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Texas Notice of Potential Entitlement to Workers' Compensation Death Benefits

State:
Texas
Control #:
TX-PLN-12S-WC-0
Format:
Word
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Notice of Potential Entitlement to Workers' Compensation Death Benefits

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FAQ

What Is The Ninety Day Rule? The ninety day rule comes from Division of Workers' Compensation Rule 130.12. It states that the first valid impairment rating given to an injured worker becomes FINAL if it is not disputed within ninety days of delivery of written notice through verifiable means.

Death benefits are 75% of the deceased employee's average weekly wage. There are maximum and minimum benefit limits. Benefits may also be available for burial expenses. They are paid to the person who paid for the burial expenses.

There is a monthly payment paid by the State of Texas to the eligible surviving spouse and minor child until the child reaches the age of 18: ? $400 each month; if there is one surviving child. $600 each month; if there are two surviving children.

Death Benefits are paid at a rate of 75 percent of the deceased employee's average weekly wage. These benefits are subject to statutory weekly maximums, currently $895 per week, but are not subject to statutory minimums. Similar to Lifetime Income Benefits, Death Benefits are not taxable.

Survivors Benefit Amount Surviving spouse, full retirement age or older ? 100% of the deceased worker's benefit amount. Surviving spouse, age 60 ? through full retirement age ? 71½ to 99% of the deceased worker's basic amount. Surviving spouse with a disability aged 50 through 59 ? 71½%.

While most other states allow lump sum settlements, Texas does not. The only benefits that may be paid in a lump sum are impairment income benefits. If you have been back to work for at least three months and earn at least 80% of your average weekly wage, you can commute your impairment income benefits.

Your spouse, children, and parents could be eligible for benefits based on your earnings. You may receive survivors benefits when a family member dies. You and your family could be eligible for benefits based on the earnings of a worker who died. The deceased person must have worked long enough to qualify for benefits.

Regardless of when, how, or why your employer stops payments, workers comp cannot stop paying without notice. Your employer or their insurer cannot stop paying you workers' compensation benefits without telling you.

More info

To file a claim, complete the "Employee" section of the form, keep one copy and give the rest to your employer. This chapter describes procedures for developing and adjudicating death claims under the FECA.Who can receive Workers Compensation (WC) benefits? Eligible beneficiaries must complete DWC Form-042, Beneficiary Claim for Death Benefits and send it to DWC within one year from the date the employee died. Notice to Administrative Law Judge and Employee of Intention to Contest Employee's Right to Compensation Benefits. Temporary total disability (TT):. You will need to fill out your part of the C-4 form the first time you visit a medical provider for treatment of your work injury. An injured worker who is temporarily unable to work also receives partial wage replacement payments. Workers' Compensation Dependents' Death Benefits - Notices to Dependents. You will need to fill out your part of the C-4 form the first time you visit a medical provider for treatment of your work injury.

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Texas Notice of Potential Entitlement to Workers' Compensation Death Benefits