![]() Indemity Insurance Company of North America of Philadelphia, PA Violation: Failed to timely pay income benefits to injured employee Failed to notify TDI-DWC of action taken on a claim Violation: Improperly billed an injured employee for workers’ compensation services providedĮmployers Preferred Insurance Company of Reno, NV Violation: As non-attorney representative, improperly received fee from workers’ compensation claimantĬhubb Indemnity Insurance Company of Warren, NJ of San AntonioĪction Taken: SOAH DOCKET No. ![]() Znat Insurance Company of Woodland Hills, CAĬenter for Injured Workers, Inc. Violation: Failed to timely comply with a TDI-DWC order Failed to timely pay accrued income benefits following receipt of designated doctors report Wausau Underwriters Insurance Company of Boston, MA Violation: Failed to timely pay indemnity benefits Violation: Failed to comply with TDI-DWC order Tower National Insurance Company of New York, NY Violation: Failed to timely pay an advance ordered by TDI-DWC Failed to timely provide injured employee records to designated doctor Failed to accurately report benefit data to TDI-DWC or accurately submit benefit data by electronic data interchange Violation: Failed to provide required claims experience and documentation of loss analysis to policyholders Protective Insurance Company of Indianapolis, IN Violation: Failed to timely pay income benefits to injured employee Failed to notify TDI-DWC and injured employee of actions taken on a claim Markel Insurance Company of Glen Allen, VA ![]() Violation: Failed to adequately document required information in a peer review report Violation: Failed to timely comply with Commissioner’s Order to provide requested information about workers’ compensation coverage status Violation: Failed to accurately report electronic data interchange (EDI) medical billing data to TDi-DWC GuideOne Mutual Insurance Company of West Des Moines, IA Violation: Failed to appropriately evaluate injured employee assignedĮl Paso County Community College of El Paso Violation: Failed to accurately submit medical bill and payment data to TDI-DWCĪction Taken: Permanently cease from participating or practicing in Texas workers’ compensation system Violation: Failed to timely file and/or accurately complete TDI-DWC forms, reports, or recordsĪmerisure Partners Insurance Company of Farmington Hills, MI Violation: Failed to comply with Commissioner’s Order to provide requested information about workers’ compensation coverage status Violation: Failed to comply with Texas Workers’ Compensation Act Violation: Failed to timely comply with a TDI-DWC order Harlandale Independent School District of San Antonio Violation: Failed to accurately submit medical bill and payment data Violation: Failed to accurately and timely submit electronic data interchange (EDI) records to TDI-DWCįlorists’ Mutual Insurance Company of Edwardsville, IL Violation: Failed to use a properly equipped medical facility for designated doctor examinationsĮl Paso County Hospital District of El Paso Violation: Failed to timely report medical electronic data interchange (EDI) records to TDI-DWCĪction Taken: Must cease designated doctor examinations at a specific location and must request the location for examinations be deleted from TDI-DWC system Violation: Provided treatment not in accord with applicable treatment guidelines and not within the standard of careĮast Texas Educational Insurance Association of Tyler of San AntonioĪction Taken: Fined $5,000 Must complete continuing education course on following medical guidelines Violation: Quality of health care provided not in compliance with statutory requirements Failed to report a disciplinary action on Designated Doctor applicationīurke, Douglas William D.C. Violation: Failed to timely pay income benefits to injured employee Violation: Failed to accurately report benefit data to TDI-DWC or accurately submit benefit data by electronic data interchange Violations cited in orders naming health care providers included failure to timely file and/or accurately complete TDI-DWC forms, reports or records. 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. The final actions include orders related to violations of the Texas Labor Code and rules promulgated by the Commissioner of Workers’ Compensation. ![]() 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).
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