San Jose Security Firm Owner Sentenced for $3.4 Million Workers’ Compensation Fraud

San Jose Security Firm Owner Sentenced for $3.4 Million Workers’ Compensation Fraud

• News

June 6, 2025 | San Jose, CA — MedLegalNews.com — In a landmark workers’ comp fraud case, a San Jose security firm owner has been sentenced for orchestrating a $3.4 million workers’ compensation fraud scheme. This case underscores the serious consequences of underreporting wages to avoid insurance premiums and highlights ongoing enforcement efforts by the […]

San Jose Security Firm Owner Sentenced for $3.4 Million Workers’ Compensation Fraud Read Post »

California DWC Implements New MTUS and Fee Schedule Regulations Effective June 1, 2025

California DWC Implements New MTUS and Fee Schedule Regulations Effective June 1, 2025

• News

June 5, 2025 | MedLegalNews.com – Effective June 1, 2025, the California DWC MTUS Fee Schedule 2025 updates take effect, introducing important changes to treatment guidelines and reimbursement rates across the state’s workers’ compensation system. These changes aim to align treatment protocols with current medical evidence and adjust reimbursement rates to reflect contemporary healthcare costs.

California DWC Implements New MTUS and Fee Schedule Regulations Effective June 1, 2025 Read Post »

CA Seeks to Improve QME Reports in Workers' Compensation System

CA Seeks to Improve QME Reports in Workers’ Compensation System

• News

June 4, 2025 | Sacramento, CA — MedLegalNews.com – California is taking decisive action to address the long-standing problem of inconsistent and often inadequate Qualified Medical Evaluator (QME) reports within its workers’ compensation system. These reports, crucial for determining benefits and resolving disputes, have frequently fallen short of the “substantial medical evidence” standard, leading to

CA Seeks to Improve QME Reports in Workers’ Compensation System Read Post »

QME Replacement denied by the California Workers' Compensation Appeals Board, symbolized by a denied stamp in front of the WCAB building.

WCAB Clarifies: No Automatic QME Replacement for Appointment Delays

• News

May 21, 2025 | Los Angeles, CA — MedLegalNews.com – The Workers’ Compensation Appeals Board (WCAB) has issued an en banc ruling in Vazquez v. Inocensio Renteria, clarifying that a party is not automatically entitled to a QME replacement panel if a Qualified Medical Evaluator (QME) cannot schedule an appointment within the deadlines set by

WCAB Clarifies: No Automatic QME Replacement for Appointment Delays Read Post »

Pure Premium Rate: CDI Sets June 10 Hearing on WCIRB Filing

Pure Premium Rate: CDI Sets June 10 Hearing on WCIRB Filing

• News, Updates

May 19, 2025 | Oakland, CA — MedLegalNews.com – Pure Premium Rate: The California Department of Insurance (CDI) will hold a virtual public hearing on June 10, 2025, at 1:00 PM PT to review the Workers’ Compensation Insurance Rating Bureau of California (WCIRB) Pure Premium Rate Filing, which proposes changes effective September 1, 2025. WCIRB

Pure Premium Rate: CDI Sets June 10 Hearing on WCIRB Filing Read Post »

Prevent Heat Illness: Cal/OSHA Urges Action as Temperatures Rise

Prevent Heat Illness: Cal/OSHA Urges Action as Temperatures Rise

• News

May 19, 2025 | Fresno, CA — MedLegalNews.com — Prevent Heat Illness: With temperatures rising across California, Cal/OSHA is reminding employers of their legal duty to protect workers from heat-related illness at both indoor and outdoor worksites. Heat illness can lead to serious medical conditions and even death if not properly prevented. Statewide Efforts to

Prevent Heat Illness: Cal/OSHA Urges Action as Temperatures Rise Read Post »

Reproductive Toxicity Claim Rejected in Solvent Exposure Lawsuit

Reproductive Toxicity Claim Rejected in Solvent Exposure Lawsuit

• News

May 16, 2025 | MedLegalNews.com — Reproductive Toxicity Claim: A California appellate court has upheld the denial of a worker’s claim that solvent exposure at work caused reproductive harm, finding insufficient medical evidence to support the allegation. Background: Claim Based on Alleged Chemical Exposure The claimant, employed as an assembly line technician, alleged that routine

Reproductive Toxicity Claim Rejected in Solvent Exposure Lawsuit Read Post »

Heart Presumption Expansion Bill Advances for California State Hospital Workers

Heart Presumption Expansion Bill Advances for California State Hospital Workers

• Updates

May 16, 2025 | MedLegalNews.com — Heart Presumption Expansion: A key California legislative committee has advanced a bill that would extend the heart trouble presumption to state hospital workers, while holding back several other workers’ compensation-related bills by placing them on the suspense file. Heart Presumption Expansion Bill Moves Forward The Assembly Insurance Committee voted

Heart Presumption Expansion Bill Advances for California State Hospital Workers Read Post »

Pure Premium Rate: CDI Sets June 10 Hearing on WCIRB Filing

WCIRB Projects Highest Combined Ratio in 14 Years

• Updates

May 15, 2025 | MedLegalNews.com — California’s Workers’ Compensation Insurance Rating Bureau (WCIRB) is forecasting the state’s highest combined ratio in over a decade, raising concerns about the financial health of the workers’ compensation system. In a recent update, WCIRB projected a combined ratio of 116% for 2024, marking the worst performance in 14 years.

WCIRB Projects Highest Combined Ratio in 14 Years Read Post »

Scroll to Top