Texas Codes

Tex. Lab. Code § 415.008 (2026)

Fraudulently Obtaining Or Denying Benefits; Administrative Violation

✓ current as of May 2026

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Sec. 415.008. FRAUDULENTLY OBTAINING OR DENYING BENEFITS; ADMINISTRATIVE VIOLATION. (a) A person commits an administrative violation if the person, to obtain or deny a payment of a workers' compensation benefit or the provision of a benefit for the person or another, knowingly or intentionally:

(1) makes a false or misleading statement;

(2) misrepresents or conceals a material fact;

(3) fabricates, alters, conceals, or destroys a document; or

(4) conspires to commit an act described by Subdivision (1), (2), or (3).

(b) Repealed by Acts 2011, 82nd Leg., R.S., Ch. 1162, Sec. 37(5), eff. September 1, 2011.

(c) A person who has obtained an excess payment in violation of this section is liable for full repayment plus interest computed at the rate prescribed by Section 401.023. If the person is an employee or person claiming death benefits, the repayment may be redeemed from future income or death benefits to which the person is otherwise entitled.

(d) An employer who has committed an act described by Subsection (a) that results in denial of payments is liable for the past benefit payments that would otherwise have been payable by the insurance carrier during the period of denial, plus interest computed at the rate prescribed by Section 401.023. The insurance carrier is not liable for benefit payments during the period of denial.

(e) If an administrative violation proceeding is pending under this section against an employee or person claiming death benefits, the division may not take final action on the person's benefits.

Acts 1993, 73rd Leg., ch. 269, Sec. 1, eff. Sept. 1, 1993.

Amended by:

Acts 2005, 79th Leg., Ch. 265 (H.B. 7), Sec. 3.272, eff. September 1, 2005.

Acts 2011, 82nd Leg., R.S., Ch. 1162 (H.B. 2605), Sec. 28, eff. September 1, 2011.

Acts 2011, 82nd Leg., R.S., Ch. 1162 (H.B. 2605), Sec. 37(5), eff. September 1, 2011.

Notes of Decisions

Cited in 11 cases (3 in the last 5 years), 1999–2025 · leading case: Guideone Ins. Co. v. Cupps, 207 S.W.3d 900 (Tex. App. 2006).

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Guideone Ins. Co. v. Cupps, 207 S.W.3d 900 (Tex. App. 2006). · cites it 4× “Tex. Lab.Code Ann. § 415.008(a),(c). 34 .”

in Re Crawford & Co., Crawford & Co. Healthcare Mgmt., Inc., Patsy Hogan & Old Repub. Ins. Co., 458 S.W.3d 920 (Tex. 2015). “Tex. Lab. Code §§ 415.008, 418.001. Because the Johnsons’ causes of action for malicious prosecution and intentional infliction of emotional distress arise out of Crawford’s investigation, handling, and settling of a workers’ compensation claim, we hold that the Division had…”

Liberty Mut. Ins. Co. v. Adcock, 353 S.W.3d 246 (Tex. App. 2011). · cites it 2× “Laws 260 , 260 (repealed 1989), with Tex. Lab.Code Ann. §§ 415.008, .031, .034, 418.”

Gullett v. Cont'l Cas. Co. (In Re Gullett), 230 B.R. 321 (Bankr. S.D. Tex. 1999). “Tex. Labor Code §§ 415.008, 415.021. CCC’s pursuit of a finding against debtor for fraud clearly was sought in order to raise an administrative violation entitling it to judgment against debtor personally rather than simply recoupment of an overpayment from future benefits.”

Liberty Mut. Ins. Co. & Texas Dep't of Ins., Div. of Workers' Comp. v. Ricky Adcock (Tex. App. 2011). · cites it 2× “See Tex. Lab. Code Ann. § 415.008 (a), (b) (West 2006).”

Liberty Mut. Ins. Co. & Texas Dep't of Ins., Div. of Workers' Comp. v. Ricky Adcock (Tex. App. 2011). · cites it 2× “Laws 260 , 260 (repealed 1989), with Tex. Lab. Code Ann. §§ 415.008 , .031, .034, 418.”

Francisca Okonkwo, Admin. Law Judge, Texas Dep't of Ins., Div. of Workers' Comp., in Her Off. Capacity & Fort Bend Cnty. v. Joshua David Heiliger, Individually, & on Behalf of the Est. of Lauren Brittane Smith, & on Behalf of Death Benefits Beneficiaries Joshua David Heiliger & Emma Destiny Heiliger (Tex. App. 2025). “086 TAB EE: Texas Labor Code § 415.008 41 TAB A TAB B TAB C TAB D TAB E TAB F TAB G TAB H TAB I TAB J TAB K TAB L TAB M TAB N TAB O TAB P TAB Q TAB R TAB S TAB T TAB U TAB V TAB W TAB X TAB Y TAB Z TAB AA TAB BB TAB CC TAB DD TAB EE Automated Certificate of eService This…”

Francisca Okonkwo, Admin. Law Judge, Texas Dep't of Ins., Div. of Workers' Comp., in Her Off. Capacity & Fort Bend Cnty. v. Joshua David Heiliger, Individually, & on Behalf of the Est. of Lauren Brittane Smith, & on Behalf of Death Benefits Beneficiaries Joshua David Heiliger & Emma Destiny Heiliger (Tex. App. 2025). “086 TAB EE: Texas Labor Code§ 415.008 41 TAB A TAB B TAB C TAB D TAB E TAB F TAB G TAB H TAB I TAB J TAB K TAB L TAB M TAB N TAB O TAB P TAB Q TAB R TAB S TAB T TAB U TAB V TAB W TAB X TAB Y TAB Z TAB AA TAB BB TAB CC TAB DD TAB EE Automated Certificate of eService This…”

in Re iWORKS Pers., Inc., Luis Trevino, & Haydee Gutierrez (Tex. App. 2015). “TEX. LAB. CODE §§ 415.008, 418.001. Because the Johnsons’ causes of action for malicious prosecution and intentional infliction of emotional distress arise out of Crawford’s investigation, handling, and settling of a workers’ compensation claim, we hold that the Division had…”

Edie Crain v. Smithville Reg'l Hosp. & James W. Langford (Tex. App. 1999). “Tex. Lab. Code Ann. § 415.008 (d) (West 1996).”

— Tex. Lab. Code § 415.008(a) — 2 cases

Guideone Ins. Co. v. Cupps, 207 S.W.3d 900 (Tex. App. 2006). “Tex. Lab.Code Ann. § 415.008(a),(c). 34 .”

Liberty Mut. Ins. Co. v. Adcock, 353 S.W.3d 246 (Tex. App. 2011). “Laws 260 , 260 (repealed 1989), with Tex. Lab.Code Ann. §§ 415.008, .031, .034, 418.”

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