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The Oregon Administrative Rules contain OARs filed through September 15, 2014

 

Department of Consumer and Business Services

Workers' Compensation Division

Division number quick links Delta 001-008 | 009 | 010-015 | 030 | 035 | 040-045 | 050 | 055-060 | 070-075 | 080-085 | 100-105 | 110 | 120 | 140-150 | 160 | 162-170

DIVISION 1

PROCEDURAL RULES GOVERNING RULEMAKING AND HEARINGS

General Provisions

436-001-0003 Applicability and Purpose of these Rules

436-001-0004 Definitions

436-001-0005 Model Rules of Procedure For Rulemaking

Rulemaking

436-001-0009 Notice of Division Rulemaking

Hearings

436-001-0019 Requests for Hearing

436-001-0023 Other Filings and Submissions

436-001-0027 Timeliness; Calculation of Time

436-001-0030 Role of the Worker' Compensation Division

436-001-0170 Duties and Powers of the Administrative Law Judge

436-001-0225 Scope of Review/Limitations on the Record

436-001-0240 Exhibits and Evidence

436-001-0246 Proposed and Final Orders — Exceptions, Correction, Director Review

436-001-0252 Stay of Director and Administrative Review

436-001-0259 Ex Parte Communication

436-001-0296 Settlements and Dismissals

436-001-0400 General Provisions and Requirements for Attorney Fees Awarded by the Director

436-001-0410 Attorney Fees Awarded Under ORS 656.385(1)

436-001-0420 Attorney Fees Awarded Under ORS 656.262(11)

436-001-0430 Attorney Fees Awarded Under ORS 656.262(12)

436-001-0440 Time Within Which Attorney Fees Must Be Paid

DIVISION 8

ELECTRONIC MEDICAL BILLING

436-008-0001 Authority, Applicability, Purpose, and Administration of these Rules

436-008-0004 Adoption of Standards

436-008-0005 Definitions

436-008-0010 Electronic Medical Bills

436-008-0015 Electronic Medical Bill Attachments or Documentation

436-008-0020 Electronic Medical Bill Acknowledgements

436-008-0025 Electronic Medical Bill Payments

436-008-0030 Electronic Remittance Advice; Explanation of Benefits

436-008-0040 Assessment of Civil Penalties

DIVISION 9

OREGON MEDICAL FEE AND PAYMENT RULES

436-009-0001 Administration of These Rules

436-009-0004 Adoption of Standards

436-009-0005 Definitions

436-009-0008 Request for Review by the Director

436-009-0010 Medical Billing and Payment

436-009-0018 Discounts and Contracts

436-009-0020 Hospital Fees

436-009-0023 Ambulatory Surgery Center (ASC)

436-009-0025 Worker Reimbursement

436-009-0030 Insurer's Duties and Responsibilities

436-009-0035 Interim Medical Benefits

436-009-0040 Fee Schedule

436-009-0060 Oregon Specific Codes

436-009-0080 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS)

436-009-0090 Pharmaceutical

Interpreter Billing Procedures

436-009-0110 Interpreters

Ambulatory Surgery Centers — Payment Calculations
Sanctions and Civil Penalties

436-009-0998 Sanctions and Civil Penalties

DIVISION 10

MEDICAL SERVICES

436-010-0001 Authority for Rules

436-010-0002 Purpose

436-010-0003 Applicability of Rules

436-010-0005 Definitions

436-010-0006 Administration of Rules

436-010-0008 Administrative Review

436-010-0200 Advisory Committee on Medical Care

436-010-0210 Who May Provide Medical Services and Authorize Timeloss

436-010-0220 Choosing and Changing Medical Providers

436-010-0225 Choosing a Person to Provide Interpreter Services

436-010-0230 Medical Services and Treatment Guidelines

436-010-0240 Reporting Requirements for Medical Providers

436-010-0250 Elective Surgery

436-010-0260 Monitoring and Auditing Medical Providers

436-010-0265 Independent Medical Examinations (IME)

436-010-0270 Insurer's Rights and Duties

436-010-0275 Insurer's Duties Under MCO Contracts

436-010-0280 Determination of Impairment

436-010-0290 Medical Care After Medically Stationary

436-010-0300 Process for Requesting Exclusion of Medical Treatment from Compensability

436-010-0330 Medical Arbiters and Panels of Physicians

436-010-0340 Sanctions and Civil Penalties

DIVISION 15

MANAGED CARE ORGANIZATIONS

436-015-0001 Authority for Rules

436-015-0002 Purpose

436-015-0003 Applicability of Rules

436-015-0005 Definitions

436-015-0006 Administration of Rules

436-015-0007 Entities Allowed to Manage Care

436-015-0008 Administrative Review

436-015-0009 Formed/Owned/Operated

436-015-0010 Notice of Intent to Form

436-015-0030 Applying for Certification

436-015-0035 Coverage Responsibility of a MCO

436-015-0040 Reporting Requirements for an MCO

436-015-0050 Notice of Place of Business in State; Records MCO Must Keep in Oregon

436-015-0060 Commencement/Termination of Members

436-015-0070 Primary Care Physicians and Authorized Nurse Practitioners Who Are Not MCO Members

436-015-0075 Worker Examinations

436-015-0080 Suspension; Revocation

436-015-0090 Charges and Fees

436-015-0095 Insurer's Rights and Duties

436-015-0100 Monitoring/Auditing

436-015-0110 Dispute Resolution/Complaints of Rule Violation

436-015-0120 Sanctions and Civil Penalties

436-015-0130 Service of Orders

DIVISION 30

CLAIM CLOSURE AND RECONSIDERATION

436-030-0001 Authority for Rules

436-030-0002 Purpose of Rules

436-030-0003 Applicability of Rules

436-030-0005 Definitions

436-030-0007 Administrative Review

436-030-0015 Insurer Responsibility

436-030-0017 Requests for Claim Closure by the Worker

436-030-0020 Requirements for Claim Closure

436-030-0023 Correcting and Rescinding Notices of Closure

436-030-0034 Administrative Claim Closure

436-030-0035 Determining Medically Stationary Status

436-030-0036 Determining Temporary Disability

436-030-0038 Permanent Partial Disability

436-030-0055 Determining Permanent Total Disability

436-030-0065 Review of Permanent Total Disability Awards

436-030-0066 Review of Prior Permanent Partial Disability Awards

436-030-0115 Reconsideration of Notices of Closure

436-030-0125 Reconsideration Form and Format

436-030-0135 Reconsideration Procedure

436-030-0145 Reconsideration Time Frames and Postponements

436-030-0155 Reconsideration Record

436-030-0165 Medical Arbiter Examination Process

436-030-0175 Fees and Penalties Within the Reconsideration Proceeding

436-030-0185 Reconsideration: Settlements and Withdrawals

436-030-0575 Audits

436-030-0580 Penalties and Sanctions

DIVISION 35

DISABILITY RATING STANDARDS

436-035-0001 Authority for Rules

436-035-0002 Purpose of Rules

436-035-0003 Applicability of Rules

436-035-0005 Definitions

436-035-0007 General Principles

436-035-0008 Calculating Disability Benefits (Dates of Injury prior to 1/1/2005)

436-035-0009 Calculating Disability Benefits (Date of Injury on or after 1/1/2005)

436-035-0011 Determining Percent of Impairment

436-035-0012 Social-Vocational Factors (Age/Education/Adaptability)

436-035-0013 Apportionment

436-035-0014 Preexisting Condition/Major Contributing Cause

436-035-0015 Offsetting Prior Awards

436-035-0016 Reopened Claim for Aggravation/Worsening

436-035-0017 Authorized Training Program (ATP)

436-035-0018 Death

436-035-0019 Chronic Condition

436-035-0020 Parts of the Upper Extremities

436-035-0030 Amputations in the Upper Extremities

436-035-0040 Loss of Opposition in Thumb/Finger Amputation

436-035-0050 Thumb

436-035-0060 Finger

436-035-0070 Conversion of Thumb/Finger Values to Hand Value

436-035-0075 Hand

436-035-0080 Wrist

436-035-0090 Conversion of Hand/Forearm Values to Arm Value

436-035-0100 Arm

436-035-0110 Other Upper Extremity Findings

436-035-0115 Conversion of Upper Extremity Values to Whole Person Values

436-035-0130 Parts of the Lower Extremities

436-035-0140 Amputations in the Lower Extremities

436-035-0150 Great Toe

436-035-0160 Second through Fifth Toes

436-035-0180 Conversion of Toe Values to Foot Value

436-035-0190 Foot

436-035-0210 Conversion of Foot Value to Leg Value

436-035-0220 Leg

436-035-0230 Other Lower Extremity Findings

436-035-0235 Conversion of Lower Extremity Values to Whole Person Values

436-035-0250 Hearing Loss

436-035-0260 Visual Loss

436-035-0330 Shoulder Joint

436-035-0340 Hip

436-035-0350 General Spinal Findings

436-035-0255 Conversion of Hearing Loss Values to Whole Person Values

436-035-0360 Spinal Ranges of Motion

436-035-0265 Conversion of Vision Loss Values to Whole Person Values

436-035-0370 Pelvis

436-035-0375 Abdomen

436-035-0380 Cardiovascular System

436-035-0385 Respiratory System

436-035-0390 Cranial Nerves/Brain

436-035-0395 Spinal Cord

436-035-0400 Mental Illness

436-035-0410 Hematopoietic System

436-035-0420 Gastrointestinal and Genitourinary Systems

436-035-0430 Endocrine System

436-035-0440 Integument and Lacrimal System

436-035-0450 Immune System

436-035-0500 Rating Standard for Individual Claims

DIVISION 40

HANDICAPPED WORKERS RESERVE

436-040-0001 Authority for Rules

436-040-0002 Purpose

436-040-0003 Applicability of Rules

436-040-0005 Definitions

436-040-0006 Administration of Rules

436-040-0008 Administrative Review

436-040-0010 Criteria for Eligibility

436-040-0020 Limitation of Program

436-040-0030 Application for Determination of Relief From the Handicapped Workers Reserve

436-040-0040 Eligibility Determination

436-040-0050 Reimbursement

436-040-0060 Effects on Rates; Reporting

436-040-0070 Settlements

436-040-0080 Third Party Recoveries

436-040-0090 Assessment of Civil Penalties

DIVISION 45

REOPENED CLAIMS PROGRAM

436-045-0001 Authority for Rules

436-045-0002 Purpose

436-045-0003 Applicability of Rules

436-045-0005 Definitions

436-045-0006 Administration of Rules

436-045-0008 Administrative Review

436-045-0010 Criteria for Eligibility

436-045-0020 Limitation of Program

436-045-0025 Dispositions

436-045-0030 Reimbursement

DIVISION 50

EMPLOYER/INSURER COVERAGE RESPONSIBILITY

436-050-0001 Authority for Rules

436-050-0002 Purpose

436-050-0003 Applicability of Rules

436-050-0005 Definitions

436-050-0006 Administration of Rules

436-050-0008 Administrative Review and Contested Cases

436-050-0015 Suspension and Revocation of Authorization to Issue Workers’ Compensation Insurance Policies

436-050-0025 Service of the Notice of Civil Penalty Orders

436-050-0040 Responsibility for Providing Coverage When a Contract is Awarded

436-050-0045 Non-Subject Workers

436-050-0050 Corporate Officers, Partnerships; Limited Liability Company Members; Subjectivity

436-050-0055 Extraterritorial Coverage

436-050-0060 Transition from Guaranty Contract Filings to Policy-Based Proof of Coverages

436-050-0110 Notice of Insurer's Place of Business in State; Coverage Records Insurer Must Keep in Oregon

436-050-0120 Records Insurers Must Keep in Oregon; Removal and Disposition

436-050-0150 Qualification of a Self-Insured Employer

436-050-0160 Applying for Certification as a Self-Insured Employer

436-050-0165 Security Deposit Requirements

436-050-0170 Excess Insurance Requirements

436-050-0175 Annual Reporting Requirements

436-050-0180 Determination of Amount of Self-Insured Employer's Deposit; Effective Date of Order to Increase Deposit

436-050-0185 Deposit Exemption for Self-Insured Cities and Counties, Qualifications, Application Procedures, Conditions and Requirements, Revocation and Requalification

436-050-0190 Using Self-Insured Employers Security Deposit/Self-Insured Employers Adjustment Reserve/Self-Insured Employer Group Adjustment Reserve

436-050-0195 Requirements for Self-Insured Entity Changes

436-050-0200 Self-Insured Certification Cancellation; Revocation

436-050-0205 Notice of Self-Insurer's Personal Elections

436-050-0210 Notice of Self-Insurer's Place of Business in State; Records Self-Insured Must Keep in Oregon

436-050-0220 Records Self-Insured Employer Must Keep in Oregon; Period to be Retained, Removal and Disposition

436-050-0230 Out-of-State Recordkeeping and Claims Processing by Self-Insured Employer; Conditions and Procedure for Permit; Revocation

436-050-0260 Qualifications as a Self-Insured Employer Group

436-050-0270 Applying for Certification as a Self-Insured Employer Group: Private Employers

436-050-0280 Applying for Certification as a Self-Insured Employer Group: Governmental Subdivisions

436-050-0290 Commencement/Termination of Employers with a Self-Insured Employer Group; Effect on Net Worth; Extension of Coverage; Change in Entity; Change of Address; Recordkeeping

436-050-0300 Self-Insured Employer Group, Common Claims Fund

436-050-0340 Group Self-Insurance Revocation

436-050-0400 Responsibility for Providing Coverage Under a Lease Arrangement

436-050-0410 Notice to Director of Lease Arrangement; Termination

436-050-0420 Temporary Worker Distinguished from Leased Worker

436-050-0440 Qualifications, Applications, and Renewals for License as a Worker-Leasing Company

436-050-0450 Recordkeeping and Reporting Requirements

436-050-0455 Reporting Requirements of a Self-Insured Worker-Leasing Company

436-050-0460 Disqualification, Suspension, Revocation of License

436-050-0470 Monitoring/Auditing

436-050-0480 Assessment of Civil Penalties

DIVISION 55

CERTIFICATION OF CLAIMS EXAMINERS

436-055-0001 Authority for Rules

436-055-0002 Purpose of Rules

436-055-0003 Applicability of Rules

436-055-0005 Definitions

436-055-0008 Administrative Review

436-055-0070 Certification of Claims Examiners

436-055-0085 Training for Interactions with Independent Medical Examination Providers

436-055-0100 Insurer Duties

436-055-0110 Assessment of Civil Penalties

DIVISION 60

CLAIMS ADMINISTRATION

436-060-0001 Authority for Rules

436-060-0002 Purpose

436-060-0003 Applicability of Rules

436-060-0005 Definitions

436-060-0006 Administrative Review

436-060-0008 Administrative Review and Contested Cases

436-060-0009 Access to Department of Consumer and Business Services Workers' Compensation Claim File Records

436-060-0010 Reporting Requirements

436-060-0012 Notices and Correspondence Following the Death of a Worker

436-060-0015 Required Notice and Information

436-060-0017 Release of Claim Document

436-060-0018 Nondisabling/Disabling Reclassification

436-060-0019 Determining and Paying the Three Day Waiting Period

436-060-0020 Payment of Temporary Total Disability Compensation

436-060-0025 Rate of Temporary Disability Compensation

436-060-0030 Payment of Temporary Partial Disability Compensation

436-060-0035 Supplemental Disability for Workers with Multiple Jobs at the Time of Injury

436-060-0040 Payment of Permanent Partial Disability Compensation

436-060-0045 Payment of Compensation During Worker Incarceration

436-060-0055 Payment of Medical Services on Nondisabling Claims; Employer/Insurer Responsibility

436-060-0060 Lump Sum Payment of Permanent Partial Disability Awards

436-060-0095 Medical Examinations; Suspension of Compensation; and Insurer Medical Examination Notice

436-060-0105 Suspension of Compensation for Insanitary or Injurious Practices, Refusal of Treatment or Failure to Participate in Rehabilitation; Reduction of Benefits

436-060-0135 Injured Worker, Worker Representative Responsible to Assist in Investigation; Suspension of Compensation and Notice to Worker

436-060-0137 Vocational Evaluations; and Suspension of Compensation

436-060-0140 Acceptance or Denial of a Claim

436-060-0147 Worker Requested Medical Examination

436-060-0150 Timely Payment of Compensation

436-060-0153 Electronic Payment of Compensation

436-060-0155 Penalty to Worker for Untimely Processing

436-060-0160 Use of Sight Draft to Pay Compensation Prohibited

436-060-0170 Recovery of Overpayment of Benefits

436-060-0180 Designation and Responsibility of a Paying Agent

436-060-0190 Monetary Adjustments Among Parties and Department of Consumer and Business Services

436-060-0195 Miscellaneous Monetary Adjustments Among Insurers

436-060-0200 Assessment of Civil Penalties

436-060-0400 Penalty and Attorney Fee for Untimely Payment of Disputed Claims Settlement

436-060-0500 Reimbursement of Supplemental Disability for Workers with Multiple Jobs at the Time of Injury

436-060-0510 Reimbursement of Permanent Total Disability Benefits from the Workers' Benefit Fund

DIVISION 70

WORKERS' BENEFIT FUND ASSESSMENT

436-070-0001 Authority for Rules

436-070-0002 Purpose

436-070-0003 Applicability of Rules

436-070-0005 Definitions

436-070-0008 Administrative Review

436-070-0010 Assessment Rate: Method and Manner of Determining

436-070-0020 Assessments: Manner and Intervals for Payment

436-070-0040 Monitoring/Auditing

436-070-0050 Assessment of Civil Penalties

DIVISION 75

RETROACTIVE PROGRAM

436-075-0001 Authority for Rules

436-075-0002 Purpose

436-075-0003 Applicability of Rules

436-075-0005 Definitions

436-075-0006 Administration of Rules

436-075-0008 Administrative Review

436-075-0010 Criteria for Eligibility

436-075-0020 Death Benefits

436-075-0030 Permanent Total Disability Benefit

436-075-0040 Death During Permanent Total Disability

436-075-0050 Temporary Total Disability

436-075-0065 Dispositions

436-075-0070 Reimbursement

436-075-0090 Third Party Recovery

436-075-0100 Assessment of Civil Penalties

DIVISION 80

NONCOMPLYING EMPLOYERS

436-080-0001 Authority for Rules

436-080-0002 Purpose

436-080-0003 Applicability of Rules

436-080-0005 Definitions

436-080-0006 Administration of Rules

436-080-0010 Initiation of Proceedings; Issuance of Noncomplying Employer Order

436-080-0020 When a Hearing on the Order is Not Requested

436-080-0030 When a Hearing on the Order is Requested

436-080-0040 Assessment of Civil Penalties Against Noncomplying Employer; Hearing on Proposed Assessment

436-080-0060 When a Worker Files a Claim for an Injury

436-080-0065 Determination of Assigned Claims Agent

436-080-0070 Reimbursement of Assigned Claims Agent for Claims Costs for Injured Workers' of Noncomplying Employers

436-080-0080 Collection of Subject Worker's Payment

DIVISION 85

PREMIUM ASSESSMENT

436-085-0001 Authority for Rules

436-085-0002 Purpose

436-085-0003 Applicability of Rules

436-085-0005 Definitions

436-085-0008 Administrative Review

436-085-0025 Premium Assessment; Manner and Intervals for Payments: Insurers

436-085-0030 Premium Assessment; Manner and Intervals for Payments: Self-Insured Employers and Self-Insured Employer Groups

436-085-0035 Audits

436-085-0060 Assessment of Civil Penalties

DIVISION 100

WORKERS' COMPENSATION BENEFITS OFFSET

436-100-0001 Authority for Rules

436-100-0002 Purpose of Rules

436-100-0003 Applicability of Rules

436-100-0005 Definitions

436-100-0006 Administration of Rules

436-100-0008 Administrative Review

436-100-0010 Criteria for Eligibility

436-100-0020 Requirements of Workers

436-100-0030 Authorization of Offset; Effective Date

436-100-0040 Sanctions Against Worker for Failure to Cooperate with the Department

DIVISION 105

EMPLOYER-AT-INJURY PROGRAM

436-105-0001 Authority for Rules

436-105-0002 Purpose of Rules

436-105-0003 Applicability of Rules

436-105-0005 Definitions

436-105-0006 Administration of Rules

436-105-0008 Reconsideration/Appeal to the Director

436-105-0500 Insurer Participation in the Employer-At-Injury Program

436-105-0510 Employer Eligibility

436-105-0511 Worker Eligibility

436-105-0512 End of Eligibility

436-105-0520 Assistance Available from the Employer-at-Injury Program

436-105-0530 Employer-at-Injury Program Procedures for Concurrent Injuries

436-105-0540 Employer-at-Injury Program Reimbursement Procedures

436-105-0550 Audits

436-105-0560 Sanctions

DIVISION 110

PREFERRED WORKER PROGRAM

436-110-0001 Authority for Rules

436-110-0002 Purpose of Rules

436-110-0003 Applicability of Rules

436-110-0005 Definitions

436-110-0006 Administration of Rules

436-110-0007 Reconsideration/Appeal to the Director

436-110-0150 Pilot Projects

436-110-0240 Insurer Participation in the Preferred Worker Program

436-110-0290 Employer at Injury Use of the Preferred Worker Program

436-110-0310 Eligibility and End of Eligibility for the Preferred Worker Program

436-110-0320 Preferred Worker Identification Card

436-110-0325 Premium Exemption General Provisions

436-110-0330 Claim Cost Reimbursement

436-110-0335 Wage Subsidy General Provisions

436-110-0336 Wage Subsidy -- Employer at Injury Activated

436-110-0337 Wage Subsidy -- Worker Activated

436-110-0345 Employment Purchases -- General Provisions

436-110-0346 Employment Purchases -- Employer at Injury Activated

436-110-0347 Employment Purchases -- Worker Activated

436-110-0350 Worksite Modification -- General Provisions

436-110-0351 Worksite Modification -- Employer at Injury Activated

436-110-0352 Worksite Modification -- Worker Activated

436-110-0850 Audits

436-110-0900 Sanctions

DIVISION 120

VOCATIONAL ASSISTANCE TO INJURED WORKERS

436-120-0001 Authority for Rules

436-120-0002 Purpose of Rules

436-120-0003 Applicability of Rules

436-120-0005 Definitions

436-120-0006 Administration of Rules

436-120-0007 Establishing the Adjusted Weekly Wage to Determine Suitable Wage

436-120-0008 Administrative Review and Contested Cases

436-120-0012 General Requirements For Notices and Warnings

436-120-0014 Notification of Employment and Reinstatement Rights and Responsibilities

436-120-0016 Warning Letters

436-120-0017 Types of Notices

436-120-0018 Postponement Notices

436-120-0115 Conditions Requiring Completion of a Vocational Eligibility Evaluation

436-120-0125 Conditions for Postponement of the Vocational Eligibility Evaluation

436-120-0135 General Requirements and Timeframes for Vocational Eligibility Evaluations

436-120-0145 Vocational Assistance Eligibility Criteria

436-120-0155 Deferral and Completion of an Eligibility Evaluation When the Employer Activates Preferred Worker Program Benefits

436-120-0165 End of Eligibility for Vocational Assistance

436-120-0175 Redetermining Eligibility for Vocational Assistance

436-120-0185 Choosing a Vocational Assistance Provider

436-120-0340 Determining Substantial Handicap

436-120-0400 Selection of Category of Vocational Assistance

436-120-0410 Vocational Evaluation

436-120-0430 Direct Employment

436-120-0443 Training

436-120-0445 Training Requirements

436-120-0448 Reevaluating a Training Plan

436-120-0449 Ending and Reevaluating a Training Plan

436-120-0451 Ending a Training Plan

436-120-0455 Optional Services

436-120-0500 Return-to-Work Plans: Development and Implementation

436-120-0510 Return-to-Work Plan Support

436-120-0520 Return-to-Work Plan: Responsibilities of the Eligible Worker and the Vocational Assistance Provider

436-120-0530 Return-to-Work Plan Review

436-120-0700 Direct Worker Purchases

436-120-0710 Direct Worker Purchases: Kinds

436-120-0720 Fee Schedule and Conditions for Payment of Vocational Assistance Costs

436-120-0755 Reimbursement of Vocational Assistance Costs from the Workers’ Benefit Fund

436-120-0800 Registration of Vocational Assistance Providers

436-120-0810 Certification of Individuals

436-120-0820 Renewal of Certification

436-120-0830 Certification of Vocational Assistance Staff:

436-120-0840 Professional Standards for Authorized Vocational Assistance Providers and Certified Individuals

436-120-0900 Audits, Penalties and Sanctions

436-120-0915 Sanctions of Registered Vocational Assistance Providers and Certified Individuals

DIVISION 140

CONSTRUCTION CARVE-OUT PROGRAMS

436-140-0001 Authority for Rules

436-140-0002 Purpose

436-140-0003 Applicability of Rules

436-140-0005 Definitions

436-140-0006 Administration of Rules

436-140-0008 Administrative Review

436-140-0010 Qualifying

436-140-0020 Alternative Dispute Resolution

436-140-0030 Medical Services

436-140-0040 Compensation

436-140-0045 Multiple Claims; Expiration or Termination of Collective Bargaining Agreement; Responsibility

436-140-0050 Duties and Responsibilities of Employer

436-140-0060 Insurer Duties and Responsibilities

436-140-0070 Reporting Requirements

436-140-0090 Suspension or Revocation

436-140-0100 Monitoring/Auditing

436-140-0120 Sanctions and Civil Penalties; Rule Violations

436-140-0130 Service of Orders

DIVISION 150

WORKERS' BENEFIT FUND CLAIMS PROGRAM

436-150-0001 Authority for Rules

436-150-0002 Purpose

436-150-0003 Applicability of Rules

436-150-0005 Definitions

436-150-0006 Administration of Rules

436-150-0008 Administrative Review

436-150-0010 Criteria for Eligibility

436-150-0020 Limitation of Program

436-150-0030 Payment of Benefits

436-150-0040 Accounting and Repayment of Payment of Benefits

DIVISION 160

GENERAL PROVISIONS

436-160-0001 Authority for Rules

Electronic Data Interchange

436-160-0004 Adoption of Standards

436-160-0005 General Definitions

436-160-0040 Recognized Received Date

436-160-0060 Testing Procedures and Requirements

Insurers’ Obligation to Report Medical Bill Data

436-160-0405 Insurers’ Reporting Responsibilities

436-160-0410 Medical Bill Electronic Filing Requirements

436-160-0415 Oregon ASC X12 837 Medical Bill Data Reporting Requirements

436-160-0420 Medical Bill Acknowledgement

436-160-0430 Medical Bill Data Changes

436-160-0440 Monitoring and Auditing Insurers

436-160-0445 Assessment of Civil Penalties

DIVISION 162

ELECTRONIC DATA INTERCHANGE; PROOF OF COVERAGE

436-162-0001 Authority for Rules

436-162-0002 Purpose

436-162-0003 Applicability of Rules

436-162-0004 Adoption of Standards

436-162-0005 General Definitions

436-162-0006 Administration of Rules

436-162-0010 Security

436-162-0020 Trading Partner Agreement

436-162-0030 Retention of Electronic Records

436-162-0040 Recognized Filing Date

436-162-0050 Form, Format, and Delivery for Electronic Data Reporting

436-162-0060 Testing Procedures and Requirements

436-162-0070 Electronic Signature

436-162-0090 Address Reporting

436-162-0300 Establishing Document Transaction

436-162-0310 Electronic Filing Requirements

436-162-0320 Acknowledgement

436-162-0330 Effective Dates

436-162-0340 Changes or Corrections

436-162-0350 Guaranty Contract Filing Requirements

436-162-0355 Proof of Coverage Filing Requirements

436-162-0360 Guaranty Contract Terminations

436-162-0370 Proof of Coverage Terminations

DIVISION 170

INDEPENDENT CONTRACTORS

436-170-0002 Purpose of Rule

436-170-0100 Statutory Context

436-170-0200 Direction and Control Test

436-170-0300 Application of "Direction and Control" Test in Construction and Landscape Industries


Notes
1.) The OAR Compilation is updated on the first of each month to include all rule actions filed with the Secretary of State’s Office by the 15th of the previous month, or by the previous workday if the 15th is on a weekend or holiday.

2.) The official copy of an Oregon Administrative Rule is contained in the Administrative Order filed at the Archives Division, 800 Summer St. NE, Salem, Oregon 97310. Any discrepancies with the published version are satisfied in favor of the Administrative Order. The Oregon Administrative Rules and the Oregon Bulletin are copyrighted by the Oregon Secretary of State. Terms and Conditions of Use

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