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September 07 2008

Texas Follows Own Road with New Formulary
 
 
TOP HEADLINES
•   State investigators say the owner of a Broward County check-cashing house used a string of shell companies in a scheme to avoid work comp. - FL
•   People using EDEX to track cases say they haven't been receiving hearing notices or significant event notices for their cases since the start of EAMS. - CA
•   Voters Injured at Work and the California Chamber of Commerce both say they have not given up on reforming the return-to-work benefits program. - CA
•   NCCI has filed for a 2.3% cut in loss costs in the state but warned medical costs outpace the nation as a share of total workers' compensation. - AL
 
 
 
•   Stakeholders are reviewing the Division of Workers' Compensation's new subclaim rules to see if concerns raised on the draft rules were met. - TX
•   The Court of Appeals affirmed a decision granting compensation for a life care plan and denying a carrier's liability for lawn care. - NC
•   The Commonwealth Court refused to order the Bureau of Workers' Compensation to review a medical fee dispute. - PA
•   The Commonwealth Court ruled that an employer cannot re-litigate the issue of whether a drug test precludes a claimant from benefits. - PA
 
 
 
•   A subcontractor is not required to indemnify a general contractor against a worker's Labor Law claims, an appellate court ruled. - NY
•   The state Supreme Court determined a minister's last injurious exposure to an occupational disease was during his previous job as an electrician. - MT
•   The Division of Workers' Compensation issued a bulletin warning carriers to comply with medical bill and payment data-reporting rules. - TX
•   The Industrial Commission will post current cases online during the first and third weeks of each month. - NC
 
 
 
•   The Wisconsin Compensation Rating Board set an Oct. 31 submission deadline for medical transactional data for 2006 and a Nov. 30 deadline for 2007. - WI
•   Three doctors have lost their authorizations to treat workers' compensation patients or to conduct independent medical exams. - NY
•   NCCI has updated its list of communications regarding the Medical Data Call.
•   Allstate filed a lawsuit seeking $1.5 million in damages from a doctor who is accused of fraudulent billing. - NY
 
 
 
•   A Will County grand jury indicted a TPA claims adjuster and eight others with participating in a scheme to defraud carriers. - IL
•   The House Business and Labor Committee will hold a hearing to discuss PPOs in the state's workers' compensation system Sept. 18. - OR
•   The National Conference of Insurance Legislators holds a conference call today to discuss model legislation for preferred provider organizations.
•   ACOEM issued a five-point action plan to fix the U.S. health care system.
 
 
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  MORE NEWS
  There is bipartisan support in the state for allowing workers' compensation coverage of mental injury when there is no corresponding physical injury. - WY
  Marsh & McLennan appointed a former Coca Cola executive as its senior vice president for human resources.
  Hub International purchased Arnold and Associates, an employee benefits brokerage in Phoenix. - AZ
  Wells Fargo appointed a former Wachovia executive as its managing director in Atlanta. - GA
  The Rate Bureau will hold an open house and a managing assigned risk training session on two dates this month. - NC
  Insurance Commissioner Hamm will discuss insurance issues at the department's annual agent forums. - ND
  The National Council on Compensation Insurance will host advisory forums in 36 states through January 2009.
  The Maryland Workers' Compensation Educational Association will host its annual conference from Sept. 21-24 to the theme of 'Work Comp College.' - MD
  Daniel F. Maher, executive director of Excess Line, will speak at the Professional Insurance Wholesalers Association's 30th anniversary dinner. - NY
  PartnerSource will host a conference for nonsubscribers Oct. 23-24 in Dallas. - TX
 
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