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DISCIPLINARY ORDERS POSTED for 2018

TEXAS DEPARTMENT OF INSURANCE

Division of Workers' Compensation

A Commissioner of Workers’ Compensation consent order (settlement) imposing sanctions becomes final upon signature of the Commissioner of Workers’ Compensation. System participants are entitled to a hearing at the State Office of Administrative Hearings (SOAH) if they do not wish to settle the enforcement matter. If there is a hearing on an enforcement matter at SOAH, the SOAH Administrative Law Judge will issue a Proposal for Decision (PFD). The Commissioner of Workers’ Compensation will then consider the case, and shall issue a decision or order that may become final. The decision or order that may become final will become final in accordance with Government Code chapter 2001, subchapters F and G.

Copies of Commissioner of Insurance and or Commissioner of Workers' Compensation orders may be obtained only by an open records request. Your request can be sent by email, fax, mail, or in person. Learn more about how to request information.


Summaries of the orders follow.

Amtrust Insurance Company of Kansas, Inc. of Dallas
Order Number: DWC-20185453
Date of Order:  4/2/2018
Action Taken:  Fined $25,000
Violation:  Failed to take final action on properly completed medical bills; failed to submit accurate medical electronic data interchange records to the division; failed to timely initiate income benefits to an injured employee


Commerce and Industry Insurance Company of New York City, NY
Order Number: DWC-20185476
Date of Order:  4/25/2018
Action Taken:  Fined $20,000
Violation:  Failure to timely act on properly completed medical bills; failed to submit accurate medical electronic data interchange records to the division


Federated Mutual Insurance Company of Owatonna, MN
Order Number: DWC-20185461
Date of Order:  4/9/2018
Action Taken:  Fined $25,000
Violation:  Failed to pay accurate income benefits to an injured employee; failed to pay accurate death benefits to legal beneficiaries; failed to timely report death benefit terminations data to the division


Fort Bend County of Richmond
Order Number: DWC-20185452
Date of Order:  4/2/2018
Action Taken:  Fined $30,000
Violation:  Failed to take final action on properly completed medical bills; failed to submit accurate medical electronic data interchange records to the division


Hartford Underwriters Insurance Company of Hartford, CT
Order Number: DWC-20185465
Date of Order:  4/20/2018
Action Taken:  Fined $9,000
Violation:  Failed to timely pay income benefits to injured employee; failed to accurately notify the division of actions taken on a claim


Inbody, Steven B., M.D. of Houston
Order Number: DWC-20185444
Date of Order:  4/2/2018
Action Taken:  Fined $5,000
Violation:  Provided services to injured employees and received direct or indirect remuneration from the provision of services to injured employees after being deleted from the Approved Doctors List


Liberty Insurance Corporation of Boston, MA
Order Number: DWC-20185466
Date of Order:  4/20/2018
Action Taken:  Fined $5,000
Violation:  Failed to pay accurate income benefits to an injured employee; failed to pay accurate death benefits to legal beneficiaries; failed to timely and accurately report claim data to the division


New Hampshire Insurance Company of New York City, NY
Order Number: DWC-20185451
Date of Order:  4/2/2018
Action Taken:  Fined $1,900
Violation:  Failed to timely comply with an agreement approved by the division


T&R Pipeline Services, Inc. of Houston
Order Number: DWC-20185478
Date of Order:  4/25/2018
Action Taken:  Fined $1,250
Violation:  Failed to timely file Employer's Wage Statement; failed to timely comply with a division order


Technology Insurance Company, Inc. of New York City, NY
Order Number: DWC-20185450
Date of Order:  4/2/2018
Action Taken:  Fined $4,000
Violation:  Failed to timely pay income benefits to an injured employee in accordance with a designated doctor report


The Charter Oak Fire Insurance Company of Hartford, CT
Order Number: DWC-20185475
Date of Order:  4/25/2018
Action Taken:  Fined $5,000
Violation:  Failed to timely pay income benefits to an injured employee in accordance with a designated doctor report


The First Liberty Insurance Corporation of Boston, MA
Order Number: DWC-20185464
Date of Order:  4/20/2018
Action Taken:  Fined $3,700
Violation:  Failed to pay accurate income benefits to an injured employee; failed to pay accurate death benefits to legal beneficiaries; failed to accurately report claims data to the division


The Insurance Company of the State of Pennsylvania of New York City, NY
Order Number: DWC-20185460
Date of Order:  4/9/2018
Action Taken:  Fined $2,000
Violation:  Failed to take final action on a properly completed medical bill


The Standard Fire Insurance Company of Hartford, CT
Order Number: DWC-20185477
Date of Order:  4/25/2018
Action Taken:  Fined $27,855
Violation:  Failed to timely pay income benefits to injured employees; failed to timely and accurately notify the division of action taken on a claim


American Casualty Company of Reading PA of Chicago, IL
Order Number: DWC-20185433
Date of Order:  3/21/2018
Action Taken:  Fined $1,500
Violation:  Failed to timely initiate income benefits to an injured employee


Federal Insurance Company of Roseville, CA
Order Number: DWC-20185434
Date of Order:  3/21/2018
Action Taken:  Fined $7,000
Violation:  Failed to timely pay income benefits to an injured employee in accordance with a designated doctor report


Golovko, Dmitry M.D. of Lubbock
Order Number: DWC-20185432
Date of Order:  3/21/2018
Action Taken:  Fined $9,500
Violation:  Failed to timely file TDI-DWC forms and his narrative reports


Starr Indemnity & Liability Company of New York City, NY
Order Number: DWC-20185424
Date of Order:  3/8/2018
Action Taken:  Fined $12,000
Violation:  Failed to timely pay income benefits to injured employees; failed to accurately notify the division of actions taken on a claim


Vanliner Insurance Company of Saint Louis, MO
Order Number: DWC-20185423
Date of Order:  3/8/2018
Action Taken:  Fined $25,000
Violation:  Failed to timely act on a properly completed medical bill; failed to submit accurate medical electronic data interchange records to the division; failed to timely initiate income benefits to an injured employee


Zurich American Insurance Company of Schaumburg, IL
Order Number: DWC-20185435
Date of Order:  3/21/2018
Action Taken:  Fined $4,000
Violation:  Failed to timely initiate income benefits to an injured employee


Ace American Insurance Company of Philadelphia, PA
Order Number: DWC-20185412
Date of Order:  2/28/2018
Action Taken:  Fined $22,000
Violation:  Failed to timely pay income benefits to injured employees; failed to accurately notify the division of actions taken on a claim


Granite State Insurance Company of New York City, NY
Order Number: DWC-20185413
Date of Order:  2/28/2018
Action Taken:  Fined $22,000
Violation:  Failure to timely act on a properly completed medical bill; failed to submit accurate medical electronic data interchange records to the division


Harlandale ISD of San Antonio
Order Number: DWC-20185414
Date of Order:  2/28/2018
Action Taken:  Fined $13,500
Violation:  Failure to timely act on a properly completed medical bill; failed to submit accurate medical electronic data interchange records to the division


Sentry Casualty Company of Stevens Point, WI
Order Number: DWC-20185415
Date of Order:  2/28/2018
Action Taken:  Fined $4,300
Violation:  Failed to timely pay income benefits to injured employees; failed to accurately notify the division of actions taken on a claim


Trumbull Insurance Company of Hartford, CT
Order Number: DWC-20185416
Date of Order:  2/28/2018
Action Taken:  Fined $20,000
Violation:  Failed to timely pay income benefits to injured employees; failed to accurately notify the division of actions taken on a claim


XL Insurance America, Inc. of Stamford, CT
Order Number: DWC-20185417
Date of Order:  2/28/2018
Action Taken:  Fined $32,000
Violation:  Failed to timely pay income benefits to injured employees; failed to accurately notify the division of actions taken on a claim


Accident Fund Insurance Company of America of Lansing, MI
Order Number: DWC-20185373
Date of Order:  1/23/2018
Action Taken:  Fined $13,500
Violation:  Failed to timely pay income benefits to injured employees; failed to accurately notify the division of actions taken on a claim


American Zurich Insurance Company of Schaumburg, IL
Order Number: DWC-20185386
Date of Order:  1/30/2018
Action Taken:  Fined $1,000
Violation:  Failed to timely pay impairment income benefits to an injured employee


American Zurich Insurance Company of Schaumburg, IL
Order Number: DWC-20185329
Date of Order:  1/3/2018
Action Taken:  Fined $53,750
Violation:  Failed to take final action on properly completed medical bills; failed to timely comply with commissioner orders


Argonaut - Midwest Insurance Company of San Antonio
Order Number: DWC-20185370
Date of Order:  1/22/2018
Action Taken:  Fined $3,500
Violation:  Failed to comply with documentation and reporting provisions related to accident prevention services


Argonaut Great Central Insurance Company of San Antonio
Order Number: DWC-20185368
Date of Order:  1/22/2018
Action Taken:  Fined $3,000
Violation:  Failed to comply with documentation and reporting provisions related to accident prevention services


Argonaut Insurance Company of San Antonio
Order Number: DWC-20185371
Date of Order:  1/22/2018
Action Taken:  Fined $3,500
Violation:  Failed to comply with documentation and reporting provisions related to accident prevention services


City of Odessa of Odessa, TX
Order Number: DWC-20185381
Date of Order:  1/30/2018
Action Taken:  Fined $9,000
Violation:  Failed to submit accurate medical electronic data interchange records to the division


Deep East Texas Self Insurance Fund of Jasper, TX
Order Number: DWC-20185382
Date of Order:  1/30/2018
Action Taken:  Fined $4,300
Violation:  Failed to timely pay income benefits to injured employees; failed to accurately notify the division of actions taken on a claim


Indemnity Insurance Company of North America of Philadelphia, PA
Order Number: DWC-20185385
Date of Order:  1/30/2018
Action Taken:  Fined $1,000
Violation:  Failed to timely pay impairment income benefits to an injured employee


Insurance Company of the State of Pennsylvania of New York City, NY
Order Number: DWC-20185383
Date of Order:  1/30/2018
Action Taken:  Fined $8,500
Violation:  Failed to timely pay income benefits to injured employees; failed to accurately notify the division of actions taken on a claim


Liberty Insurance Corporation of Boston, MA
Order Number: DWC-20185372
Date of Order:  1/22/2018
Action Taken:  Fined $1,000
Violation:  Failed to timely comply with an agreement approved by the division


Liberty Insurance Corporation of Boston, MA
Order Number: DWC-20185376
Date of Order:  1/23/2018
Action Taken:  Fined $19,500
Violation:  Failed to timely pay income benefits to injured employees; failed to accurately notify the division of actions taken on a claim


Rochdale Insurance Company of New York City, NY
Order Number: DWC-20185367
Date of Order:  1/22/2018
Action Taken:  Fined $12,500
Violation:  Failed to take final action on properly completed medical bills; failed to submit accurate medical electronic data interchange records to the division


Rockwood Casualty Insurance Company of Rockwood, PA
Order Number: DWC-20185369
Date of Order:  1/22/2018
Action Taken:  Fined $5,500
Violation:  Failed to comply with documentation and reporting provisions related to accident prevention services


Safety National Casualty Corporation of Saint Louis, MO
Order Number: DWC-20185374
Date of Order:  1/23/2018
Action Taken:  Fined $23,500
Violation:  Failed to timely pay income benefits to injured employees; failed to accurately notify the division of actions taken on a claim


Security National Insurance Company of Dallas
Order Number: DWC-20185366
Date of Order:  1/22/2018
Action Taken:  Fined $40,000
Violation:  Failed to timely act on a properly completed medical bill; failed to submit accurate medical electronic data interchange records to the division


Sentry Insurance A Mutual Company of Stevens Point, WI
Order Number: DWC-20185375
Date of Order:  1/23/2018
Action Taken:  Fined $4,600
Violation:  Failed to timely pay income benefits to an injured employee


United States Fire Insurance Company of Morristown, NJ
Order Number: DWC-20185384
Date of Order:  1/30/2018
Action Taken:  Fined $2,500
Violation:  Failed to timely pay impairment income benefits to an injured employee based on the report of a designated doctor


Zurich American Insurance Company of Schaumburg, IL
Order Number: DWC-20185328
Date of Order:  1/3/2018
Action Taken:  Fined $42,000
Violation:  Failed to timely pay income benefits to injured employees; failed to accurately notify the division of actions taken on a claim