Texas Workers’ Comp September Enforcements Include $118K in Fines
Final disciplinary actions taken by the Texas Department of Insurance, Division of Workers’ Compensation (TDI-DWC) for September include $118,000 in fines, the department announced. Final disciplinary orders for September 2011, in alphabetical order, are:
Accident Fund Insurance Co. of America of Lansing, Mich.
Order Number: DWC11-0089
Date of Order: 9/23/2011
Order Final In: September
Action Taken: Fined $8,000
Violation: Failed to accurately report benefit data to TDI-DWC
Chubb Indemnity Insurance Co. of Warren, N.J.
Order Number: DWC11-0092
Date of Order: 9/23/2011
Order Final In: September
Action Taken: Fined $24,000
Violation: Failed to timely pay income benefits to injured employee; Failed to accurately report benefit data to TDI-DWC
City of Corpus Christi of Corpus Christi
Order Number: DWC11-0085
Date of Order: 9/8/2011
Order Final In: September
Action Taken: Fined $1,000
Violation: Failed to timely pay income benefits to injured employee; Failed to accurately submit medical bill and payment data
Clarendon National Insurance Co. of New York, N.Y.
Order Number: DWC11-0090
Date of Order: 9/23/2011
Order Final In: September
Action Taken: Fined $26,500
Violation: Failed to accurately and timely report benefit data to TDI-DWC; Failed to timely pay medical bill or to pay medical bill according to TDI-DWC Medical Fee Guidelines
Corpus Christi Independent School District of Corpus Christi
Order Number: DWC11-0087
Date of Order: 9/8/2011
Order Final In: September
Action Taken: Fined $15,000
Violation: Failed to accurately report electronic billing data to TDI-DWC
Federal Insurance Co. of Warren, N.J.
Order Number: DWC11-0093
Date of Order: 9/23/2011
Order Final In: September
Action Taken: Fined $17,500
Violation: Failed to timely pay income benefits to injured employee; Failed to timely pay medical bill
Gottesman, Jerome G. of Houston
Order Number: DWC11-0091
Date of Order: 9/23/2011
Order Final In: September
Action Taken: Fined $1,000
Violation: Breached a TDI-DWC approved agreement
Lewis, Jacques Brandon M.D. of Uvalde
Order Number: DWC11-0084
Date of Order: 9/8/2011
Order Final In: September
Action Taken: Fined $2,000; Must attend physician training
Violation: Failed to provide sufficient documentation to support conducting problem-oriented physical examinations
Wal-Mart Associates Inc. of Bentonville, Ark.
Order Number: DWC11-0086
Date of Order: 9/8/2011
Order Final In: September
Action Taken: Fined $23,000
Violation: Failed to timely pay income benefits to injured employee; Failed to timely respond to a request for reconsideration; Failed to pay fees according to TDI-DWC Medical Fee Guidelines
Source: Texas Department of Insurance, Division of Workers’ Compensation