| Summer 2010

Jo Betsy Norton, Vice President of Public Affairs Jo Betsy Norton

You Need to Know

By Jo Betsy Norton • Vice President of Public Affairs

“You Need to Know” provides a high-level overview of legislative and regulatory initiatives that could affect workers’ compensation system stakeholders. For more information on these topics, visit texasmutual.com/news/cnyntk.shtm.

Sunset Advisory Commission update
The Sunset Advisory Commission met on July 6, 2010, and voted to recommend that the 82nd Legislature enact legislation to continue the Texas Department of Insurance, Division of Workers’ Compensation (DWC) and the Office of Injured Employee Counsel for six years instead of the standard 12-year period.

Other recommendations address dispute resolution, the Medical Quality Review Panel, certification of designated doctors, complaint and enforcement processes, and the delegation of specific claim decisions from the DWC to insurance carriers.

Federal act requires employer cooperation
Texas Mutual is calling on employers to help it comply with the Medicare, Medicaid & SCHIP Extension Act (MMSEA) requirements.

The MMSEA is intended to ensure that the Medicare program does not pay for a beneficiary’s care when another insurer has primary responsibility:

  • Please include your injured workers’ Social Security numbers and dates of birth on DWC Form-001, Employer’s First Report of Injury or Illness.
  • l To comply with these requirements, we may contact you if we do not have that information on each claim.

DWC revises death benefits form
The Texas Department of Insurance, Division of Workers’ Compensation (DWC) has revised DWC Form-042, Beneficiary Claim for Death Benefits.

Beneficiaries of an employee who has died from a work-related injury or occupational illness must use the form to notify the DWC of a death benefits claim.

Get reimbursed for your return-to-work efforts
If you have two employees to 50 employees, you may be eligible for the Texas Department of Insurance, Division of Workers’ Compensation (DWC) return-to-work program.

Under the program, the DWC reimburses qualifying employers for money they spend to bring injured employees back to work or keep them at work. For more information, visit www.tdi.state.tx.us/wc/rtw/index.html, email rtw.services@tdi.state.tx.us or call (512) 804-5000.

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