PJC General Negligence 2024

W ORKERS ’ C OMPENSATION —T IMELINESS OF R ESPONDING

PJC 20.1

PJC 20.1

Waiver—Question

PJC 20.1A Waiver—Question—When Claimant Appeals

QUESTION ______ Did ABC Insurance Carrier fail to contest the compensability of Paul Payne ’s injury on or before the sixtieth day after the date on which ABC Insur ance Carrier received first written notice of the injury? Under Texas Administrative Code section 124.2, an insurance carrier con tests the compensability of an injury by filing a Plain Language Notice 1 (PLN01) with the Texas Department of Insurance, Division of Workers’ Com pensation. Written notice of injury means the insurance carrier’s earliest receipt of the Employer’s First Report of Injury (Form DWC-001), written notification pro vided by the Division of Workers’ Compensation, or any other written commu nication regardless of source that fairly informs the carrier of the name of the injured employee, the identity of the employer, the approximate date of the injury, and information that claims the injury is work related. Answer “Yes” or “No.” Answer: _______________ QUESTION ______ Did ABC Insurance Carrier contest the compensability of Paul Payne ’s injury on or before the sixtieth day after the date on which ABC Insurance Car rier received first written notice of the injury? [Insert PJC 20.1A instructions on contesting compensability and written notice of injury.] Answer “Yes” or “No.” Answer: _______________ PJC 20.1B Waiver—Question—When Carrier Appeals

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