Effective August 2, 2012, the Texas Department of Insurance, Division of Worker’s Compensation (TDI-DWC) adopted new rules requiring that self-insured political subdivisions notify the TWI-DWC when they elect to provide medical benefits to employees by directly contracting with health care providers or by contracting with health care providers through a health benefits pool.
If self-insured political subdivisions provide medical benefits to their employees by directly contracting with health care providers or by contracting through a health benefits pool as of August 2, 2012, the self-insured political subdivision must file a DWC Form 020SI, Self-Insured Governmental Entity Coverage Information, with the TDI-DWC not later than December 31, 2012.
If the self-insured political subdivision makes a decision to provide the medical benefits to their employees (by directly contracting with health care providers or by contracting through a health benefits pool) after August 2, 2012, the self-insured political subdivision must file a DWC Form 020SI with the TDI-DWC no later than 30 days after the date the self-insured political subdivision begins providing medical benefits to the employees in that manner.
Download DWC Form 020SI
Also, please remember that self-insured political subdivisions must also comply with the proof of coverage reporting requirements outlined in 28 Texas Administrative Code §110.1. Failure to comply with these regulations is an administrative violation.
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Posted on 11/30 at 11:07 AM