28 Tex. Admin. Code § 131.14

Current through Reg. 50, No. 1; January 3, 2025
Section 131.14 - Dispute of Continuing Entitlement of Lifetime Income Benefits
(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 firstresponder.
(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).

28 Tex. Admin. Code § 131.14

Adopted by Texas Register, Volume 49, Number 46, November 15, 2024, TexReg 9326, eff. 11/21/2024