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At a Glance:
Title:
08085
Date:
July 10, 2008
Status:
Concurrent Medical Necessity

08085

July 10, 2008

DECISION AND ORDER

This case is decided pursuant to Chapter 410 of the Texas Workers’ Compensation Act and Rules of the Division of Workers’ Compensation adopted thereunder.

ISSUE

A benefit contested case hearing was held on July 10, 2008, to decide the following disputed issue:

Is work conditioning, eight hours a day, five times a week for two weeks, reasonable and necessary health care for the compensable injury of ____________? (Issue revised by agreement of the parties)

PARTIES PRESENT

Claimant appeared and was assisted by NG, ombudsman. Carrier appeared, by telephone, and was represented by DP, attorney.

AGREEMENT

The parties reached an agreement. The agreement only resolves the issues to be decided at this hearing. The agreement does not resolve all issues regarding the claim and is not a settlement.

In this decision, this Agreement section includes findings of fact and the Decision Section constitutes the conclusions of law.

Hearing Officer Findings:

  • Venue is proper in the (City) Field Office of the Texas Department of Insurance, Division of Workers’ Compensation.
  • On ____________, Claimant was the employee of (Employer). when he sustained a compensable injury.
  • Carrier delivered to Claimant a single document stating the true corporate name of Carrier, and name and street address of Carrier's registered agent.

The parties agreed to the following:

The parties agree that work conditioning, eight hours a day, five times a week for two weeks, is reasonable and necessary health care for the compensable injury of ____________.

DECISION

Work conditioning, eight hours a day, five times a week for two weeks, is reasonable and necessary health care for the compensable injury of ____________.

ORDER

Carrier is ordered to pay benefits in accordance with this decision, the Texas Workers’ Compensation Act, and the Commissioner’s Rules. Accrued but unpaid income benefits, if any, shall be paid in a lump sum together with interest as provided by law.

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:

RUSSELL OLIVER, PRESIDENT

6210 EAST HIGHWAY 290

AUSTIN, TX 78723

Signed this 10th day of July, 2008.

Carol A. Fougerat
Hearing Officer

End of Document
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