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February 06, 2012
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Injured workers underpaid?

A state-sponsored study says insurance payments fell shy by $40 million per year.

January 19, 2004

By Andy Furillo -- Bee Staff Writer

California workers injured on the job have been underpaid by hundreds of millions of dollars over the past decade by insurance adjusters who miscalculate their disability benefits, researchers have found.


A state-commissioned study on California's workers' compensation market has conservatively estimated the underpayments at $40 million a year. Citing testimony at a 1998 state Senate hearing, a Los Angeles-area attorney who is seeking restitution for the injured workers has pegged the losses at more than twice the $40 million figure -- amounting to more than $1 billion over the past 13 years.


"The insurance companies are retaining these monies and are not tendering them to the injured workers, nor are they passing those savings back to their policyholders, small-business owners who over the last few years have really felt the pinch of increasing premiums," said Nick Kazandjieff, the Sherman Oaks workers' comp applicants lawyer who has filed a class-action case to recoup the underpaid funds.


According to Department of Industrial Relations audits for 2002, the underpayments affect about 15 percent of the examined cases and total a little less than $1,500 per injured worker. The underpayments mostly occur as a result of erroneous computations and other miscalculations by insurance adjusters in an increasingly complex system, according to researchers, and they represent a microscopic percentage of payments in a system that is projected by the Workers' Compensation Insurance Rating Bureau to pay out $21 billion in indemnity and medical benefits this year.

Copyright © The Sacramento Bee

Read more at:http://www.sacbee.com/content/business/story/
8127841p-9059866c.html


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Did You Know?    
 
 
Second Injury Fund benefits may be available durring employment
However, after the first 450 weeks of benefits for total and permanent disability, wages from employment will be used to reduce your benefit amount. The reduction is based upon the percentage that your current earnings bear to those at the time of your being declared totally and permanently disabled.

 


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Employment Attorneys.com Terms

 


Today's Terms

Human resource management system (HRMS)

Definition:
An integrated software application that supports a variety of human resource functions, including benefits, payroll, recruiting and training, performance analysis, and provides data review and reporting tools.

Alternate Dispute Resolution (ADR)

Definition:
A variety of procedures for the resolution of disputes. Each ADR procedure is a fair and efficient alternative to court adjudication that must be entered into voluntarily by all parties.

Executive Order 11246

Definition:
Executive Order 11246, as amended, prohibits discrimination in employment by contractors with the federal government on the basis of race, color, sex, religion, or national origin. The Office of Federal Contract Compliance Programs (OFCCP) of the U.S. Department of Labor is the federal agency responsible for investigating individual charges of discrimination under Executive Order 11246.

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