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Subchapter A. Prohibited Acts
Section 415.001. Administrative Violation by Representative of Employee or Legal Beneficiary - Sec. 415.001. ADMINISTRATIVE VIOLATION BY REPRESENTATIVE OF EMPLOYEE OR LEGAL...
Section 415.002. Administrative Violation by Insurance Carrier - Sec. 415.002. ADMINISTRATIVE VIOLATION BY INSURANCE CARRIER. (a) An insurance...
Section 415.003. Administrative Violation by Health Care Provider - Sec. 415.003. ADMINISTRATIVE VIOLATION BY HEALTH CARE PROVIDER. A health...
Section 415.0035. Additional Violations by Insurance Carrier or Health Care Provider - Sec. 415.0035. ADDITIONAL VIOLATIONS BY INSURANCE CARRIER OR HEALTH CARE...
Section 415.0036. Administrative Violation by Person Performing Certain Claim Services - Sec. 415.0036. ADMINISTRATIVE VIOLATION BY PERSON PERFORMING CERTAIN CLAIM SERVICES....
Section 415.005. Overcharging by Health Care Providers Prohibited; Administrative Violation - Sec. 415.005. OVERCHARGING BY HEALTH CARE PROVIDERS PROHIBITED; ADMINISTRATIVE VIOLATION....
Section 415.006. Employer Chargebacks Prohibited; Administrative Violation - Sec. 415.006. EMPLOYER CHARGEBACKS PROHIBITED; ADMINISTRATIVE VIOLATION. (a) An employer...
Section 415.007. Loans by Attorneys Prohibited - Sec. 415.007. LOANS BY ATTORNEYS PROHIBITED. (a) An attorney who...
Section 415.008. Fraudulently Obtaining or Denying Benefits; Administrative Violation - Sec. 415.008. FRAUDULENTLY OBTAINING OR DENYING BENEFITS; ADMINISTRATIVE VIOLATION. (a)...
Section 415.009. Frivolous Actions; Administrative Violation - Sec. 415.009. FRIVOLOUS ACTIONS; ADMINISTRATIVE VIOLATION. A person commits an...
Section 415.010. Breach of Agreement; Administrative Violation - Sec. 415.010. BREACH OF AGREEMENT; ADMINISTRATIVE VIOLATION. A party to...
Section 415.011. Notice of Professional Employer Organization Workers' Compensation Claim and Payment Information; Administrative Violation - Sec. 415.011. NOTICE OF PROFESSIONAL EMPLOYER ORGANIZATION WORKERS' COMPENSATION CLAIM...
Subchapter B. Sanctions
Section 415.021. Assessment of Administrative Penalties - Sec. 415.021. ASSESSMENT OF ADMINISTRATIVE PENALTIES. (a) In addition to...
Section 415.0211. Emergency Cease and Desist Order - Sec. 415.0211. EMERGENCY CEASE AND DESIST ORDER. (a) The commissioner...
Section 415.0215. Sanctions - Sec. 415.0215. SANCTIONS. (a) The division may impose sanctions against...
Section 415.023. Commission of Wrongful Act as Matter of Practice; Administrative Violation - Sec. 415.023. COMMISSION OF WRONGFUL ACT AS MATTER OF PRACTICE;...
Section 415.024. Breach of Settlement Agreement; Administrative Violation - Sec. 415.024. BREACH OF SETTLEMENT AGREEMENT; ADMINISTRATIVE VIOLATION. A material...
Section 415.025. References to a Class of Violation or Penalty - Sec. 415.025. REFERENCES TO A CLASS OF VIOLATION OR PENALTY....
Subchapter C. Procedures
Section 415.031. Initiation of Administrative Violation Proceedings - Sec. 415.031. INITIATION OF ADMINISTRATIVE VIOLATION PROCEEDINGS. Any person may...
Section 415.032. Notice of Possible Administrative Violation; Response - Sec. 415.032. NOTICE OF POSSIBLE ADMINISTRATIVE VIOLATION; RESPONSE. (a) If...
Section 415.033. Failure to Respond - Sec. 415.033. FAILURE TO RESPOND. If, without good cause, a...
Section 415.034. Hearing Procedures - Sec. 415.034. HEARING PROCEDURES. On the request of the charged...
Section 415.035. Judicial Review - Sec. 415.035. JUDICIAL REVIEW. A decision under Section 415.034 is...
Section 415.036. Standard of Judicial Review of Commissioner's Order - Sec. 415.036. STANDARD OF JUDICIAL REVIEW OF COMMISSIONER'S ORDER. An...