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Insurance Commissioner Jones Announces $32 Million in Grants to Local Law Enforcement to Fight Workers' Compensation Insurance Fraud

News: 2011 Press Release

For Release: July 5, 2011
Media Calls Only: 916-492-3566
Insurance Commissioner Jones Announces $32 Million in Grants to Local Law Enforcement to Fight Workers' Compensation Insurance Fraud
Funds to aid District Attorneys in investigation, prosecution

Insurance Commissioner Dave Jones today announced nearly $32 million in grants to District Attorneys across the state to assist them with the investigation and prosecution of workers' compensation insurance fraud.

"Workers' compensation insurance fraud is a costly problem in California," said Commissioner Dave Jones. "As the economy struggles to recover, fraud of this type creates an additional strain on the system. We must protect those injured workers who need care and compensation so they can return to work in a timely manner and bring to justice those who seek to cheat the system."

The grant funding is the result of assessments on California employers that are determined annually by the Fraud Assessment Commission. Counties submit applications to the Department, which convenes the Workers' Compensation Grant Review Panel who then reviews and makes grant funding recommendations based on multiple criteria including previous year performance. The panel then forwards a recommendation to the Insurance Commissioner who either accepts or amends the panel's recommendation. Once completed, the Commissioner's recommendation is submitted to the Fraud Assessment Commission for their advice and consent.

The Fraud Assessment Commission agreed with the Commissioner's recommendations in their meeting on June 15, ratifying the grant allocations. Below is a list of funding to the counties:

TOTAL

$31,774,392

 Insurance Commissioner's Funding
Recommendation2011-12 - Potential Spending Authority

Alameda $1,400,000
Amador $431,569
Butte $200,000
Contra Costa $575,000
El Dorado $330,000
Fresno $1,240,529
Humboldt $175,000
Imperial $51,200
Kern $760,000
Kings $275,297
Los Angeles $5,700,000
Marin $238,000
Merced $140,000
Monterey $520,000
Napa $119,000
Orange $3,500,000
Plumas $6,000
Riverside $1,463,732
Sacramento $900,000
San Bernardino $2,173,413
San Diego $4,861,584
San Francisco $739,200
San Joaquin $608,808
San Luis Obispo $65,000
San Mateo $650,000
Santa Barbara $290,000
Santa Clara $2,321,853
Santa Cruz $120,000
Shasta $175,000
Siskiyou $37,428
Solano $175,000
Sonoma $98,735
Tehama $88,950
Tulare $362,221
Ventura $735,913
Yolo $245,960


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The California Department of Insurance, established in 1868, is the largest consumer protection agency in California, regulating the $123 billion insurance marketplace. In 2013 the California Department of Insurance received more than 170,000 calls from consumers and helped recover over $63 million in claims and premiums. Please visit the Department of Insurance web site at www.insurance.ca.gov. Non-media inquiries should be directed to the Consumer Hotline at 800.927.HELP or 213.897.8921. Telecommunications Devices for the Deaf (TDD), please dial 800.482.4833.

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