The case sheds light on several dirty industry secrets. Among them is that workers comp defense attorneys routinely represent and protect uninsured employers and get settlements approved through the WCAB. The employer pays those settlements directly to the injured employee. The employer’s uninsured status is kept out of the case—read hidden from the Judge—which allows them to avoid any penalties for operating illegally.

Certain PEOs, TEMP agencies, and private employers are flaunting Labor Code section 3700’s requirement that they be insured or possess a valid certificate to self-insure. Worse, they are getting away with it.

Defense attorneys who asked to remain anonymous and others familiar with the industry explain.

Word is that illegally and intentionally uninsured employers such as temporary services and PEOs sometimes provide legitimate employers with false certificates of insurance. In addition, they skip paying workers comp premium and settle and pay claims themselves. There are no reserves or anything else. Their payroll and premium are not reported to the Workers’ Compensation Insurance Rating Bureau. The scheme is so pervasive in California that ratemaking is likely to be adversely impacted for honest employers.

The scofflaws become more competitive relative to their honest competitors because they charge less for “workers’ comp,” avoid paying premium and just pay claims as they happen. In some cases, one organization has multiple Tax IDs and buys insurance under the smallest or the one with the least dangerous classes. If claims get too big in the others where they don’t report payroll, they report the claim under the insured entity.

Defense attorneys tell Workers’ Comp Executive that intentionally uninsured employers deserve a defense “just like any other criminal.” However, they say attorneys can’t turn them in because of privilege issues.

Workers’ Comp Executive’s investigation reveals that a surprising number of defense attorneys represent these businesses and that WCAB judges almost never ask about insurance because “as long as the claim gets paid who cares?”