Sec. 415.0036. ADMINISTRATIVE VIOLATION BY PERSON PERFORMING CERTAIN CLAIM SERVICES. (a) This section applies to an insurance adjuster, case manager, or other person who has authority under this title to request the performance of a service affecting the delivery of benefits to an injured employee or who actually performs such a service, including peer reviews, performance of required medical examinations, or case management.
(b) A person described by Subsection (a) commits an administrative violation if the person offers to pay, pays, solicits, or receives an improper inducement relating to the delivery of benefits to an injured employee or improperly attempts to influence the delivery of benefits to an injured employee, including through the making of improper threats. This section applies to each person described by Subsection (a) who is a participant in the workers' compensation system of this state and to an agent of such a person.
(c) Repealed by Acts 2011, 82nd Leg., R.S., Ch. 1162, Sec. 37(3), eff. September 1, 2011.
Added by Acts 2007, 80th Leg., R.S., Ch. 198 (H.B. 34), Sec. 1, eff. September 1, 2007.
Amended by:
Acts 2011, 82nd Leg., R.S., Ch. 1162 (H.B. 2605), Sec. 37(3), eff. September 1, 2011.
Structure Texas Statutes
Title 5 - Workers' Compensation
Subtitle A - Texas Workers' Compensation Act
Chapter 415 - Administrative Violations
Section 415.001. Administrative Violation by Representative of Employee or Legal Beneficiary
Section 415.002. Administrative Violation by Insurance Carrier
Section 415.003. Administrative Violation by Health Care Provider
Section 415.0035. Additional Violations by Insurance Carrier or Health Care Provider
Section 415.0036. Administrative Violation by Person Performing Certain Claim Services
Section 415.005. Overcharging by Health Care Providers Prohibited; Administrative Violation
Section 415.006. Employer Chargebacks Prohibited; Administrative Violation
Section 415.007. Loans by Attorneys Prohibited
Section 415.008. Fraudulently Obtaining or Denying Benefits; Administrative Violation
Section 415.009. Frivolous Actions; Administrative Violation
Section 415.010. Breach of Agreement; Administrative Violation