From Texas Department of Insurance <[email protected]>
Subject DWC Revises Death Benefits Forms
Date December 19, 2023 10:34 PM
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122923
DWC Revises Death Benefits Forms

DWC has revised forms DWC Form-042, "Claim for Workers? Compensation Death Benefits"", "and PLN-12, "Notice of Potential Entitlement to Workers? Compensation Death Benefits"?to help eligible beneficiaries file claims for death benefits with DWC or an insurance carrier.?The form revisions are necessary to implement Texas Labor Code Sections 408.182 and 409.007, which were amended by House Bill 2314, 88th Legislature, Regular Session (2023).

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