413.054
(a) A person who performs services for the division as a designated doctor, an independent medical examiner, a doctor performing a medical case review, or a member of a peer review panel has the same immunity from liability as the commissioner under Section 402.00123. (b) Immunity from liability under this section does not apply to […]
415.0035
(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 […]
415.0036
(a) This section applies to an insurance adjuster, case manager, or other person who has authority under this title to request the performance of a service affecting the delivery of benefits to an injured employee or who actually performs such a service, including peer reviews, performance of required medical examinations, or case management. (b) A […]
415.008
(a) A person commits an administrative violation if the person, to obtain or deny a payment of a workers’ compensation benefit or the provision of a benefit for the person or another, knowingly or intentionally: (1) makes a false or misleading statement; (2) misrepresents or conceals a material fact; (3) fabricates, alters, conceals, or destroys […]
415.009
A person commits an administrative violation if the person brings, prosecutes, or defends an action for benefits under this subtitle or requests initiation of an administrative violation proceeding that does not have a basis in fact or is not warranted by existing law or a good faith argument for the extension, modification, or reversal of […]
415.010
A party to an agreement approved by the division commits an administrative violation if the person breaches a provision of the agreement. Acts 1993, 73rd Leg., ch. 269, § 1, eff. Sept. 1, 1993. Amended by Acts 2005, 79th Leg., ch. 265, § 3.274, eff. Sept. 1, 2005; Acts 2011, 82nd Leg., ch. 1162 (H.B. […]
415.0211
(a) The commissioner ex parte may issue an emergency cease and desist order if: (1) the commissioner believes a person regulated by the division under this title is engaging in conduct violating a law, rule, or order; and (2) the commissioner believes that the alleged conduct under Subdivision (1) will result in harm to the […]
415.0215
(a) The division may impose sanctions against any person regulated by the division under this subtitle. (b) Only the commissioner may impose: (1) a sanction that deprives a person of the right to practice before the division or of the right to receive remuneration under this subtitle for a period exceeding 30 days; or (2) […]
415.025
A reference in this code or other law, or in rules of the former Texas Workers’ Compensation Commission or the commissioner, to a particular class of violation, administrative violation, or penalty shall be construed as a reference to an administrative penalty. An administrative penalty may not exceed $25,000 per day per occurrence. Each day of […]
415.032
(a) If investigation by the division indicates that an administrative violation has occurred, the division shall notify the person alleged to have committed the violation in writing of: (1) the charge; (2) the proposed sanction; (3) the right to consent to the charge and the sanction; and (4) the right to request a hearing. (b) […]