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San Joaquin County
District Attorney's Office

Quality of Life
Workers' Compensation Fraud

California legislature established the Workers' Compensation Fraud Program in 1991. This made worker’s compensation a felony, requiring insurers to report suspected fraud, and established a mechanism for funding enforcement and prosecution. Workers' Compensation Fraud harms employers, employees, and consumers. Fraudulent claims contribute to the high cost of workers' compensation insurance premiums. Some examples of Workers' Compensation Fraud are:

Claimant Fraud
Claiming a non-work injury as work related or continuing to claim injury even after a legitimate injury has healed.
Premium Fraud
An employer may under-report the number of employees or mis-classify employees to avoid higher insurance costs.
Uninsured Employer
An employer may not have any workers' compensation coverage for their employees.
Other types of Workers' Compensation fraud
An employer may falsify statements to discourage or deny a claim.

These types of crimes affect every member of our community. The Workers' Compensation Fraud Unit works hard to ensure those who commit workers' compensation fraud are prosecuted and brought to justice.