Filed Under:Markets, Workers Compensation

Workers’ compensation guidance for Hurricane Harvey victims, evacuees

Texas Department of Insurance lets carriers know what to do right now

Workers' compensation claimants as well as insurance carriers have been given guidance on how to manage their claims despite the disruption from Hurricane Harvey. (Photo: iStock)
Workers' compensation claimants as well as insurance carriers have been given guidance on how to manage their claims despite the disruption from Hurricane Harvey. (Photo: iStock)

In addition to its impact on Texans and their property, Hurricane Harvey has also had an impact on infrastructure and benefits programs, like workers’ compensation.

Gov. Greg Abbott’s disaster proclamation directs that all necessary measures, both public and private, as authorized under Section 418.017 of the Texas Government Code, be implemented to meet that threat. To meet the governor’s directive, the Texas Department of Insurance (TDI) has issued Bulletin # B-0020-17 for all insurance companies writing workers’ compensation and employers’ liability insurance in Texas, their agents and representatives, and anyone “participating” in the workers’ compensation system.

For the duration of the governor’s disaster proclamation, in regard to any claims involving workers’ compensation claimants residing in a county included in the latest proclamation, insurance carriers must provide or continue to do the following:

  • Process and deliver benefit checks and necessary medical care, services, and supplies, including physical therapy, pharmaceutical benefits, and medical equipment;
  • Waive penalties and restrictions related to necessary emergency and non-emergency health care provided out-of-network;
  • Cover payments for necessary emergency and non-emergency health care services obtained out-of-network;
  • Extend deadlines for medical examinations;
  • Authorize payment to pharmacies for up to a 90-day supply of any prescription medication, subject to the remaining number of days authorized by the prescribing provider, for individuals regardless of the date upon which the prescription had most recently been filled; and
  • Expedite change-of-address processing.

Related: Life, health insurers manage Hurricane Harvey’s immediate impact

Deadlines on hold for participants


For system participants who reside in the counties listed in the proclamation, the Texas workers’ compensation deadlines for the following procedures are on hold through the duration of the disaster:

  • Workers’ compensation claim notification and filing deadlines;
  • Medical billing deadlines;
  • Medical and income benefit payment deadlines;
  • Electronic data reporting deadlines; and
  • Medical and income benefit dispute deadlines.

The Department of Workers’ Compensation (DWC) is also concerned about protecting the first responders who are helping with rescue and recovery efforts. According to the DWC, Section 504.055 of the Texas Labor Code states that both DWC and political subdivisions shall accelerate and give first priority to an injured first responder’s claim for workers’ compensation medical benefits if that first responder sustains a serious bodily injury in the course and scope of employment.

Related: The impact on mental health and well-being in workers’ comp

For any first responder hurt on the job, the Office of Injured Employee Counsel has a designated First Responder Liaison, Yolanda Garcia, who can be reached at 512-804-4173 or FirstResponderHelp@oiec.texas.gov.

If you have access to a telephone and need help or more information, the DWC directs you to these key contact numbers:

  • To reschedule a benefit review conference or a contested case hearing, call DWC’s local field office or, if the office is not available, 1-800-252-7031
  • For questions related to workers’ compensation health care networks, call 866-554-4926 or 512-676-6400, Option # 7 or contact wcnet@tdi.state.tx.us.
  • For other questions related to the disaster, call the Workers’ Compensation Injured Employee Hotline at 1-800-252–7031.

Related: 10 ways to reduce slips, trips and falls in your business

Related

Texas Insurance Dept. encourages leniency for insureds in Harvey's wake

The Texas Department of Insurance issued several bulletins recently, providing guidance to insurance carriers on what is and isn't allowed...

Featured Video

Most Recent Videos

Video Library ››

Top Story

6 behaviors that could spawn a sexual harassment lawsuit

Sexual harassment scandals loom large among the events that shaped 2017.

Top Story

2017's 10 most hazardous toys

The Boston-based nonprofit World Against Toys Causing Harm, Inc. (W.A.T.C.H.) has released its annual list of the 10 worst toys of 2017.

More Resources

Comments

eNewsletter Sign Up

Workers' Comp Watch eNewsletter

Receive critical business insights into issues related to worker's comp insurance. Sign Up Now!

Mobile Phone

Advertisement. Closing in 15 seconds.