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ACE American Accused of Wrongfully Denying Workers' Comp Claims

Did ACE American Insurance Co. improperly deny claims in some Texas workers' compensation cases? The Insurance and Financial Advisor reports that the Texas Insurance Department's Division of Workers' Compensation says that ACE American did not meet mandatory payment deadlines on some workers' compensation claims in 2008 and in 2009.

Through a workers' compensation claim in Texas, an employee is typically allowed to receive income benefits, medical benefits, burial benefits, and death benefits. Information on the eligibility for these benefits can be found through the Texas Insurance Department's website. Earlier this year, ACE American reportedly paid $221,000 in fines to settle allegations filed in the state of Texas. In one case, Texas records showed that the insurer paid a $74,000 fine after being accused of failing to pay medical costs related to an emergency or treatments that require preauthorization, even when the treatment was preauthorized. In another case, ACE American settled a disciplinary action by paying $147,000 for allegedly failing to comply with an order of the state workers' compensation commissioner.

Employees in the state of Texas that have questions about workers' compensation should first contact the state's Workers' Compensation Commission. The agency's website provides information on benefits, workers' compensation forms, and workers' health and safety resources. It's illegal for an employer to fire an employee or retaliate against an employee for filing a workers' compensation claim. If you're looking to file a lawsuit against an employer for retaliation, it's best to contact a Houston employment lawyer to learn more information on filing a claim.

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