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APD 210207
April 7, 2021

APD 210207

April 7, 2021

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 December 29, 2020, in (city), Texas, with (administrative law judge) presiding as the administrative law judge (ALJ). The ALJ resolved the disputed issues by deciding that: (1) the compensable injury of (date of injury), does not extend to closed concussive mild traumatic brain injury (TBI), post-concussion syndrome, vestibular disorder, headache, or visual changes; (2) the appellant (claimant) reached maximum medical improvement (MMI) on January 10, 2019, with a 13% impairment rating (IR); and (3) the eighth day of disability is May 7, 2018.

The claimant appealed the ALJ’s extent of injury, MMI, and IR determinations. The respondent (carrier) responded, urging affirmance of the ALJ’s extent of injury, MMI, and IR determinations. The ALJ’s determination that the eighth day of disability is May 7, 2018, was not appealed and has become final pursuant to Section 410.169.


Reversed and remanded for reconstruction of the record.

The ALJ’s decision and order states that the following exhibits were admitted into evidence: ALJ’s Exhibit 1; claimant’s Exhibits 1 through 6, and carrier’s Exhibits A through R. The carrier’s exhibit list states that Exhibit B contains 1 page and contains the carrier information form; however, the case file sent for review does not contain a carrier Exhibit B. Because the record is incomplete, it must be remanded for the addition or reconstruction of the missing exhibit. See Appeals Panel Decision (APD) 030543, decided April 18, 2003.

Pending resolution of the remand, a final decision has not been made in this case. However, since reversal and remand necessitate the issuance of a new decision and order by the ALJ, a party who wishes to appeal from such new decision must file a request for review not later than 15 days after the date on which such new decision is received from the Texas Department of Insurance, Division of Workers’ Compensation, pursuant to Section 410.202 which was amended June 17, 2001, to exclude Saturdays and Sundays and holidays listed in Section 662.003 of the Texas Government Code in the computation of the 15-day appeal and response periods. See APD 060721, decided June 12, 2006.    

According to the ALJ’s decision, the true corporate name of the insurance carrier is TEXAS MUTUAL INSURANCE COMPANY and the name and address of its registered agent for service of process is


Cristina Beceiro
Appeals Judge


Carisa Space-Beam
Appeals Judge

Margaret L. Turner
Appeals Judge