Rene Thomas Folse, JD, Ph.D. is the host for this edition which reports on the following news stories: Major TPA Faces Challenge by Excess Carrier after $34.5M Verdict. State Farm, Farmers and 25 Top California Carriers Sued for "Collusion". SCOTUS Shifts Burden of Proof to Employers in ERISA Litigation. Employee Waiver of Meal Breaks for 6 hour Shifts Are Valid. PAGA One Year Statute of Limitations Applies to Penalties. $1M Verdict Against LAPD for FEHA Violations Affirmed. 39 State AGs Ask Congress to End PBM Pharmacy Ownership. AI Discussed at Orthopedic Surgeon San Diego Town Hall.

Rene Thomas Folse, JD, Ph.D. is the host for this edition which reports on the following news stories: WCAB Denied Commutation of 76% PD Award to Pay Bills. Exclusive Remedy Applies if Contracting for 52+ Hour Job. Community Colleges Face Massive "Pell Runner" Financial Aid Fraud. Accounting Chief at Girardi Keese Law Firm to Serve 10 Years. Labor Alliance Officers Sentenced For WC and Pension Fraud. Insurance Agent and Son Charged With $1.4M Commission Fraud. Misdated VA PACT Act Disability Decisions Cost Millions. Studies Show Surgeons Continue to Leave Materials in Patients.

Rene Thomas Folse, JD, Ph.D. is the host for this edition which reports on the following news stories: WCAB Applies Amended L.C. 4707(c) Retroactively. Filing Claim in Employers' Bankruptcy Not Required for UEBTF Benefits. L.A. Judge Disqualified Post Trial and $10M FEHA Verdict Reversed. Critic of Medi-Cal Crisis Launches SoCal Fraud and Corruption Task Force. DWC Releases 2024 Independent Medical Review (IMR) Report. Novo Nordisk and Others Challenge Medicare Drug Price Negotiations. ASHP Reports AI Helps Pharmacists Streamline Routine Tasks. Developments in Orthopedic Surgical and Non-Surgical Care.

Rene Thomas Folse, JD, Ph.D. is the host for this edition which reports on the following news stories: Cigna Faces Class Action for Use of PxDx Algorithm to Deny Claims. Legal Aid Lawsuit Forces EDD to Fix Broken UI Notification System. UIM Arbitration is Not a "Civil Action" Protected by Covid Rules. Old Arbitration Agreements Need Clear Wording After Viking River. After Supreme Ct. Remand, CSU Need Not Reimburse Employees. LA Couple Sentenced for $2.3M WC Premium Fraud. San Diego Plumbing Contractor Sentenced for SCIF Premium Fraud. EDD Employee to Serve 66 Months for Fraud and Bribery Scheme.

Rene Thomas Folse, JD, Ph.D. is the host for this edition which reports on the following news stories: WCAB Rules UR Denial Needs Adequate Medical History Records. Workers' Comp Claim Does Not Toll FEHA Statute of Limitations. SoCal Medical Group to Pay $62M to Settle False Claims Lawsuit. Bay Area Tow Truck Auto Fraud Conspiracies - Out of Control. Jury Convicts San Diego Attorney for Fraud Schemes. Treatment Center Operator Convicted for $2.9M in Kickbacks. Carson Tahoe Health System to Pay $8.8M for Unlawful Benefits. CWCI New Hire Notices Are Updated for 2025.

Rene Thomas Folse, JD, Ph.D. is the host for this edition which reports on the following news stories: WCAB Outlines Ground Rules for WCJ Disqualification. Plaintiff's Attorney Disqualified for Violation of State Bar Rule 4.4. Activision Blizzard CEO Lawsuit Claims Defamatory Media Collusion. Appeal Reverses 33 out of 37 Counts Against Attorney Jon Woods. Sham Health Insurance Plan Resolves AG Claim for $1.3M. Minor Dent Leads to $3000 Insurance Fraud Sting Operation Arrest. Cal/OSHA Cites Contractor $157.5K for Open Trench Death. Annual Report: Santa Monica Workers’ Comp Claims Surge.

Rene Thomas Folse, JD, Ph.D. is the host for this edition which reports on the following news stories: LC 3365.4 Barred Fatally Injured School Volunteer Survivors' Lawsuit. Cooperation & Assistance of Insured Clause Defends $9M Verdict. Failure to Oppose Summary Judgment is Good Cause to Grant it. Three Face Charges for Fraudulent LA Wildfire Benefit Claims. SafeLite Resolves IFPA Auto Insurance Fraud Case for $31M. Physician & SoCal Pharmaceutical Company VP Pleads Guilty. Court of Appeal Allows Case Against DHS for Underground Regs. ER Physician Staffing Firms Face Financial Difficulty & Bankruptcy.

Rene Thomas Folse, JD, Ph.D. is the host for this edition which reports on the following news stories: Court of Appeal Clarifies Punch Press Exception to Exclusive Remedy. Top Court Says Maritime Law Overrides WC Exclusive Remedy. Buena Park Restaurant Faces $1.1M Wage Theft Penalties. Newsom Orders State Workers to Return to the Office. DWC Provides New Update on Virtual Courtroom Transition. DWC Invites Public Comments on Substantial UR Changes. Proposed Law Mandates Healthcare Insurance Denial Rate Reporting. Ortho Surgeon Inflation Adjust Pay Over 20 Years Declined 38%.

Rene Thomas Folse, JD, Ph.D. is the host for this edition which reports on the following news stories: Supreme Court Rules IDL Pay Not Included in S&W Penalty. California Continues to Limit the SCOTUS Viking River Case. Employer Cannot Use Choice-of-Law Provisions to Avoid EFAA. Amity In-Home Care Cited $2.3M for Caregiver Misclassification. CSLB Walnut Creek Sting Leads to 13 Unlicensed Contractors. Insurance Commissioner Sets Moratorium on Policy Non-Renewals. California Judicial Council Reports on AI Task Force Progress. Providers Say 70% of Healthcare U.R Denials are Overturn.

Rene Thomas Folse, JD, Ph.D. is the host for this edition which reports on the following news stories: WCAB Panel Says WCJ Self Destruct Orders are "Disfavored". Agreement Requires Plaintiff to Initiate Arbitration after Court Order. Task Force Uncovers Large-Scale Organized Insurance Fraud Ring. Blue Cross Sues L.A. "Insurance Advocate" for $7.6M Fraud. Judge Limits New California Anti "Pay-for-Delay" Pharma Law. Sutter Health Unveils $1B East Bay Facility Expansion Plan. Health Net to Pay Over $11M for False Cybersecurity Certification. Musk Escalates AI Battle As OpenAI Rejects $97B Takeover Bid.