Sacks & Zolonz, LLP, provides the following answers to questions our attorneys frequently encounter as they represent employers in workers’ compensation defense matters throughout the state of California.
If you have other questions or need advice and representation regarding a particular workers’ compensation matter, contact the firm to speak with one of the experienced workers compensation defense lawyers.
A. Yes. The Workers’ Compensation Division maintains an Uninsured employer’s Benefit Trust Fund (UEBTF) to pay benefits to workers who become sick or injured while working for an uninsured employer. Keep in mind, however, that UEBTF will seek reimbursement from you for any benefits it pays to the employee. The Fund may pursue various civil remedies to claim this reimbursement such as filing a lien against your property. If a workplace accident or injury occurs while you are uninsured, contact an attorney immediately to discuss your options.
A. There are many. First of all, insurance coverage is required by law, and failure to obtain coverage is a criminal offense. Specifically, it is a misdemeanor, punishable by a fine up to $10,000 and/or one year in the county jail.
The Workers’ Compensation Appeals Board can also assess penalties in a workers compensation case if you are uninsured. These penalties can be assessed at $2,000 or $10,000 per employee, depending upon the ruling in the case, up to a maximum of $100,000.
Even absent any workplace injury, the Director of Industrial Relations and the Division of Labor Standards Enforcement (DLSE) can issue a stop order prohibiting the use of employee labor until coverage is obtained. Failing to comply with a stop order is a crime punishable by up to 60 days in jail and a fine up to $10,000. DLSE also imposes a penalty of $1,000 per employee up to $100,000. Also, your employees continue to be paid during the work stoppage for up to 10 days.
The Workers’ Compensation Division can make numerous penalty assessment orders under the law, including $1,500 per employee as an additional penalty for being uninsured, and another penalty assessment order for being uninsured more than a week, which is either double the amount the employer would have paid in premiums or $1,500 per employee.
Finally, you will be responsible to pay all bills for a sick or injured worker, and you could find yourself subject to a civil lawsuit. Workers’ compensation is normally the exclusive recourse for an injured worker, prohibiting the employee from suing the employer, but this does not apply to uninsured employers.
A. The law imposes serious penalties on an employer for serious and willful misconduct that causes an employee injury, yet the law does not define what constitutes serious and willful misconduct. Every case is different and depends upon the particular facts at hand. The courts have generally held that the employer must actually know about a dangerous condition but deliberately fail to correct the situation.