WC Regulations
The regulations listed here are a small sub-section of the entire work comp code. The code is available in its entirety at the Division of Workers' Compensation web site.
| Labor Code (LC) |
| California Code of Regulations (CCR) |
| Insurance Code (IC) |
Insurance Code (IC)
1871.4. Unlawful to Make False
or Fraudulent Statements or Representations for Purpose of Obtaining or Denying
Compensation; Penalties
(a) It is unlawful to do any of the following:
(1) Make or cause to be made any 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.
(2) Present or cause to be presented any knowingly false or fraudulent written
or oral material statement in support of, or in opposition to, any claim for
compensation for the purpose of obtaining or denying any compensation, as
defined in Section 3207 of the Labor Code.
(3) Knowingly assist, abet, conspire with, or solicit any person in an unlawful
act under this section.
(4) Make or cause to be made any knowingly false or fraudulent statements
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, any 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.
(b) Every person who violates subdivision (a) shall be punished by imprisonment
in a county jail for one year, or in the state prison, for two, three, or
five years, or by a fine not exceeding fifty thousand dollars ($50,000) or
double the value of the fraud, whichever is greater, or by both imprisonment
and fine. Restitution shall be ordered, including restitution for any medical
evaluation or treatment services obtained or provided. The court shall determine
the amount of restitution and the person or persons to whom the restitution
shall be paid.
(c) Any person who violates subdivision (a) and who has a prior felony conviction
of that subdivision, of former Section 556, of former Section 1871.1, or of
Section 548 or 550 of the Penal Code, shall receive a two-year enhancement
for each prior conviction in addition to the sentence provided in subdivision
(b). The existence of any fact that would subject a person to a penalty enhancement
shall be alleged in the information or indictment and either admitted by the
defendant in open court, or found to be true by the jury trying the issue
of guilt or by the court where guilt is established by plea of guilty or nolo
contendere or by trial by the court sitting without a jury.
(d) This section shall not be construed to preclude the applicability of any
other provision of criminal law that applies or may apply to any transaction.
(Added by Stats. 1991, ch. 116; Amended by Stats. 1991, ch. 934; Stats. 1992,
ch. 675; Stats. 1993, ch. 120; Stats. 1995, ch. 574.)