Notice Of Change In Amount Of Indemnity Benefit Payment {PLN-8}

PLN-8 - NOTICE OF CHANGE IN AMOUNT OF INDEMNITY BENEFIT PAYMENT (28 Texas Administrative Code (TAC) §124.2). You must use this notice to report to the injured employee/representative and the beneficiaries/representatives (if applicable) when the insurance carrier is changing the net indemnity benefit payment (increase or decrease). Scenarios when you must use this notice (not an exhaustive list): • change/recalculation of average weekly wage; • change in post-injury earnings; • refusal of a bona fide job offer at less than pre-injury wages; • return to work at less than pre-injury wages; • statutory reduction of benefits from 75% to 70% after 26 weeks of benefit payments; • recovery of advanced benefits initiated or completed; • payment of attorney fees or payment of attorney fees completed; • redistribution of death benefits (beneficiaries eligibility change); • court ordered child support lien; • full payment of underpaid indemnity benefits with interest completed and recover of overpayment initiated or completed contribution (weekly payment amount may be adjusted to $0 if necessary); • subrogation/third-party settlement (weekly payment amount may be adjusted to $0 if necessary); or • school or seasonal employee adjustment. www.FormsWorkflow.com