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Texas Department of Insurance

2018 Disciplinary orders

Workers' compensation disciplinary orders after 2019.

Disciplinary orders before 2019: 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018

Order number Date issued Subject Action taken Violation
20185810 12/27/2018 The Travelers Indemnity Company Fined $7,500 Failed to timely comply with a final or binding contested case hearing order or decision
20185809 12/27/2018 The Insurance Company of the State of Pennsylvania Fined $8,400 Failed to timely pay initial income benefits to injured employees; failed to accurately notify the division of action taken on a claim
20185808 12/27/2018 City of Beaumont Fined $10,000 Failed to timely act on properly completed medical bills; failed to submit accurate medical bill data by electronic data interchange to the division
20185807 12/27/2018 Ace American Insurance Company Fined $9,000 Failed to timely initiate income benefits to an injured employee
20185805 12/27/2018 The Travelers Indemnity Company of Connecticut Fined $20,000 Failed to timely pay initial income benefits to injured employees; failed to timely and accurately notify the division of action taken on a claim
20185803 12/27/2018 National Interstate Insurance Company Fined $3,000 Failed to timely pay initial income benefits to injured employees; failed to timely and accurately notify the division of action taken on a claim
20185802 12/27/2018 The Charter Oak Fire Insurance Company Fined $2,000 Failed to timely comply with a final or binding contested case hearing order or decision
20185783 12/17/2018 XL Specialty Insurance Company Fined $1,900 Failed to timely comply with an agreement approved by the division
20185731 11/30/2018 General Motors LLC Fined $7,300 Failed to timely pay initial income benefits to injured employees; failed to timely and accurately notify the division of actions taken on a claim
20185730 11/30/2018 Liberty Insurance Corporation Fined $4,000 Failed to timely comply with an agreement approved by the division; failed to timely initiate income benefits to an injured employee
20185726 11/20/2018 Federal Insurance Company Fined $2,750 Failed to timely comply with an agreement approved by the division
20185718 11/12/2018 Ace American Insurance Company Fined $7,500 Failed to timely pay initial income benefits to an injured employee
20185689 10/26/2018 Arredondo, Adam M.D. Fined $3,000; must complete pharmacology and prescribing medications course; must complete prescription opioids course; must complete medical record keeping training; must complete designated doctor training Failed to document medical necessity or appropriate medical rational for prescribing compound medications; failed to provide adequate description or explanation to prevent the injured employee from returning to work
20185683 10/23/2018 City of Amarillo Fined $23,150 Failed to timely act on properly completed medical bills; failed to submit timely and accurate medical bill data by electronic data interchange to the division
20185682 10/23/2018 Bean, James Wesley, M.D. Fined $1,140; must purchase and maintain MDA Guidelines for one year; must complete medical record documentation training; must complete certified medical education return to work course Failed to accurately complete TDI-DWC forms, reports, or records; failed to consider medical disability guidelines when assessing return to work; failed to explain why injuries prevented injured employees from returning to work
20185679 10/18/2018 National Interstate Insurance Company Fined $10,000 Failed to timely act on properly completed medical bills; failed to submit accurate medical electronic data interchange records to the division
20185643 9/25/2018 Accident Fund Insurance Company of America Fined $19,800 Failed to timely pay income benefits to injured employees; failed to timely and accurately notify the division of actions taken on a claim
20185642 9/25/2018 Allen Independent School District Fined $5,000 Failed to timely pay income benefits to an injured employee in accordance with a designated doctor report
20185641 9/25/2018 Accident Fund General Insurance Company Fined $6,400 Failed to timely pay income benefits to injured employees; failed to timely and accurately notify the division of actions taken on a claim
20185640 9/25/2018 Accident Fund National Insurance Company Fined $19,100 Failed to timely pay income benefits to injured employees; failed to timely and accurately notify the division of actions taken on a claim
20185631 9/10/2018 Berkshire Hathaway Homestate Insurance Company Fined $10,000 Failed to timely pay income benefits to injured employees; failed to timely and accurately notify the division of actions taken on a claim
20185630 9/10/2018 Travelers Property Casualty Company of America Fined $14,500 Failed to timely pay income benefits to injured employees; failed to timely and accurately notify the division of actions taken on a claim
20185629 9/10/2018 The Travelers Indemnity Company Fined $1,000 Failed to timely comply with division orders to pay attorney fees
20185626 9/10/2018 United Airlines, Inc. Fined $6,400 Failed to timely pay income benefits to injured employees; failed to timely and accurately notify the division of actions taken on a claim
20185622 9/6/2018 Property and Casualty Insurance Company of Hartford Fined $65,000 Failed to pay accurate death benefits to legal beneficiaries; failed to timely and accurately report death benefit terminations data to the division; failed to take final action on a properly completed medical bill; failed to continue to timely pay income benefits to injured employees
20185621 9/6/2018 American Zurich Insurance Company Fined $18,000 Failed to timely pay income benefits to an injured employee in accordance with a designated doctor report; failed to timely comply with an agreement approved by the division
20185620 9/6/2018 XL Specialty Insurance Company Fined $30,000 Failed to pay accurate death benefits to legal beneficiaries; failed to timely report death benefit terminations data to the division
20185619 9/6/2018 LM Insurance Corporation Fined $42,000 Failed to timely pay income benefits to injured employees; failed to timely and accurately notify the division of actions taken on a claim
20185609 8/28/2018 Accident Fund General Insurance Company Fined $85,000 Failed to pay accurate death benefits to legal beneficiaries; failed to timely report claims data to the division
20185607 8/28/2018 LM Insurance Corporation Fined $10,000 Failed to timely pay income benefits to an injured employee in accordance with a designated doctor report
20185576 7/12/2018 Technology Insurance Company, Inc. Fined $1,500 Failed to timely initiate income benefits to an injured employee
20185575 7/12/2018 Amerisure Insurance Company Fined $7,500 Failed to timely pay income benefits to injured employees; failed to accurately notify the division of action taken on a claim
20185574 7/12/2018 Farmington Casualty Company Fined $8,000 Failed to pay accurate death benefits to legal beneficiaries; failed to accurately report claims data to the division
20185543 6/1/2018 UT Physicians Fined $1,000 Improperly billed an injured employee for workers' compensation medical services
20185542 6/1/2018 XL Insurance America, Inc. Fined $2,000 Failed to take final action on a properly completed medical bill
20185541 6/1/2018 Travelers Property Casualty Company of America Fined $4,000 Failed to timely comply with an agreement approved by the division
20185540 6/1/2018 Property and Casualty Insurance Company of Hartford Fined $1,250 Failed to timely comply with an agreement approved by the division
20185539 6/1/2018 Great Midwest Insurance Company Fined $12,500 Failed to pay accurate death benefits to legal beneficiaries; failed to accurately report claims data to the division
20185538 6/1/2018 Employer's Insurance Company of Wausau Fined $12,000 Failed to timely pay income benefits to injured employees; failed to accurately notify the division of action taken on a claim
20185537 6/1/2018 Arch Insurance Company Fined $7,000 Failed to timely pay income benefits to injured employees; failed to accurately notify the division of action taken on a claim
20185536 6/1/2018 ACIG Insurance Company Fined $17,500 Failed to timely act on properly completed medical bills; failed to submit accurate medical electronic data interchange records to the division
20185489 5/1/2018 Taba, Michael Mehra, M.D. Fined $2,000 Failed to accurately complete TDI-DWC forms, reports, or records; failed to consider medical disability guidelines when assessing return to work; failed to explain why injuries prevented injured employees from returning to work
20185488 5/1/2018 Travelers Casualty and Surety Company Fined $11,000 Failed to pay accurate income benefits to an injured employee; failed to timely report claims data to the division
20185487 5/1/2018 Texas Mutual Insurance Company Fined $10,000 Failed to accurately pay death benefits to legal beneficiaries; failed to accurately pay lifetime income benefits to injured employees
20185486 5/1/2018 Mid-Century Insurance Company Fined $1,000 Failed to timely comply with a division order to pay attorney's fees
20185478 4/25/2018 T&R Pipeline Services, Inc. Fined $1,250 Failed to timely file Employer's Wage Statement; failed to timely comply with a division order
20185477 4/25/2018 The Standard Fire Insurance Company Fined $27,855 Failed to timely pay income benefits to injured employees; failed to timely and accurately notify the division of action taken on a claim
20185476 4/25/2018 Commerce and Industry Insurance Company Fined $20,000 Failure to timely act on properly completed medical bills; failed to submit accurate medical electronic data interchange records to the division
20185475 4/25/2018 The Charter Oak Fire Insurance Company Fined $5,000 Failed to timely pay income benefits to an injured employee in accordance with a designated doctor report
20185466 4/20/2018 Liberty Insurance Corporation Fined $5,000 Failed to pay accurate income benefits to an injured employee; failed to pay accurate death benefits to legal beneficiaries; failed to timely and accurately report claim data to the division
20185465 4/20/2018 Hartford Underwriters Insurance Company Fined $9,000 Failed to timely pay income benefits to injured employee; failed to accurately notify the division of actions taken on a claim
20185464 4/20/2018 The First Liberty Insurance Corporation Fined $3,700 Failed to pay accurate income benefits to an injured employee; failed to pay accurate death benefits to legal beneficiaries; failed to accurately report claims data to the division
20185461 4/9/2018 Federated Mutual Insurance Company Fined $25,000 Failed to pay accurate income benefits to an injured employee; failed to pay accurate death benefits to legal beneficiaries; failed to timely report death benefit terminations data to the division
20185460 4/9/2018 The Insurance Company of the State of Pennsylvania Fined $2,000 Failed to take final action on a properly completed medical bill
20185453 4/2/2018 Amtrust Insurance Company of Kansas, Inc. Fined $25,000 Failed to take final action on properly completed medical bills; failed to submit accurate medical electronic data interchange records to the division; failed to timely initiate income benefits to an injured employee
20185452 4/2/2018 Fort Bend County Fined $30,000 Failed to take final action on properly completed medical bills; failed to submit accurate medical electronic data interchange records to the division
20185451 4/2/2018 New Hampshire Insurance Company Fined $1,900 Failed to timely comply with an agreement approved by the division
20185450 4/2/2018 Technology Insurance Company, Inc. Fined $4,000 Failed to timely pay income benefits to an injured employee in accordance with a designated doctor report
20185444 4/2/2018 Inbody, Steven B., M.D. Fined $5,000 Provided services to injured employees and received direct or indirect remuneration from the provision of services to injured employees after being deleted from the Approved Doctors List
20185435 3/21/2018 Zurich American Insurance Company Fined $4,000 Failed to timely initiate income benefits to an injured employee
20185434 3/21/2018 Federal Insurance Company Fined $7,000 Failed to timely pay income benefits to an injured employee in accordance with a designated doctor report
20185433 3/21/2018 American Casualty Company of Reading PA Fined $1,500 Failed to timely initiate income benefits to an injured employee
20185432 3/21/2018 Golovko, Dmitry M.D. Fined $9,500 Failed to timely file TDI-DWC forms and his narrative reports
20185424 3/8/2018 Starr Indemnity & Liability Company Fined $12,000 Failed to timely pay income benefits to injured employees; failed to accurately notify the division of actions taken on a claim
20185423 3/8/2018 Vanliner Insurance Company Fined $25,000 Failed to timely act on a properly completed medical bill; failed to submit accurate medical electronic data interchange records to the division; failed to timely initiate income benefits to an injured employee
20185417 2/28/2018 XL Insurance America, Inc. Fined $32,000 Failed to timely pay income benefits to injured employees; failed to accurately notify the division of actions taken on a claim
20185416 2/28/2018 Trumbull Insurance Company Fined $20,000 Failed to timely pay income benefits to injured employees; failed to accurately notify the division of actions taken on a claim
20185415 2/28/2018 Sentry Casualty Company Fined $4,300 Failed to timely pay income benefits to injured employees; failed to accurately notify the division of actions taken on a claim
20185414 2/28/2018 Harlandale ISD Fined $13,500 Failure to timely act on a properly completed medical bill; failed to submit accurate medical electronic data interchange records to the division
20185413 2/28/2018 Granite State Insurance Company Fined $22,000 Failure to timely act on a properly completed medical bill; failed to submit accurate medical electronic data interchange records to the division
20185412 2/28/2018 Ace American Insurance Company Fined $22,000 Failed to timely pay income benefits to injured employees; failed to accurately notify the division of actions taken on a claim
20185386 1/30/2018 American Zurich Insurance Company Fined $1,000 Failed to timely pay impairment income benefits to an injured employee
20185385 1/30/2018 Indemnity Insurance Company of North America Fined $1,000 Failed to timely pay impairment income benefits to an injured employee
20185384 1/30/2018 United States Fire Insurance Company Fined $2,500 Failed to timely pay impairment income benefits to an injured employee based on the report of a designated doctor
20185383 1/30/2018 Insurance Company of the State of Pennsylvania Fined $8,500 Failed to timely pay income benefits to injured employees; failed to accurately notify the division of actions taken on a claim
20185382 1/30/2018 Deep East Texas Self Insurance Fund Fined $4,300 Failed to timely pay income benefits to injured employees; failed to accurately notify the division of actions taken on a claim
20185381 1/30/2018 City of Odessa Fined $9,000 Failed to submit accurate medical electronic data interchange records to the division
20185376 1/23/2018 Liberty Insurance Corporation Fined $19,500 Failed to timely pay income benefits to injured employees; failed to accurately notify the division of actions taken on a claim
20185375 1/23/2018 Sentry Insurance A Mutual Company Fined $4,600 Failed to timely pay income benefits to an injured employee
20185374 1/23/2018 Safety National Casualty Corporation Fined $23,500 Failed to timely pay income benefits to injured employees; failed to accurately notify the division of actions taken on a claim
20185373 1/23/2018 Accident Fund Insurance Company of America Fined $13,500 Failed to timely pay income benefits to injured employees; failed to accurately notify the division of actions taken on a claim
20185372 1/22/2018 Liberty Insurance Corporation Fined $1,000 Failed to timely comply with an agreement approved by the division
20185371 1/22/2018 Argonaut Insurance Company Fined $3,500 Failed to comply with documentation and reporting provisions related to accident prevention services
20185370 1/22/2018 Argonaut - Midwest Insurance Company Fined $3,500 Failed to comply with documentation and reporting provisions related to accident prevention services
20185369 1/22/2018 Rockwood Casualty Insurance Company Fined $5,500 Failed to comply with documentation and reporting provisions related to accident prevention services
20185368 1/22/2018 Argonaut Great Central Insurance Company Fined $3,000 Failed to comply with documentation and reporting provisions related to accident prevention services
20185367 1/22/2018 Rochdale Insurance Company Fined $12,500 Failed to take final action on  properly completed medical bills; failed to submit accurate medical electronic data interchange records to the division
20185366 1/22/2018 Security National Insurance Company Fined $40,000 Failed to timely act on a properly completed medical bill; failed to submit accurate medical electronic data interchange records to the division
20185329 1/3/2018 American Zurich Insurance Company Fined $53,750 Failed to take final action on  properly completed medical bills; failed to timely comply with commissioner orders
20185328 1/3/2018 Zurich American Insurance Company Fined $42,000 Failed to timely pay income benefits to injured employees; failed to accurately notify the division of actions taken on a claim

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Last updated: 1/13/2021