Corporate Insurance Associates is a leading independent agency in Lubbock, TX specializing in occupational insurance coverage and occupational benefit plans. We serve a wide variety of clients including agriculture, manufacturing, transportation, health care, restaurants, oil and gas industry, steel fabrication, and various retail firms. We are able to provide a wide array of occupational insurance products designed for specific clients and we pride ourselves in taking a hands on approach to customer care.
Services
Coats brings 20 years experience to the area of Workers' Compensation Alternatives and Risk Management solutions.
Throughout his insurance career, Coats has assisted many employers - both small and large - with creative, comprehensive and cost-efficient alternatives to Workers' Compensation Insurance.
Coats expertise is also available to clients in the area of Occupational Benefit Plans (ERISA) and Plan administration.
Coats background includes third party claims administration, marketing, agency management and consulting with Occupational Insurance carriers.
Throughout his insurance career, Coats has assisted many employers - both small and large - with creative, comprehensive and cost-efficient alternatives to Workers' Compensation Insurance.
Coats expertise is also available to clients in the area of Occupational Benefit Plans (ERISA) and Plan administration.
Coats background includes third party claims administration, marketing, agency management and consulting with Occupational Insurance carriers.
ERISA has been used in Texas by non-subscribers as a road map between employer and an injured employee.
The ERISA plan is a contract between the employer and employee that in exchange for benefits provided by the employer, the injured employee promises contractually to abide by the terms of the ERISA plan.
The ERISA plan details the provisions, procedures and requirements for: benefit levels, benefit periods, medical payments, approved medical providers, employee injury reporting requirements, drug and alcohol testing, loss of benefits for failure to comply, disability benefit levels and time periods, definitions of all key terms, and requirements for payment of death, and dismemberment benefits.
The ERISA plan is a contract between the employer and employee that in exchange for benefits provided by the employer, the injured employee promises contractually to abide by the terms of the ERISA plan.
The ERISA plan details the provisions, procedures and requirements for: benefit levels, benefit periods, medical payments, approved medical providers, employee injury reporting requirements, drug and alcohol testing, loss of benefits for failure to comply, disability benefit levels and time periods, definitions of all key terms, and requirements for payment of death, and dismemberment benefits.
The Texas Department of Insurance - Division of Workers' Compensation ("TDI-DWC") has revised the Employer Notice of No Coverage or Termination of Coverage ("DWC005") for employers to notify the state of their Nonsubscriber status.
Please be aware that the TDI-DWC has stepped up its efforts to ensure Nonsubscriber DWC005 reporting compliance.
It is important that Nonsubscribers file the DWC005 (and DWC205 as appropriate) each year on the anniversary date of the original filing for as long as they continue to be a Nonsubscriber.
Please be aware that the TDI-DWC has stepped up its efforts to ensure Nonsubscriber DWC005 reporting compliance.
It is important that Nonsubscribers file the DWC005 (and DWC205 as appropriate) each year on the anniversary date of the original filing for as long as they continue to be a Nonsubscriber.
You may or may not be aware of the new requirement for reporting employee benefits.
Section 111 of the Medicare, Medicaid and SCHIP Extension Act of 2007 (MMSEA) outlines new mandatory reporting requirements to aid the federal government in determining when Medicare does not have the primary responsibility for Medicare expenses.
This affects all general liability, workers' compensation, hospitalization and occupational accident policy holders.
Reporting will be required to be submitted on a quarterly basis and failure to comply with Section 111 can result in a penalty of $1,000 per day, per claim.
Section 111 of the Medicare, Medicaid and SCHIP Extension Act of 2007 (MMSEA) outlines new mandatory reporting requirements to aid the federal government in determining when Medicare does not have the primary responsibility for Medicare expenses.
This affects all general liability, workers' compensation, hospitalization and occupational accident policy holders.
Reporting will be required to be submitted on a quarterly basis and failure to comply with Section 111 can result in a penalty of $1,000 per day, per claim.
Employees are required to report injuries immediately, and seek medical treatment only from company approved medical providers.
ERISA (Employment Retirement Income Security Act of 1974) requires that if an employer provides benefits for medical, sickness, disability, death, etc., they are under ERISA.
The Employer or Plan Sponsor would develop a Plan Document which details benefits available, claims procedures, denials, and claim appeals.
The Plan Document would also provide employee injury reporting requirements and claim appeal procedures.
ERISA (Employment Retirement Income Security Act of 1974) requires that if an employer provides benefits for medical, sickness, disability, death, etc., they are under ERISA.
The Employer or Plan Sponsor would develop a Plan Document which details benefits available, claims procedures, denials, and claim appeals.
The Plan Document would also provide employee injury reporting requirements and claim appeal procedures.
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