Notice Of Eligibility For Lifetime Income Benefits {PLN-4}

PLN-4 - NOTICE OF ELIGIBILITY FOR LIFETIME INCOME BENEFITS. This form informs an injured employee about the approval or denial of lifetime income benefits under Texas workers' compensation laws. If approved, it includes details about the benefit amount, payment schedule, annual adjustments, and direct deposit options. If denied, it provides reasons for denial with specific explanations. The notice must be sent to the employee, their representative, and in certain cases, the Texas Department of Insurance, Division of Workers' Compensation (DWC). Insurance carriers must follow specific formatting and content requirements when issuing this notice. www.FormsWorkflow.com