The following list of new and revised Plain Language Notices (PLN) go into effect July 26, 2023, and align with the new Texas Claim EDI R3.1.4 standard.
- NEW PLN-02B, Notice of First Payment of Income Benefits on an Acquired Claim, English | Spanish
- Revised PLN-08, Notice of Change in Amount of Indemnity Benefit Payment, English | Spanish
- Renumbered PLN-10A, Notice of Reinstatement of Indemnity Benefits, English | Spanish
- NEW PLN-10B, Notice of Lump Sum Payment of Income or Death Benefits, English | Spanish
- Revised PLN-11, Notice of Disputed Issues and Refusal to Pay Benefits, English | Spanish
- Revised PLN-14, Notice of Continuing Investigation, English | Spanish
DWC asks that carriers and claim administrators be ready to use the updated forms when they become effective.
For questions about the new forms, contact martha.luevano@tdi.texas.gov.
|
