California Regulatory Update

Change in Claims Definition
Effective January 1, 2017, the definition for claims will include claims for which medical treatment costs are incurred regardless of whether the cost of medical treatment, including first aid, is paid by an employer or insurer, or regardless of whether a workers' compensation claim form (DWC1) is filed. The change will be in effect for both new and renewing policies and was mandated by the Workers Compensation Insurance Rating Bureau (WCIRB) in conjunction with the California Department of Insurance.

These adopted changes further indicate any/all claims including those involving first aid as defined in the California Labor Code, in which indemnity losses or medical losses are incurred or allocated loss adjustment expenses are paid must be reported individually. These changes do not currently impact self-insured employers in the state because they are governed by the Office of Self Insured Plans, and not the WCIRB, which does not address self-insured employers.

We are here to help.
CorVel’s systems, services, and reporting are in compliance with the newly redefined classification for medical only claims in California. Learn more about our workers' compensation solutions or contact a local representative.


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