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
Was this article valuable?
Here are more articles you may enjoy.
US Opens Probe into Over 110,000 Ford SUVs on Seat Belt Concern 
Allstate Insurers Sue Hyundai, Kia to Pay for Claims From Defective Cars 
AI Weather Models Have Shown Promise This Hurricane Season 
T-Mobile’s Network Breached as Part of Chinese Hacking Operation 
Want to stay up to date?
Get the latest insurance news
sent straight to your inbox.