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At a Glance:
Title:
09082
Date:
January 29, 2009
Status:
Concurrent Medical Necessity

09082

January 29, 2009

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 contested case hearing was held on January 21, 2009, to decide the following disputed issue:

Is the preponderance of the evidence contrary to the decision of the Independent Review

Organization that Claimant is not entitled to GRP4 power wheelchair for the compensable

injury of _______________? Organization that Claimant is not entitled to GRP4 power wheelchair for the compensable injury of _______________?

PARTIES PRESENT

Claimant did not appear but was represented by DTR, attorney. Carrier was presented by ARL, Jr.

AGREEMENT

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

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

The Hearing Officer found:

A.Carrier delivered to Claimant's attorney a single document stating the true corporate name of Carrier, and the name and street address of Carrier's registered agent, which document was admitted into evidence as Hearing Officer's Exhibit Number 2.

B.The Texas Department of Insurance, Division of Workers' Compensation, has jurisdiction to hear this case.

C.Venue is proper in the (City) Field Office of the Texas Department of Insurance, Division of Workers' Compensation.

D.On _______________, Claimant was the employee of (Employer).

The parties agreed as follows:

The parties agree that the preponderance of the evidence is contrary to the Independent Review Organization's decision that Claimant is not entitled to GRP4 power wheelchair for the compensable injury of _______________.

DECISION

The parties agree that the preponderance of the evidence is contrary to the Independent Review Organization's decision that Claimant is not entitled to GRP4 power wheelchair 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.

The true corporate name of the insurance carrier is SECURITY INSURANCE COMPANY OF HARTFORD and the name and address of its registered agent for service of process is

CORPORATION SERVICES COMPANY

701 BRAZOS, SUITE 1050

AUSTIN, TEXAS 78701

Signed this 29th day of January, 2009.

CAROLYN F. MOORE
Hearing Officer

End of Document
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