Texas Workers’ Comp August Enforcements Include Fines of Up to $18K

The Texas Department of Insurance, Division of Workers’ Compensation (TDI-DWC) announced the following disciplinary actions that became final for August 2011.

Cherokee Insurance Company of Warren, Mich.
Order Number: DWC-11-0078
Date of Order: 8/18/2011
Order Final In: August
Action Taken: Fined $14,000
Violation: Failed to timely pay income benefits to injured employee; Failed to accurately submit medical bill and payment data to TDI-DWC

City of Houston of Houston
Order Number: DWC-11-0077
Date of Order: 8/18/2011
Order Final In: August
Action Taken: Fined $5,000
Violation: Failed to timely pay income benefits to injured employee; Failed to accurately report benefit data to TDI-DWC or accurately submit benefit data by electronic data interchange

Gray Insurance Company of Metairie, La.
Order Number: DWC-11-0075
Date of Order: 8/5/2011
Order Final In: August
Action Taken: Fined $5,000; Must provide compliance plan for timely processing of medical bills
Violation: Failed to accurately submit medical bill and payment data to TDI-DWC; Failed to timely pay income benefits to injured employee

Texas Political Subdivisions Joint Self Insurance Funds of Dallas
Order Number: DWC-11-0076
Date of Order: 8/8/2011
Order Final In: August
Action Taken: Fined $2,500
Violation: Failed to timely pay income benefits to injured employee; Failed to comply with order or decision of Commissioner or TDI-DWC

Vista Hospital of Dallas LLP and Vista Community Medical Center LLP of Dallas
Order Number: DWC-11-0082
Date of Order: 9/15/2011
Order Final In: August
Action Taken: Fined $18,000
Violation: (SOAH Docket No. 454-10-6056) Submitted charges for services not furnished; Violated TDI-DWC fee and treatment guidelines; Failed to comply with requirements for medical billing; Failed to comply with a Commissioner rule

Source: TDI-DWI

Topics Texas Workers' Compensation