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At a Glance:
Title:
17012-nnr
Date:
October 16, 2017

17012-nnr

October 16, 2017

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. For the reasons discussed herein, the Administrative Law Judge determines that:

Claimant is not entitled to four series of FRAXEL treatments for the compensable injury of (Date of Injury).

ISSUE

On October 16, 2017, Warren E. Hancock, Jr., a Division Administrative Law Judge held a contested case hearing to decide the following disputed issue:

  1. Is the preponderance of the evidence contrary to the decision of the IRO that the Claimant is not entitled to four series of FRAXEL treatments for the compensable injury of (Date of Injury)?

PARTIES PRESENT

Claimant appeared and was represented by JG, attorney. Carrier appeared and was represented by CL, attorney.

AGREEMENT

The parties reached an agreement. The agreement resolves only those issues 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, this Agreement section includes findings of fact and the Decision section constitutes the conclusions of law.

The parties agreed as follows:

  1. Venue is proper in the (City) Field Office of the Texas Department of Insurance, Division of Workers’ Compensation.
  2. On (Date of Injury), Claimant was the employee of (Employer), Employer.
  3. On (Date of Injury), Employer provided workers’ compensation insurance through Travelers Casualty & Surety Company, Carrier.
  4. Carrier delivered to Claimant 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 Administrative Law Judge’s Exhibit Number 2.
  5. Claimant sustained a compensable injury on (Date of Injury) in the form of at least the Carrier-accepted condition of facial laceration.
  6. The IRO determined that Claimant should not have the requested series of four FRAXEL treatments for the compensable injury of (Date of Injury).
  7. The preponderance of the evidence is not contrary to the decision of the IRO that Claimant is not entitled to a series of four FRAXEL treatments for the compensable injury of (Date of Injury).

DECISION

Claimant is not entitled to four series of FRAXEL treatments for the compensable injury of (Date of Injury).

ORDER

Carrier is not liable for the benefits at issue in this hearing, and it is so ordered. Claimant remains entitled to medical benefits for the compensable injury in accordance with TEX. LABOR CODE §408.021.

The true corporate name of the insurance carrier is TRAVELERS CASUALTY & SURETY COMPANY and the name and address of its registered agent for service of process is:

CORPORATION SERVICE COMPANY

211 EAST 7TH STREET, STE 620

AUSTIN, TX 78701-3218

Signed this 16th day of October, 2017.

Warren E. Hancock, Jr.
Administrative Law Judge

End of Document
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