Texas Administrative Code
Title 26 - HEALTH AND HUMAN SERVICES
Part 1 - HEALTH AND HUMAN SERVICES COMMISSION
Chapter 264 - CONSUMER DIRECTED SERVICES OPTION
Subchapter B - RESPONSIBILITIES OF EMPLOYERS AND DESIGNATED REPRESENTATIVES
Section 264.223 - Liability Acknowledgment and Workers' Compensation

Universal Citation: 26 TX Admin Code § 264.223

Current through Reg. 50, No. 13; March 28, 2025

(a) An employer must complete Form 1728, Liability Acknowledgment, for each applicant for employment.

(b) An employer must document on Form 1728:

(1) if the employer is, or is not, a subscriber to workers' compensation through the Texas Department of Insurance, Division of Workers' Compensation; and

(2) the arrangements, if any, that the employer has made for work-related injuries or illness incurred by an employee if the employer is not a subscriber to workers' compensation.

(c) An employer must maintain the original Form 1728 completed for an applicant and provide a copy to the CDSA.

(d) An employer may request assistance from the CDSA to subscribe to workers' compensation through the Texas Department of Insurance, Division of Workers' Compensation if the employer elects to subscribe to the state workers' compensation program.

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