Workers compensation is insurance that provides wage replacement and medical benefits to employees who are injured in the course of employment. Any fraud that is committed with workers compensation can have serious repercussions. Since 1991, the California State Legislature and insurance industry programs have been working together to fight fraud and arrest and convict those people that participate in such activities.
They fight all types of workers’ compensation fraud including: premium fraud, claims fraud and provider fraud (medical, legal, and other service providers). Most of the penalties in workers’ compensation fraud can be charged as either misdemeanors or felonies because they are considered California wobblers. In most cases, workers’ compensation fraud is charged as a misdemeanor with a sentence of county jail for up to one year. If it is charged as a felony, the prison sentence could be two, three or five years and can go up to $150,000 in fines.
There are many different types of acts that are considered fraud in workers compensation. For instance, knowingly making or presenting a false statement for the purpose of obtaining compensation benefits is considered fraud. Likewise, if you make a false statement about eligibility for benefits or submit multiple claims for payment of a health care benefit covered by workers’ compensation insurance for the same injury, you could be charged for committing fraud.
You are also committing fraud if you aid or participate in a conspiracy to commit workers’ compensation fraud or refer or accept any business from a person knowing that he or she intends to commit workers’ compensation fraud. If you are charged with workers’ compensation fraud in California, contact an experienced Sacramento criminal defense attorney who may be able to get your charges reduced either because you did not act knowingly it was fraudulent or because there is insufficient evidence to support the charges.
Have you suffered a serious work injury? Contact our work compensation attorneys for FREE consultation about your California workers compensation claim benefits. We’ve been helping injured workers since 1987 and are certified by the State Bar of California.
Give us a call at (916) 930-9675 to speak to a work comp attorney in Sacramento now.