The Texas Department of Insurance, Division of Workers Compensation (TDI-DWC), recently issued disciplinary orders under the Commissioner of Workers Compensation Rod Bordelon. The actions are related to violations of the Texas labor code.
Among the many disciplinary orders posted for 2011 are the following:(WCxKit)
Ace American Insurance Co. of Philadelphia, Penn., was fined $40,000 for failing to timely pay a medical bill and failure to pay for preauthorized medical services.
For failing to accurately report medical bill and payment data to the TDI-DWC America First Lloyds Insurance Company of Richardson was fined $9,000.
A fine of $2,500 was levied against the Connecticut Indemnity Company of Addison, Texas, for failing to pay an order awarding benefits; and failing to comply with an order of the Commissioner or TDI-DWC.
EBI, LLC of Parisippany, NJ, was fined $2,500 for improperly billing injured employee for provided workers compensation medical services provided.
FedEx Freight, Inc., of Memphis, Tenn., was fined $7,500, for failing to accurately report medical bill and payment data to the TDI-DWC.
A fine of $2,500 was levied against Netherlands Insurance Company of Boston, Mass., for failing to accurately submit pay income benefits to injured employee.
And Valdez, Anthony Francis M.D. of El Paso was ordered to cease and desist from participating in the workers compensation system because he provided health care and received remuneration for services to injured employees after being denied admission to approved doctors list.
Alpha Dental Programs, Inc., of Flower Mound was fined $25,000 for failing to pay clean claims in a timely manner.(WCxKit)
To read more violations, check the TFI-DWC website here.
This information was provided by attorney Stuart Colburn, a Shareholder at Downs Stanford in Austin, Texas. Colburn has extensive experience in all phases of dispute resolution before the Texas Department of Insurance, Division of Workers Compensation and in district courts across the state. Stuart represents clients regarding workers compensation, non-subscription, subrogation, and bad faith litigation. He is the founder and the first chairman of the State Bar of Texas (SBOT) Workers Compensation Section; course coordinator for the SBOT the Advanced Workers Compensation Seminar; and course coordinator for the Texas Workers Compensation Forum. He can be reached at: firstname.lastname@example.org
Our Workers Compensation Book: http://www.wcmanual.com
Do not use this information without independent verification. All state laws vary. You should consult with your insurance broker or agent about workers comp issues.
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