SECTION 12.301. Complaints, Oversight, and Information

(a) Complaints against an IRO must be processed under the department's established procedures for investigation and resolution of complaints.

(b) As part of its oversight of IROs, the department will conduct compliance audits to ensure that IROs are complying with Insurance Code Chapters 1305 and 4202 and the rules and standards in this chapter.

(c) The department may use the authority of Insurance Code §38.001 to make inquiries of any IRO.

(d) This chapter does not limit the ability of the commissioner of workers' compensation or TDI-DWC to make inquiries, conduct audits, or receive and investigate complaints against IROs or personnel employed by or under contract with IROs to perform independent review to determine compliance with or violations of Labor Code Title 5 or applicable TDI-DWC rules.

Source Note: The provisions of this §12.301 adopted to be effective November 26, 1997, 22 TexReg 11363; amended to be effective December 26, 2010, 35 TexReg 11281; amended to be effective July 7, 2015, 40 TexReg 2538