Texas Workers' Compensation

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§ 132.4. Eligibility of a Child To Receive Death Benefits

(a) A child eligible for death benefits is the son or daughter of a deceased employee, including an adoptive child, and including a dependent stepchild, who meets any of the conditions set out in the Texas Workers’ Compensation Act (the Act), § 4.42(g)(2).

(b) A person claiming benefits as the biological or adoptive son or daughter of a deceased employee shall submit proof of relationship to the deceased employee to the carrier or along with the claim for death benefits. The claimant shall submit a certified copy of the claimant’s birth certificate or decree of adoption. If these documents do not exist, the claimant shall submit other proof of relationship, such as baptismal records, court orders establishing paternity, voluntary admissions of paternity, or affidavits of persons who have personal knowledge of the relationship to the deceased employee.

(c) If there are two parents listed on the claimant’s birth certificate, but deceased employee is not listed, the claimant is presumed to be the child of the parents actually named and is presumed not eligible to receive death benefits. The presumption may be rebutted by credible evidence.

(d) A person claiming benefits as the dependent stepchild of the deceased employee shall prove that the employee was married to a parent of the claimant, and must also establish dependent status as set out in § 132.2 of this title (relating to Determination of Facts of Dependent Status).

(e) A child under 18 years of age, who is married or has been emancipated from the disabilities of minority at the time of the employee’s death, shall not be eligible to receive benefits as a minor under the Act, § 4.42(g)(2)(A).

(f) A child who is a full-time student at the time of the employee’s death and is less than 25 years old shall submit evidence of enrollment at an accredited educational institution. A child shall only be considered a full-time student if the child meets the educational institution’s requirements for a full-time student in the child’s course of study.

(g) An adult child claiming eligibility to receive benefits under the Act, § 4.42(g)(2), shall be required to establish dependent status as set out in § 132.2 of this title (relating to Determination of Facts of Dependent Status). A physically or mentally handicapped child also shall submit medical evidence of the handicap.

The provisions of this § 132.4 adopted to be effective January 1, 1991, 15 TexReg 7023.

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At a Glance:

Title:

§ 132.4. Eligibility of a Child To Receive Death Benefits

Title:

Title 28. Insurance

Status:

Current

Usage:

New Law Rule

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