Texas Notification of Change of Indemnity Benefit Type (124.2(e)(4)) is a form used by employers in the state of Texas to notify the Texas Workforce Commission (TWC) of any changes made to the indemnity benefit type of existing workers' compensation policy. This form must be completed and submitted to the TWC within 10 days of any changes to the policy. There are three types of Texas Notification of Change of Indemnity Benefit Type (124.2(e)(4)): 1) Form TWCC-116, Benefit Type Change Notification; 2) Form TWCC-117, Benefit Type Change Notification-Retroactive; and 3) Form TWCC-118, Benefit Type Change Notification-Retroactive with Reinstatement of Benefits.
Texas Notification of Change of Indemnity Benefit Type (124.2(e)(4))
State:
Texas
Control #:
TX-PLN-07S-WC
Format:
Word
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Description
Notification of Change of Indemnity Benefit Type (124.2(e)(4))
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