Loading chat...
CA SB536
Bill
Status
6/4/2025
Primary Sponsor
Bob Archuleta
Click for details
AI Summary
-
Requires insurers and licensed rating organizations to notify the Employment Development Department (EDD), in addition to local district attorneys and the Department of Insurance Fraud Division, when suspected fraud relates to premium fraud
-
Authorizes insurers, their agents, or licensed rating organizations to request detailed payroll information, including payroll summary totals, from EDD to compare against employer-reported information in workers' compensation claims or policies
-
EDD may only release the requested payroll information if the requester specifies what information is necessary and EDD determines it is consistent with a workers' compensation fraud investigation
-
Requires insurers, agents, or licensed rating organizations requesting payroll information to reimburse EDD quarterly for actual, direct costs of providing the information
-
Prohibits the released payroll information from being shared with law enforcement except as part of a fraud referral or formal fraud reporting process, and bars its use for purposes under the Insurance Information and Privacy Protection Act
Legislative Description
Workers’ compensation insurance fraud reporting.
Last Action
Referred to Com. on INS.
6/16/2025