Workers' compensation disciplinary orders after 2019
Disciplinary orders before 2019: 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018
| Order number | Date issued | Subject | Action taken | Violation |
|---|---|---|---|---|
| 2135 | 12/20/2012 | Fort Worth Club | Fined $500 | Failed to comply with Commissioner's Order to provide requested information about workers' compensation coverage status |
| 2134 | 12/20/2012 | Joe Brand, Inc. | Fined $1,000 | Failed to comply with Commissioner's Order to provide requested information about workers' compensation coverage status |
| 2132 | 12/20/2012 | Johnson, Keith M.D. | Fined $2,900 | Failed to timely file and accurately complete TDI-DWC forms, reports or records |
| 2133 | 12/20/2012 | New Hampshire Insurance Company | Fined $16,000 | Failed to comply with a division to pay attorneys’ fees; denied preauthorized medical services for medical necessity; and inaccurately reported the place of service codes for facility medical bills |
| 2111 | 12/14/2012 | Service Lloyds Insurance Company | Fined $20,000 | Failed to accurately submit medical bill and payment data |
| 2103 | 12/11/2012 | Commerce and Industry Insurance Company | Fined $2,500 | Failed to tender the full payment of death benefits to legal beneficiaries at the rate set out in the statute |
| 2123 | 12/11/2012 | Patino, Louis D.C. | Fined $55,000 (SOAH Docket No. 454-11-4712.C1) | Received indirect renumeration from the treatment of workers' compensation system claimants after denied placement on approved doctor's list |
| 2104 | 12/11/2012 | Sonic Clear Lake Volkswagen, LP | Fined $750 | Failed to comply timely with a request for information and a division order to produce information regarding the filing of DWC forms |
| 2105 | 12/11/2012 | Williams, Clyde Marion M.D. | Fined $2,500 | Failed to timely file and/or accurately complete TDI-DWC forms, reports or records |
| 2089 | 12/5/2012 | Vantage Trailers, Inc. | Fined $1,000 | Failed to comply with Commissioner's Order to provide requested information about workers' compensation coverage status |
| 2081 | 12/3/2012 | Charter Oak Fire Insurance Company | Fined $2,000 | Failed to timely pay income benefits to injured employee |
| 2083 | 12/3/2012 | Genghis Grill | Fined $600 | Failed to comply with Commissioner's Order to provide requested information about workers' compensation coverage status |
| 2082 | 12/3/2012 | Insight Health Corporation | Fined $4,000 | Improperly billed an injured employee for workers compensation medical services provided |
| 2084 | 12/3/2012 | Texoma Specialty Care Center | Fined $500 | Failed to comply with Commissioner's Order to provide requested information about workers' compensation coverage status |
| 2080 | 12/3/2012 | Travelers Casualty and Surety Company | Fined $6,000 | Failed to notify TDI-DWC and injured employee of actions taken on a claim |
| 2074 | 11/27/2012 | Fireman's Fund Insurance Company | Fined $3,500 | Failed to accurately report benefit data to TDI-DWC or accurately submit benefit data by electronic data interchange |
| 2076 | 11/27/2012 | Rainwater, Noble Bryan M.D. | Fined $1,000 | Failed to timely file required reports |
| 2075 | 11/27/2012 | Williams, Robert Seth M.D. | Fined $1,500 | Failed to timely file required reports |
| 2070 | 11/26/2012 | Beman, Douglas L., D.C. | Fined $5,000; Must submit to monitoring-based medical quality review | Failed to provide treatment plan for injured employee; Failed to oversee efficient use of care provided to injured employee |
| 2073 | 11/26/2012 | Hinman, Charles Rhodes M.D. | Fined $1,500 | Failed to timely file and/or accurately complete TDI-DWC forms, reports or records |
| 2072 | 11/26/2012 | SOI-31 of AR, Incorporated | Fined $1,500 | Failed to comply with Commissioner's Order to provide requested information about workers' compensation coverage status |
| 2071 | 11/26/2012 | University Hospital Systems, L.L.P. | Fined $1,500 | Failed to comply with Commissioner's Order to provide requested information about workers' compensation coverage status |
| 2034 | 11/13/2012 | Chubb Indemnity Insurance Company | Fined $3,000 | Failed to accurately report benefit data to TDI-DWC or accurately submit benefit data by electronic data interchange |
| 2035 | 11/13/2012 | Church Mutual Insurance Company | Fined $3,960 | Failed to accurately report benefit data to TDI-DWC or accurately submit benefit data by electronic data interchange |
| 2036 | 11/13/2012 | Pacific Indemnity Company | Fined $3,000 | Failed to accurately report benefit data to TDI-DWC or accurately submit benefit data by electronic data interchange |
| 2028 | 11/8/2012 | Capitol Emergency Associates, P.A. | Fined $1,000 | Improperly billed an injured employee for workers compensation medical services provided |
| 2029 | 11/8/2012 | Webb County | Fined $15,000 | Failed to accurately submit medical bill and payment data; Failed to timely submit medical bill and payment data |
| 2018 | 11/6/2012 | Bituminous Casualty Corporation | Fined $6,600 | Failed to accurately report benefit data to TDI-DWC or accurately submit benefit data by electronic data interchange |
| 2016 | 11/6/2012 | Core 400, L.L.C. | Must comply with compliance plan approved by TDI-DWC medical advisor | Failed to follow TDI-DWC guidelines in performing independent review of injured worker health care |
| 2013 | 11/6/2012 | LRA Global HR, Inc. | Fined $1,000 | Failed to comply with Commissioner's Order to provide requested information about workers' compensation coverage status |
| 2017 | 11/6/2012 | Pure Resolutions, L.L.C. | Must comply with compliance plan approved by TDI-DWC medical advisor | Failed to follow TDI-DWC guidelines in performing independent review of injured worker health care |
| 2014 | 11/6/2012 | True Decisions, Inc. | Must comply with compliance plan approved by TDI-DWC medical advisor | Failed to follow TDI-DWC guidelines in performing independent review of injured worker health care |
| 2019 | 11/3/2012 | IRO Express, Inc. | Must comply with compliance plan approved by TDI-DWC medical advisor | Failed to follow TDI-DWC guidelines in performing independent review of injured worker health care |
| 12-0183 | 10/29/2012 | Bradford Holding Company, Inc. | Fined $21,000 | Failed to accurately submit medical bill and payment data; Failed to timely pay medical bill or to pay medical bill according to TDI-DWC Medical Fee Guidelines |
| 12-0186 | 10/29/2012 | Hartford Insurance Company of the Midwest | Fined $5,000 | Failed to accurately submit medical bill and payment data |
| 12-0185 | 10/29/2012 | Indemnity Insurance Company of North America | Fined $6,960 | Failed to accurately submit medical bill and payment data |
| 12-0184 | 10/29/2012 | Lumbermen's Underwriting Alliance | Fined $4,600 | Failed to accurately submit medical bill and payment data |
| 12-0187 | 10/29/2012 | National American Insurance Company | Fined $5,760 | Failed to accurately submit medical bill and payment data |
| 12-0188 | 10/29/2012 | Petroleum Casualty Company | Fined $2,400 | Failed to accurately submit medical bill and payment data |
| 12-0182 | 10/23/2012 | Vredenburgh, Jesse William D.O. | Fined $5,000; Suspended from designated doctors list for one year | Failed to comply with order or decision of Commissioner or TDI-DWC |
| 12-0178 | 10/17/2012 | American Hardware Mutual Insurance Company | Fined $3,000 | Failed to timely file and/or accurately complete TDI-DWC forms, reports or records |
| 12-0174 | 10/17/2012 | Baker, Gregory Wayne D.C. | Removed from Designated Doctor List; Deprived of right to certify maximum medical improvement and/or assign impairment ratings in the workers' compensation system | Performed a designated doctor examination without appointment from TDI-DWC |
| 12-0177 | 10/17/2012 | City of Arlington | Fined $11,500 | Failed to accurately submit medical bill and payment data |
| 12-0176 | 10/17/2012 | Meridian Security Insurance Company | Fined $34,300 | Failed to accurately submit medical bill and payment data; Failed to timely pay medical bill or to pay medical bill according to TDI-DWC Medical Fee Guidelines |
| 12-0173 | 10/17/2012 | Soignier, Wayne A., M.D. | Permanently removed from designated doctor list | Failed to perform TDI-DWC ordered designated doctor examinations in accordance with AMA Guidelines; Submitted inaccurate or incomplete reports; Failed to follow statutes and rules for designated doctor appointments and reporting to TDI-DWC |
| 12-0172 | 10/17/2012 | Texas Builders Insurance Company | Fined $2,500 | Failed to accurately submit medical bill and payment data |
| 12-0175 | 10/17/2012 | Transguard Insurance Company of America, Inc. | Fined $1,000 | Failed to timely file accident prevention services annual report for calendar year 2011 |
| 12-0179 | 10/17/2012 | Vanliner Insurance Company | $17,000 | Failed to accurately submit medical bill and payment data; Failed to timely pay medical bill or to pay medical bill according to TDI-DWC Medical Fee Guidelines |
| 12-0171 | 10/12/2012 | Albrand, Otmar Wolf M.D. | Suspended from Designated Doctor List | Failed to perform additional relevant testing or to refer injured employee to other health care providers to determine medical issue; Improperly determined impairment rating |
| 12-0169 | 10/12/2012 | Capitol City Insurance Company | Fined $2,500 | Failed to notify TDI-DWC and injured employee of actions taken on a claim; Failed to accurately submit medical bill and payment data |
| 12-0170 | 10/12/2012 | Praetorian Insurance Company | Fined $30,000 | Failed to timely pay medical bill or to pay medical bill according to TDI-DWC Medical Fee Guidelines; Failed to accurately submit medical bill and payment data |
| 12-0167 | 10/5/2012 | Dish Network Corporation | Fined $3,000 | Failed to timely file and/or accurately complete TDI-DWC forms, reports or records; Failed to comply with order or decision of Commissioner or TDI-DWC |
| 12-0166 | 10/5/2012 | Southern Vanguard Insurance Company | Fined $15,500 | Failed to accurately submit medical bill and payment data; Failed to timely pay medical bill or to pay medical bill according to TDI-DWC Medical Fee Guidelines |
| 12-0168 | 10/5/2012 | Sparta Insurance Company | Fined $9,500 | Failed to timely pay income benefits to injured employee |
| 12-0165 | 10/5/2012 | Texas A & M University | Fined $3,000 | Failed to timely pay income benefits to injured employee; Failed to timely or accurately report dates for first notice, disability, and initial payment |
| 12-0162 | 9/28/2012 | Clarendon National Insurance Company | Fined $12,500 | Failed to timely pay medical bill or to pay medical bill according to TDI-DWC Medical Fee Guidelines; Failed to accurately submit medical bill and payment data |
| 12-0159 | 9/26/2012 | Benchmark Insurance Company | Fined $5,000 | Failed to provide on-site visit or other appropriate services to policyholders with $25,000 or more in premium |
| 12-0163 | 9/26/2012 | Berkshire Hathaway Homestate Insurance Company | Fined $14,760 | Failed to accurately and timely submit medical bill data |
| 12-0161 | 9/26/2012 | Brown, George Erwin, Jr., M.D. | Fined $3,000 | Failed to timely file and/or accurately complete TDI-DWC forms, reports or records; Failed to comply with order or decision of Commissioner or TDI-DWC |
| 12-0157 | 9/26/2012 | Castlepoint National Insurance Company | Fined $12,000 | Failed to provide on-site visit or other appropriate services to policyholders with $25,000 or more in premium; Failed to provide written solicitation of comments from each policyholder at least every 12 months |
| 12-0156 | 9/26/2012 | City of Amarillo | Fined $10,000 | Failed to accurately submit medical bill and payment data; Failed to timely pay medical bill or to pay medical bill according to TDI-DWC Medical Fee Guidelines |
| 12-0160 | 9/26/2012 | Sentry Insurance, A Mutual Company | Fined $13,750 | Failed to timely pay income benefits to injured employee; Failed to accurately submit medical bill and payment data |
| 12-0158 | 9/20/2012 | Tower National Insurance Company | Fined $5,000 | Failed to provide on-site visit or other appropriate services to policyholders with $25,000 or more in premium; Failed to provide written solicitation of comments from each policyholder at least every 12 months |
| 12-0154 | 9/14/2012 | Soignier, Wayne M., M.D. | Prohibited from providing health care in the Texas workers compensation system, including serving as a designated doctor | Exhibited a professional failure to practice medicine in an acceptable manner consistent with public health, safety and welfare; Submitted inaccurate or inappropriate reports as a pattern of practice due to insufficient examination and analysis of medical records <br /> |
| 12-0153 | 9/10/2012 | Small Bone Innovations, Inc. | Fined $3,000 | Misused the name of TDI-DWC |
| 12-0151 | 8/20/2012 | Commerce and Industry Insurance Company | Fined $4,800 | Failed to comply with order or decision of Commissioner or TDI-DWC |
| 12-0152 | 8/20/2012 | Houston Personal Touch Home Aides, Inc. | Fined $500 | Failed to comply with Commissioner's Order to provide requested information about workers' compensation coverage status |
| 12-0149 | 8/16/2012 | Golden Restaurants, Inc. | Fined $1,500 | Failed to comply with Commissioner's Order to provide requested information about workers' compensation coverage status |
| 12-0148 | 8/16/2012 | Illinois National Insurance Company | Fined $5,856 | Failed to pay correct amount of income benefits to injured employee |
| 12-0148 | 8/16/2012 | Illinois National Insurance Company | Fined $5,856 | Failed to pay the correct amount of temporary income benefits to in 122 injured employee cases |
| 12-0147 | 8/16/2012 | The Insurance Company of the State of Pennsylvania | Fined $576 | Failed to pay the correct amount of temporary income benefits to in 12 injured employee cases |
| 12-0144 | 8/10/2012 | American Home Assurance Co. | Fined $20,784 | Failed to pay correct amount of income benefits to injured employee |
| 12-0142 | 8/10/2012 | Cunningham & Moore Inc. | Fined $1,000 | Failed to comply with Commissioner's Order to provide requested information about workers' compensation coverage status |
| 12-0140 | 8/10/2012 | Elite PHC Corporation | Fined $1,500 | Failed to comply with Commissioner's Order to provide requested information about workers' compensation coverage status |
| 12-0146 | 8/10/2012 | Fortress Health and Rehab of Rock Prairie, L.L.C. | Fined $750 | Failed to comply with Commissioner's Order to provide requested information about workers' compensation coverage status |
| 12-0141 | 8/10/2012 | J & J Home Health | Fined $10,000 | Failed to comply with Commissioner's Order to provide requested information about workers' compensation coverage status |
| 12-0145 | 8/10/2012 | New Hampshire Insurance Company | Fined $18,096 | Failed to pay the correct amount of income benefits to injured employee |
| 12-0143 | 8/10/2012 | Old Republic Insurance Company | Fined $2,000 | Failed to timely pay income benefits to injured employee |
| 12-0138 | 8/3/2012 | Dallas Independent School District | Fined $17,000 | Failed to timely issue initial payment of temporary income benefits and submitted inaccurate TIBs data to the division. |
| 12-0139 | 8/3/2012 | Harlingen Acute Care, Inc. | Fined $500 | Failed to comply with Commissioner's Order to provide requested information about workers' compensation coverage status |
| 12-0137 | 8/3/2012 | Radadvantage APC | Fined $2,000 | Improperly billed an injured employee for workers' compensation medical services provided |
| 12-0136 | 7/31/2012 | Siddiqi, Zahida M.D. | Removed from Designated Doctor's List; Must not perform maximum medical improvement examinations and/or assign impairment ratings in workers' compensation system; Must perform any re-examinations on injured employees ordered by TDI-DWC | Failed to perform scheduled Designated Doctor examinations; Submitted charges for health care services which were not performed |
| 12-0135 | 7/16/2012 | American Safety Casualty Insurance Company | Fined $3,000 | Failed to timely file and/or accurately complete TDI-DWC forms, reports or records |
| 12-0134 | 7/16/2012 | Arch Insurance Company | Fined $26,500 | Failed to timely pay indemnity benefits; Failed to timely submit benefit data to TDI-DWC; Failed to accurately report benefit data to TDI-DWC or accurately submit benefit data by electronic data interchange |
| 12-0132 | 7/16/2012 | Connecticut Indemnity Company | Fined $3,000 | Failed to timely file and/or accurately complete TDI-DWC forms, reports or records |
| 12-0128 | 7/16/2012 | Cooper US, Inc. | Fined $3,000 | Failed to timely file and/or accurately complete TDI-DWC forms, reports or records <br /> |
| 12-0129 | 7/16/2012 | Fire and Casualty Insurance Company of Connecticut | Fined $3,000 | Failed to timely file and/or accurately complete TDI-DWC forms, reports or records |
| 12-0127 | 7/16/2012 | Fowler, Stephen Rice M.D. | Removed from providing health care in workers' compensation system | License suspended by Texas Medical Board; Failed to practice medicine or provide health care in a manner consistent with the public health, safety and welfare |
| 12-0133 | 7/16/2012 | PPG Industries, Inc. | Fined $3,000 | Failed to timely file and/or accurately complete TDI-DWC forms, reports or records |
| 12-0130 | 7/16/2012 | Royal Insurance Company of America | Fined $3,000 | Failed to timely file and/or accurately complete TDI-DWC forms, reports or records |
| 12-0126 | 7/16/2012 | Sam Kane Beef Processors, Inc. | Fined $3,000 | Failed to timely file and/or accurately complete TDI-DWC forms, reports or records |
| 12-0131 | 7/16/2012 | Security Insurance Company of Hartford | Fined $3,000 | Failed to timely file and/or accurately complete TDI-DWC forms, reports or records |
| 12-0118 | 7/6/2012 | Cincinnati Insurance Company | Fined $3,000 | Failed to timely file and/or accurately complete TDI-DWC forms, reports or records |
| 12-0107 | 7/2/2012 | Belmont Care Center, LTD, Co. | Fined $1,000 | Failed to comply with Commissioner's Order to provide requested information about workers' compensation coverage status |
| 12-0112 | 7/2/2012 | Commercial Casualty Insurance Company | Fined $3,000 | Failed to timely file and/or accurately complete TDI-DWC forms, reports or records |
| 12-0111 | 7/2/2012 | Cortlandt Insurance Company | Fined $3,000 | Failed to timely file and/or accurately complete TDI-DWC forms, reports or records |
| 12-0113 | 7/2/2012 | Fiserv Par, Inc. | Fined $1,000 | Failed to comply with Commissioner's Order to provide requested information about workers' compensation coverage status |
| 12-0105 | 7/2/2012 | Iberville Management, LLC, et al. | Fined $500 | Failed to comply with Commissioner's Order to provide requested information about workers' compensation coverage status |
| 12-0114 | 7/2/2012 | Manufacturers Alliance Insurance Company | Fined $3,000 | Failed to timely file and/or accurately complete TDI-DWC forms, reports or records |
| 12-0110 | 7/2/2012 | Pennsylvania Manufacturers Association Insurance Company | Fined $3,000 | Failed to timely file and/or accurately complete TDI-DWC forms, reports or records |
| 12-0115 | 7/2/2012 | Pennsylvania Manufacturer's Indemnity Company | Fined $3,000 | Failed to timely file and/or accurately complete TDI-DWC forms, reports or records |
| 12-0108 | 7/2/2012 | Public Auto Sales Inc. et al | Fined $500 | Failed to comply with Commissioner's Order to provide requested information about workers' compensation coverage status |
| 120106 | 7/2/2012 | RWS Weatherford Operator L.L.C. | Fined $1,500 | Failed to comply with order or decision of Commissioner or TDI-DWC; Failed to timely file report of employee injury, illness or death |
| 12-0109 | 7/2/2012 | Sherwin Williams Company | Fined $3,000 | Failed to timely file and/or accurately complete TDI-DWC forms, reports or records |
| 12-0116 | 7/2/2012 | Syed, Shahid Hussain M.D. | Must complete Continuing Medical Education course | Failed to provide healthcare that promoted recovery or enhanced ability of injured employee to return to work |
| 12-0104 | 6/27/2012 | Mega Gulf Coast Lines, Inc. | Fined $1,000 | Failed to comply with Commissioner's Order to provide requested information about workers' compensation coverage status |
| 120102 | 6/20/2012 | Farmington Casualty Company | Fined $7,500 | Failed to timely pay income benefits to injured employee; Failed to timely or accurately submit medical bill and payment data |
| 120101 | 6/20/2012 | Moore Staffing Company | Fined $500 | Failed to timely respond to a TDI-DWC request for information; Failed to comply with order or decision of Commissioner or TDI-DWC |
| 120100 | 6/20/2012 | Wal Mart Associates, Inc. | Fined $7,500 | Failed to timely pay death benefits to Subsequent Injury Fund |
| 120099 | 6/18/2012 | Dallas Lighthouse for the Blind Inc. | Fined $500 | Failed to timely respond to a TDI-DWC request for information; Failed to comply with order or decision of Commissioner or TDI-DWC |
| 120098 | 6/18/2012 | Polytex Fibers Corp. | Fined $500 | Failed to timely respond to a TDI-DWC request for information; Failed to comply with order or decision of Commissioner or TDI-DWC |
| 120096 | 6/18/2012 | Stanley Works | Fined $3,000 | Failed to timely file and/or accurately complete TDI-DWC forms, reports or records |
| 120097 | 6/18/2012 | United Commerce Center, Inc. | Fined $500 | Failed to timely respond to a TDI-DWC request for information; Failed to comply with order or decision of Commissioner or TDI-DWC |
| 120095 | 6/11/2012 | Old Republic Insurance Company | Fined $5,000 | Failed to comply with order or decision of Commissioner or TDI-DWC |
| 12-0094 | 5/31/2012 | Williams Fried Chicken, Inc. | Fined $500 | Failed to timely comply with a TDI-DWC order to provide workers compensation coverage status |
| 12-0093 | 5/31/2012 | Zegarelli, Louis D., D.O. | Must attend University of California at SanDiego PACE course in clinician-patient communications within 180 days | Provided long-term care and pain management without any resulting improvement or return to work |
| 12-0090 | 5/30/2012 | El Paso Orthopaedic Surgery Group | Fined $1,000 | Improperly billed an injured employee for workers' compensation medical services provided |
| 12-0091 | 5/30/2012 | Fries Restaurant Management L.L.C. Burger King | Fined $1,000 | Failed to timely comply with a TDI-DWC order to provide workers compensation coverage status |
| 12-0089 | 5/30/2012 | McShane, Ricky Michael D.O. | Removed from Designated Doctor List | Failed to comply with order or decision of Commissioner or TDI-DWC; Failed to timely file and/or accurately complete TDI-DWC forms, reports or records |
| 12-0092 | 5/30/2012 | Patel, Manish V., M.D. | Fined $5,000 | Failed to comply with order or decision of Commissioner or TDI-DWC |
| 12-0088 | 5/24/2012 | La Bianca, Inc. | Fined $500 | Failed to timely comply with a TDI-DWC order to provide workers compensation coverage status |
| 12-0087 | 5/24/2012 | Zurich American Insurance Company | Fined $35,000 | Failed to timely pay income benefits to injured employee; Failed to notify TDI-DWC and injured employee of actions taken on a claim |
| 12-0085 | 5/22/2012 | Irving Laboratories PA | Fined $500 | Improperly billed an injured employee for workers' compensation medical services provided |
| 12-0086 | 5/22/2012 | Trudy's Texas Star, Inc. | Fined $1,500 | Failed to timely provide information requested by TDI-DWC; Failed to timely file non-covered employer's report of occupational injury or illness |
| 12-0084 | 5/21/2012 | August, Brian James M.D. | Removed from Designated Doctor List | Failed to comply with order or decision of Commissioner or TDI-DWC; Failed to timely file and/or accurately complete TDI-DWC forms, reports or records |
| 12-0083 | 5/21/2012 | LM Insurance Corporation | Fined $62,500 | Failed to timely pay income benefits to injured employee; Failed to notify injured employee and TDI-DWC of actions taken on a claim |
| 12-0080 | 5/18/2012 | AOC Senior Home Health Corporation | Fined $500 | Failed to timely comply with a TDI-DWC order to provide workers compensation coverage status |
| 12-0082 | 5/18/2012 | Axiom Home Health Inc. | Fined $1,000 | Failed to timely comply with a TDI-DWC order to provide workers compensation coverage status |
| 12-0079 | 5/18/2012 | The Netherlands Insurance Company | Fined $8,000 | Failed to timely pay income benefits to injured employee; Failed to accurately submit medical bill and payment data |
| 12-0081 | 5/18/2012 | Ultra Medical Cleaning | Fined $1,000 | Failed to timely comply with a TDI-DWC order to provide workers compensation coverage status |
| 12-0078 | 5/16/2012 | Chimanji, Mahanprakash D., M.D. | Must complete Designated Doctor course and course certification examination within 180 days | Failed to properly perform and/or document an adequate Designated Doctor examination |
| 12-0076 | 5/14/2012 | American Home Assurance Company | Fined $4,200 | Failed to timely reimburse injured employee for travel expenses; Failed to pay death benefits at correct rate |
| 12-0075 | 5/14/2012 | Fields Fast Foods F.L.P. | Fined $1,500 | Failed to timely comply with a TDI-DWC order to provide workers compensation coverage status |
| 12-0077 | 5/14/2012 | Nickep Enterprises | Fined $1,000 | Failed to timely comply with a TDI-DWC order to provide workers compensation coverage status |
| 12-0074 | 5/14/2012 | Quest Diagnostics Inc. | Fined $3,000 | Improperly billed an injured employee for workers' compensation medical services provided |
| 12-0073 | 5/14/2012 | Richards, Barna Allen M.D. | Must attend approved educational course or event related to medical practice in Texas workers' compensation system | Failed to appropriately certify maximum medical improvement; Failed to properly determine injured employee's impairment rating; Failed to perform additional testing or refer an employee to other health care providers when necessary |
| 120065 | 4/30/2012 | One Call Medical, Inc. | Fined $18,500 | Failed to provide TDI-DWC with accurate list of insurance carriers in informal network; Failed to timely provide information to TDI-DWC |
| 120066 | 4/30/2012 | Prudential Healthcare Services, Inc. | Fined $1,500 | Failed to timely provide TDi-DWC with requested information about workers' compensation coverage status; Failed to comply with TDI-DWC order |
| 120067 | 4/30/2012 | Royal Care, Inc. | Fined $1,000 | Failed to comply with Commissioner's Order to provide requested information about workers' compensation coverage status |
| 120069 | 4/30/2012 | Schwartz, David P., D.O. | Removed from Designated Doctor List | Failed to perform a required designated doctor examination; Failed to timely file and/or accurately complete TDI-DWC forms, reports or records |
| 120068 | 4/30/2012 | Wausau Underwriters Insurance Company | Fined $3,500 | Failed to accurately submit medical bill and payment data |
| 120064 | 4/27/2012 | University General Hospital, L.P. | Fined $1,000 | Improperly billed an injured employee for workers' compensation medical services provided |
| 120063 | 4/27/2012 | Winn, Mitchell H., O.T.R. | Must attend functional capacity examination training | Failed to properly complete and document a functional capacity examination |
| 120062 | 4/23/2012 | Bon Appetit Management Company | Fined $3,000 | Failed to timely provide TDI-DWC with requested information about workers' compensation coverage status; Failed to comply with TDI-DWC order |
| 120058 | 4/18/2012 | Danshaw, Craig Brian D.O. | Must complete medical recordkeeping course; Must comply with monitoring review of care provided to injured employees | Failed to provide reasonable and necessary health care |
| 120057 | 4/18/2012 | Juanita's Angels Home Healthcare L.L.C. | Fined $1,000 | Failed to timely provide TDI-DWC with requested information about workers' compensation coverage status; Failed to comply with TDI-DWC order |
| 120059 | 4/18/2012 | King's Daughters Clinic | Fined $1,000 | Improperly billed an injured employee for workers' compensation medical services provided |
| 120060 | 4/18/2012 | Select Physical Therapy | Fined $2,000 | Improperly billed an injured employee for workers' compensation medical services provided |
| 120056 | 4/11/2012 | Henry, Mark Howard M.D. | Fined $1,500; Must attend compliance training for doctors and medical office staff | Failed to timely file and/or accurately complete TDI-DWC forms, reports or records |
| 120054 | 4/9/2012 | Baylor Medical Center at Irving | Fined $2,000 | Improperly billed an injured employee for workers' compensation medical services provided |
| 120055 | 4/9/2012 | Beech Street, A Viant Network | Fined $26,500 | Failed to provide TDI-DWC with accurate list of insurance carriers in informal network; Failed to timely provide information to TDI-DWC |
| 120051 | 4/2/2012 | Cherokee Insurance Company | Fined $4,000 | Failed to comply with Commissioner rule or decision; Failed to timely pay income benefits to injured employee |
| 120050 | 4/2/2012 | Houston Independent School District | Fined $6,500 | Failed to timely pay income benefits to injured employee; Failed to notify TDI-DWC and injured employee of actions taken on claim |
| 120049 | 3/29/2012 | Capitol Emergency Associates PA | Fined $1,000 | Improperly billed an injured employee for workers' compensation medical services provided |
| 120046 | 3/16/2012 | Insurance Company of the State of Pennsylvania | Fined $3,900 | Failed to accurately report claims information to TDI-DWC; Failed to timely schedule required medical examination; Failed to timely pay death benefits |
| 120045 | 3/12/2012 | Dallas National Insurance Company, A Texas Stock Insurance Co. | Fined $19,000 | Failed to timely pay income benefits to injured employee; Failed to accurately report benefit data to TDI-DWC or accurately submit benefit data by Electronic Data Interchange; Failed to timely pay medical bill or to pay medical bill according to TDI-DWC Medical Fee Guidelines; Failed to timely file accident prevention services annual report |
| 120044 | 3/12/2012 | Niemirowski, George J., M.D. | Fined $4,500 | Failed to timely file and/or accurately complete TDI-DWC forms, reports or records |
| 120041 | 3/8/2012 | Zurich American Insurance Company | Fined $4,000 | Failed to timely pay income benefits to injured employee; Failed to timely pay medical bill or to pay medical bill according to TDI-DWC Medical Fee Guidelines |
| 120040 | 3/6/2012 | Affordable Elder Care Inc. | Fined $700 | Failed to timely comply with TDI-DWC request for information on workers' compensation coverage status |
| 120038 | 3/2/2012 | Pharr-San Juan-Alamo Independent School District | Fined $7,500 | Failed to timely pay medical bill or to pay medical bill according to TDI-DWC Medical Fee Guidelines; Failed to accurately submit medical bill and payment data |
| 120039 | 3/2/2012 | Wausau Business Insurance Company | Fined $12,000 | Failed to timely pay income benefits to injured employee; Failed to notify TDI-DWC and injured employee of actions taken on a claim |
| 120036 | 3/1/2012 | City of McAllen | Fined $4,000 | Failed to timely pay a TDI-DWC ordered advance; Failed to comply with TDI-DWC order |
| 120035 | 2/23/2012 | Assist Med Inc. | Fined $1,000 | Failed to comply with Commissioner's Order to provide requested information about workers' compensation coverage status |
| 12-0034 | 2/22/2012 | Travelers Property Casualty Company of America | Fined $25,000 | Failed to process claims promptly in a reasonable and prudent manner; Failed to timely pay death benefits to eligible beneficiaries; Failed to timely notify TDI-DWC electronically of first payment of disability death benefits |
| 120032 | 2/16/2012 | Hartford Insurance Company of the Midwest | Fined $13,000 | Failed to timely pay income benefits to injured employee; Failed to notify TDI-DWC and injured employee of actions taken on a claim |
| 120031 | 2/16/2012 | Praetorian Insurance Company | Fined $14,000 | Failed to provide on-site visit or other appropriate services to policyholders with $25,000 or more in premium; Failed to provide written solicitation of comments from each policyholder at least every 12 months |
| 120028 | 2/14/2012 | Katy Urgent Care Center | Fined $1,000 | Improperly billed an injured employee for workers' compensation medical services provided |
| 120027 | 2/14/2012 | New Hampshire Insurance Company | Fined $16,000 | Failed to timely pay medical bill or to pay medical bill according to TDI-DWC Medical Fee Guidelines; Failed to timely reimburse injured employee for travel expenses; Failed to timely notify TDI-DWC of death benefit payments |
| 120029 | 2/14/2012 | Ninala, Ranil Ronald M.D. | Fined $3,000 | Failed to timely file and/or accurately complete TDI-DWC forms, reports or records |
| 120030 | 2/14/2012 | Wausau Underwriters Insurance Company | Fined $5,000 | Failed to timely pay income benefits to injured employee |
| 120020 | 2/1/2012 | McWatt, Gordon G., D.O. | Must attend workers' compensation health provider training | (The order was not a Consent Order, SOAH issued a Proposal for Decision and Decision in Docket No. 454-09-5313.C1; the Commissioner issued an Official Order) Failed to maintain required documentation; Failed to timely file and/or accurately complete TDI-DWC forms, reports or records. Both Orders were appealed and are pending in district court. |
| 12-0018 | 1/30/2012 | American Home Assurance Company | Fined $1,000 | Failed to timely pay income benefits to injured employee; Failed to timely and accurately submit benefit data to TDI-DWC via Electronic Data Interchange |
| 12-0019 | 1/30/2012 | Benson, Leslie Wayne M.D. | Designated Doctor appointments restricted to one location for one year | Failed to timely file and/or accurately complete TDI-DWC forms, reports or records; Failed to comply with order or decision of Commissioner or TDI-DWC |
| 12-0015 | 1/30/2012 | Illinois National Insurance Company | Fined $8,900 | Failed to timely pay income benefits to injured employee; Failed to timely and accurately submit benefit data to TDI-DWC via Electronic Data |
| 12-0016 | 1/30/2012 | Liberty Insurance Corporation | Fined $5,000 | Failed to timely pay income benefits to injured employee |
| 12-0017 | 1/30/2012 | Oakley, Carol Jane D.C. | Fined $1,000; Must not participate in workers' compensation system as health care provider for one year | Failed to comply with order or decision of Commissioner or TDI-DWC |
| 12-0013 | 1/25/2012 | Swartworth, William M.D. | Fined $2,000 | Failed to comply with order or decision of Commissioner or TDI-DWC |
| 12-0011 | 1/17/2012 | Texas Mutual Insurance Company | Fined $12,000 | Failed to timely pay income benefits to injured employee; Failed to timely report payment of indemnity benefits |
| 12-0010 | 1/9/2012 | Fidelity & Guarantee Insurance Company | Fined $8,000 | Failed to timely pay income benefits to injured employee |
| 12-0009 | 1/9/2012 | Wausau Business Insurance Company | Fined $16,000 | Failed to accurately submit medical bill and payment data |
| 12-0008 | 1/4/2012 | Ace American Insurance Company | Fined $8,500 | Failed to timely pay medical bill or to pay medical bill according to Division Medical Fee Guidelines; Failed to comply with order or decision of Commissioner or TDI-DWC |
| 12-0007 | 1/4/2012 | ACIG Insurance Company | Fined $5,500 | Failed to timely pay medical bill or to pay medical bill according to Division Medical Fee Guidelines; Failed to accurately submit medical bill and payment data |
| 12-0006 | 1/4/2012 | American Zurich Insurance Company | Fined $27,500 | Retrospectively reviewed medical necessity of preauthorized medical service or treatment; Failed to timely pay income benefits to injured employee; Failed to timely act on request for reconsideration of a medical bill; Failed to comply with order or decision of Commissioner or TDI-DWC |
| 12-0004 | 1/4/2012 | Employers Insurance Company of Wausau | Fined $15,000 | Failed to accurately submit medical bill and payment data |
| 12-0005 | 1/4/2012 | Hartford Underwriters Insurance Company | Fined $5,000 | Failed to process claims promptly in a reasonable and prudent manner |
| 12-0002 | 1/4/2012 | Liberty Mutual Insurance Company | Fined $16,500 | Failed to timely pay income benefits to injured employee; Failed to accurately submit medical bill and payment data |
| 12-0001 | 1/4/2012 | Mirkin, Dana Brian M.D. | Fined $4,000; Must attend compliance training for doctors and medical office staff | Failed to timely file and/or accurately complete TDI-DWC forms, reports or records |
| 12-0003 | 1/4/2012 | Pharr San Juan Alamo Independent School District | Fined $8,000 | Failed to timely pay income benefits to injured employee; Failed to timely notify TDI-DWC and injured employee of actions taken on a claim; Failed to accurately submit medical bill and payment data |