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TITLE 28INSURANCE
PART 6OFFICE OF INJURED EMPLOYEE COUNSEL
CHAPTER 276GENERAL ADMINISTRATION
SUBCHAPTER BOMBUDSMAN PROGRAM
RULE §276.12Procedures for Private Meetings with Unrepresented Injured Employees Prior to a Workers' Compensation Proceeding

(a) An ombudsman shall meet privately with an unrepresented injured employee for a minimum of 15 minutes prior to each benefit review conference and benefit contested case hearing.

(b) The 15-minute private meeting shall include:

  (1) an overview of the dispute resolution process, and

  (2) a review of the injured employee's disputed issues and applicable workers' compensation laws, rules, and appeals panel decisions.

(c) The ombudsman shall request the benefit review officer or contested case hearing officer to recess the proceeding to allow for the private meeting pursuant to Labor Code §404.151(b)(5) if the ombudsman becomes aware that the unrepresented injured employee has not met with an ombudsman for a minimum of 15 minutes prior to the proceeding.

(d) If the injured employee refuses to attend the required meeting prior to a benefit review conference or a contested case hearing, the injured employee shall acknowledge such refusal in writing. If the injured employee refuses to sign the acknowledgement, the ombudsman shall request that:

  (1) the injured employee receive a copy of Texas Labor Code §404.151, and

  (2) the benefit review officer make a notation of the injured employee's refusal in the claim file or that the contested case hearing officer note such refusal in the hearing record.


Source Note: The provisions of this §276.12 adopted to be effective February 2, 1996, 21 TexReg 512; transferred effective March 1, 2006, as published in the Texas Register June 23, 2006, 31 TexReg 5147; amended to be effective August 23, 2006, 31 TexReg 6515

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