Texas Labor Code - Section 409.022. Refusal To Pay Benefits; Notice; Administrative Violation
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§ 409.022. REFUSAL TO PAY BENEFITS; NOTICE;
ADMINISTRATIVE VIOLATION. (a) An insurance carrier's notice of
refusal to pay benefits under Section 409.021 must specify the
grounds for the refusal.
(b) The grounds for the refusal specified in the notice
constitute the only basis for the insurance carrier's defense on
the issue of compensability in a subsequent proceeding, unless the
defense is based on newly discovered evidence that could not
reasonably have been discovered at an earlier date.
(c) An insurance carrier commits an administrative
violation if the insurance carrier does not have reasonable grounds
for a refusal to pay benefits, as determined by the commissioner.
Acts 1993, 73rd Leg., ch. 269, § 1, eff. Sept. 1, 1993. Amended
by Acts 2005, 79th Leg., ch. 265, § 3.146, eff. Sept. 1, 2005.
Section: 409.008 409.009 409.010 409.011 409.012 409.013 409.021 409.022 409.023 409.0231 409.0232 409.024 410.002 410.003 410.005
Last modified: August 10, 2007
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