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Part 7. State Office of Administrative Hearings

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Chapter 19. Agents Licensing

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(Claims Before Jan. 1, 1991)

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Part 6. Office of Injured Employee Counsel

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Chapter 815. Unemployment Insurance

Chapter 19. Agents Licensing

Subchapter B. Benefits, Claims, and Appeals

Latest Court Cases

Law Offices of Miller & Bicklein PC v. Ace American Insurance Company

The Austin Court of Appeals affirmed the dismissal of claims by the Law Offices of Miller & Bicklein and Daniel Miramontes seeking to shift attorney’s fees to the workers’ compensation carrier. The court held that because Miramontes did not appeal the December 2022 judgment—which awarded over $80,000 in attorney’s fees
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Law v. Texas Department of Insurance - Division of Workers' Compensation

The Fifteenth Court of Appeals vacated the district court’s dismissal order and dismissed Randall Law’s claims with prejudice as moot. Law had challenged the Texas Department of Insurance, Division of Workers’ Compensation’s Subsequent Injury Fund for switching from annual written to monthly phone verification of his eligibility. Because the agency
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Lilly v. Weisinger

Court of Appeals of Texas, Beaumont. Glenn Eric LILLY, Appellant v. Michael Scott WEISINGER, Appellee NO. 09-23-00258-CV | Submitted on August 30, 2024 | Opinion Delivered August 28, 2025 On Appeal from the 284th District Court, Montgomery County, Texas, Trial Cause No. 22-07-08680-CV, Honorable Kristin Bays, Judge Attorneys & Firms

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Pilot Travel Centers, LLC v. M Felder Trucking, LLC

On appeal from the state court judgment, the Fourteenth Court of Appeals reversed and rendered judgment for Pilot. It held that, as a matter of law, Mark Felder was not a “Covered Person” under the nonsubscriber insurance policy at issue because Felder Trucking did not pay him wages directly. Without
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Battle v. Matthews Nissan of Paris - 4:24-CV-00527 - Aug 22, 2025

The federal court recommended dismissal of the plaintiff’s claims without prejudice due to lack of subject-matter jurisdiction and failure to prosecute. The court found that the allegations, which referenced being denied workers’ compensation, arose under Texas state law and not federal law, and diversity jurisdiction was not established.
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Rudolph Automotive, LLC v. Juarez

The El Paso Court of Appeals reversed the trial court’s order that had disregarded the jury’s findings and held, as a matter of law, that two employees were acting in the course and scope of employment when an accident occurred. Because Rudolph Automotive was a non-subscriber to workers’ compensation insurance,
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Latest AP Decisions

APD 251341

The Appeals Panel affirmed the ALJ’s findings that the claimant’s compensable injury extended to multiple head and brain conditions, including a subdural hemorrhage, concussion, post-concussion syndrome, vestibular disorder, visual field defects, and occipital lobe stroke, but not to irregular flow signals in the posterior cerebral artery. It also affirmed that
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APD 251493

The Appeals Panel affirmed the ALJ’s finding that the claimant’s compensable injury did not extend to a T7-T8 disc bulge or thoracic dextroscoliosis. However, it reversed and remanded the case because the ALJ failed to address whether the injury extended to a T8-T9 disc bulge, an issue that was actually
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  • Appeals Panel

APD 251474

The Appeals Panel affirmed the ALJ’s findings that the worker’s compensable right knee injury extended to a complex tear of the medial meniscus and that the claimant had not reached maximum medical improvement, so an impairment rating could not yet be assigned. The panel also affirmed that the claimant had
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  • Appeals Panel

APD 251365

The Appeals Panel reversed and remanded the ALJ’s findings that the claimant reached maximum medical improvement (MMI) on the date of injury with a 0% impairment rating. The designated doctor had refused to consider the claimant’s compensable post-traumatic stress disorder (PTSD) in his MMI and IR determinations, which violated the
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  • Appeals Panel

APD 251308

The Appeals Panel affirmed the ALJ’s decision that the compensable injury did not extend to a left shoulder rotator cuff tear, a disc bulge at C3-4, thoracic strain, or dysphagia. However, it reversed the ALJ’s findings that the injury did not extend to disc bulges at C4-5 and C5-6, finding
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  • Appeals Panel

APD 251337

The Appeals Panel reversed the ALJ’s decision and held that the claimant was on a special mission when injured in a motor vehicle accident traveling to a mandatory orientation in a different city, making the injury compensable. The Panel struck findings that exceeded the scope of the issues but determined
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