- (a) Claims administration must be performed by an adjuster licensed in Texas to handle workers' compensation claims.
- (b) Each proposed contract to provide claims services to a self-insurer must be approved by the director prior to recommending approval of an application to self-insure or, if a self-insurer is changing from one claims contractor to another, prior to the effective date of the new contract.
- (c) The claims contractor must promptly investigate each reportable injury and either pay benefits or controvert, as required by the Act and commission rules.
Source Note:The provisions of this §114.10 adopted to be effective January 1, 1993, 17 TexReg 7896.