California Contractor License Discipline for Workers Compensation Insurance Fraud
California Contractor Workers Compensation Fraud Defense Attorney
The California Contractors State License Board, or CSLB, vigorously investigates and disciplines Contractors accused of Workers Compensation Insurance Fraud. Workers Compensation Insurance Premiums for Contractors is expensive. The cost of Workers Compensation Insurance for Contractors results in some Contractors unlawfully reducing their Workers Compensation Insurance Premiums. An allegation of Workers Comp Insurance Fraud can have profound consequences. Consequences can include CSLB Contractor License discipline and even criminal charges.
The State of California maintains the State Compensation Insurance Fund. The acronym of the state sponsored program is SCIF. Thousands of employers in California are insured by SCIF. Many Contractors use SCIF for their Workers Compensation Insurance. SCIF Fraud is a top enforcement priority of the California Contractors State License Board and the California Department of Insurance.
- Contractors in California often commit the following Workers Compensation Fraud violation, including:
- Discouraging or Dissuading Employees From Filing Workers Compensation Claims
- Failure to Maintain Workers Compensation Insurance
- Failure to Report Employee Injury
- Misclassification of Employees
- Misclassification of Loss History
- Shifting Employees to Other Employers
- Underreporting Employees
- Underreporting Payroll
- Unlawful Use of Independent Contractors
California Contractors facing Workers Compensation Insurance Fraud allegations should contact an experienced California CSLB License Defense Attorney for representation.
California Contractors State License Board Workers Compensation Insurance Fraud Investigation Defense Lawyer
The majority of California CSLB Investigations begin with the filing of a consumer Complaint. However, California Contractors State License Board Workers Compensation Insurance Fraud Investigations also occur through sting operations and criminal investigations. The California Contractors State License Board utilizes non sworn civilian investigators (Enforcement Representatives) to conduct non criminal investigations. CSLB also employs sworn Peace Officer Investigators to conduct criminal Workers Comp Fraud investigations against Contractors. These employees investigate criminal and administrative law violations related to Workers Compensation Insurance Fraud committed by Contractors against customers. Administrative Law Due Process Rights differ substantially from the Due Process Rights accorded in criminal law.
It is important to have an attorney that understands issues faced by Contractors facing disciplinary action for Workers Comp Fraud. At the conclusion of a CSLB investigation, the Board has several options. The Board can choose to close the Complaint. The Board can choose to issue a Citation. The Board can also choose to refer the matter to the California Attorney General’s Office. The Attorney General’s Office will determine whether cause exists to file a formal disciplinary Accusation. In Workers Compensation Insurance Fraud cases involving criminal conduct, the Board may refer the case to the District Attorney’s Office for criminal prosecution.
If you are a Contractor facing a California Contractors State License Board Investigation for Workers Compensation Fraud, contact a California CSLB Defense Attorney for representation.
California Contractor License Workers Compensation Fraud Accusation Defense Attorney
A formal Accusation served on a California Contractor serves as notice to a Contractor that the CSLB intends to revoke the Contractor License. A substantiated allegation of Workers Compensation Insurance Fraud against by a Contractor almost always results in the filing of a disciplinary Accusation.
An Accusation is a serious matter that can result in the suspension or revocation of a Contractor License in California. In many cases, it is possible for Contractors to reach a Stipulated Agreement with the Attorney General’s Office and CSLB. A Stipulated Agreement is a formal term for a settlement agreement. If a Stipulated Agreement cannot be reached, the parties will proceed to a formal Hearing before the California Office of Administrative Hearings (OAH).
Disciplinary Accusations involving Workers Comp Fraud against a Contractor can result in revocation of a Contractors License by the CSLB. Contractors facing a CSLB Accusation should contact an experienced California Contractor License Defense Attorney for representation. Common causes of action for disciplinary Accusations against Contractors include:
California Contractor License Hearing For Workers Compnesation Insurance Fraud
The California Office of Administrative Hearings, also known as OAH, maintains several Court Hearing locations. These Court locations are in Los Angeles, Oakland, Sacramento and San Diego. In some instances, Hearings may be held offsite in Bakersfield, Fresno, Orange County, Riverside, San Bernardino, San Francisco, San Jose or Ventura. The Administrative Law Hearing is a formal Hearing before an Administrative Law Judge.
The Administrative Law Judge, or ALJ, will issue a written Proposed Decision approximately 30 days after the Hearing. The CSLB can adopt, modify or reject the ALJ’s Proposed Decision. The CSLB’s action is called the Final Decision and Order. There are two main rights of Appeal of a Final Decision and Order. California Government Code § 11521 allows a Contractor to file a Petition for Reconsideration prior to the effective date of the Final Decision and Order. Pursuant to California Code of Civil Procedure § 1094.5, the Contractor can also file a Petition for Writ of Mandamus in Superior Court. A Writ must be filed within 30 days of the effective date of the Final Decision and Order. California Contractors facing a CSLB Administrative Law Hearing need effective representation from a California Contractor License Defense Lawyer.
California Contractor Workers Compensation Insurance Fraud and Criminal Charges
The CSLB can discipline Contractors for Workers Compensation Fraud allegations that rises to the level of criminal activity, but violates an Administrative Law regulation. The CSLB disciplinary process is separate from the Criminal Law process. The CSLB can discipline Contractors for certain criminal convictions. CSLB Contractor discipline occurs for criminal convictions that are substantially related to the duties, functions and qualifications of a Contractor. All Workers Compensation Insurance Fraud crimes involving Contractors are substantially related to the duties, functions and qualifications of a Contractor
The CSLB and other law enforcement agencies often conduct criminal investigations against Contractors for the types of Workers Comp Fraud described above. In serious criminal cases against Contractors pending in Criminal Court, the CSLB and the California Attorney General’s Office may seek a California Penal Code § 23 Order against the Contractor. A California Penal Code § 23 Order seeks to suspend a Contractor License in Criminal Court. Contractors facing criminal charges and Contractors who are convicted of criminal offenses need an experienced California Contractor License Defense Attorney for representation in disciplinary proceedings before the CSLB.