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Labor Commissioner Alleges Misclassification in $6.3M Lawsuit
08/15/2017
California Labor Commissioner Julie A. Su filed a lawsuit against Calcrete Construction Inc. seeking 6.3 million for alleged violations including wage theft and intentional misclassification of employees as independent contractors.
Calcrete employees typically worked 10- to 12-hour shifts
Category: News
Staffing Agency's Umbrella Policy Didn't Create Coverage for Liability From Pipeline Explosion
07/18/2017
surveillance of the designated pipeline area in order to protect and ensure the integrity of the system by avoiding third-party damage.
Mountain Cascade Inc. was the contractor for the EBMUD project. On Nov. 9 2004 one of its excavators punctured a high-pressure petroleum line owned by Kinder Morgan
Category: News
Supreme Court Won't Review Dispute Over Remedy for Allegedly Defective UR
06/16/2017
administered by the State Compensation Insurance Fund.
The fund authorized multiple acupuncture sessions for Ramirezs injuries but when his doctor requested authorization for 12 more rounds SCIFs utilization reviewer said no.
Ramirez sought review though IMR but the states IMR contractor determined
Category: News
Farmworker Pleads No Contest to Double-Dipping Allegations
05/12/2017
A former field supervisor for a farm labor contractor pleaded no contest and was found guilty on one count of making a false statement to obtain insurance benefits and ordered to pay more than 10000 in restitution according to Intercare Holdings Insurance Services.
Socimo Ojeda was arrested
Category: News
Supreme Court Gets Petition to Review Proper Remedy for Allegedly Defective UR
05/08/2017
utilization reviewer said no.
Ramirez sought review though IMR but the states IMR contractor determined that the additional acupuncture sessions would not be medically appropriate.
Ramirez then requested a hearing before a workers compensation judge asserting the treatment dispute in his case should
Category: News
3rd DCA Won't Revisit Ruling on Remedy for Allegedly Improper UR
04/20/2017
IMR contractor Maximus Federal Services determined that the additional acupuncture sessions were not medically appropriate treatment for Ramirez.
Ramirez appealed this decision to the Workers' Compensation Appeals Board.
At the time the WCAB's first of two en banc decisions in Dubon v. World
Category: News
Worker Asks 3rd DCA to Reconsider Validity of UR/IMR Process
04/12/2017
IMR contractor Maximus Federal Services determined that the additional acupuncture sessions were not medically appropriate treatment for Ramirez.
Ramirez appealed this decision to the Workers' Compensation Appeals Board and at the time the WCAB's first of two en banc decisions in Dubon v. World
Category: News
3rd DCA Finds IMR Constitutional, Rejects Attempt to Bypass to WCAB
03/30/2017
determination of medical necessity" the court said and pursuant to the Labor Code "a review of a determination of medical necessity is limited to the medical professionals performing the independent medical review."
The court's decision for Ramirez v. WCAB SCIF also concluded that the IMR process is
Category: News
Insurance Committee Chairman Requests Audit of Anti-Fraud Activities
03/28/2017
request for an official audit was dropped Sen. Tony Mendoza D-Artesia asked the Commission on Health and Safety and Workers Compensation to undertake the review. Also Labor Secretary David Lanier asked the Department of Industrial Relations to convene a working group to discuss methods to reduce
Category: News
3rd DCA Hears Oral Argument on Constitutional Challenge to IMR
03/23/2017
accordance with Labor Code Section 4610.5 Ramirez sought review of the decision though IMR.
Section 4610.5 provides that a UR decision can be appealed only through the IMR process.
After the state's IMR contractor Maximus Federal Services upheld the UR decision Ramirez requested a hearing with the
Category: News
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