December 6, 2017

Texas Division of Workers’ Compensation Announces June-July Enforcement Actions

AUSTIN – Commissioner of Workers’ Compensation Rod Bordelon recently announced final disciplinary actions taken by the Texas Department of Insurance, Division of Workers’ Compensation (TDI-DWC). The final actions include orders related to violations of the Texas Labor Code and rules promulgated by the Commissioner of Workers’ Compensation.

Copies of Commissioner of Workers’ Compensation orders may be obtained by calling Maria Jimenez, TDI-DWC Enforcement, at 512-804-4703 or via e-mail to Maria.Jimenez@tdi.state.tx.us.

DIVISION OF WORKERS’ COMPENSATION
FINAL DISCIPLINARY ORDERS FOR JUNE AND JULY 2011 (alphabetical order)

Ace American Insurance Company of Philadelphia, PA
Order Number: DWC11-0068
Date of Order: 7/12/2011
Order Final In: July
Action Taken: Fined $40,000
Violation: Failed to comply with order or decision of Commissioner or TDI-DWC; Failed to timely pay a medical bill; Failed to pay for preauthorized medical services

America First Lloyds Insurance Company of Richardson
Order Number: DWC-11-0062
Date of Order: 6/17/2011
Order Final In: June
Action Taken: Fined $9,000
Violation: Failed to accurately report medical bill and payment data to TDI-DWC

Connecticut Indemnity Company of Addison, TX
Order Number: DWC11-0072
Date of Order: 7/22/2011
Order Final In: July
Action Taken: Fined $2,500
Violation: Failed to pay an order awarding benefits; Failed to comply with order or decision of Commissioner or TDI-DWC

EBI, LLC of Parisippany, NJ
Order Number: DWC-11-0071
Date of Order: 7/22/2011
Order Final In: July
Action Taken: Fined $2,500
Violation: Improperly billed injured employee for workers’ compensation medical services provided

FedEx Freight Inc. of Memphis, TN
Order Number: DWC-11-0067
Date of Order: 6/24/2011
Order Final In: June
Action Taken: Fined $7,050
Violation: Failed to accurately report medical bill and payment data to TDI-DWC

Netherlands Insurance Company of Boston, MA
Order Number: DWC11-0066
Date of Order: 6/24/2011
Order Final In: June
Action Taken: Fined $2,500
Violation: Failed to timely pay income benefits to injured employee

Valdez, Anthony Francis M.D. of El Paso
Order Number: DWC11-0070
Date of Order: 7/22/2011
Order Final In: July
Action Taken: Fined $100,000; Ordered to cease and desist from participating in workers’ compensation system
Violation: Provided health care and received remuneration for services to injured employees after being denied admission to Approve Doctors List

Source: TDI-DWC

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