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American Claims Management Now Handling GL & Excess Claims For Golden Insurance Company RRG
By Lonce LaMon - July 24, 2014

American Claims Management (ACM), based in San Diego, California, has been selected by Golden Insurance Company Risk Retention Group (RRG) to handle its general liability and excess liability claims. The effective dates of the claim handling date back to beginning May 1st 2014.
  
Golden Insurance Company RRG has provided insurance for builders, contractors, and artisans for the past 13 years. Underwritten by Program Administrator OnPoint Underwriting, Golden Insurance offers both primary commercial liability and excess liability coverage. 

Sim Hoffman, M.D. Arraignment In Orange County For Work Comp Billing Fraud Trailed To September 11th
By Lonce LaMon - July 21, 2014

Just this past Friday, in the morning of July 18th 2014, Sim Hoffman, M.D., a radiologist from Buena Park, California, and Thomas Heric, M.D., a neurologist based on the west side of Los Angeles, appeared in courtroom C-57 in the Orange County Superior Courthouse.   In response to the 159 count complaint filed against them in January of 2014 by the Orange County District Attorney’s office, Hoffman appeared looking quite well in a lime-hued cream colored suit and a red tie.   Heric, the big man, also appeared and looked well in a very dark blue suit and blue tie accompanied by his faithful wife, in black, who always accompanies him to court.  
 
This complaint is for alleged offenses related predominantly to workers’ compensation billing fraud for sleep studies and single fiber EMGs in the realm of 18 million dollars.   The arraignment was predicted by the DA to be done and over on Friday, however it didn’t happen.  
 
Shaddi Kamiabipour, Deputy District Attorney, wearing a becoming black dress with red polka dots on the sleeves and shoulders, spoke up to Judge Robert R. Fitzgerald as she stood before the bench in the tiny, crowded court room filled with a preponderance of under-educated, non-white collar members of the Santa Ana ‘hood.   This court room, C-57, only has four rows with seven seats in each row; thus, Hoffman and Heric were asked to wait outside in the hallway until they were called.   The room immediately after being opened jammed up with people overflowing into the one aisle.  A corpulent man wearing a golf shirt cordoned off 5 seats in the front row.   There was a stark contrast between Hoffman and Heric and the rest of the defendants from other cases. 

Report on Workers’ Comp Reforms of SB 863 Shows Progress, Challenges in Enacting Law’s Wide-Ranging Changes
By Press Release - July 17, 2014

The Department of Industrial Relations and its Division of Workers’ Compensation posted a progress report today on the department’s implementation of Senate Bill 863, the 2012 law which makes wide-ranging changes to California’s workers’ compensation system.

The report, “SB 863: Assessment of Workers’ Compensation Reforms,” describes improvements made as well as the challenges remaining to fulfill the law’s intent to improve benefits to injured employees while containing costs. SB 863 became law on Jan.1, 2013, but not all provisions were effective immediately, and some aspects are still going through the rulemaking process. The Division of Workers’ Compensation (DWC), a division of DIR, is implementing the reforms and working with stakeholders to navigate the changes in the law.


Aspen Medical Resources’ Defense To File A 995 Motion To Dismiss In Orange County 36 Million Dollar Workers’ Compensation Fraud Case. Next Court Appearance Set For August 29th 2014.
By Lonce LaMon - July 14, 2014

On Friday morning, July 11th 2014, the four defendants in the Aspen Medical Resources case appeared in Orange County Superior Court, court room C-30, before Judge John D. Conley.   
 
The three owners appeared with their lawyers: Jeff Campau with counsel Paul Meyer, Landon Mirallegro with counsel Ray Rackauckas, and Abraham Khorshad with counsel Jack Early.   The collector, Ryan McCracken, appeared with his lawyer David Swanson.
   
Both Campau and Mirallegro are men of about 40 years of age. They came into court in their dark suits, looking like fine, well-educated Anglo-Saxon men of the old, conservative Orange County breed.   They sat in two of the seats near one another along the back wall of the court room—Jeff Campau sporting a blue and grey tie, and Landon Mirallegro wearing a red and dark blue diagonally striped tie.   Their wholesome, handsome appearances belied the allegations of them committing 36 million dollars in workers’ compensation insurance fraud.

More News

July 10, 2014 - Division of Workers’ Compensation Posts Corrected Spanish Language Time of Hire Pamphlet

July 7, 2014 - Orange County DA Relentless Against Workers' Comp Fraud. New Case Indictment Soon Coming To Court. Aspen Medical Returns To Court Room This Friday, July 11.

July 2, 2014 - DWC Posts Adjustments to Official Medical Fee Schedule (Physician Services/Non-Physician Practitioner Services)

July 1, 2014 - The Hartford To Release Second Quarter Earnings July 30th. Sells Hartford Life Insurance KK To Orix Life.

June 30, 2014 - DWC Posts Adjustments to Official Medical Fee Schedule (Physician Services/Non-Physician Practitioner Services)

June 26, 2014 - New Workers' Comp Fraud Case Coming To Orange County Superior Court Within Days. Sim Hoffman, M.D. and Aspen Quartet Back In OC Court In July.

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