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Texas Department of Insurance
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2022 DWC proposed and adopted rules

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Summary

The amendments change the 10-year lifetime maximum service limit with multiple two-year terms for membership on the MQRP to a 10-year maximum term to align more closely with the language and intent of the statute. They provide for periodic review of members during their terms and allow members whose terms are expiring to submit new applications for membership on the MQRP. The amendments also update statutory references and make editorial changes for plain language and agency style.

Proposal

Adoption

Summary

The amendments make updates for plain language and agency style and clarify
an insurance carrier’s deadlines to file disputes over eligibility of death benefits.

Proposal

Summary

Since 1994, DWC has required insurance carriers to file reports of injury to DWC using the International Association of Industrial Accident Boards and Commissions (IAIABC) claims EDI Release 1.0. The IAIABC no longer updates this standard. The current IAIABC claims EDI Release 3.1.4 proposed in the new rules would replace this outdated standard. The current 3.1.4 standard also aligns Texas with the standard that national insurance carriers use in several other states

First Informal

Second Informal

Proposal

Adoption