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PEO Crumbles, Taking WC Carrier with it and Raising Questions about high Deductibles
03/11/2015
Association Wayne Wilson PEOs particularly those with high deductibles continue to be a problem. California faces the greatest exposure of any state should Lumbermens go insolvent with the company holding more than 50 million in unpaid losses in the Golden State.
Wilson said CIGA is still reeling
Category: News
CIGA Withdraws Petition for Review for Home-Modification Dispute Pending at 2nd DCA
02/27/2015
The California Insurance Guarantee Association on Wednesday withdrew its petition for judicial review in one of two pending disputes over refusal to pay for workers' home modifications.
image via istockphoto
Last month the 3rd DCA agreed to hear CIGA v. WCAB Smith and earlier this
Category: News
Supreme Court Asked to Review Dubon II as UR/IMR Disputes Pile Up
02/20/2015
he insists not to ensure compliance with the statutory mandates for UR.
Another applicants' attorney is raising similar arguments in a case the 2nd DCA has agreed to hear called CIGA v. WCAB Mercado.
The case involves a request for home modifications filed by Nicolas Mercado's treating
Category: News
2nd and 6th DCA's Take Action on Several Comp Cases
02/13/2015
Medicine & Surgery is backing Dr. Azadeh Rahimi on his claim for payment for his services.
The court had granted review to Rahimi v. WCAB on Dec. 31 and it has set oral argument for April 16.
The 2nd DCA has also granted review to a case called CIGA v. WCAB Mercado which involves a challenge to a
Category: News
CHSWC Recommends Experience-Rating More Small Businesses as Safety Incentive
02/09/2015
including loss adjustment; a 226 million increase in indemnity payments including those made through the California Insurance Guarantee Association; a 576 million jump in medical prices also including CIGA; and 878 million in reserve increases. Loss-adjustment costs alone accounted for 618 million of
Category: News
3rd DCA to Review WCAB's Order for Home Modifications for Worker after UR Denial
02/03/2015
walker. Last March Smith's doctor submitted a request for authorization for modifications to Smith's bathroom to accommodate his wheelchair.
CIGA submitted the request for UR which was conducted by Dr. Samuel Hahn.
Hahn said he saw no reason for Smith to be using a motorized wheelchair. If Smith
Category: News
CIGA Boards Meeting in San Francisco
01/28/2015
California Insurance Guarantee Association committees will review financial statements audit reports and investment strategies during meetings sched
Category: News
4th DCA Ruling Removes Ambiguity about which Disputes are Subject to IBR
12/18/2014
injury unless otherwise specified."
This language formed the heart of the dispute between Elite and the California Insurance Guaranty Association at the 4th DCA in a case titled CIGA v. WCAB Elite Surgical Care Centers.
The California Insurance Guarantee Association and other carriers took the
Category: News
Supreme Court Denies Review of WCAB Finding of Special Employer Relationship
12/01/2014
Guaranty Association then assumed its liabilities.
CIGA sought to join Mobil's comp carrier the Petroleum Casualty Co. as a party to Barrios' comp claim on the theory that Mobil was his special employer.
Although both a general and special employer are jointly and severally liable to an injured
Category: News
4th DCA Sets November Argument Date for Medical Billing Dispute
09/30/2014
A Division 1 panel from the 4th District Court of Appeal will hear oral argument in November over the authority of the Workers' Compensation Appeals Board to decide medical-billing disputes after the passage of SB 863.
The parties in CIGA v. WCAB Elite Surgical Care Centers are due in court
Category: News
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