Tex. Labor Code Section 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Repealed by Acts 2011, 82nd Leg., R.S., Ch. 1162, Sec. 37(3), eff.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.

Source: Section 415.0036 — Administrative Violation by Person Performing Certain Claim Services, https://statutes.capitol.texas.gov/Docs/LA/htm/LA.415.htm#415.0036 (accessed Jun. 5, 2024).

415.001
Administrative Violation by Representative of Employee or Legal Beneficiary 415.002
Administrative Violation by Insurance Carrier 415.003
Administrative Violation by Health Care Provider 415.005
Overcharging by Health Care Providers Prohibited 415.006
Employer Chargebacks Prohibited 415.007
Loans by Attorneys Prohibited 415.008
Fraudulently Obtaining or Denying Benefits 415.009
Frivolous Actions 415.010
Breach of Agreement 415.011
Notice of Professional Employer Organization Workers’ Compensation Claim and Payment Information 415.021
Assessment of Administrative Penalties 415.023
Commission of Wrongful Act as Matter of Practice 415.024
Breach of Settlement Agreement 415.025
References to a Class of Violation or Penalty 415.031
Initiation of Administrative Violation Proceedings 415.032
Notice of Possible Administrative Violation 415.033
Failure to Respond 415.034
Hearing Procedures 415.0035
Additional Violations by Insurance Carrier or Health Care Provider 415.035
Judicial Review 415.0036
Administrative Violation by Person Performing Certain Claim Services 415.036
Standard of Judicial Review of Commissioner’s Order 415.0211
Emergency Cease and Desist Order 415.0215
Sanctions

Accessed:
Jun. 5, 2024

§ 415.0036’s source at texas.gov

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Location: https://texas.public.law/statutes/tex._labor_code_section_415.0036

Original Source: Section 415.0036 — Administrative Violation by Person Performing Certain Claim Services, https://statutes.capitol.texas.gov/Docs/LA/htm/LA.415.htm#415.0036 (last accessed Jun. 5, 2024).