The Texas Division of Workers’ Compensation (DWC) released its 2026 Performance-Based Oversight (PBO) assessment plan for insurance carriers.

Carriers that reported 20 or more initial payments of temporary income benefits (TIB) during the assessment period will be reviewed. Based on performance, carriers are rated as high, average, or poor. High performers may receive incentives, while poor performers will face increased oversight and enforcement.

The plan evaluates performance using five key measures based on medical data reported to the DWC from January 1 to June 30, 2026, including:

• Timely payment of initial temporary income benefits (TIBs).
• Timely reporting of initial payment data to DWC.
• Timely processing of initial medical bills.
• Timely handling of medical bill reconsideration requests.
• Timely reporting of medical data via Texas Medical State Reporting Release 1.0.

The data will be reviewed in July of 2026, and the findings will be sent to carriers with a rebuttal deadline for eligible categories. Rebuttals will be reviewed in August, and final findings and tier ratings will be sent to carriers in September, before being published in October of 2026.