All Things Texas Workers' Compensation

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Code: 

Labor Code

Title: 

Title 5. Workers’ Compensation

Section: 

415.0035

Name: 

Additional Violations By Insurance Carrier Or Health Care Provider

Eff. Date: 

September 1, 2011

No Rule Reference

§415.0035
Additional Violations By Insurance Carrier Or Health Care Provider

(a) An insurance carrier or its representative commits an administrative violation if that person:

(1) fails to submit to the division a settlement or agreement of the parties;

(2) fails to timely notify the division of the termination or reduction of benefits and the reason for that action; or

(3) denies preauthorization in a manner that is not in accordance with rules adopted by the commissioner under Section 413.014.

(b) A health care provider commits an administrative violation if that person:

(1) fails or refuses to timely file required reports or records; or

(2) fails to file with the division the annual disclosure statement required by Section 413.041.

(c) Repealed by Acts 2011, 82nd Leg., ch. 1162 (H.B. 2605), § 37(2).

(d) Repealed by Acts 2011, 82nd Leg., ch. 1162 (H.B. 2605), § 37(2).

(e) A person regulated by the division under this title commits an administrative violation if the person violates this subtitle or a rule, order, or decision of the commissioner.

(f) Repealed by Acts 2011, 82nd Leg., ch. 1162 (H.B. 2605), § 37(2).

Added by Acts 1995, 74th Leg., ch. 980, § 1.45, eff. Sept. 1, 1995. Amended by Acts 2001, 77th Leg., ch. 1456, § 6.06, eff. June 17, 2001; Acts 2005, 79th Leg., ch. 265, § 3.268, eff. Sept. 1, 2005; Acts 2011, 82nd Leg., ch. 1162 (H.B. 2605), §§ 27, 37(2), eff. Sept. 1, 2011.