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TX Division of Workers’ Compensation Announces September Enforcement Actions

October 18, 2011 - WorkCompWire

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 SEPTEMBER 2011 (alphabetical order)

Accident Fund Insurance Company of America of Lansing, MI
Order Number: DWC11-0089
Date of Order: 9/23/2011
Order Final In: September
Action Taken: Fined $8,000
Violation: Failed to accurately report benefit data to TDI-DWC

Chubb Indemnity Insurance Company of Warren, NJ
Order Number: DWC11-0092
Date of Order: 9/23/2011
Order Final In: September
Action Taken: Fined $24,000
Violation: Failed to timely pay income benefits to injured employee; Failed to accurately report benefit data to TDI-DWC

City of Corpus Christi of Corpus Christi
Order Number: DWC11-0085
Date of Order: 9/8/2011
Order Final In: September
Action Taken: Fined $1,000
Violation: Failed to timely pay income benefits to injured employee; Failed to accurately submit medical bill and payment data

Clarendon National Insurance Company of New York, NY
Order Number: DWC11-0090
Date of Order: 9/23/2011
Order Final In: September
Action Taken: Fined $26,500
Violation: Failed to accurately and timely report benefit data to TDI-DWC; Failed to timely pay medical bill or to pay medical bill according to TDI-DWC Medical Fee Guidelines

Corpus Christi Independent School District of Corpus Christi
Order Number: DWC11-0087
Date of Order: 9/8/2011
Order Final In: September
Action Taken: Fined $15,000
Violation: Failed to accurately report electronic billing data to TDI-DWC

Federal Insurance Company of Warren, NJ
Order Number: DWC11-0093
Date of Order: 9/23/2011
Order Final In: September
Action Taken: Fined $17,500
Violation: Failed to timely pay income benefits to injured employee; Failed to timely pay medical bill

Gottesman, Jerome G. of Houston
Order Number: DWC11-0091
Date of Order: 9/23/2011
Order Final In: September
Action Taken: Fined $1,000
Violation: Breached a TDI-DWC approved agreement

Lewis, Jacques Brandon M.D. of Uvalde
Order Number: DWC11-0084
Date of Order: 9/8/2011
Order Final In: September
Action Taken: Fined $2,000; Must attend physician training
Violation: Failed to provide sufficient documentation to support conducting problem-oriented physical examinations

Wal-Mart Associates, Inc. of Bentonville, AR
Order Number: DWC11-0086
Date of Order: 9/8/2011
Order Final In: September
Action Taken: Fined $23,000
Violation: Failed to timely pay income benefits to injured employee; Failed to timely respond to a request for reconsideration; Failed to pay fees according to TDI-DWC Medical Fee Guidelines

Source: TDI-DWC

Filed Under: Claims, Legal, & Compliance News, Legislative & Regulatory News, Top Stories, Workers' Compensation

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