408.025
(a) The commissioner by rule shall adopt requirements for reports and records that are required to be filed with the division or provided to the injured employee, the employee’s attorney, or the insurance carrier by a health care provider. (a-1) A treating doctor may delegate to a physician assistant who is licensed to practice in […]
408.183
(a) Entitlement to death benefits begins on the day after the date of an employee’s death. (b) An eligible spouse is entitled to receive death benefits for life or until remarriage. On remarriage, the eligible spouse is entitled to receive 104 weeks of death benefits, commuted as provided by commissioner rule. (b-1) Notwithstanding Subsection (b), […]
412.013
(a) In administering the guidelines for a comprehensive risk management program under Section 412.011(b)(4), the office must: (1) at least biennially review the guidelines to determine whether they are appropriate and current; and (2) at least every five years, update the guidelines to be consistent with up-to-date industry best practices and current law. (b) In […]
412.021
<Text of section expires pursuant to (f)> (a) The office is governed by the risk management board. Members of the board must have demonstrated experience in the fields of: (1) insurance and insurance regulation; (2) workers’ compensation; and (3) risk management administration. (a-1) A person may not be a member of the board if the […]
412.022
(a) A person who is appointed to and qualifies for office as a member of the board may not vote, deliberate, or be counted as a member in attendance at a meeting of the board until the person completes a training program that complies with this section. (b) The training program must provide the board […]
412.053
(a) Each state agency shall report to the director for each fiscal year: (1) the location, timing, frequency, severity, and aggregate amounts of losses by category of risk, including open and closed claims and final judgments; (2) loss information obtained by the state agency in the course of its administration of the workers’ compensation program; […]
413.0112
(a) In this section, “federal military treatment facility” means a medical facility that operates as part of the Military Health System of the United States Department of Defense. (b) The reimbursement rates for medical services provided to an injured employee by a federal military treatment facility must be the amount charged by the facility as […]
413.031
(a) A party, including a health care provider, is entitled to a review of a medical service provided or for which authorization of payment is sought if a health care provider is: (1) denied payment or paid a reduced amount for the medical service rendered; (2) denied authorization for the payment for the service requested […]
409.021
(a) An insurance carrier shall initiate compensation under this subtitle promptly. Not later than the 15th day after the date on which an insurance carrier receives written notice of an injury, the insurance carrier shall: (1) begin the payment of benefits as required by this subtitle; or (2) notify the division and the employee in […]
504.074
(a) A pool or a political subdivision that self-insures may establish an account for the payment of death benefits and lifetime income benefits under Chapter 408. (b) An account established under this section may accumulate assets in an amount that the pool or political subdivision, in its sole discretion, determines is necessary in order to […]