Formal Appeal Prompts Reclassification

The administrative law judges at the California Department of Insurance’s Administrative Hearing Bureau resolve disputes between employers and workers’ comp carriers and/or the Workers’ Compensation Insurance Rating Bureau. Cases don’t always have to go to trial to get a positive result for an employer. Sometimes filing a formal appeal is enough to resolve the dispute … Read More »

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WCIRB Regulatory Filing Under Review

The California Department of Insurance held a public hearing.and closed the record on the Workers’ Compensation Insurance Rating Bureau’s proposed regulatory changes for September 1, 2023. The proposal includes creating a separate rate for the telecommuting classification (8871) and updating the experience rating threshold. If approved, the filing would also start splitting the existing restaurant … Read More »

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Hearing In DoorDash Classification Dispute

The California Department of Insurance’s Administrative Hearing Bureau held an oft-delayed evidentiary hearing into DoorDash’s appeal of the Workers’ Compensation Insurance Rating Bureau’s classification assignment of the operations at its headquarters. In dispute is the seven-fold difference in the rate for the classification the WCIRB assigned to DoorDash’s operations versus what the company claims its … Read More »

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September 1, 2023, Rate Filing Deliberation

The changing of the actuarial guard is underway at the Workers’ Compensation Insurance Rating Bureau. WCIRB’s long-time chief actuary Dave Bellusci (see photo) led the Actuarial Committee discussions for the Bureau’s September 1, 2023, rate filing at meetings earlier this year. But it was deputy chief actuary Sean Cooper who pressed staff’s recommendation for a … Read More »

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Med-Legal Costs Up 50% Since Fee Schedule Change

The Division of Workers’ Compensation billed its update to California’s med-legal fee schedule (MLFS) as a 25% boost to payments for qualified medical evaluators (QMEs). But when reality set in, med-legal costs spiked by 39% in the first year and continued to climb into the second year. The overall result is a 50% increase in … Read More »

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Study: Experience Rating Works For Workplace Safety

California’s experience rating system was designed to give employers a financial incentive to improve workplace safety by impacting how much workers’ comp coverage costs. New research data indicates that the system is working. Employers are becoming statistically safer after their X-Mod takes a hit due to workplace accidents. Researchers at the Workers’ Compensation Insurance Rating … Read More »

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Apartment Building Classification Dispute Goes To Court

A dispute between an owner of over two dozen apartment buildings and its workers’ comp carrier over the correct employee classifications has gone to a California Department of Insurance administrative law judge. The Administrative Law Judge will determine whether a classification is correctly applied and if additional premium is owed. The owner of the apartment … Read More »

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