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CA Department of Insurance

Fraud Assessment Commission

The Fraud Assessment Commission (FAC) is charged with allocating funding to fraud prosecutors statewide. The governor appoints members to the FAC who serve four year terms or until the governor appoints a replacement. The FAC meets 3-4 times per year (typically January, June and September). Meetings are generally held in Sacramento.

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 (SCIF), who is an ex-officio voting member. By statute, SCIF is granted permanent membership on the FAC.

In September 2003, with the passage of AB 749, two additional commission members representing organized labor were added. Presently, the commission is composed of seven members, consisting of two representatives of organized labor, two representatives of self-insured employers, one representative of insured employers, one representative of workers' compensation insurers, and the President of the State Compensation Insurance Fund, or his or her designee.

Persons appointed to the FAC are required by law to file a FPPC Form 700 Statement of Economic Interests annually and complete an online Ethics Training Course every odd year.

Fraud Assessment Commission Members

Lilia Garcia - Ms. Garcia was born and raised in East Los Angeles, was appointed to the Fraud Assessment Commission in June of 2007 representing labor. Ms. Garcia is the executive director of the Maintenance Cooperation Trust Fund (MCTF). The MCTF is a statewide janitorial watchdog organization that investigates janitorial contractors for employment law violations. Over nine years of operation, the MCTF has assisted in the collection of more than 27 million dollars for immigrant janitors in the United States and Mexico, and has brought in more than 4,000 jobs from the predatory economy into compliance with minimal standards thereby providing more stable employment for janitors and a level playing field for responsible contractors throughout California.

Donald Marshall - Mr. Marshall was appointed to the Fraud Assessment Commission in January 2010 representing workers' compensation insurers. Since 2003, he has served as vice president of the national anti-fraud program for Zenith National Insurance Company where he previously held the positions of vice president of special investigations for then Zenith affiliate company, CalFarm, from 1996 to 1999 and manager of investigations for Zenith from 1993 to 1996. Mr. Marshall was director of special investigations for GatesMcDonald, a nationwide insurance company, from 1999 to 2003 and was previously special investigations coordinator for California Casualty Insurance Company from 1991 to 1993. He is a member of the National Health Care Anti-Fraud Association, Northern California Fraud Investigators, and International Association of Special Investigation Units.

John Riggs - Mr. Riggs was appointed to the Fraud Assessment Commission in January 2010 representing self-insured employers. Since 2003, he has served as manager of workers' compensation for Disney Worldwide Services. Previously, Mr. Riggs was director of risk management for 99 Cent Stores from 2002 to 2003 and served the California Casualty Management Company as vice president from 1999 to 2001 and regional claims manager from 1993 to 1998. He was the workers' compensation branch claims manager for Zenith Insurance Company from 1987 to 1993 and an independent claims consultant from 1986 to 1987. Riggs is a member of the California Self Insurers Association, California Workers' Compensation Institute and Southern California Self Insured Council.

Joel Sherman - Mr. Sherman is the Director of Safety, Workers' Compensation and Regulatory Compliance for Grimmway Farms, a large vegetable grower/packer/shipper based in Kern County, California. Mr. Sherman oversees three departments responsible for safety and workers' compensation issues for more than 7,500 employees and contract laborers.  A graduate of California State University Bakersfield, Mr. Sherman has more than thirty years experience in the safety and workers' compensation field. He has served in a variety of capacities including claims adjuster, loss control consultant, policy services representative, and as the workers' compensation liaison for a large industrial medicine practice. A certified self-insurance administrator, Mr. Sherman presently teaches Introduction to Workers' Compensation at CSUB, and was also certified by the state as a continuing education provider for Qualified Medical Evaluators. He has just completed the second year of his term as chairman of the board of directors of the California Coalition on Workers' Compensation (CCWC) and was actively involved in the comp reforms of 2004. Mr. Sherman has been a presenter, or acted as panel moderator, at numerous business and educational seminars.

Karla Rhay, PhD. - This position requires Senate confirmation. Dr. Rhay's biography will be posted shortly.

Vernon Steiner - President and CEO, State Compensation Insurance Fund.  Mr. Steiner's biography will be posted shortly.

Douglas Williams - Mr. Williams is the Business Manager for Iron Worker's 433 and is a newly appointed Fraud Assessment Commission member who is representing labor. In 1994, Mr. Williams started as an executive board member as an elected officer in Local 433. As a business representative for the union, he has worked with several state agencies on enforcement issues in the construction industry.  Mr. Williams has been working as an iron worker for 43 years, first starting as an apprentice to a position of Field Superintendent. He has been a member of the Joint Apprenticeship Training Committee since 2000.

 
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Fraud Assessment Commission Meetings
The next date of the Fraud Assessment Commission meeting has been scheduled for Wednesday, September 9, 2015.  The agenda for the Fraud Assessment Commission's September 9, 2015 meeting is now available for review.


Previous Meetings of the Fraud Assessment Commission
Agendas Summaries
June 17, 2015 Agenda
The summary of the June 17, 2015 meeting has not been released yet. Please check back. 
January 14, 2015 Agenda January 14, 2015 Summary
September 10, 2014 Agenda September 10, 2014 Summary 
June 18, 2014 Agenda June 18, 2014 Summary
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


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