California Workers' Comp

CA SIBTF Paid $725,570 in Med-Legal Costs For a Single Claim

California employers pay four times more in Medical-Legal costs for Subsequent Injuries Benefits Trust Fund (SIBTF) claims than for standard workers' comp claims. The ...

CA: CHSWC Meeting Highlights Need for Comp Reform

Stakeholders at a recent meeting of California’s Commission on Health and Safety and Workers’ Compensation (CHSWC) did not mince words in describing what needs fixing in the ...

CA: Sedgwick Hits 359,626 Violations (and Counting)

Sedgwick Claims Management Services, Inc. is routinely non-compliant with California workers' comp payment laws and regulations. Among its violations: repeatedly faili...

CA: CNA "Authorization" Doesn't Authorize Anything

CNA sent a California provider a treatment authorization letter that may double as a setup for nonpayment. The letter purports to authorize care while simultane...

CA Wants to Raise Employers' 2026 Comp Premiums

Once again, California may significantly increase the cost of workers’ compensation coverage for employers.Workers’ Comp Executive reports that the Workers’ Compensati...

Insurers Are Fleecing CA Employers: PA Edition

States across the nation continue to lower the cost of workers’ comp coverage while California employers pay higher and higher premiums. The latest addition to the list: Penn...

Zurich's MPN Violates CA Law (Again) - Tesla Should Be Asking Questions

To ensure injured workers' access to care, California has laws governing Medical Provider Networks (MPNs). Zurich Insurance North America continues to treat those laws as opt...

ESIS e-EOR Compliance Nosedives; Vendors Step Up to Help

Third-Party Administrator (TPA) ESIS recently switched bill review vendors, which unfortunately delayed the delivery of thousands of electronic Explanations of Review (e-EORs...

CA: Sedgwick's Flagrant Second Review Violations Continue

Third-Party Administrator (TPA) Sedgwick Claims Management Services, Inc. continues to deny California providers’ Second Review appeals at high rates for an incorrect, laugha...

CA Employers Need to Know: Is It the Injury or the UR System?

Last year, California raised employers’ workers' comp premiums by 8.7% while other states continued to cut rates, some for over a decade straight. Across the nation, premiums...

CA: Vast Majority of IBR Requests Involve Interpreter Services

Interpreterservices are vital to California workers’ comp. Unfortunately, Independent Bill Review (IBR) data suggest that interpreters face seriou...

CA: Maximus Indicates "IBR Chicken" Is Real

Maximus, the private company that the state of California contracts to conduct Independent Bill Review (IBR) to resolve workers' comp payment disputes, h...