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TDI Releases December 2010 Workers’ Compensation Violators

The Texas Department of Insurance on January 14, 2011, released final disciplinary decisions for violations of Division of Workers’ Compensation rules.  Among these fines were the following insurer violations:

-American Guarantee & Liablity Insurance Company ($30,000):  Failure to comply with TDI orders; Failure to pay for preauthorized medical services; Failure to initiate income benefits.

– Hartford ($78,000):  Faiure to comply with TDI orders; Failure to pay benefits according to Designated Doctor; Failure to timely pay medical bills; Failure to pay for preauthorized medical services.

– AIG / Chartis [New Hampshire Insurance Company] ($40,000):  Failure to pay ordered income benefits; Failure to comply with TDI orders; Failure to timely pay medical bills.

– Old Republic Insurance Company ($41,000):  Failure to timely respond to medical bill inquiry; Failure to pay for preauthorized medical services; Failure to submit accurate medical bill information to DWC; Failure to timely dispute medical bill; Failure to timely pay medical bills.

– Travelers ($55,000):  Failure to take final action or dispute medical bills; Failure to timely initiate income benefits; Failure to pay for preauthorized medical services; Failure to pay for medical bills under DWC rules.

– Travelers ($60,000):  Failure to take action on medical bills; Failure to explain medical benefit denial; Failure to attend Contested Case Hearing without good cause; Failure to timely initiate benefits; failure to comply with TDI medical orders; Failure to pay Temporary Income Benefits; Failure to timely respond to prescription expenses.

– Travelers ($20,000):  Failure to comply with TDI medical orders; Failure to pay for preauthorized medical serices; Failure to explain medical benefit denials.

These are fines paid to the state for violations of DWC rules and the Texas Insurance Code.  Doyle is committed to helping individuals who have been harmed by such violations when they amount to bad faith activity by an insurance carrier.  Click here for more information about the wrongful handling of workers compensation cases.

The complete list of fines is available here.