watch: Workers’ Comp Fraud in California

🔹 Recent Cases & News

1. $3.4 M
A recent video details a massive insurance fraud case involving a California security company owner who underreported payroll to dodge workers’ comp premiums—resulting in a $3.4 million scam YouTube+2Thomas Martin+2YouTube+2YouTube.

2. “Know Your Rights” Guidebook Videos
The California Department of Industrial Relations (DIR) has produced informational video series aimed at helping injured workers understand their rights, including scenarios where employers are uninsured CWCI.


📄 Expert Articles on Uninsured Employers

  • Thomas F. Martin, PLC explains what to do if you’re injured and your employer lacks workers’ comp insurance—your route is filing with the Uninsured Employers Benefit Trust Fund (UEBTF) and gathering documentation or pursuing a civil lawsuit Thomas Martin+1Joepluta+1.
  • Joseph Pluta’s Blog (Feb 2025) outlines your legal options, including documentation, UEBTF filing, potential civil claims, and expected delays vs regular claims CalDIR+3Joepluta+3Thomas Martin+3.

🏛️ Legal Context & Protections


🛠️ What You Can Do

  1. Watch the DIR videos (like the “Injured Worker Guidebook”) to understand claim steps and protections.
  2. File a UEBTF claim (report the incident, collect evidence like pay stubs and medical records).
  3. Consider civil action—uninsured status allows lawsuits for full damages, pain and suffering, and punitive awards.
  4. Get legal help: Many firms offer free consultations and specialize in uninsured employer cases.

🎥 More Video Resources


Would you like links to specific firm cases, help locating local legal aid in Hesperia, or assistance finding official DIR resources to include in your video?

Here are detailed articles and official sources about the $3.4 million workers’ compensation premium fraud case in California:


📰 Key Articles & Official Coverage

San Jose Security Company Owner Sentenced in $3.4 M Workers’ Compensation Fraud Case (Press release)

An official statement from the California Department of Insurance details how Raul Chavez, owner of Tactical Operations Protective Services in San Jose, was convicted of felony premium fraud after underreporting $3,431,903 in payroll over six years. He was sentenced to 180 days in county jail, two years of probation, and ordered to pay $225,168 in restitution to State Fund Work Comp Academy+9California Department of Insurance+9Insurance Journal+9.

Security Company Owner Sentenced in $3.4 M Comp Fraud Case (WorkCompCentral)

This industry news summary corroborates the details: Chavez pleaded guilty to the six‑year payroll underreporting scheme resulting in fraud charges and penalties, and emphasizes the lasting risks to workers and compliant employers WorkCompCentral.


⚖️ Broader Context: Similar Fraud Cases in California

  • Fontana Janitorial Fraud — $2.4 M Underreported Payroll
    Jose Arredondo and Olga Chaves were charged for underreporting over $2.4 million in payroll to save on workers’ comp premiums and evade taxes. The premium loss was approximately $436,717. The San Bernardino DA is prosecuting Business Insurance+5Work Comp Academy+5WorkCompCentral+5.
  • Kings County Farm Labor Contractor Scheme — Nearly $30 M
    Ruben Perez Mireles Jr. and John Mena allegedly underreported $29.2 million in payroll across two farm labor companies, causing over $3.5 million in premium loss. They also committed tax fraud and obtained PPP loan fraud, defrauding multiple state agencies. Prosecuted by the Central Valley Workers’ Compensation Fraud Task Force people.com+15California Department of Insurance+15Claims Pages+15.
  • Other High‑Profile Employer Fraud Cases
    Cases in San Diego and Los Angeles include a janitorial company underreporting $2.4 million in Fontana and a delivery company ring in L.A. defrauding over $21 million. The total economic impact of employer premium fraud in California is estimated at $1 billion to $3 billion annually WorkCompCentral+1WorkCompCentral+1WorkCompCentral+1Work Comp Academy+1.

📋 Summary Table

CaseEmployer TypeScheme DurationUnderreported PayrollEstimated Premium LossLegal Outcome
Tactical Ops Protective Services (Raul Chavez)Security & staffing, San Jose2017–2022$3.43 M≈ $205K180 days jail, 2 yrs probation, $225K restitution
Fontana Janitorial (Arredondo & Chaves)Janitorial services2018–2023$2.41 M≈ $436KCharged by San Bernardino DA
Vista Pacific & Calzona Ag (Mireles & Mena)Farm labor contracting, Kings County2019–2021$29.2 M≈ $3.5 MMultiple felony charges, plea deals pending

✅ Why This Matters

  • These frauds impede workers’ right to compensation and safety protections.
  • They undermine honest employers by enabling underpriced competition.
  • California’s Department of Insurance and DA offices are aggressively prosecuting such cases.
  • Workers injured under these schemes may need to pursue claims through the Uninsured Employers Benefits Trust Fund (UEBTF) or civil litigation.
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