Source: https://www.oregonlaws.org/ors/656.295
Timestamp: 2017-04-23 17:46:06
Document Index: 725621052

Matched Legal Cases: ['§35', '§10', '§12', '§22', '§1', '§8']

ORS 656.295 - Board review of Administrative Law Judge orders - 2015 Oregon Revised Statutes
Section 656.295
656.001 Short title
656.003 Applica­tion of defini­tions to construc­tion of chapter
656.006 Effect on employers’ liability law
656.008 Extension of laws relating to workers’ compensa­tion to federal lands and projects within state
656.010 Treat­ment by spiritual means
656.012 Findings and policy
656.018 Effect of providing coverage
656.019 Civil negligence ac­tion for claim denied on basis of failure to meet major contributing cause standard
656.020 Damage ac­tions by workers against noncomplying employers
656.021 Person performing work under ORS chapter 701 as subject employer
656.023 Who are subject employers
656.025 Individuals engaged in commuter ridesharing not subject workers
656.027 Who are subject workers
656.029 Obliga­tion of per­son awarding contract to provide coverage for workers under contract
656.031 Coverage for municipal volunteer per­sonnel
656.033 Coverage for participants in work experience or school di­rected professional training programs
656.035 Status of workers in separate occupa­tions of employer
656.037 Exemp­tion from coverage for per­sons engaged in certain real estate activities
656.039 Elec­tion of coverage for workers not subject to law
656.041 City or county may elect to provide coverage for jail inmates
656.043 Govern­mental agency paying wages responsible for providing coverage
656.044 State Accident Insurance Fund Corpora­tion may insure liability under Longshoremen’s and Harbor Workers’ Compensa­tion Act
656.046 Coverage of per­sons in college work experience and professional educa­tion programs
656.052 Prohibi­tion against employ­ment without coverage
656.054 Claim of injured worker of noncomplying employer
656.056 Subject employers must post notice of manner of compliance
656.070 Defini­tions for ORS 656.027, 656.070 and 656.075
656.075 Exemp­tion from coverage for newspaper carriers
656.126 Coverage while temporarily in or out of state
656.128 Sole proprietors, limited liability company members, partners, independent contractors may elect coverage by insurer
656.132 Coverage of mi­nors
656.135 Coverage of deaf school work experience trainees
656.138 Coverage of apprentices, trainees participating in related instruc­tion classes
656.140 Coverage of per­sons operating equip­ment for hire
656.154 Injury due to negligence or wrong of a per­son not in the same employ as injured worker
656.156 Inten­tional injuries
656.160 Effect of incarcera­tion on receipt of compensa­tion
656.170 Validity of pro­vi­sions of certain collective bargaining agree­ments
656.174 Rules
656.202 Compensa­tion payable to subject worker in accordance with law in effect at time of injury
656.204 Death
656.206 Permanent total disability
656.208 Death during permanent total disability
656.209 Offsetting permanent total disability benefits against Social Security benefits
656.210 Temporary total disability
656.211 "Average weekly wage" defined
656.212 Temporary partial disability
656.214 Permanent partial disability
656.216 Permanent partial disability
656.218 Continuance of permanent partial disability pay­ments to survivors
656.222 Compensa­tion for addi­tional accident
656.225 Compensability of certain preexisting condi­tions
656.226 Cohabitants and children entitled to compensa­tion
656.228 Pay­ments directly to beneficiary or custodian
656.230 Lump sum award pay­ments
656.232 Pay­ments to aliens residing outside of United States
656.236 Compromise and release of claim matters except for medical benefits
656.240 Deduc­tion of benefits from sick leave pay­ments paid to employees
656.247 Pay­ment for medical services prior to claim acceptance or denial
656.248 Medical service fee schedules
656.250 Limita­tion on compensability of physical therapist services
656.252 Medical report regula­tion
656.254 Medical report forms
656.256 Considera­tions for rules re­gard­ing certain rural hospitals
656.258 Voca­tional assistance service pay­ments
656.260 Certifica­tion pro­ce­dure for managed health care provider
656.360 Confidentiality of worker medical and voca­tional claim records
656.362 Liability for disclosure of worker medical and voca­tional claim records
656.382 Penalties and attorney fees payable by insurer or employer in processing claim
656.383 Attorney fees in cases prior to decision or after request for hear­ing
656.385 Attorney fees in cases re­gard­ing certain medical service or voca­tional rehabilita­tion matters
656.388 Approval of attorney fees re­quired
656.390 Frivolous ap­peals, hearing requests or mo­tions
656.419 Workers’ compensa­tion insurance contracts
656.427 Termina­tion of workers’ compensa­tion insurance contract or surety bond liability by insurer
656.441 Advance­ment of funds from Workers’ Benefit Fund for compensa­tion due workers insured by certain decertified self-insured employer groups
656.443 Procedure upon default by employer or self-insured employer group
656.445 Advance­ment of funds from Workers’ Benefit Fund for compensa­tion due workers insured by insurer in default
656.502 "Fiscal year" defined
656.504 Rates, charges, fees and reports by employers insured by State Accident Insurance Fund Corpora­tion
656.505 Estimate of payroll when employer fails to file payroll report
656.506 Assess­ments for programs
656.508 Authority to fix premium rates for employers
656.526 Distribu­tion of dividends from surplus in Industrial Accident Fund
656.536 Premium charges for coverage of reforesta­tion co­op­er­a­tive workers based on prevailing wage
656.552 Deposit of cash, bond or letter of credit to secure pay­ment of employer’s premiums
656.554 Injunc­tion against employer failing to comply with deposit require­ments
656.556 Liability of per­son letting a contract for amounts due from contractor
656.560 Default in pay­ment of premiums, fees, assess­ments or deposit
656.562 Moneys due Industrial Accident Fund as preferred claims
656.564 Lien for amounts due from employer on real prop­erty, improve­ments and equip­ment on or with which labor is performed by workers of employer
656.566 Lien on prop­erty of employer for amounts due
656.576 "Paying agency" defined
656.578 Workers’ elec­tion whether to sue third per­son or noncomplying employer for damages
656.580 Pay­ment of compensa­tion notwithstanding cause of ac­tion for damages
656.583 Paying agency may compel elec­tion and prompt ac­tion
656.587 Paying agency must join in any compromise
656.591 Elec­tion not to bring ac­tion operates as assign­ment of cause of ac­tion
656.595 Precedence of cause of ac­tion
656.596 Damage recovery as offset against compensa­tion
656.602 Disburse­ment pro­ce­dures
656.605 Workers’ Benefit Fund
656.612 Assess­ments for depart­ment activities
656.614 Self-Insured Employer Adjust­ment Reserve
656.622 Reemploy­ment Assistance Program
656.625 Reopened Claims Program
656.628 Workers with Disabilities Program
656.630 Oregon Institute of Occupa­tional Health Sciences fund­ing
656.632 Industrial Accident Fund
656.634 Trust fund status of Industrial Accident Fund
656.635 Reserve accounts in Industrial Accident Fund
656.636 Reserves in Industrial Accident Fund for awards for permanent disability or death
656.640 Crea­tion of reserves
656.642 Emergency Fund
656.644 Petty cash funds
656.704 Ac­tions and orders re­gard­ing matters concerning claim and matters other than matters concerning claim
656.708 Hearings Division
656.709 Ombudsman for injured workers
656.712 Workers’ Compensa­tion Board
656.714 Removal of board member
656.716 Board members not to engage in po­lit­i­cal or business ac­tivity that interferes with duties as board member
656.718 Chairper­son
656.720 Prosecu­tion and de­fense of ac­tions by Attorney General and district attorneys
656.722 Authority to employ subordinates
656.724 Administrative Law Judges
656.725 Duties and status of Administrative Law Judges
656.726 Duties and powers to carry out workers’ compensa­tion and occupa­tional safety laws
656.727 Rules for ad­min­is­tra­­tion of benefit offset
656.730 Assigned risk plan
656.732 Power to compel obedience to sub­poe­nas and punish for miscon­duct
656.735 Civil penalty for noncomplying employers
656.740 Review of proposed order declaring noncomplying employer or nonsubjectivity determina­tion
656.745 Civil penalty for inducing failure to report claims
656.750 Civil penalty for failure to maintain records of compensa­tion claims
656.751 State Accident Insurance Fund Corpora­tion created
656.753 State Accident Insurance Fund Corpora­tion exempt from certain financial ad­min­is­tra­­tion laws
656.754 Manager
656.758 Inspec­tion of books, records and payrolls
656.772 Annual audit of State Accident Insurance Fund Corpora­tion by Secretary of State
656.774 Annual report by State Accident Insurance Fund Corpora­tion to Secretary of State
656.776 Notice to Secretary of State re­gard­ing ac­tion on audit report
656.780 Certifica­tion and training of claims examiners
656.790 Workers’ Compensa­tion Manage­ment-Labor Advisory Committee
656.794 Advisory committee on medical care
656.795 Informa­tional ma­te­ri­als for nurse practi­tioners
656.797 Certifica­tion by nurse practi­tioner of review of re­quired ma­te­ri­als
656.798 Duty of insurer, self-insured employer and self-insured employer group to provide in­for­ma­­tion to director
656.799 Informa­tional ma­te­ri­als for other health care professionals
656.802 Occupa­tional disease
656.804 Occupa­tional disease as an injury under Workers’ Compensa­tion Law
656.807 Time for filing of claims for occupa­tional disease
656.855 Licensing system for worker leasing companies
656.990 Penalties
656.295¹
• application of standards for evaluation of disability
(1) The request for review by the Workers’ Compensation Board of an order of an Administrative Law Judge need only state that the party requests a review of the order.
(2) The requests for review shall be mailed to the board and copies of the request shall be mailed to all parties to the proceeding before the Administrative Law Judge.
(3) When review has been requested, the record of such oral proceedings at the hearings before the Administrative Law Judge as may be necessary for purposes of the review shall be transcribed at the expense of the board. The original transcript shall be certified to be true, accurate and complete by the transcriber. A list of all exhibits received by the Administrative Law Judge shall be furnished to the parties in interest along with a copy of the transcribed record.
(4) Notice of the review shall be given to the parties by mail. The board shall set a date for review as expeditiously as possible. Review shall be scheduled for a date not later than 90 days after receipt by the board of the request for review. Review shall not be postponed except in extraordinary circumstances beyond the control of the requesting party.
(5) The review by the board shall be based upon the record submitted to it under subsection (3) of this section and such oral or written argument as it may receive. Evaluation of the worker’s disability by the board shall be as of the date of issuance of the reconsideration order pursuant to ORS 656.268 (Claim closure). Any finding of fact regarding the worker’s impairment must be established by medical evidence that is supported by objective findings. If the board finds that the claim has been closed prematurely, the board shall issue an order rescinding the notice of closure. The board shall apply to the review of the claim such standards for the evaluation of disability as may be adopted by the Director of the Department of Consumer and Business Services pursuant to ORS 656.726 (Duties and powers to carry out workers' compensation and occupational safety laws). Nothing in this section shall be construed to prevent or limit the right of a worker, insurer or self-insured employer to present evidence to establish by a preponderance of the evidence that the standards adopted pursuant to ORS 656.726 (Duties and powers to carry out workers' compensation and occupational safety laws) for evaluation of the worker’s permanent disability were incorrectly applied in the reconsideration order pursuant to ORS 656.268 (Claim closure). However, if the board determines that a case has been improperly, incompletely or otherwise insufficiently developed or heard by the Administrative Law Judge, it may remand the case to the Administrative Law Judge for further evidence taking, correction or other necessary action.
(6) The board may affirm, reverse, modify or supplement the order of the Administrative Law Judge and make such disposition of the case as it determines to be appropriate. It shall make its decision within 30 days after the review.
(7) The order of the board shall be filed and a copy thereof sent by mail to the director and to the parties.
(8) An order of the board is final unless within 30 days after the date of mailing of copies of such order to the parties, one of the parties appeals to the Court of Appeals for judicial review pursuant to ORS 656.298 (Judicial review of board orders). The order shall contain a statement explaining the rights of the parties under this subsection and ORS 656.298 (Judicial review of board orders). [1965 c.285 §35a; 1977 c.804 §10; 1987 c.884 §12; 1990 c.2 §22; 1991 c.293 §1; 1999 c.313 §8]
Where claimant does not deny receipt of first mailing of board's order, a sec­ond and later mailing of an­oth­er copy of the same order does not extend the time for ap­peal. Wise v. SAIF, 14 Or App 463, 513 P2d 1212 (1973)
Service of notice of ap­peal on claimant's attorney is constructive notice to claimant. Schneider v. Emanuel Hosp., 20 Or App 599, 532 P2d 1146 (1975), Sup Ct review denied
Where there is no notice to Workmen's Compensa­tion Board to commence the judicial review process in prescribed time there is no jurisdic­tion. Zandbergen v. Johnson, 24 Or App 151, 544 P2d 587 (1976)
Symptoms arising after hearing constitute aggrava­tion claim and are not cause for remand to take addi­tional evidence. Holmes v. SAIF, 38 Or App 145, 589 P2d 1151 (1979)
Remedy for order not explaining claimant's right to ap­peal is not to invalidate order, but to allow claimant hearing. Greenwade v. SAIF, 41 Or App 697, 598 P2d 1265 (1979), Sup Ct review denied
Where record on issue is adequate, de novo review by board permits disposi­tion of case on grounds not raised by peti­tion or cross-peti­tion. Neely v. SAIF, 43 Or App 319, 602 P2d 1101 (1979), Sup Ct review denied
Board could not consider submitted ma­te­ri­al that was not part of record, because proper pro­ce­dure to aug­ment record is by remand. Brown v. SAIF, 51 Or App 389, 625 P2d 1351 (1981); Groshong v. Montgomery Ward Co., 73 Or App 403, 698 P2d 998 (1985)
Where compensa­tion has been awarded, review is also available concerning reasonableness of attorney fee award. Neal's Truck Stop v. Giger, 53 Or App 402, 632 P2d 464 (1981)
It was abuse of discre­tion for Workers' Compensa­tion Board to refuse to remand case to referee for considera­tion of addi­tional evidence when evidence was not available to claimant at time of original hearing. Muffet v. SAIF, 58 Or App 684, 650 P2d 139 (1982)
Actual notice will not excuse failure to mail copies of review request unless actual notice occurs within time limit for mailing review request. Argonaut Insurance v. King, 63 Or App 847, 666 P2d 865 (1983)
Remand is available for case where in­for­ma­­tion is available at time of hearing, but record is incompletely developed. Bailey v. SAIF, 296 Or 41, 672 P2d 333 (1983)
Although claimant may ap­peal final determina­tion of part of claim, it does not necessarily follow that claimant must have peti­tioned for review within 30 days in order to preserve appellate challenge to board's decision; claimant had op­tion to ap­peal partial denial or await final determina­tion of balance of claim. Ragan v. Fred Meyer, Inc., 73 Or App 363, 698 P2d 988 (1985)
Where claimant requesting review of referee's order put letter requesting the review in the mail addressed to the proper party at the correct street address, but with incorrect zip code, service was adequate and delivery by Postal Service to zip code rather that street address did not nullify fact that claimant complied with require­ment for requesting review. Kahl v. SAIF, 86 Or App 203, 738 P2d 999 (1987)
Workers' compensa­tion referee's rulings on claims, which allegedly exceeded referee's jurisdic­tion, was not redressable by mandamus because exclusive review of order was provided in Workers' Compensa­tion Law and constituted plain, speedy and adequate remedy. SAIF v. Johnson, 99 Or App 64, 781 P2d 374 (1989), Sup Ct review denied
Filing of peti­tion for judicial review does not affect authority of Workers' Compensa­tion Board to withdraw order for purpose of reconsidera­tion at request of party or on its own mo­tion, provided board does so before order becomes final. SAIF v. Fisher, 100 Or App 288, 785 P2d 1082 (1990)
Where order denies attorney fees and ap­peal is not filed, board's continuing jurisdic­tion over case does not permit review of fee issue. Orozco v. U & I Group, Inc., 103 Or App 634, 798 P2d 727 (1990)
Director's disability standards do not apply where claimant does not es­tab­lish worsening of underlying condi­tion. Lewis v. McCracken Motor Freight, 108 Or App 32, 813 P2d 78 (1991)
Workers' Compensa­tion Board must express results of its evalua­tion of party's factual and legal asser­tions in order for court to determine whether board erred in denying employer's requests for board to reconsider order in light of newly developed evidence. Liberty Northwest Ins. Corp. v. Griggs, 112 Or App 44, 827 P2d 921 (1992)
Notice of ap­peal must be given to all parties to pre­vi­ous ac­tion whether or not ap­peal makes claim against all parties. Mosley v. Sacred Heart Hospital, 113 Or App 234, 831 P2d 721 (1992); Kelsey v. Drushella-Klohk, 128 Or App 53, 874 P2d 1349 (1994)
Date board's decision becomes final if not ap­pealed does not control date of finality of underlying litiga­tion. SAIF v. VanLanen, 127 Or App 735, 873 P2d 1090 (1994)
Where notice of Workers' Compensa­tion Board decision is given to party, failure to provide notice to attorney of party does not toll dead­line for filing ap­peal. Haskell Corp. v. Filippi, 152 Or App 117, 953 P2d 396 (1998), Sup Ct review denied
Where ap­peal is untimely, appellate court lacks authority to consider reason for untime­liness. Haskell Corp. v. Filippi, 152 Or App 117, 953 P2d 396 (1998), Sup Ct review denied
Board Remand of Case to Administrative Law Judge Requires Compelling Reason That
1) concerns disability; 2) was not obtainable at time of hearing; and 3) is reasonably likely to affect outcome of case. SAIF v. Avery, 167 Or App 327, 999 P2d 1216 (2000), Sup Ct review denied
Sahnow v. Fireman's Fund Ins. Co., 3 Or App 164, 470 P2d 378 (1970), aff'd 260 Or 564, 491 P2d 997 (1971)
1 Legislative Counsel Committee, CHAPTER 656—Workers' Compensation, https://­www.­oregonlegislature.­gov/­bills_laws/­ors/­ors656.­html (2015) (last ac­cessed Jul. 16, 2016).
2 Legislative Counsel Committee, Annotations to the Oregon Revised Stat­utes, Cumulative Supplement - 2015, Chapter 656, https://­www.­oregonlegislature.­gov/­bills_laws/­ors/­ano656.­html (2015) (last ac­cessed Jul. 16, 2016).