This declaratory-judgment case has been called the "'lead' stop-loss case" by the agency. The appeal concerns how to construe the stop-loss threshold used in the Texas Workers Compensation system from 1997 to 2008 -- is it a $40,000 bright-line stop-loss threshold, or does the rule contemplate that carriers and hospitals will have to fight over the reasonableness of each claim above that amount?
Firefox recommends the PDF Plugin for Mac OS X for viewing PDF documents in your browser.
We can also show you Legal Updates using the Google Viewer; however, you will need to be logged into Google Docs to view them.
Please choose one of the above to proceed!
LOADING PDF: If there are any problems, click here to download the file.