Texas Department of Insurance News

Public Adjuster Accused of Pocketing Settlement Checks Says No Penalty Warranted

An attorney for the Texas public adjuster accused of pocketing $7.6 million in insurer settlement checks told an administrative law judge that the case doesn’t warrant any administrative penalties and if any restitution is ordered, it should be limited to …

LDI Fines Public Adjuster Accused of Pocketing Insurer Payouts

The Louisiana Department of Insurance has ordered a Texas father-and-son public adjusting team to pay a $50,000 fine for pocketing money that was intended for insurance claimants. The department on Aug. 18 revoked the public adjuster license issued to Kade …

Public Adjuster Firm Accused of Pocketing $600K in Insurer Payouts in 2 States

The Texas Department of Insurance says a public adjusting firm that was sanctioned last month by Louisiana regulators has pocketed more than $300,000 in insurer payouts intended for Texas property owners. TDI is asking the Texas State Office of Administrative …

Scams Include Fake Flood Damage, Phantom Car Wrecks and Post-Dated Claims

A lawyer who faked flood damage, a bodyshop owner who reported accidents that never happened and motorists who filed claims for crashes that occurred before they bought auto insurance policies were among the people who were arrested or convicted for …

Texas DOI Re-Certifies 10 Firms to Self-Insure Workers’ Comp Claims

The Texas Department of Insurance’s Division of Workers’ Compensation (DWC) re-certified 10 employers to self-insure workers’ compensation claims. In total, the companies employ about 15,000 people in Texas. DWC renewed: Associated Wholesale Grocers, Inc. E.I. du Pont de Nemours and …

Texas Workers’ Comp Fraud Unit Boasts 40 Investigations Since Inception

Since its establishment five months ago, the new in-house fraud unit at the Texas Division of Workers’ Compensation has opened more than 40 investigations and hired additional fraud investigators to extend its reach. “It’s a huge benefit to have a …

Texas DWC Claim Files go Digitial

Every month, TDI’s Division of Workers’ Compensation receives hundreds of requests for records of workers’ compensation claims that can date back to the 1960s. DWC first checks to make sure the person requesting the confidential records has a right to …

Texas’ Closed Formulary Helped Reduce Costs, Opioid Use

A recent analysis by researchers at the Texas Department of Insurance shows that the Texas pharmacy closed formulary is lowering costs and reducing the use of opioids. “Other states are interested in the success we’re having in Texas,” said Workers’ …

Texas Disaster Outreach Program Works to Protect Storm Victims

After tornadoes ravaged the Dallas area in late December, the National Insurance Crime Bureau (NICB) and Texas Department of Insurance (TDI) Fraud Unit worked together to establish a new disaster outreach program, called the Catastrophe Response Team (CRT). The CRT …

Texas Regulators Recover $32.4M in Premium Refunds, Claim Payments

Consumer protection staff for the Texas Department of Insurance (TDI) were able to recover $32.4 million for Texas consumers during the past year as a result of complaint resolution, the agency announced recently. The money came from premium refunds and …