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California 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.
By Press Release - June 21, 2012

California Insurance Commissioner Dave Jones today announced that nearly $32 million in grants will be distributed to District Attorneys in California by the California Department of Insurance (CDI) in order to support their efforts in investigating and prosecuting workers' compensation insurance fraud.

"Without question, workers' compensation insurance fraud is a problem that brings a significant cost with it in California," Commissioner Jones said. "During any time, but especially during these challenging economic times, this type of fraud places a significant added burden on the system. We have an obligation to provide protection to injured workers who require both care and compensation so they are able to get back to work as quickly as possible, while also rooting out fraud perpetrated by those seeking to game the system."
 
Every year, the Fraud Assessment Commission determines the grant funding based on assessments placed on California employers. CDI leads the Workers' Compensation Grant Review Panel that reviews and makes grant funding recommendations based on multiple criteria including previous year performance based on application submitted by counties. Subsequently, the panel then 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.
 
The Fraud Assessment Commission agreed with the Commissioner's recommendations in their meeting on June 20, ratifying the grant allocations. Below is a list of funding to the counties:
 
 

Insurance Commissioner's Funding Recommendation
2012-2013 Potential Spending Authority

Alameda

$1,425,916

Amador

$413,186

Butte

$108,600

Contra Costa

$603,400

El Dorado

$257,247

Fresno

$1,122,000

Humboldt

$178,400

Imperial

$143,087

Kern

$715,000

Kings

$269,791

Lake

$44,698

Los Angeles

$5,937,916

Marin

$233,731

Merced

$94,012

Monterey

$600,000

Napa

$130,153

Orange

$3,588,116

Plumas

$0

Riverside

$1,488,786

Sacramento

$884,657

San Bernardino

$2,206,339

San Diego

$4,527,303

San Francisco

$702,366

San Joaquin

$478,031

San Luis Obispo

$62,254

San Mateo

$660,318

Santa Barbara

$286,000

Santa Clara

$2,452,358

Santa Cruz

$149,332

Shasta

$166,000

Siskiyou

$33,007

Solano

$173,388

Sonoma

$74,419

Tehama

$83,528

Tulare

$504,393

Ventura

$729,984

Yolo

$246,676

TOTAL

$31,774,392

 
extracted from the Press Release issued by the California Department of Insurance.  Edited in places and reformatted by Editor, Lonce LaMon, adjustercom.   lonce@adjuster.com
 
 

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