Austin, TX – 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. Violations cited in orders naming insurers included failure to timely pay a medical bill, failure to timely pay income benefits to an injured employee, and retrospectively reviewing the medical necessity of a preauthorized medical service or treatment. Violations cited in orders naming health care providers included failure to timely file and/or accurately complete TDI-DWC forms, reports or records.
Charter Oak Fire Insurance Company of Hartford, CT
Order Number: DWC-2081
Date of Order: 12/3/2012
Order Final In: December
Action Taken: Fined $2,000
Violation: Failed to timely pay income benefits to injured employee
Genghis Grill of College Station
Order Number: DWC-2083
Date of Order: 12/3/2012
Order Final In: December
Action Taken: Fined $600
Violation: Failed to comply with Commissioner’s Order to provide requested information about workers’ compensation coverage status
Patino, Louis D.C. of McAllen
Order Number: DWC-2123
Date of Order: 12/11/2012
Order Final In: December
Action Taken: Fined $55,000 (SOAH Docket No. 454-11-4712.C1)
Violation: Received indirect renumeration from the treatment of workers’ compensation system claimants after denied placement on approved doctor’s list
Service Lloyds Insurance Company of Austin
Order Number: DWC-2111
Date of Order: 12/14/2012
Order Final In: December
Action Taken: Fined $20,000
Violation: Failed to accurately submit medical bill and payment data
Texoma Specialty Care Center of Denison
Order Number: DWC-2084
Date of Order: 12/3/2012
Order Final In: December
Action Taken: Fined $500
Violation: Failed to comply with Commissioner’s Order to provide requested information about workers’ compensation coverage status
Travelers Casualty and Surety Company of Hartord, CT
Order Number: DWC-2080
Date of Order: 12/3/2012
Order Final In: December
Action Taken: Fined $6,000
Violation: Failed to notify TDI-DWC and injured employee of actions taken on a claim
Vantage Trailers, Inc. of Katy
Order Number: DWC-2089
Date of Order: 12/5/2012
Order Final In: December
Action Taken: Fined $1,000
Violation: Failed to comply with Commissioner’s Order to provide requested information about workers’ compensation coverage status
Williams, Clyde Marion M.D. of Amarillo
Order Number: DWC-2105
Date of Order: 12/11/2012
Order Final In: December
Action Taken: Fined $2,500
Violation: Failed to timely file and/or accurately complete TDI-DWC forms, reports or records
Source: TDI-DWC