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TDI Releases May 2011 Workers’ Compensation Violations

The Texas Department of Insurance on June 13, 2011, released final disciplinary decisions for violations of Division of Workers’ Compensation rules. Among these fines were the following insurer violations:

– Zurich [$9,000]: Failed to timely pay medical bill or to pay medical bill according to Division Medical Fee Guidelines; Failed to accurately submit medical bill and payment data; Failed to comply with order or decision of Commissioner or TDI-DWC; Failed to timely reimburse injured employee for travel expenses.

– Hanover Insurance Company of Worcester, MA [$15,000]: Failed to comply with order or decision of Commissioner or TDI-DWC; Failed to accurately submit medical bill and payment data.

– The Hartford [$5,500]: Failed to timely pay income benefits to injured employee; Failed to timely pay attorney fees.

– Indemnity Insurance Company of North America (AIG/Chartis) [$15,500]: Failed to comply with order or decision of Commissioner or TDI-DWC; Failed to timely pay income benefits to injured employee.

– New Hampshire Insurance Company (AIG/Chartis) [$5,000]: Failed to timely pay income benefits to injured employee.

– XL Insurance America Inc. of Exto.n, PA [$7,000]: Failed to accurately submit medical bill and payment data

– Zurich [$10,000]: Failed to timely pay medical bill or to pay medical bill according to Division Medical Fee Guidelines; Failed to sufficiently explain reasons for the reduction or denial of payment for health care services; Failed to pay for preauthorized medical services.

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.