June 21, 2011
The Texas Department of Insurance Division of Workers’ Compensation (TDI-DWC) took final disciplinary action against several companies in May resulting in more than $70,000 in fines. The TDI-DWC press release announced the rulings against several insurance companies and doctors’ offices related to violations of the Texas Labor Code and rules promulgated by the Commissioner of Workers’ Compensation.
Indemnity Insurance Company of North America of Philadelphia, Pennsylvania, suffered the largest fine with a $15,500 blow to their wallet. They were fined due to failure to pay an injured employee in a timely manner and failure to comply with an earlier order by the department to pay up.
Texas Hospital Insurance Exchange of Austin was fined $5,000 for failure to submit medical bill and payment data in a timely manner.
Zurich American Insurance Company paid a whopping combined total of $19,000 for a laundry list of violations including failure to submit medical bill and payment data in a timely manner, failure to pay an injured employee in a timely manner, failure to comply with orders from the TDI-DWC commissioner, and failure to sufficiently explain reasons for the deduction or denial of payment for health care services.
Insurance companies are for profit businesses that don’t always have a client’s best interest at heart. The Texas Personal Injury Attorneys with Daniel Stark Injury Lawyers have experience handling insurance companies and may be able to help you with your case.