Current through Reg. 49, No. 49; December 6, 2024
Section 141.5 - Description of the Benefit Review Conference(a) Definitions. As used in this section, "participant" means an individual entitled or permitted to attend and take part in a benefit review conference. Participants include: (2) the parties' representatives;(3) the employer exercising the right to present evidence relevant to the disputed issue or issues; and(4) any other individual, at the discretion of the benefit review officer.(b) Overview of the benefit review conference. The benefit review conference consists of three parts: opening, mediation, and closing.(c) Opening. The benefit review officer shall:(1) identify the case and introduce the parties and other participants;(2) thoroughly inform the parties and participants of their rights and responsibilities under the Texas Workers' Compensation Act;(3) explain the purpose of the conference and the procedures and time frame to be observed;(4) identify and describe the disputed issues to be mediated; and(5) elicit each party's statement of position regarding each disputed issue.(d) Mediation. The benefit review officer shall:(1) ask and answer questions of the parties and other participants;(2) encourage the parties to discuss the disputed issues and ask and answer questions;(3) permit the employer to present evidence relevant to the disputed issues;(4) permit other participants to discuss the disputed issues and ask and answer questions, to the extent the benefit review officer deems appropriate;(5) if necessary, caucus individually with each party;(6) assist the parties to agree on specific options for resolution; and(7) assist the parties in resolving disputed issues by agreement or settlement.(e) Closing. The benefit review officer shall:(1) assist the parties in reducing agreements or settlements to writing;(2) identify any issues left unresolved; and(3) if available information pertinent to the resolution of the disputed issue(s) was not produced at the benefit review conference, require a second benefit review conference to be scheduled if a second one has not already been conducted.28 Tex. Admin. Code § 141.5
The provisions of this §141.5 adopted to be effective June 7, 1991, 16 TexReg 2876; amended to be effective September 4, 2006, 31 TexReg 7127