Texas Mutual Insurance Company News

Appellate Court Rules Insurers Not on the Hook for Air Ambulance Reimbursement Rates

The Austin Court of Appeals issued a decision in a case involving the high prices that air ambulances charge Texas workers’ compensation insurers. Workers’ compensation insurance is a heavily regulated line of insurance. In fact, the state-mandated insurance policy requires …

Texas Court Ruling Prevents Price Gouging by Air Ambulance Companies

A state district court judge in Austin has upheld the State of Texas’ right to regulate fees paid to air ambulances for transporting patients covered by workers’ compensation insurance. This case is the first in the recent national wave of …

Major Medical Chain Pleads Guilty, Repays Texas Mutual $6.5 Million

Nova Healthcare Management, headquartered in Houston, Texas, entered a plea of guilty to felony workers’ compensation fraud related charges, according to an announcement by Texas Mutual Insurance Company and the Travis County District Attorney. According to the court documents, Texas …

Texas Mutual Names Johnson Jr. Vice President of Claim Operations

Texas Mutual Insurance Company, a policyholder-owned company and a provider of workers’ compensation insurance, announced the hiring of Curtis Johnson, Jr. as vice president of claim operations. Johnson assumed his new role in September. In this role, Johnson oversees all …

Texas Construction Firm Owners Sentenced for Premium Fraud

A Travis County district court sentenced Anthony Stokes and Mario Williams of Little Elm, Texas for workers’ compensation fraud-related charges, reported Texas Mutual Insurance Company. Stokes and Williams were sentenced to one year deferred adjudication and ordered to pay $41,844 …

Texas Man Sentenced Workers’ Comp Double Dipping Scam

A Travis County district court sentenced Rodney Williams of Seabrook, Texas for workers’ compensation fraud-related charges, according to an announcement by Texas Mutual Insurance Company. The court sentenced Williams to deferred adjudication and ordered him to pay $6,156 in restitution …

Nurse Ordered to Pay $39,800 in Restitution to Texas Mutual

A Travis County district court sentenced Raj Dhingra of Houston for workers’ compensation fraud-related charges, according to an announcement by Texas Mutual Insurance Company. Dhingra was sentenced to deferred adjudication and ordered to pay $39,800 in restitution to Texas Mutual. …

Texas Doctor Sentenced on Workers’ Comp Fraud Charges

A Texas doctor was was sentenced to five years’ confinement, according to Texas Mutual Insurance Company. On May 16, 2014, a Travis County jury convicted Howard T. Douglas, III, M.D. of Frisco on felony workers’ compensation fraud-related charges for overbilling …

Safety Paramount for Texas Mutual CEO Gergasko

Richard Gergasko, CEO of workers’ compensation insurer, Texas Mutual Insurance Co., describes himself as an insurance geek. Trained as an actuary, he’s been involved in the insurance business for 30 years. With Texas Mutual since February 2013, Gergasko previously worked …

Texas Doctor Convicted on Workers’ Comp Fraud Charges

A Travis County jury convicted Howard T. Douglas, III, M.D. of Frisco, Texas, on felony workers’ compensation fraud-related charges for overbilling Texas Mutual for functional capacity evaluations, according to an announcement by Texas Mutual Insurance Company. Sentencing is set for …