Texas Workers' Compensation Insurance Fund v. Serrano

Section 417.002(a) of the Texas Workers’ Compensation Act provides that “[t]he net amount recovered by a claimant in a third-party action shall be used to reimburse the insurance carrier for benefits, including medical benefits, that have been paid for the compensable injury.” Tex. Lab.Code § 417.002(a). The single question before us is whether the carrier must prove that the amount of benefits paid was reasonable and necessary before it is entitled to reimbursement. The court of appeals answered yes. — S.W.2d-. We disagree.

Jose Serrano sustained disabling on-the-job injuries when he was…