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SELECTED INDICATORS IN WORKERS’ COMPENSATION:   A REPORT CARD FOR CALIFORNIANS

Graphic: DWC Decisions on Liens34

DWC Audit and Enforcement Program34

Background34

AB 749 Changes to the Audit Program34

Audit and Enforcement Unit Data34

Overview of Audit Methodology34

Selection of Audit Subjects34

Graphic: Routine and Targeted Audits34

Graphic: Audits by Type of Audit Subject34

Selection of Files to be Audited34

Graphic: Audited Files by Method of Selection34

Audit Findings34

Graphic:  Administrative Penalties Assessed34

Graphic:  Average Number of Penalty Citations per Audit Subject Average Amount per Penalty Citation34

Unpaid Compensation Due to Employees34

Graphic:  Average Claims and Amount of Unpaid Compensation34

Graphic:  Unpaid Compensation:  Type by Percentage of Total34

Frequency of Violations34

Unpaid Indemnity34

Late First Payment of Temporary Disability or First Salary Continuation34

Late First Payment of Permanent Disability, Vocational Rehabilitation and Death Benefits34

Late Subsequent Indemnity Payments34

Failure to Late Provision of AME/QME and Vocational Rehabilitation Notices34

Performance Ratings34

Disability Evaluation Unit34

Graphic:  DEU Written Ratings, 2003 - 200534

Graphic:  DEU Written and Oral Ratings, 2003 - 200534

Anti-Fraud Activities34

Background34

Suspected Fraudulent Claims34

Workers’ Compensation Fraud Suspect Arrests34

Workers’ Compensation Fraud Suspect Convictions34

Workers’ Compensation Fraud Investigations34

Types of WC Fraud Investigations34

Trends in WC Fraud Investigations34

Graphic:  Percentage of Fraud Investigations by Type34

Carve-outs - Alternative Workers’ Compensation Systems34

CHSWC Study of Carve-Outs34

Impact of Senate Bill 22834

Impact of Senate Bill 89934

Carve-Out Participation34

Status of Carve-out Agreements as of May 200534

Table: Construction Industry Carve-out Participants34

Table: Non-construction Industry Carve-out Participants34

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