Workers' Compensation Fraud Poster

The Workers' Compensation Fraud Poster clearly states your Company Policy.

The Workers' Compensation Fraud Poster warns employees of the consequences they will face if they make false injury claims. The following information is an excerpt from the Workers' Compensation Fraud Poster:

Chapter 12 of the California Insurance Code, Section 1871.4(a) makes it unlawful to do any of the following:

• Make or cause to be made a knowingly false or fraudulent material statement or material representation for the purpose of obtaining or denying any compensation, as defined in Section 3207 of the Labor Code.
• Present or cause to be presented a knowingly false or fraudulent written or oral material statement in support of, or in opposition to, a claim for compensation for the purpose of obtaining or denying any compensation, as defined in Section 3207 of the Labor Code.
• Knowingly assist, abet, conspire with, or solicit a person in an unlawful act under this section.
• Make or cause to be made a knowingly false or fraudulent statement with regard to entitlement to benefits with the intent to discourage an injured worker from claiming benefits or pursuing a claim.
• For the purposes of this subdivision, "statement" includes, but is not limited to, a notice, proof of injury, bill for services, payment for services, hospital or doctor records, X-ray, test results, medical-legal expense as defined in Section 4620 of the Labor Code, other evidence of loss, injury, or expense, or payment.
  • Make or cause to be made a knowingly false or fraudulent material statement or material representation for the purpose of obtaining or denying any of the benefits or reimbursement provided in the Return-to-Work Program established under Section 139.48 of the Labor Code.
  • Make or cause to be made a knowingly false or fraudulent material statement or material representation for the purpose of discouraging an employer from claiming any of the benefits or reimbursement provided in the Return-to-Work Program established under Section 139.48 of the Labor Code.

Chapter 12 of the California Insurance Code, Section 1871.4(b) specifies punishment for a violation of subsection (a) as follows:

• Imprisonment in County Jail for one year; or
• Imprisonment in the State Prison for 2, 3, or 5 years; or
• Fine not exceeding $50,000 or double the value of the fraud, whichever is greater; or
• Both imprisonment and fine.

Restitution shall also be ordered, and the person convicted may be charged the costs of investigation.

Under California Penal Code Section 550 (a)(1), it is unlawful to “knowingly present or cause to be presented any false or fraudulent claim for the payment of a loss or injury, including payment of a loss or injury under a contract of insurance". Anyone who violates this subsection is guilty of a felony, punishable, as specified in section 550(c)(1), by:

• Imprisonment in the State Prison for 2, 3, or 5 years; and a
• Fine not exceeding $50,000 or double the amount of the fraud, whichever is greater.

• California Department of Insurance