28 Tex. Admin. Code § 114.11 - Audit Program
(a) The division shall
audit certified self-insurers as frequently as necessary to assure compliance
with the Texas Workers' Compensation Act and division rules, but shall audit
each certified self-insurer at least once every three years.
(b) An audit may include, but not be limited
to:
(1) any representation made on an
application or in an annual report required by §
114.15(b) of
this title (relating to Revocation of Certificate of Authority to
Self-Insure);
(2) payroll and
classification;
(3) loss
history;
(4) claims
administration;
(5) loss
reserves;
(6) interviews of the
certified self-insurer, its agents, or employees regarding any matter within
their knowledge and pertaining to the obligations of the certified self-insurer
under the Act or division rules; and
(7) any other issue deemed appropriate by the
division.
(c) A written
report shall be provided to the certified self-insurer within 30 days after the
audit is completed.
(d) A certified
self-insurer's unreasonable refusal to make the required information available
constitutes:
(1) grounds for revocation of
the certificate; and
(2) a Class A
administrative violation, with each day of noncompliance constituting a
separate violation.
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.