Texas Administrative Code
Title 28 - INSURANCE
Part 2 - TEXAS DEPARTMENT OF INSURANCE, DIVISION OF WORKERS' COMPENSATION
Chapter 55 - LUMP SUM PAYMENTS
Section 55.15 - Compromise Settlement Agreements
Universal Citation: 28 TX Admin Code ยง 55.15
Current through Reg. 49, No. 38; September 20, 2024
(a) A compromise settlement agreement must contain the following information:
(1) that the agreement is executed on a form
approved by the division;
(2) that
the agreement is accompanied by physician's signed report of the findings of a
recent examination of the employee;
(3) that the employee has achieved maximum
recovery, or that good reason exists for settlement prior to maximum
recovery;
(4) that in the event of
serious injury to the claimant's eye, healing has occurred and the division was
given a medical report on whether the other eye is or may be affected;
and
(5) that in all instances of
severe and disfiguring burns or lacerations, a descriptive medical report of
the scars will be submitted by either the association or claimant. In all such
cases involving injury to the face, arms, or hands, either the claimant or
insurance carrier must submit to the division a color photograph taken after
maximum healing.
(b) Compromise settlement agreements submitted to the division must be submitted in the form and manner prescribed by the division. The division will provide a copy of the compromise settlement agreement to the claimant, claimant's attorney if one has been employed, and the insurance carrier's Austin representative instead of a separate approval notice.
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