Texas Labor Codes 415.0035

• Amended to be effective 09/01/05.

[effective for an offence that occurs on or after September 1, 2001]

(a) An insurance carrier or its representative commits an administrative violation if that person:

(1) fails to submit to the division a settlement or agreement of the parties;

(2) fails to timely notify the division of the termination or reduction of benefits and the reason for that action; or

(3) denies preauthorization in a manner that is not in accordance with rules adopted by the commissioner under Section 413.014.

(b) A health care provider commits an administrative violation if that person:

(1) fails or refuses to timely file required reports or records; or

(2) fails to file with the division the annual disclosure statement required by Section 413.04.

(c) A violation under Subsection (a) is a Class C administrative violation.

(d) A violation under Subsection (b) is a Class D administrative violation.

(e) An insurance carrier or health care provider commits an administrative violation if that person violates this subtitle or a rule, order, or decision of the commissioner.

(f) A subsequent administrative violation under this section, after prior notice to the insurance carrier or health care provider of noncompliance, is subject to penalties as provided by Section 415.021. Prior notice under this subsection is not required if the violation was of a decision or order of the commissioner.

Added by Acts 1995, 74th Leg., ch. 980, section 1.45, eff. Sept. 1, 1995. Amended by Acts 2001, 77th Leg., ch. __, section __, (HB-2600) eff. June 17, 2001. Amended by Acts 2005, 79th Leg., effective 09/01/05.