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Whistleblower Accuses Convicted Fraudster of Committing Comp Fraud Again
03/23/2017
fraud one felony count of grand theft of labor and four felony counts of illegal possession of assault weapons. Prosecutors said Karawia set up a shell company to disguise the existence of more than 2600 workers at his firm.
He received a suspended sentence of five years in prison and was placed on
Category: News
3rd DCA Sets Oral Argument for Dispute on IMR Deadlines
02/01/2017
California's 3rd District Court of Appeal has finally set an oral argument date for a long-pending dispute on whether an untimely independent medical review determination is invalid.
Hallmark Marketing v. WCAB Southard is set to go before the court at 930 a.m. April 17.
Labor Code Section
Category: News
Applicants' Attorneys Seek to Repeal Comp Exemption for Day Laborers
01/25/2017
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The courts decision also touched on another law that aims to hold homeowners and others liable for hiring unlicensed contractors. Labor Code Section 2750.5 creates a presumption that a person performing services for which a license is required is an employee and not an independent contractor.
The
Category: News
3rd DCA Sets Date for Dispute on Whether Invalid UR Decisions Go to IMR
01/24/2017
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In 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
Category: News
Farmworker Faces Felony Charges for Alleged Double Dipping
12/08/2016
A former field supervisor for a farm labor contractor will be arraigned today on five felony charges after he was allegedly caught working while claiming he was disabled from a prior workplace injury according to Intercare Holdings Insurance Services.
Intercare said Socimo Ojeda was arrested
Category: News
Homeowner Not Liable to Family of Worker Electrocuted While Trimming Tree
09/07/2016
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Procedural History Valdez's family filed a complaint for negligence and wrongful death against Lu and Xiang. The family alleged the property owners had knowingly hired Valdez to trim the 40-foot ash tree aware that he was an unlicensed contractor.
The family also claimed that the power lines were hidden
Category: News
Sting Nabs 11 Uninsured Contractors
08/05/2016
involving materials and labor costing more than 500. The board also said 11 contractors did not have workers compensation insurance which could expose the people hiring the contractors to liability for injuries.
For home repair jobs that typically take more than one person its critical that
Category: News
State Fund Paid $350,000 for Late IMR Records
07/27/2016
records to Maximus Federal Services the DIRs independent medical review contractor within 10 days. The Labor Code authorizes a penalty of up to 5000 per day for actions that delay the IMR process.
The DIR on July 15 released a report on SB 863 that included data showing the average wait for
Category: News
DWC Fining Claims Administrators for Tardy Medical Records in IMR
07/20/2016
administrators took an average of 21 days to submit medical records to the department's independent medical review contractor Maximus Federal Services. That was down from an average of 42 days in June 2015 a wait time that held relatively steady until this February.
Melton said the wait time for medical
Category: News
Clean-Up Bill on MPN Medical Reviews on Gov.'s Desk
07/13/2016
out based solely on ACOEM in 2004 but the Division of Workers' Compensation has added to it over the years.
Independent reviews using only physicians within the employer's MPN are authorized under Labor Code Section 4616.4. They are separate from the independent medical review process that uses
Category: News
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