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At a Glance:
Section:
10.200
Title:
Fee for Examination of a Certified Workers' Compensation Health Care Network

§ 10.200

Fee for Examination of a Certified Workers' Compensation Health Care Network

(a) As provided in Insurance Code § 1305.251, a network shall pay to the department an examination fee set by the Commissioner for expenses directly attributable to an examination of the network conducted pursuant to Insurance Code § 1305.251 or § 1305.252.

(b) The examination fee shall include the actual salary and expenses of the examiners directly attributable to the examination.

(1) The actual salary of an examiner is determined by dividing the annual salary of the examiner by the total number of working days in a year, then dividing that amount by the number of hours in a working day. The actual salary included in an examination fee shall be the part of the annual salary attributable to each hour the examiner examines the network.

(2) The expenses included in an examination fee shall be those actually incurred by the examiner and directly attributable to the examination, including the actual cost of:

(A) transportation,

(B) lodging,

(C) meals,

(D) subsistence expenses,

(E) parking fees, and

(F) department overhead expense.

(c) An examination fee paid pursuant to this section shall be payable and due to the Texas Department of Insurance, P.O. Box 149104, Mail Code 108-3A, Austin, Texas 78714-9104, no later than 30 days from the invoice date.

The provisions of this § 10.200 adopted to be effective March 25, 2008, 33 TexReg 2541.

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