28 Tex. Admin. Code § 53.40 - Transmittal Letters
In cases where the carrier tenders a lump sum payment to claimant based upon medical disability, the carrier shall accompany the payment with the A-2 and a transmittal letter which shall read as follows:
(1) Enclosed is our payment of compensation
$_____ for injuries received on __________. This payment is based on the
medical reports contained in our file. Your case remains open before the
Industrial Accident Board. This payment does not represent a settlement of your
compensation claim. However, there are certain requirements of the law and of
the Industrial Accident Board rules with which you must comply in order to
protect your claim in the future. Please call our office or the board if you
require additional medical treatment or become further disabled as a result of
your injury.
(2) The insurance
carrier shall file an amended A-2 not later than 10 days after the carrier has
received a rejected lump sum payment from the claimant or has itself cancelled
for any reason the lump sum payment.
Notes
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