Claimant Fined, Ordered to Pay Restitution to Texas Mutual

Texas Mutual Insurance Company reported today that a Travis County district court sentenced Jason Whatley of Borger, Texas on workers’ compensation fraud-related charges. The court ordered Whatley to pay a $500 fine and repay $13,488 in benefits to Texas Mutual.

Whatley reported a job-related injury while working as a driver for Frontier Fluid Service Inc. of Canadian, Texas. He claimed he was unable to work as a result of the injury, and Texas Mutual began paying income benefits to him.

Meanwhile, Texas Mutual uncovered evidence that Whatley was working multiple jobs, including maintenance worker and oilfield pumper, while receiving income benefits.

Investigators call this type of scam double-dipping because the claimant collects benefits for being too injured to work when he or she is, in fact, gainfully employed. Texas law requires claimants to contact their workers’ comp carrier when they return to work. Left unchecked, double-dipping and other workers’ comp fraud can lead to higher premiums for all Texas employers.

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Court Orders Claimant to Repay $21K to Texas Mutual

Texas Mutual Insurance Company reported today that a Travis County district court sentenced Lashantae Reeves of Houston on workers’ compensation fraud-related charges. The court sentenced Reeves to one year of deferred adjudication and ordered her to repay $21,000 in benefits to Texas Mutual.

Reeves reported a job-related injury while working as a clerk for Harrison Personnel Services of Houston. She claimed she was unable to work as a result of the injury, and Texas Mutual began paying income benefits to her.

Meanwhile, Texas Mutual uncovered evidence that Reeves was working as a customer service representative for a Houston law firm and as a health education coordinator for a Houston health clinic while receiving income benefits.

Investigators call this type of scam double-dipping because the claimant collects benefits for being too injured to work when he or she is, in fact, gainfully employed. Texas law requires claimants to contact their workers’ comp carrier when they return to work. Left unchecked, double-dipping and other workers’ comp fraud can lead to higher premiums for all Texas employers.

New Texas Mutual purchasing group for ag industry

Texas Mutual Insurance Company announced its new workers’ compensation purchasing group today: AgriComp. Any licensed Texas agent can submit qualifying clients for consideration.

AgriComp is open to qualifying seed merchants, cotton farming gins, feed manufacturers, fertilizer manufacturers, grain elevators, hay dealers, grain dealers, feed dealers and other segments of the agriculture industry. Group members get:

  • A discount on their workers’ compensation insurance
  • An industry-specific workplace safety plan
  • Potential workers’ compensation dividends

For more information about AgriComp, visit texasmutual.com/agents/pr_agricomp.shtm

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AgriComp purchasing group applicants must be members of the Lone Star Agribusiness Association. The association advocates on behalf of its members, provides educational and networking meetings and communications, and develops solutions for members’ immediate and future needs.

“Our industry contributes to the $80 billion enterprise we call Texas agriculture,” said Ben Boerner, president of Lone Star Agribusiness. “This program gives our members a cost-effective way to protect their employees, their businesses and, ultimately, their bottom line with workers’ comp insurance.”

In most cases, workers’ compensation insurance protects employers from lawsuits arising out of on-the-job accidents. It also provides medical and wage replacement benefits for injured workers, for life if necessary.

Occupational accident policies and other forms of alternate coverage leave employers vulnerable to lawsuits, and they often put a cap on injured workers’ benefits.

Manufacturing group earns $874K Texas Mutual dividend

Texas Mutual Insurance Company announced an $874,253 dividend to the Texas Association of Manufacturers (TAM) workers’ compensation purchasing group today. The dividend was based largely on the group’s loss ratio.

TAM has earned $1,411,633 in dividends during the past three years. By committing to workplace safety and helping injured workers return to productive employment, TAM purchasing group members improve their chances of qualifying for future dividends.*

In addition to potential dividends, TAM members get a discount on their workers’ compensation premium. They also have access to industry-specific safety materials, including pamphlets, videos, DVDs, streaming videos and a written safety plan. The materials cover basic manufacturing safety rules, machine guarding, forklift safety and other topics that address the hazards manufacturing employees face on the job.

Any licensed Texas agent can submit qualifying clients for membership in TAM. For more information, visit texasmutual.com/agents/pr_tam.shtm or tamworkerscomp.com.

*Past dividends are not a guarantee of future dividends. The Texas Department of Insurance must approve all dividends.

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