BILL ANALYSIS �
Senate Appropriations Committee Fiscal Summary
Senator Christine Kehoe, Chair
SB 826 (Leno)
Hearing Date: 5/9/2011 Amended: 5/3/2011
Consultant: Bob Franzoia Policy Vote: L&IR 6-0
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BILL SUMMARY: SB 826 would require the Administrative Director
(AD) of the Division of Workers' Compensation (division) to
assess an administrative penalty against a claims administrator
for a violation of data reporting requirements. This bill would
require the AD to promulgate a schedule of penalties providing
for an assessment of no more than $5,000 against a claims
administrator in any single year, calculated by violation type
and excluding threshold rates of violations. This bill would
require the AD to publish an annual report disclosing the
compliance rates of claims administrators and would authorize
the AD to publish the identity of claims administrators for this
purpose.
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Fiscal Impact (in thousands)
Major Provisions 2011-12 2012-13 2013-14 Fund
Administrative penalty Estimated $12.5 to $1,250
annuallySpecial*
(revenue)
Report Minor, absorbable costs Special*
Information system Likely minor, absorbable costs Special*
revisions
* Workers' Compensation Administration Revolving Fund
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STAFF COMMENTS:
The effectiveness of the administrative penalty in incentivizing
compliance with date reporting requirements is unknown. For
some claims administrators (which are comprised of insurers,
self-insured/self-administered employers, and third party
administrators), paying a penalty of $5,000 may be more cost
effective than the staff and time needed to fully meet the
requirements. If 25 to 250 claims administrator are assessed
the maximum penalty annually, revenue would be $12,500 to
$1,250,000. (A maximum penalty of $5,000 represents 50
penalties of $100.) Costs to the division to adopt regulations
and to report are estimated to be minor and absorbable.
SB 826 (Leno)
Page 3
Reporting compliance rates of claims administrators and
assessing penalties will likely require the AD to make
adjustment to the Workers' Compensation Information System
(WCIS) in order to determine whether the WCIS would
automatically identify reporting violations, whether WCIS
penalties would be identified through random audits of WCIS
transmissions and whether WCIS penalties would be assessed in
conjunction with Audit Unit penalties.