If you are an employee who has been injured and your employer tells you they have no insurance or that you are not covered, you can report this to the California Department of Insurance or the California Department of Labor and Standards.
If you are an employer and you believe that an employee has made a fraudulent claim or has made false statements in connections with a Workers Compensation Insurance claim, you should contact your insurer to report this to them. If you are a self-insured employer, you should contact the third party administrator handling your Workers Compensation Insurance program.
If you have been approached by anyone and have been promised a commission or bonus to make a false Workers Compensation Insurance claim, you should contact the California Department of Insurance Fraud Division or the Orange County District Attorneys Office Workers Compensation Fraud Unit to report the situation immediately. Be prepared to provide them with all information you have about the person who contacted you and what occurred.
If you believe your employer is engaged in Workers Compensation fraud by mis-classifying employees or under-reporting the number of employees, you can report this using the form on the California Department of Insurance website at www.insurance.ca.gov.
If you are an employee receiving Workers Compensation benefits and you become aware that the insurer is being billed for treatments you did not receive or more treatment than you received, you should contact the Fraud Division of the California Department of Insurance or the Orange County District Attorneys Office Workers Compensation Insurance Fraud Unit to report the situation. Please provide copies of all the information you have received about these claims.