The Texas Department of Insurance on April 14, 2011, released final disciplinary decisions for violations of Division of Workers’ Compensation rules. Among these fines were the following insurer violations:
Doyle filed a workers’ compensation bad faith lawsuit on April 29, 2011, against Indemnity Insurance Company of North America (“ACE”)–an ACE Group insurer–Sedgwick Claims Managment (the third party claims administator), and their adjuster, on behalf of an employee who was injured on the job in April 2010. Despite documentation of his injury from his employer, ACE denied the employee’s claim for the medical and income benefits he was entitled to under Texas law. ACE only initiated benefits after being ordered to do so by the Texas Department of Insurance, Division of Workers’ Compensation.
On May 16, 2011, Doyle filed a workers’ compensation bad faith lawsuit against American Contractors Insurance Group (ACIG), third-party claims administrator Sedgwick, and their adjuster, on behalf of an employee who was injured on the job in February 2010. Without reason, ACIG and Sedgwick denied the employee financial and medical benefits after his on-the-job injury, and only initiated benefits after being order to do so by the Texas Department of Insurance, Division of Workers’ Compensation.
The Texas Department of Insurance on May 18, 2011, released final disciplinary decisions for violations of Division of Workers’ Compensation rules. Among these fines were the following insurer violations:
Doyle Raizer filed a workers’ compensation insurance bad faith lawsuit on June 13, 2011, against AIG/Chartis Insurer New Hampshire Insurance Company/American Home Assurance Company (AIG) and its adjuster. The suit was filed on behalf of an employee who was injured while working on the job in November 2010. Despite knowing of their obligation under the law to take care of the injured employee, AIG completely denied the claim. As a result, the injured employee was left without the medical care and income benefits AIG owed her under the law until winning her case at a hearing in front of the Texas Department of Insurance, Division of Workers’ Compensation.