Insurance Code. Dvir was booked at the Agoura Hills Sheriff’s Station in Los… [Read more]
MSHA Announces Results of November Impact Inspections
ARLINGTON, Va. — The U.S. Department of Labor’s Mine Safety and Health Administration today announced that federal inspectors issued 250 citations, orders and safeguards during special impact inspections conducted at 12 coal and 10 metal/nonmetal mine operations last month. These inspections, which began in force during April following the explosion at Upper Big Branch Mine,… [Read more]
New York State WCB Posts New Reimbursement Rates For Inpatient Hospital Care
Albany, NY.–December 17, 2010–Pursuant to New York Public Health Law § 2807-c(1)(b-1), the workers’ compensation fee schedule for inpatient hospital care tracks New York Medicaid rates, with limited statutory modifications. The New York State Department of Health (DOH) is required by statute to promulgate the workers’ compensation rates. The DOH has recently provided the Workers’… [Read more]