California 2009-2010 Regular Session

California Senate Bill SB342 Latest Draft

Bill / Introduced Version Filed 02/25/2009

 BILL NUMBER: SB 342INTRODUCED BILL TEXT INTRODUCED BY Senator Runner FEBRUARY 25, 2009 An act to amend Section 3702.1 of the Labor Code, relating to workers' compensation. LEGISLATIVE COUNSEL'S DIGEST SB 342, as introduced, Runner. Workers' compensation: claims administration. Existing law establishes a workers' compensation system, administered by the Administrative Director of the Division of Workers' Compensation, to compensate an employee for injuries sustained in the course of his or her employment, and requires an employer to provide, or pay for all reasonable costs of, medical services necessary to care for, or relieve, work-related injuries. Existing law prohibits a person, firm, or corporation, other than an insurer admitted to transact workers' compensation insurance in this state, to contract to administer claims of self-insured employers as a 3rd-party administrator without a certificate of consent. This bill would make technical, nonsubstantive changes to the above provision. Vote: majority. Appropriation: no. Fiscal committee: no. State-mandated local program: no. THE PEOPLE OF THE STATE OF CALIFORNIA DO ENACT AS FOLLOWS: SECTION 1. Section 3702.1 of the Labor Code is amended to read: 3702.1. (a) No person, firm, or corporation, other than an insurer admitted to transact workers' compensation insurance in this state, shall contract to administer claims of self-insured employers as a third-party administrator unless  they are  in possession of a certificate of consent to administer self-insured employers workers' compensation claims. (b) As a condition of receiving a certificate of consent, all persons given discretion by a third-party administrator to deny, accept, or negotiate a workers' compensation claim shall demonstrate their competency to the director by written examination, or other methods approved by the director. (c) A separate certificate shall be required for each adjusting location operated by a third-party administrator. A third-party administrator holding a certificate of consent shall be subject to regulation only under this division with respect to the adjustment, administration, and management of workers' compensation claims for any self-insured employer. (d) A third-party administrator retained by a self-insured employer to administer the employer's workers' compensation claims shall estimate the total accrued liability of the employer for the payment of compensation for the employer's annual report to the director and shall make the estimate both in good faith and with the exercise of a reasonable degree of care. The use of a third-party administrator shall not, however, discharge or alter the employer's responsibilities with respect to the report.