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Texas Notification of Suspension of Indemnity Benefit Payment...

Texas Notification of Suspension of Indemnity Benefit Payment (124.2(e)(6))

Name: Texas Notification of Suspension of Indemnity Benefit Payment (124.2(e)(6))
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Category:

Texas Workers Compensation - Plain Language Notices

State:

Texas

Control #:

TX-PLN-09-WC

Format:

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Notification of Suspension of Indemnity Benefit Payment (124.2(e)(6)) Texas Notification of Suspension of Indemnity Benefit Payment (124.2(e)(6)) is a notification from an insurance company to an injured party informing them that the insurance company is suspending the payment of their indemnity benefit until further notice. This notification is required by the Texas Insurance Code, Section 124.2(e)(6). There are two types of Texas Notification of Suspension of Indemnity Benefit Payment (124.2(e)(6)): Notice of Suspension of Indemnity Benefits for Medical Reasons and Notice of Suspension of Indemnity Benefits for Non-Medical Reasons. The Notice of Suspension of Indemnity Benefits for Medical Reasons is issued when an insurance company has evidence that an injured party's medical condition has improved to the extent that the payment of indemnity benefits is no longer required. The Notice of Suspension of Indemnity Benefits for Non-Medical Reasons is issued when an insurance company has evidence that an injured party has engaged in activities that are inconsistent with receiving indemnity benefits.

Texas Notification of Suspension of Indemnity Benefit Payment (124.2(e)(6)) is a notification from an insurance company to an injured party informing them that the insurance company is suspending the payment of their indemnity benefit until further notice. This notification is required by the Texas Insurance Code, Section 124.2(e)(6). There are two types of Texas Notification of Suspension of Indemnity Benefit Payment (124.2(e)(6)): Notice of Suspension of Indemnity Benefits for Medical Reasons and Notice of Suspension of Indemnity Benefits for Non-Medical Reasons. The Notice of Suspension of Indemnity Benefits for Medical Reasons is issued when an insurance company has evidence that an injured party's medical condition has improved to the extent that the payment of indemnity benefits is no longer required. The Notice of Suspension of Indemnity Benefits for Non-Medical Reasons is issued when an insurance company has evidence that an injured party has engaged in activities that are inconsistent with receiving indemnity benefits.

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FAQ

Permanent Partial Disability (PPD) Benefits: An injured worker's wage paid is at 70% if their current wages are over $8.50/hr otherwise 75%. The weekly payment minimum is $112, 15% of the Texas state average weekly wage. The weekly maximum is $525, 70% of the Texas state average weekly wage.

Permanent disability (PD) is any lasting disability from your work injury or illness that affects your ability to earn a living. If your injury or illness results in PD you are entitled to PD benefits, even if you are able to go back to work.

Partial Disability ? If an injured employee returns to work following a Compensable Injury but now earns less than before the injury or illness, then the employee will be entitled to Income Benefits for the amount of lost income suffered.

If you have a permanent partial disability, you are eligible to receive the total amount of your PD benefits spread over a fixed number of weeks. If you have a permanent total disability, you are eligible to receive PD payments for the rest of your life.

This benefit equals 70% of the worker's average weekly wage prior to injury. These benefits do not depend on ability to work and could continue even after the injured worker returns to the job. Doctors assign an impairment rating to the injured worker based on the percentage of permanent physical damage.

Amount of impairment income benefits IIBs are 70% of your average weekly wage (AWW). This AWW is the average amount of money your employer said you get each week from your job. IIBs are paid based on the state AWW maximum and minimum amounts on a specific date.

The first seven consecutive or cumulative days following the injury date are called the waiting period and no weekly compensation payment is due for the time lost for that period. However, if an employee is off work for more than 14 calendar days, the weekly compensation for the waiting period is paid retroactively.

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Notification Of Suspension Of Indemnity Benefit Payment Form. This is a Texas form and can be use in Plain Language Notices Workers Compensation.(9) refusal to pay accrued income benefits due to dispute of disability. (1) Notice of First Temporary Disability Indemnity Payment. •PLN9: Notification of Suspension of Indemnity Benefit Payment. (124.2(e)(6)). •PLN10: Notification of Reinstatement of Indemnity Benefit Payment.

Texas Notification of Suspension of Indemnity Benefit Payment (124.2(e)(6))

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