Title: 

APD 031282

Significant Decision

Date: 

July 1, 2003

Issues: 

Dispute of DD IR, SIBS-First Quarter

Table of Contents

APD 031282

This appeal arises pursuant to the Texas Workers’ Compensation Act, TEX. LAB. CODE ANN. § 401.001 et seq. (1989 Act). A contested case hearing was held on April 16, 2003. The hearing officer decided that the respondent (claimant) is not entitled to supplemental income benefits for the first quarter, and that he reached maximum medical improvement on February 8, 2002, with an impairment rating (IR) of 16%. The appellant (carrier) filed a conditional appeal disputing the 16% IR. The file does not contain an appeal or a response from the claimant.

DECISION

The hearing officer’s decision and order have become final. Section 410.169.

The carrier filed an appeal but stated that “[s]hould claimant not timely appeal the hearing officer’s decision, carrier requests that its Conditional Request for Review be withdrawn.” The claimant did not appeal the hearing officer’s decision and order. Accordingly, we dismiss the carrier’s appeal.

The true corporate name of the insurance carrier is AMERISURE MUTUAL INSURANCE COMPANY and the name and address of its registered agent for service of process is

CINDY GHALIBAF

7610 STEMMONS FREEWAY, SUITE 350

DALLAS, TEXAS 75247-4216.

Margaret L. Turner

CONCUR:

Veronica L. Ruberto – Appeals Judge

Edward Vilano – Appeals Judge