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$34.9 million in grants awarded statewide to assist law enforcement in fighting workers’ compensation fraud

News: 2015 Press Release

For Release: August 5, 2015
Media Calls Only: 916-492-3566
$34.9 million in grants awarded statewide to assist law enforcement in fighting workers’ compensation fraud

SACRAMENTO, Calif. - Insurance Commissioner Dave Jones today announced he has awarded $34.9 million in grants to 37 district attorney offices representing 42 counties in California to combat workers' compensation insurance fraud. The grants, funded through employer assessments, support law enforcement efforts in investigating and prosecuting workers' compensation insurance fraud.

"The impact of fraud is felt across California as a drain on our economy," said Commissioner Jones. "These grants will assist district attorneys across the state in uncovering workers' compensation fraud schemes and prosecuting those who take advantage of the system." 

Workers' compensation insurance fraud includes medical provider fraud, employer premium fraud, employer defrauding employee, insider fraud, claimant fraud, and the willfully uninsured operating within the underground economy. These cases, when successfully prosecuted, level the playing field for honest businesses and discourage future fraudulent activity.

Media Notes:

  • Grant funding is based on  assessments from California employers. California District Attorneys apply for workers' compensation insurance fraud grant funds. The Commissioner's grant review panel reviews the applications and makes funding recommendations to the Commissioner, based on multiple criteria including past performance, the county's problem statement and their program strategy for the upcoming year. The panel sends a recommendation to the Insurance Commissioner, who either accepts or amends the panel's recommendation. Upon completion, the Commissioner's recommendation is submitted to the Fraud Assessment Commission for their advice and consent, and then the grants are awarded.

California Department of Insurance Workers' Compensation Insurance Fraud Grant Program funding for fiscal year 2015-2016

  County   FY 2015/16 Workers' Compensation Insurance Fraud Grant Funding 
Alameda  $1,511,933  
Amador  $386,479 
Butte $76,000     
Contra Costa $850,000     
El Dorado    $271,428     
Fresno $1,236,000     
Humboldt $200,000     
Imperial $163,495     
Kern $1,058,000     
Kings $263,875     
Los Angeles    $6,458,643     
Marin  $245,648     
Merced $174,000     
Monterey    $660,000     
Napa $135,500     
Nevada $73,525
Orange    $3,966,000     
Placer $175,000     
Riverside $2,020,000     
Sacramento $910,000
San Bernardino    $2,113,943     
San Diego    $4,990,459     
San Francisco    $713,943     
San Joaquin $472,972
San Luis Obispo $54,419     
San Mateo    $691,588     
Santa Barbara  $340,420     
Santa Clara $2,626,811     
Santa Cruz    $118,223     
Shasta   $154,955     
Siskiyou $52,992     
Solano $175,742     
Sonoma    $66,800     
Tehama $110,248     
Tulare  $499,258     
Ventura $683,465     
Yolo $250,067      
TOTAL    $34,951,831 






The California Department of Insurance, established in 1868, is the largest consumer protection agency in California. Insurers collect $288 billion in premiums annually in California. In 2015 the California Department of Insurance received more than 155,000 calls from consumers and helped recover over $84 million in claims and premiums. Please visit the Department of Insurance web site at 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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