The Texas Department of Insurance, Division of Workers’ Compensation (DWC) created this plain language glossary for your general use. Please see the Texas Labor Code if you need an exact definition of a workers’ compensation term.
A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T | U | V | W | X | Y | Z
Act – A set of Texas workers’ compensation laws created to protect both the employer and the employee.
Act of God – An event that happens from natural causes with no human involvement and that could not have been predicted or prevented. Examples are floods, lightning, and earthquakes.
Adjuster – A person who works for the insurance carrier to determine if the insurance carrier is responsible for the claim and then pays benefits if they are due.
Administrative review – When an agency considers the outcome of a dispute. For instance, the DWC Appeals Panel reviews an administrative law judge’s decision. Judicial review is when a court considers the DWC Appeals Panel’s decision.
Adverse determination – When a utilization review agent finds that the health care services provided or prescribed for an injured employee are not medically necessary or are experimental or investigational.
Agent – A person who sells and services insurance policies. Agents must get a license from the Texas Department of Insurance (TDI) to sell insurance in Texas.
Agent’s license – A certificate of authority from the state, which allows an agent to do business.
Agreement ...
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