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 |
|---|---|---|---|---|
| 5317 | 12/15/2017 | Federated Service Insurance Company | Fined $6,400 | Failed to timely pay income benefits to injured employees; failed to accurately notify the division of actions taken on a claim |
| 5312 | 12/12/2017 | State Farm Fire and Casualty Company | Fined $11,000 | Failed to timely act on a properly completed medical bill; failed to submit accurate medical electronic data interchange records to the division |
| 20185295 | 11/29/2017 | Battle, Clinton C., M.D. | Removed from the Texas workers' compensation system as health care provider | Prescribed compound medications that were improper, unreasonable or medically unnecessary; failed to follow the division's fee and treatment guidelines; failed to document reasons for prescribing compound medications |
| 20185294 | 11/29/2017 | Liberty Mutual Fire Insurance Company | Fined $1,250 | Failed to timely pay income benefits to an injured employee after receiving a designated doctor's report |
| 20185268 | 11/1/2017 | Chubb Indemnity Insurance Company | Fined $2,500 | Failed to comply with a division order |
| 20185269 | 11/1/2017 | LM Insurance Corporation | Fined $2,500 | Failed to timely pay income benefits to an injured employee after receiving a designated doctor's report |
| 20185259 | 10/18/2017 | Arch Insurance Company | Fined $950 | Failed to timely act on a request for reconsideration |
| 20185260 | 10/18/2017 | Levy, Richard Simon M.D. | Fined $1,500; must subscribe to MD Guidelines; must complete medical record documentation training; must complete return to work training. | Failed to timely file and/or accurately complete TDI-DWC forms, reports or records; failed to consider MD Guidelines when assessing return to work; failed to provide adequate description or explanation injury prevented employee from returning to work |
| 20185247 | 10/10/2017 | Kobza, Paul Edward D.O. | Complete pharmacology and prescribing and medical documentation training | Prescribed compounded medications that were improper, unreasonable or medically unnecessary; failed to document medical necessity or appropriate medical rationale for prescribing compounded medications |
| 20185246 | 10/10/2017 | LM Insurance Corporation | Fined $2,500 | Failed to comply with commissioner order |
| 20185248 | 10/10/2017 | New Hampshire Insurance Company | Fined $3,000 | Failed to comply with commissioner order |
| 20185245 | 10/10/2017 | United States Fire Insurance Company | Fined $1,250 | Failed to take final action on a properly completed medical bill. |
| 20175189 | 8/22/2017 | Sreshta, Dominic Gregory M.D. | Fined $6,250; must complete medical training; must document medical necessity for compound medication to improve injured employee's symptoms | Prescribed compound medications that were improper, unreasonable or medically unnecessary; failed to document reasons for prescribing compounded medications |
| 20175175 | 8/3/2017 | Ace American Insurance Company | Fined $5,255 | Failed to pay accurate death benefits to legal beneficiaries |
| 20175174 | 8/3/2017 | Texas Mutual Insurance Company | Fined $1,000 | Failed to comply with division order regarding benefits |
| 20175170 | 8/2/2017 | Keepers, Jerry M., M.D. | Fined $5,000; must complete training; must document medical necessity for prescribing compound medications | Prescribed compound medications that were improper, unreasonable or medically unnecessary |
| 20175169 | 8/2/2017 | LaMarra, Anthony J., DPM | Fined $7,500; must cease and desist from prescribing compound medications as a routine practice in the Texas Workers' Compensation System; must complete medical training | Prescribed compound medications that were improper, unreasonable or medically unnecessary |
| 20175157 | 7/18/2017 | American Zurich Insurance Company | Fined $4,000 | Failed to timely pay income benefits to injured employee; failed to comply with a division order |
| 20175156 | 7/18/2017 | Arch Insurance Company | Fined $5,000 | Failed to timely pay income benefits to injured employee |
| 20175153 | 7/18/2017 | Mitsui Sumitomo Insurance Company of America | Fined $500 | Failed to timely comply with an interlocutory order |
| 20175155 | 7/18/2017 | National Union Fire Insurance Company of Pittsburgh, PA | Fined $1,500 | Failed to comply with agreement approved by division |
| 20175154 | 7/18/2017 | Zurich American Insurance Company | Fined $32,400 | Failed to act on a properly completed medical bill; failed to comply with division order; Failed to timely pay income benefits to injured employee |
| 20175142 | 7/6/2017 | ACIG Insurance Company | Fined $10,000 | Failed to timely pay income benefits to injured employee |
| 20175140 | 7/6/2017 | Hartford Underwriters Insurance Company | Fined $3,000 | Failed to timely act on a properly completed medical bill |
| 20175141 | 7/6/2017 | Sazy, John Anthony M.D. | Must complete continuing medical education hours | Failed to document medical conditions requiring prescription of "N" drugs; failed to document pain levels or success of prescribed drugs; failed to document the medical necessity for the "N" drugs prescribed; and failed to document his rationale for prescribing certain drugs |
| 20175139 | 7/6/2017 | Trumbull Insurance Company | Fined $9,000 | Failed to timely act on a properly completed medical bill; failed to timely pay income benefits to injured employee; failed to pay benefits based on opinion of designated doctor during pendency of dispute |
| 20175132 | 6/30/2017 | ACE American Insurance Company | Fined $1,000 | Failed to attend a benefit review conference without good cause. |
| 20175133 | 6/30/2017 | Federal Insurance Company | Fined $22,500 | Failed to timely pay income benefits to injured employee; failed to accurately notify division of actions taken on a claim |
| 20175134 | 6/30/2017 | Hartford Underwriters Insurance Company | Fined $1,750 | Failed to timely pay income benefits to injured employee |
| 20175135 | 6/30/2017 | Liberty Insurance Corporation | Fined $13,750 | Failed to timely pay income benefits to injured employee; failed to timely pay income benefits to injured employee according to designated doctor's report |
| 20175136 | 6/30/2017 | Milwaukee Casualty Insurance Company | Fined $35,000 | Failed to timely act on a properly completed medical bill; failed to submit accurate medical electronic data interchange records to division |
| 20175125 | 6/27/2017 | Protective Insurance Company | Fined $10,000 | Failed to timely pay income benefits to injured employee; failed to timely and accurately notify division of actions taken on a claim |
| 20175126 | 6/27/2017 | Technology Insurance Company, Inc | Fined $35,000 | Failed to timely act on a properly completed medical bill; failed to submit accurate medical electronic data interchange records to division |
| 20175127 | 6/27/2017 | Valley Forge Insurance Company | Fined $8,000 | Failed to timely pay accrued income benefits to injured employee; failed to timely pay accrued income benefits to injured employee according to designated doctor's report |
| 20175128 | 6/27/2017 | Wesco Insurance Company | Fined $35,000 | Failed to timely act on a properly completed medical bill; failed to submit accurate medical electronic data interchange records to division |
| 20175109 | 6/12/2017 | Cromer, Barry Lee M.D. | Fined $3,500; must obtain current MDA Guidelines for two years; must complete medical record documentation course; must complete continuing medical education | Failed to consider approved disability guidelines when assessing return to work for injured employee; failed to timely file and/or accurately complete TDI-DWC forms, reports or records |
| 20175104 | 6/8/2017 | Frank Winston Crum Insurance Company | Fined $22,000 | Failed to timely act on a properly completed medical bill; failed to submit accurate medical electronic data interchange records to the division |
| 20175105 | 6/8/2017 | Frank, Brannon R, M.D. | Fined $6,000; must complete continuing medical education | Failed to maintain reasonable and efficient utilization and management of chronic pain health care provided to injured employee |
| 20175106 | 6/8/2017 | Indemnity Insurance Company of North America | Fined $8,750 | Failed to attend a benefit review conference; failed to timely pay income benefits to injured employee according to designated doctor's report |
| 20175107 | 6/8/2017 | Trumbull Insurance Company | Fined $2,500 | Failed to timely pay income benefits to injured employee |
| 20175096 | 5/26/2017 | Arch Insurance Company | Fined $1,000 | Failed to attend a benefit review conference without good cause |
| 20175097 | 5/26/2017 | Technology Insurance Company Inc. | Fined $29,000 | Failed to timely pay income benefits to injured employees; failed to timely report initiation of income benefits to the division; failed to accurately notify the division of actions taken on a claim |
| 20175083 | 5/19/2017 | Accident Fund Insurance Company of America | Fined $1,000 | Failed to timely pay income benefits to injured employees |
| 20175086 | 5/19/2017 | Illinois National Insurance Company | Fined $4,000 | Failed to pay accurate income benefits to injured employees; failed to pay accurate death benefits to legal beneficiaries; failed to provide accurate claim data to division |
| 20175085 | 5/19/2017 | New Hampshire Insurance Company | Fined $38,000 | Failed to pay accurate income benefits to injured employees; failed to pay accurate death benefits to legal beneficiaries; failed to provide accurate claim data to division; failed to timely pay attorney's fees |
| 20175084 | 5/19/2017 | Old Republic Insurance Company | Fined $11,000 | Failed to pay accurate income benefits to injured employees; failed to pay accurate death benefits to legal beneficiaries; failed to provide accurate claim data to division |
| 20175081 | 5/15/2017 | National Fire Insurance Company of Hartford | Fined $14,250 | Failed to pay accurate income benefits to injured employees; failed to pay accurate death benefits to legal beneficiaries; failed to provide accurate claim data to division |
| 20175075 | 5/12/2017 | Flores, Alex Jr., D.C. | Fined $2,500; must complete medical record documentation training and certified medical education return to work course | Failed to timely file and/or accurately complete TDI-DWC forms, reports or records; failed to consider medical guidelines when assessing return to work |
| 20175074 | 5/12/2017 | Fuentes, Jose Armando M.D. | Fined $3,500; must complete medical record documentation training and certified medical education return to work course; must purchase and maintain MD Guidelines for two years | Failed to timely file and/or accurately complete TDI-DWC forms, reports or records; failed to consider medical guidelines when assessing return to work; failed to explain why injuries prevented injured employees from returning to work |
| 20175076 | 5/12/2017 | Security National Insurance Company | Fined $3,000 | Failed to timely pay income benefits according to interlocutory order |
| 20175078 | 5/12/2017 | Travelers Casualty & Surety Company | Fined $13,000 | Failed to timely pay income benefits to injured employees; failed to timely report initiation of income benefits to division; failed to accurately notify division and injured employee of actions taken on a claim |
| 20175077 | 5/12/2017 | Travelers Casualty Insurance Company of America | Fined $3,000 | Failed to timely pay income benefits to injured employees |
| 20175059 | 5/3/2017 | Accident Fund Insurance Company of America | Fined $20,000 | Failed to pay accurate death benefits to legal beneficiaries |
| 20175058 | 5/3/2017 | National Interstate Insurance Company | Fined $6,000 | Failed to pay income benefits to injured employees |
| 20175056 | 5/3/2017 | New Hampshire Insurance Company | Fined $3,000 | Failed to timely pay attorney's fees |
| 20175057 | 5/3/2017 | The Insurance Company of the State of Pennsylvania | Fined $7,500 | Failed to timely act on a properly completed medical bill |
| 20175060 | 5/3/2017 | Woywood, Roger Brian D.C. | Fined $1,500 | Failed to timely contact injured employee about change in schedule for designated doctor exam; failed to attend an ordered designated doctor exam |
| 20175049 | 4/27/2017 | ACE American Insurance Company | Fined $1,000 | Failed to attend a benefit review conference without good cause |
| 20175050 | 4/27/2017 | Wausau Underwriters Insurance Company | Fined $40,000 | Failed to pay accurate death benefits to legal beneficiaries; failed to timely notify division of termination of death benefits |
| 20175051 | 4/27/2017 | Wesco Insurance Company | Fined $2,500 | Failed to timely pay income benefits to injured employee |
| 20175025 | 4/12/2017 | Arredondo, Eradio M.D. | Fined $1,000 | Failed to notify division of disqualifying association for designated doctor examination |
| 20175020 | 4/5/2017 | Starr Indemnity & Liability Company | Fined $1,000 | Failed to timely dispute entitlement to death benefits |
| 20175009 | 3/30/2017 | Farmington Casualty Co. | Fined $8,000 | Failed to timely pay income benefits to injured employees; failed to accurately notify division and injured employee of actions taken on a claim |
| 20175008 | 3/30/2017 | Lee, Kenneth Jiann-Hung M.D. | Fined $12,500; must complete medical record documentation training; must cease and desist from routinely prescribing compound medications | Improperly prescribed compound medications to injured employees; failed to document medical necessity or appropriate medical rationale for prescribing compound medications |
| 20174996 | 3/17/2017 | Markel Insurance Company | Fined $2,250 | Failed to pay death benefits accurately to legal beneficiaries; failed to timely notify division of termination of death benefits |
| 20174995 | 3/17/2017 | Williams, Kevin A., M.D. | Fined $10,000; must cease and desist from routinely prescribing compound medications; must complete medical record documentation training | Improperly prescribed compound medications to injured employees; failed to document medical necessity or appropriate medical rationale for prescribing compound medications |
| 20174970 | 3/3/2017 | ACIG Insurance Company | Fined $15,000 | Failed to timely comply with a division order; breached an agreement approved by the division; failed to timely pay income benefits to injured employee |
| 20174973 | 3/3/2017 | American Zurich Insurance Company | Fined $9,500 | Failed to timely pay income benefits to injured employee; failed to timely comply with a division order |
| 20174968 | 3/3/2017 | Baylor Scott & White Health | Fined $1,000 | Improperly billed an injured employee for workers' compensation medical services provided |
| 20174971 | 3/3/2017 | Great Midwest Insurance Company | Fined $500 | Failed to comply with commissioner order |
| 20174972 | 3/3/2017 | Old Republic Insurance Company | Fined $1,500 | Failed to timely pay income benefits to injured employees; failed to pay benefits based on a designated doctors report while dispute is pending |
| 20174969 | 3/3/2017 | Schwartz, Adam L., D.C. | Fined $1,500 | Failed to notify injured employee at least one day before rescheduling a designated doctor examination; failed to attend an ordered designated doctor examination |
| 20174953 | 2/22/2017 | Castlepoint National Insurance Company | Fined $1,000 | Failed to submit request for a designated doctor examination as required by division |
| 20174954 | 2/22/2017 | Old Republic Insurance Company | Fined $1,000 | Failed to timely comply with order to pay attorney's fees; failed to timely pay attorney's fees |
| 20174955 | 2/22/2017 | Texas A&M University System | Fined $4,000 | Failed to provide accurate claim data to division; failed to pay accurate death benefits to legal beneficiaries; failed to timely report termination of death benefits to division |
| 20174930 | 2/13/2017 | Liberty Mutual Insurance Company | Fined $18,000 | Failed to timely pay income benefits to injured employee after receiving report certifying maximum medical improvement and impairment rating |
| 20174929 | 2/13/2017 | The Insurance Company of the State of Pennsylvania | Fined $44,000 | Failed to pay accurate income benefits to injured employees; failed to notify division of annual income benefit increases; failed to timely report termination of income and death benefits to the division |
| 20174923 | 2/1/2017 | Commercial Casualty Insurance Company | Fined $60,000 | Failed to timely act in a properly completed medical bill; failed to submit accurate medical electronic data interchange records to division |
| 20174924 | 2/1/2017 | McLane Foodservice Inc. | Fined $2,500 | Failed to timely provide written copy of first report of injury and notice of rights and responsibilities to injured employee; failed to timely file supplemental report of injury |
| 20174925 | 2/1/2017 | Vanliner Insurance Company | Fined $1,000 | Failed to timely comply with decision of commissioner |
| 2017-4914 | 1/27/2017 | Esses, Stephen Ivor M.D. | Fined $25,000; cease and desist from prescribing compound medications; must complete medical records documentation training | Failed to follow guidelines in prescribing compound medications; failed to document medical necessity or rationale for prescribing compound medications |
| 2017-4915 | 1/27/2017 | Great Midwest Insurance Company | Fined $1,500 | Failed to timely comply with order awarding benefits to injured employee |
| 2017-4904 | 1/17/2017 | New Hampshire Insurance Company | Fined $5,000 | Failed to timely pay income benefits to injured employees; failed to timely record when notice of injury not received from employer; failed to timely contact employer when notice of injury not received |
| 2017-4903 | 1/13/2017 | Chopra and Associates PA | Fined $1,000 | Failed to respond to request for a refund from an insurance carrier; failed to comply with a division order |
| 2017-4900 | 1/11/2017 | New Hampshire Insurance Company | Fined $3,600 | Failed to comply with a commissioner order |
| 2017-4892 | 1/10/2017 | Accident Fund Insurance Company of America | Fined $3,000 | Failed to timely pay income benefits according to designated doctor's report |
| 2017-4893 | 1/10/2017 | American Zurich Insurance Company | Fined $6,000 | Failed to timely pay income benefits according to designated doctor's report; failed to timely comply with an order for attorney fees; failed to timely act on a request for reconsideration of a medical bill |
| 2017-4894 | 1/10/2017 | Old Republic Insurance Company | Fined $1,950 | Failed to timely pay income benefits to injured employee according to a designated doctors' report; returned a properly completed medical bill to health care provider |
| 2017-4895 | 1/10/2017 | Twin City Fire Insurance Company | Fined $8,500 | Failed to timely pay income benefits to injured employee according to a designated doctor's report |
| 2017-4896 | 1/10/2017 | Zurich American Insurance Company | Fined $5,500 | Failed to timely pay income benefits according to a designated doctor's report; failed to timely act on a request for reconsideration of a medical bill |
| 2017-4881 | 1/3/2017 | Castlepoint National Insurance Company | Fined $600 | Failed to timely pay attorney's fees |