Menu
Contact Us Search
CA Department of Insurance

$34.9 million awarded statewide to fight workers’ compensation fraud

News: 2016 Press Release

For Release: October 13, 2016
Media Calls Only: 916-492-3566
Email Inquiries: cdipress@insurance.ca.gov
$34.9 million awarded statewide to fight workers’ compensation fraud
44 counties receive grants to support Law enforcement and DAs

SACRAMENTO, Calif. — Insurance Commissioner Dave Jones today announced he has awarded $34.9 million in grants to 37 district attorney offices representing 44 counties across 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.

"Ultimately California consumers and businesses pay the price for insurance fraud through higher premiums and increased costs for good and services," 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 in the underground economy. These cases, when successfully prosecuted, help level the playing field for honest businesses and discourage future fraudulent activity.

# # #

Media Note:

  • Grant funding is based on assessments from California insured and self-insured employers. California district attorneys apply for workers' compensation insurance fraud grant funds. The commissioner's 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 makes a recommendation to the insurance commissioner, who either accepts or amends the panel's recommendation. 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 2016-2017

                                                                                                                                                                

Alameda

$1,511,933

Sacramento

$952,027

Amador

$393,896

San Bernardino

$1,968,662

Butte

$76,378

San Diego

$5,028,198

Contra Costa

$864,000

San Francisco

$758,121

El Dorado

$292,828

San Joaquin

$472,972

Fresno

$1,116,000

San Luis Obispo

$54,419

Humboldt

$200,000

San Mateo

$677,353

Imperial

$125,450

Santa Barbara

$331,499

Kern

$752,904

Santa Clara

$2,626,811

Kings

$263,875

Santa Cruz

$49,000

Los Angeles

$6,729,177

Shasta

$137,307

Marin

$245,000

Siskiyou

$46,832

Merced

$175,209

Solano

$169,476

Monterey

$660,000

Sonoma

$82,120

Napa

$123,609

Tehama

$112,127

Nevada

$75,049

Tulare

$501,165

Orange

$4,152,802

Ventura

$708,652

Placer

$175,000

Yolo

$257,010

Riverside

$2,084,970

-------------------------------

----------------------------

 

 

 TOTAL $34,951,831


The California Department of Insurance, established in 1868, is the largest consumer protection agency in California. Insurers collect $289 billion in premiums annually in California. Since 2011 the California Department of Insurance received more than 1,000,000 calls from consumers and helped recover over $394 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.

Font Size: Translate: Español