Texas Administrative Code (Last Updated: March 27,2024) |
TITLE 28. INSURANCE |
PART 2. TEXAS DEPARTMENT OF INSURANCE, DIVISION OF WORKERS' COMPENSATION |
CHAPTER 55. LUMP SUM PAYMENTS |
SECTION 55.15. Compromise Settlement Agreements
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(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. Source Note: The provisions of this §55.15 adopted to be effective November 20, 1977, 2 TexReg 4320; amended to be effective September 1, 1981, 6 TexReg 3274; amended to be effective June 1, 1993, 18 TexReg 3194; amended to be effective July 3, 2023, 48 TexReg 3505