Operating Without Workers’ Compensation Insurance in California

I. The Problem: Operating Without Workers’ Compensation Insurance in California

  • Legal Mandate: California Labor Code Section 3700 unequivocally states that all employers with one or more employees must provide workers’ compensation benefits. This explicitly includes employees hired through staffing agencies. Both the staffing agency and the client company can share responsibility for worker safety and workers’ comp coverage.
  • Tactics to Avoid Coverage:
    • Misclassification: A common tactic, especially for staffing agencies, is to misclassify employees as “independent contractors” to avoid paying workers’ comp premiums, payroll taxes, and other employee benefits. California has been aggressive in cracking down on this.
    • “Underground Economy”: Some businesses simply operate completely off the books, without any insurance.
  • Risks and Consequences of Non-Compliance: California imposes some of the most severe penalties in the nation:
    • Criminal Offense: Failing to have workers’ compensation coverage is a misdemeanor under California Labor Code Section 3700.5.
      • Punishment: Up to one year in county jail, and/or a fine of up to double the amount of the premium that would have been necessary to secure coverage (but not less than $10,000).
      • Subsequent violations lead to even harsher penalties (e.g., up to one year in jail and a fine of triple the premium, but not less than $50,000).
    • Civil Penalties (Fines):
      • Stop Order: The California Division of Labor Standards Enforcement (DLSE) can issue a “stop order,” prohibiting the use of any employee until coverage is obtained. Failure to observe a stop order is a misdemeanor (up to 60 days in jail and/or a $10,000 fine).
      • Stop Order Penalty: A penalty of $1,500 per employee on the payroll at the time the stop order is issued, up to $100,000.
      • Penalty Assessment Order: The greater of (1) twice the amount the employer would have paid in premiums during the uninsured period, OR (2) $1,500 per employee. If an injured worker files a claim, the uninsured employer can be assessed a penalty of $10,000 per employee on the payroll at the time of injury, up to a maximum of $100,000.
    • Personal Liability: If an employee is injured while the employer is uninsured, the employer is personally responsible for all medical bills, lost wages, and disability benefits. This can be financially devastating.
    • Civil Lawsuits: Injured employees can file a civil action against the uninsured employer in addition to filing a workers’ compensation claim. In these civil cases, the employer is presumed negligent and loses common law defenses. The employee may also be entitled to have their attorney’s fees paid by the employer.
    • Uninsured Employers Benefits Trust Fund (UEBTF): This state fund pays benefits to injured workers of illegally uninsured employers. However, the UEBTF then aggressively pursues the uninsured employer for full reimbursement, plus penalties.
    • Business Reputation: Operating without proper insurance can severely damage a business’s reputation and trust among employees and clients.

II. Prosecution and Enforcement in California

California employs multiple agencies and strategies to prosecute uninsured employers, including staffing agencies:

  1. California Department of Insurance (CDI) – Fraud Division:
    • The CDI’s Fraud Division is a key player in investigating workers’ compensation fraud, including “premium fraud” (employers misstating payroll or employee classifications) and “uninsured employer fraud.”
    • They work closely with local district attorneys’ offices across the state to prosecute violators.
    • The CDI maintains a public website listing Workers’ Compensation Fraud Convictions, detailing the name, case number, county, description of offense, and amount defrauded. This is a valuable resource for finding specific prosecution examples. (e.g., you can browse monthly conviction lists from 2020-2024 on their site).
    • Source: Workers’ Compensation Fraud Convictions – California Department of Insurance
  2. Local District Attorneys’ Offices (DA’s):
  3. California Division of Labor Standards Enforcement (DLSE):
  4. Workers’ Compensation Appeals Board (WCAB):
    • If an injured worker files a claim against an uninsured employer, the WCAB hears the case. If an award is made to the worker, the UEBTF pays, and the employer is then pursued for reimbursement and penalties.
    • Recent legislative efforts (like the Senate Bill S847 mentioned in one search result from May 2025) are aimed at strengthening the Director of the DIR’s ability to identify uninsured employers, place liens on their property, and recover funds for the UEBTF.

III. Resolution and Solutions

When a staffing agency or other employer is found operating without workers’ compensation insurance in California, the resolution typically involves:

  1. Securing Immediate Coverage: The business is compelled to obtain workers’ compensation insurance. Stop-work orders remain in effect until this is done.
  2. Payment of Fines and Penalties: Substantial civil penalties and administrative fines are assessed for the period of non-compliance.
  3. Restitution: If an employee was injured, the employer must reimburse the UEBTF for any benefits paid to the injured worker.
  4. Criminal Prosecution: Depending on the severity and intent, individuals responsible within the staffing agency can face misdemeanor charges, potentially leading to jail time. Felony charges are possible for more severe fraud or repeat offenses (e.g., lying to reduce premiums, as mentioned by the Shasta County DA).
  5. Liens and Asset Forfeiture: The state can place liens on the employer’s property (including real estate) to recover unpaid benefits and penalties.
  6. Increased Scrutiny: Staffing agencies, in particular, face ongoing scrutiny due to the shared responsibility for temporary workers and the historical issue of misclassification.

In essence, California’s system is designed to make operating without workers’ compensation insurance extremely costly and legally perilous for any employer, including staffing agencies, with a focus on protecting injured workers and maintaining a fair business environment.

find specific articles of these happenings and prosecutions in california

You’re in luck! California is very active in prosecuting workers’ compensation fraud, including cases where employers (sometimes staffing agencies or companies using their services) operate without proper coverage. The California Department of Insurance (CDI) is a key player and publishes information on convictions.

Here are some specific articles and resources detailing prosecutions in California:

1. Recent Convictions and Press Releases from the California Department of Insurance (CDI):

The CDI has a dedicated section for “Workers’ Compensation Fraud Convictions” where they list recent cases. This is an excellent source for specific examples.

  • San Jose security company owner sentenced in $3.4 million workers’ compensation fraud case (May 19, 2025):
    • Details: Raul Chavez, owner of Tactical Operations Protective Services (a company providing security guard, staffing, and patrol services), was sentenced for a six-year scheme to underreport payroll and avoid paying workers’ compensation premiums. He concealed over $3.4 million in payroll, resulting in $205,565 in unpaid premiums. He pleaded guilty to felony premium fraud, received 180 days in county jail, two years probation, and ordered to pay restitution.
    • Relevance: This is a very recent and highly relevant example, as it directly involves a company that performs “staffing” services.
    • Source: California Department of Insurance Press Release
  • CDI Workers’ Compensation Fraud Convictions Database:
    • The CDI explicitly states they post convictions for violations of various codes, including Labor Code Section 3700.5 (failure to secure payment of compensation). You can browse monthly lists of convictions.
    • How to use it: Go to the CDI’s website and navigate to their “Workers’ Compensation Fraud Convictions” page. From there, you can select specific years and months to see detailed lists of convictions, often including the name of the convicted party, the county, a description of the offense (which often includes operating without coverage or premium fraud), the amount defrauded, and the punishment imposed.
    • Source: Workers’ Compensation Fraud Convictions – California Department of Insurance

2. Local District Attorney (DA) Offices Prosecutions:

California’s county District Attorney offices are on the front lines of prosecuting these cases. Many have dedicated fraud units. While I can’t link to every single case, here are examples of their programs and what they report:

  • Merced County District Attorney: Their website highlights that it is illegal for an employer to operate without workers’ compensation insurance (CA Labor Code Section 3700.5) and outlines the penalties, including up to one year in jail and/or a fine of up to double the premium owed, but not less than $10,000. They also mention that they receive reports from the CA Department of Insurance Fraud Hotline.
  • Shasta County District Attorney: Also has a Workers’ Compensation Insurance Fraud Program and details penalties for both employees and employers, including for “Employer Fraud” (lying to their insurance company about the number of employees, which leads to underpaying premiums or operating uninsured).

3. Precedent-Setting Cases (Employer Liability for Bogus PEOs):

Sometimes, the “staffing agency” itself might be operating illegally, or an employer might contract with a “Professional Employer Organization (PEO)” that is bogus and doesn’t provide legitimate workers’ comp. California courts have addressed this.

  • “Precedent: Employer Held Liable For Bogus PEO” (February 12, 2025):
    • Details: This article from Workers’ Comp Executive discusses a landmark decision where an employer, Garcias Pallets, was held liable for over $1.3 million in penalties for operating without valid workers’ comp coverage, despite having contracted with PEOs whose coverage was “bogus.” This highlights the due diligence required by businesses when using labor contractors or staffing solutions.
    • Relevance: This shows how an employer can be held liable even when they thought they were getting coverage through a third party (like a PEO or staffing agency) that was not legitimate.
    • Source: Precedent: Employer Held Liable For Bogus PEO | Workers’ Comp Executive

4. Large-Scale Fraud Rings (often involving shell companies/labor brokers):

While not always explicitly “staffing agencies,” many large workers’ compensation fraud schemes involve networks of shell companies, labor brokers, or fake businesses designed to avoid premiums or exploit workers.

How to find more specific cases:

  • Directly search the CDI’s “Workers’ Compensation Fraud Convictions” database. It’s the most direct route for official convictions.
  • Search District Attorney websites: Look for press releases from California county DAs, specifically for their “Workers’ Compensation Fraud Unit” or “White Collar Crime” sections.
  • Use more targeted keywords: If you know a specific county, industry (e.g., construction staffing, agricultural labor contractors), or a time frame, add those to your search.

These resources provide concrete examples and demonstrate the rigorous enforcement efforts in California against employers, including those in the staffing industry, who attempt to operate without the legally mandated workers’ compensation insurance. Sources

Workers’ Comp Executive

www.wcexec.com

PEO Caught With No Coverage By WCAB Judge | | Workers’ Comp Executive

“The insurance in place that EO referenced in the Objection dated December 22, 2023 referred to coverage by co-employer and EO affiliated company, Simplify HR, …

California Department of Insurance

www.insurance.ca.gov

Workers’ Compensation Fraud Convictions – California Department of Insurance

Enforcement Overview / Fraud Division Overview / Workers’ Compensation Fraud Convictions.

Yrulegui & Roberts

www.rjylaw.com

What is the Legal Definition of Workers’ Compensation Fraud in California?

Some of the most common examples of workers’ compensation fraud in California include: A False Claim by an Employee: As an example, someone might claim they …

California Department of Insurance – CA.gov

www.insurance.ca.gov

San Jose security company owner sentenced in $3.4 million workers’ compensation fraud case – California Department of Insurance

News: 2025 Press Release. For Release: May 19, 2025. San Jose security company owner sentenced in $3.4 million workers’ compensation fraud case. SAN JOSE, Calif …

Merced County

www.countyofmerced.com

Workers’ Compensation Insurance Fraud | Merced County, CA – Official Website

– District Attorney. – About Us. – Units. – Fraud Unit. – Workers’ Compensation Fraud.

www.wcexec.com

PEO Caught With No Coverage By WCAB Judge | | Workers’ Comp Executive

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