Free K-WC 706 - Fraud and Compliance Pamphlet (Rev. 03-06) - Kansas

E-mail

[email protected]

Phone

785-296-6392 Toll Free: 1-800-332-0353 (ask for the Fraud and Abuse Unit)

DEPARTMENT OF LABOR
Division of Workers Compensation

Web Site Mail

www.dol.ks.gov
Kansas Department of Labor Division of Workers Compensation Fraud and Abuse Unit 800 SW Jackson Street, Suite 600 Topeka, KS 66612-1227

Workers Compensation Fraud

Fraud and Abuse Investigation Unit
K-WC 706 (Rev. 3-06)

About Us
Identifying and prosecuting workers compensation fraud is a priority for the State of Kansas. The Fraud and Abuse Unit was established in 1994 to detect, investigate and deter fraudulent and abusive acts or practices by employers, employees and health care providers. This unit does not investigate misconduct by insurance carriers or agents. Instead, the Kansas Insurance Department (785-296-3071) addresses those complaints.

Areas of Investigation
Fraudulent or Abusive Acts: Administrative and Criminal Defined in K.S.A. 44-5,120(d) and 44-5,125. Examples of fraudulent or abusive acts include: · making false or misleading statements to obtain benefits · presenting a false certificate of insurance · submitting a charge for health care not furnished The penalty for committing such acts: · $2,000 fine for each act of fraud or abuse · misdemeanor or felony criminal charges Employer Failure to Secure Workers Compensation Insurance In general, an employer with a payroll exceeding $20,000 must secure workers compensation coverage for its employees. The penalty for violating this provision is twice the annual premium or $25,000, whichever is greater. Employer Failure to Timely File Accident Report Every employer has a duty to report employee accidents within 28 days if the injuries wholly or partially incapacitate the person for more than the day, shift or turn. Penalty for repeated violations: · $250 for each violation

Reporting
The Fraud and Abuse Unit receives complaints of suspected fraud from many different sources including: · Insurance Companies · Kansas Insurance Department · Employers · Employees · Attorneys If you believe that a violation of the Workers Compensation Act has occurred, please notify us.

Our Staff
Assistant Attorney General An Assistant Attorney General is assigned to direct the prosecution of workers compensation fraud and abuse. The Assistant Attorney General pursues administrative or criminal proceedings against employees, employers and health care providers who violate the Workers Compensation Act. Special Investigators The Special Investigators investigate suspected fraud or abuse. The investigators interview witnesses, collect evidence and testify in administrative or criminal proceedings. Administrative Specialist The Administrative Specialist maintains records of payments, enters data, prepares exhibits for hearings and takes complaints of suspected fraud.

Contact our agency by mail, e-mail or phone to report suspected fraud. You may remain anonymous if you choose.