As California begins its phase-by-phase reopening process Friday, Gov. Gavin Newsom’s executive order creating a rebuttable COVID-19 presumption has cast a shadow of uncertainty for insurance carriers and employers. Governor Newsom’s long-awaited executive order creates a rebuttable presumption stating that all employees who contract COVID-19 at their place of work while at the direction of…
Earlier this month, Nicholas Roxborough urged the Division of Workers’ Compensation to make telehealth a default option for QMEs. View the full Workers’ Comp Executive article here.
In this San Fernando Valley Business Journal article, Nicholas Roxborough discusses the reality of leading a law firm under COVID-19. Read the full article here.
Although more work still needs to be done, RPNA, which proudly represents over 100 qualified medical evaluators (QMEs) and several QME management companies, was successful this week in its fight to persuade the Division of Workers Compensation (DWC) to take action to protect injured workers and QMEs during the rapidly exploding COVID-19 crisis through the…
Last week, on behalf of a group of qualified medical examiners (QMEs), Nicholas Roxborough sent a letter to the Division of Workers’ Compensation (DWC) to issue an emergency regulation specifically allowing QMEs to perform evaluations via telemedicine during the current COVID-19 outbreak, not only to keep the cases moving but also to protect the health and…
A court will hear the State Compensation Insurance Fund’s contention that its tiered rating system algorithm was appropriately filed with the California Department of Insurance. State Fund convinced the court to reject requests by the CDI and an employer to deny State Fund’s petition– but just barely. The case affects the tier modifiers; it applied…
For over 30 years, the law firm of Roxborough, Pomerance, Nye & Adreani has been defending the rights of employers, Primary Treating Physicians, and Qualified Medical Evaluators against discrimination, fraud, and malfeasance by California’s powerful workers compensation carriers, third party administrators, and even the Division of Workers Compensation. Recently, Mr. Roxborough and his firm defended…
Although the number of Californians needing evaluations for reported on-the-job-injuries has soared, the state’s stable of approved medical evaluators to review those cases has been dropping. Injured workers in California often wait months or even years to receive the medical evaluations required to get needed treatment, and in some cases to determine how disabled they…
The California Insurance Commissioner’s authority to require carriers to file key policy documents for pre-approval and – more importantly – to void those agreements that were not filed was reaffirmed and reinforced by a Los Angeles Superior Court. “The big takeaway from this is that under Insurance Code section 11737, the Commissioner has the authority…
The California Department of Insurance has ordered that Applied Underwriters’ California Insurance Company issue no new or renewal policies. The order applies to all new or renewal policies, including those in SolutionOne, JumboGC, and the controversial EquityComp. Nick Roxborough shares his thoughts here.