Please ensure Javascript is enabled for purposes of website accessibility
Walters: Fraud Infects Disability System
dan_walters
By Dan Walters, CalMatters Commentary
Published 5 years ago on
February 10, 2020

Share

Kenneth and Mandy Henderson have given a new dimension to marital togetherness.
Two years ago, a disability claim filed by Mandy Henderson, a lieutenant in the Santa Clara County sheriff’s office, came under suspicion.


Dan Walters
Opinion
She claimed to be in constant pain from injuries suffered on the job and had to spend most of her days lying on a couch. However, a surveillance video showed her walking and engaging in bodybuilding exercises in Las Vegas, where she was living while still on the sheriff’s payroll several hundred miles away.
Lt. Henderson was charged with defrauding the workers’ compensation system that pays medical bills and provides income to those with work-related injuries and illnesses and resigned. She was required to make restitution and placed on probation.
The video, however, also showed her husband, Kenneth, working on making his body more muscular and that interested the City of Santa Clara because he had left the city police department on a disability-related retirement in 2016, claiming that he had been injured in 2015 while picking up a stack of five traffic control cones.
This month, Kenneth Henderson was also charged with workers’ compensation fraud. Prosecutor Vonda Tracey said that when officials showed the workout video to the doctors who had validated his disability, it completely undercut his claim.

Fraud in Supporting Disabled Workers Is Rampant

“He was described by one of the doctors as presenting like someone who had a stroke,” Tracey said. “He claimed he couldn’t drive and was in constant pain, and he could only do work around the house and water the plants.”
Having both halves of a married law enforcement couple prosecuted for the same crime of cheating on workers’ compensation is obviously unusual. But there’s another odd aspect — it happened in Northern California.
Fraud in California’s $20 billion a year system of supporting disabled workers is rampant, but the vast majority of it occurs in Southern California. Shady lawyers use what are called “cappers” to scour the streets for potential clients, asking them whether they are feeling any pain that might be connected to past employment.
The resulting claims often describe “cumulative trauma” that cannot be tied to any one event. Equally shady doctors sign off on the claims.
Two recent reports by the Workers’ Compensation Insurance Rating Bureau frame the prevalence of fraud in Southern California.
One, on doctors who have been charged with fraud, reveals that “Indicted providers in the Los Angeles Basin accounted for about half of … indicted providers but received more than 90 percent of the medical payments made to indicted providers.”

Obviously, There’s Big Money in Defrauding the System

The second report reveals that “the share of cumulative trauma claims as a percent of all claims is much higher in the Los Angeles Basin than in other parts of the state, and that gap has generally widened over time.”

The Legislature periodically strengthens anti-fraud laws. Three years ago, the Department of Industrial Relations, using a new law, suspended seven Southern California doctors from participating in workers’ comp.
The Legislature periodically strengthens anti-fraud laws. Three years ago, the Department of Industrial Relations, using a new law, suspended seven Southern California doctors from participating in workers’ comp.
One, Philip Sobol, an orthopedic surgeon in Los Angeles, had been convicted of federal insurance fraud charges for getting kickbacks from lawyers. He had filed nearly 6,000 active compensation claims for an estimated value of more than $42.7 million.
Obviously, there’s big money in defrauding the system and it’s a factor in California’s employers paying the nation’s second-highest costs for workers’ compensation insurance, according to a biennial survey by Oregon’s Department of Consumer and Business Services, the widely accepted authority.
It also indirectly cheats those with legitimate work-related disabilities.
CalMatters is a public interest journalism venture committed to explaining how California’s state Capitol works and why it matters. For more stories by Dan Walters, go to calmatters.org/commentary.
[activecampaign form=31]

DON'T MISS

Wired Wednesday: CEMEX’s New Mining Plan for the San Joaquin River

DON'T MISS

Trump Fires NSC Officials a Day After Far-Right Activist Raises Concerns to Him

DON'T MISS

China Halts Approvals for New US Investment Projects

DON'T MISS

Measles Spreads to Central Texas; 5 States Have Active Outbreaks

DON'T MISS

Trump Tariff Fears Erase $2 Trillion From US Stocks

DON'T MISS

Startup Offers Controversial Microplastic Blood Cleansing Treatment

DON'T MISS

Senate Confirms Mehmet Oz to Take Lead of Medicare and Medicaid Agency

DON'T MISS

First California EV Mandates Hit Automakers This Year. Most Are Not Even Close

DON'T MISS

Pence Will Receive the Profile in Courage Award From the JFK Library for His Actions on Jan. 6

DON'T MISS

Politics Turns Ugly for a Conservative Running for Fresno State Student Body President

UP NEXT

Why Project Labor Agreements Are Good for Our Schools and Students: Opinion

UP NEXT

State Center Trustees Vote for Special Interest Giveaway Over Students: Opinion

UP NEXT

I Will Force Votes on Blocking Arms Sales to Israel: Sen. Bernie Sanders

UP NEXT

What Trump’s ‘Liberation Day’ Tariffs Could Mean for Americans: Fareed Zakaria

UP NEXT

Why the Nation Would Be Wise to Support a Third Term Amendment for Donald Trump

UP NEXT

If California Bails Out LA’s $1 Billion Budget Deficit, Beware the Slippery Slope

UP NEXT

Trump Has Had Enough. He Is Not Alone.

UP NEXT

The Real Crisis in California Schools Is Low Achievement, Not Cultural Conflicts

UP NEXT

Trump and Musk Are Suffering From Soros Derangement Syndrome

UP NEXT

CA Politicians Have an Irritating Habit of Ignoring the Downsides

Measles Spreads to Central Texas; 5 States Have Active Outbreaks

6 hours ago

Trump Tariff Fears Erase $2 Trillion From US Stocks

7 hours ago

Startup Offers Controversial Microplastic Blood Cleansing Treatment

7 hours ago

Senate Confirms Mehmet Oz to Take Lead of Medicare and Medicaid Agency

8 hours ago

First California EV Mandates Hit Automakers This Year. Most Are Not Even Close

10 hours ago

Pence Will Receive the Profile in Courage Award From the JFK Library for His Actions on Jan. 6

10 hours ago

Politics Turns Ugly for a Conservative Running for Fresno State Student Body President

10 hours ago

Pentagon’s Watchdog to Review Hegseth’s Use of Signal App to Convey Plans for Houthi Strike

10 hours ago

President Trump’s Tariffs Could Be the Political Tipping Point

11 hours ago

Order That Kept Water in the Kern River Reversed by 5th District Court of Appeal

11 hours ago

Wired Wednesday: CEMEX’s New Mining Plan for the San Joaquin River

GV Wire’s Edward Smith talks with KMPH Fox 26 “Great Day” anchor Christina Rodriguez about the possibility of CEMEX digging a 600-foot hole ...

5 hours ago

5 hours ago

Wired Wednesday: CEMEX’s New Mining Plan for the San Joaquin River

President Donald Trump speaks during an event to announce new tariffs in the Rose Garden at the White House, Wednesday, April 2, 2025, in Washington. (AP/Mark Schiefelbein)
5 hours ago

Trump Fires NSC Officials a Day After Far-Right Activist Raises Concerns to Him

6 hours ago

China Halts Approvals for New US Investment Projects

6 hours ago

Measles Spreads to Central Texas; 5 States Have Active Outbreaks

7 hours ago

Trump Tariff Fears Erase $2 Trillion From US Stocks

7 hours ago

Startup Offers Controversial Microplastic Blood Cleansing Treatment

Dr. Mehmet Oz, President Donald Trump's pick to lead the Centers for Medicare and Medicaid Services, seated right, gives a thumbs-up alongside his wife Lisa Oz, seated left, with friends and family after he testified at his confirmation hearing before the Senate Finance Committee, on Capitol Hill in Washington, Friday, March 14, 2025. (AP/Ben Curtis)
8 hours ago

Senate Confirms Mehmet Oz to Take Lead of Medicare and Medicaid Agency

10 hours ago

First California EV Mandates Hit Automakers This Year. Most Are Not Even Close

Help continue the work that gets you the news that matters most.

Search

Send this to a friend