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TITLE 28 - INSURANCE
PART 2 - TEXAS DEPARTMENT OF INSURANCE, DIVISION OF WORKERS' COMPENSATION
CHAPTER 131 - BENEFITS--LIFETIME INCOME BENEFITS
SUBCHAPTER B - LIFETIME INCOME BENEFITS--CERTAIN FIRST RESPONDERS
SECTION/RULE §131.14 - Dispute of Continuing Entitlement of Lifetime Income Benefits
Chapter Review Date 02/04/2025

(a) If the insurance carrier disputes the accuracy of the first responder's annual certification under Labor Code §408.1615(g), the insurance carrier must provide a copy of the annual certification along with supporting evidence to the commissioner and to the first responder.(b) Upon review of the information in subsection (a) of this section, the commissioner will issue an order stating whether the insurance carrier is entitled to an examination under Labor Code §408.1615(h).(c) The parties may dispute the determination of the division through the dispute resolution processes outlined in Chapters 140 - 144 and 147 of this title (relating to Dispute Resolution).(d) After receiving the designated doctor's report under Labor Code §408.1615(h), a party may dispute the designated doctor's opinion on continuing entitlement to lifetime income benefits through the dispute resolution processes outlined in Chapters 140 - 144 and 147 of this title (relating to Dispute Resolution).

Source Note: The provisions of this §131.14 adopted to be effective November 21, 2024, 49 TexReg 9322.

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