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Fraud:  Fraud Assessment Commission
Fraud Assessment Commission

The Governor makes Commission membership appointments to serve a four-year term, or until the Governor appoints a replacement.  Originally, the FAC was comprised of five individuals representing self-insurers, insured employers, workers' compensation insurers, and the President of the State Compensation Insurance Fund, an ex-officio member.  In September 2003, with the passage of AB 749, two additional Commission members were added to represent organized labor, increasing the membership to seven.

Fraud Assessment Commission Members
Name Info/Bio
 Lilia Garcia  Ms. Garcia's Bio
 Donald Marshall  Mr. Marshall's Bio
 Carol Newman  Ms. Newman's Bio
 John Riggs  Mr. Riggs' Bio
 Joel Sherman  Mr. Sherman's Bio
 Jiles Smith  Mr. Smith's Bio
 Douglas Williams  Mr. Williams' Bio

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Fraud Assessment Commission Meetings
The date of the next Fraud Assessment Commission meeting will be posted here when it has been scheduled.  Please check back.

Previous Meetings of the Fraud Assessment Commission
Agendas Summaries
June 18, 2014 Agenda The summary of the June 18, 2014 meeting has not been released yet.  Please check back.
January 15, 2014 Agenda January 15, 2014 Summary
September 11, 2013 Agenda September 11, 2013 Summary
June 12, 2013 Agenda June 12, 2013 Summary
January 09, 2013 Agenda January 09, 2013 Summary
September 12, 2012 Agenda September 12, 2012 Summary
June 20, 2012 Agenda June 20, 2012 Summary
January 11, 2012 Agenda January 11, 2012 Summary
September 14, 2011 Agenda September 14, 2011 Summary
June 15, 2011 Agenda June 15, 2011 Summary
February 09, 2011 Agenda February 09, 2011 Summary
November 16, 2010 Agenda November 16, 2010 Summary
September 08, 2010 Agenda September 08, 2010 Summary
June 16, 2010 Agenda June 16, 2010 Summary
February 10, 2010 Agenda February 10, 2010 Summary
September 09, 2009 Agenda September 09, 2009 Summary
June 17, 2009 Agenda June 17, 2009 Summary
January 13, 2009 Agenda January 13, 2009 Summary
September 16, 2008 Agenda September 16, 2008 Summary
June 17, 2008 Agenda June 17, 2008 Summary
January 08, 2008 Agenda January 08, 2008 Summary
September 11, 2007 Agenda September 11, 2007 Summary
June 13, 2007 Agenda June 13, 2007 Summary
March 01, 2007 Agenda March 01, 2007 Summary
November 29, 2006 Agenda November 29, 2006 Summary
July 27, 2006 Agenda July 27, 2006 Summary
June 20, 2006 Agenda June 20, 2006 Summary
January 18, 2006 Agenda  January 18, 2006 Summary
December 14, 2005 Agenda December 14, 2005 Summary

In Fiscal Year 2007-08, the Department contracted with the Regents of the University of California through the University of California at Berkeley to conduct an extension of research that was previously funded by the California Commission on Health and Safety and Workers' Compensation.  The research titled "The Fraud in Workers' Compensation Payroll Reporting Study" analyzed the degree to which employers under-report or misreport payroll for workers' compensation insurance purposes.  This research study was presented to the Fraud Assessment Commission in January 2009.

The report concluded that in the year 2005 alone, under-reported insurance premiums ranged from $2.09 billion to $2.87 billion.  Furthermore, the report indicates that several high-risk employers have fraudulently misreported their workers in high-risk/high-premium classes as earning wages in lower-risk occupations, accounting as much as 40 to 60 percent of payroll.

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A research study, commissioned by the Fraud Assessment Commission, to determine the extent of medical overpayments and underpayments, was completed in June 2008.  The results of this study, the first to measure medical payment accuracy in California, quantify what the experts in workers' compensation fraud detection have known for some time: medical provider fraud is one of the primary cost drivers that inflate the cost of claims and insurance premiums.  That is why this area of workers' compensation insurance fraud has been given one of the highest priorities in Fraud Division investigations.

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