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CA SB536

Bill

Status

Engrossed

6/4/2025

Primary Sponsor

Bob Archuleta

Click for details

Origin

Senate

2025-2026 Regular Session

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

Committee Referrals

Insurance6/16/2025
Appropriations4/29/2025
Labor, Public Employment and Retirement3/5/2025
Rules2/20/2025

Full Bill Text

No bill text available