Source: https://www.oregonlaws.org/ors/656.289
Timestamp: 2019-01-21 18:36:43
Document Index: 454496491

Matched Legal Cases: ['§35', '§1', '§9', '§3', '§21', '§35', '§19']

ORS 656.289 - Orders of Administrative Law Judge - 2017 Oregon Revised Statutes
2017 ORS Vol. 14 Chapter 656 Section 656.289
656.262
Processing of claims and pay­ment of compensa­tion
656.263
To whom notices sent under ORS 656.262, 656.265, 656.268 to 656.289, 656.295 to 656.325 and 656.382 to 656.388
656.264
Compensable injury, denied claim and other reports
656.265
Notice of accident from worker
656.266
Burden of proving compensability and nature and extent of disability
656.267
Claims for new and omitted medical condi­tions
656.273
Aggrava­tion for worsened condi­tions
656.277
Request for reclassifica­tion of nondisabling claim
656.285
Protec­tion of witnesses at hear­ing
656.287
Use of voca­tional reports in determining loss of earning capacity at hear­ing
656.289
Orders of Administrative Law Judge
656.291
Expedited Claim Service
656.298
Judicial review of board orders
When acceptance of compensa­tion precludes hear­ing
656.307
Determina­tion of issues re­gard­ing responsibility for compensa­tion pay­ment
656.308
Responsibility for pay­ment of claims
656.310
Presump­tion concerning notice of injury and self-inflicted injuries
656.313
Stay of compensa­tion pending request for hearing or review
656.319
Time within which hearing must be requested
656.325
Required medical examina­tion
656.327
Review of medical treat­ment of worker
656.328
List of authorized providers and standards of professional con­duct for providers of independent medical examina­tions
656.331
Contact, medical examina­tion of worker represented by attorney prohibited without written notice
656.340
Voca­tional assistance pro­ce­dure
2017 ORS 656.289¹
• disposition of claim when compensability disputed
• approval of director required for reimbursement of certain expenditures
(1) Upon the conclusion of any hearing, or prior thereto with concurrence of the parties, the Administrative Law Judge shall promptly and not later than 30 days after the hearing determine the matter and make an order in accordance with the Administrative Law Judge’s determination.
(2) A copy of the order shall be sent forthwith by mail to the Director of the Department of Consumer and Business Services and to all parties in interest.
(3) The order is final unless, within 30 days after the date on which a copy of the order is mailed to the parties, one of the parties requests a review by the Workers’ Compensation Board under ORS 656.295 (Board review of Administrative Law Judge orders). When one party requests a review by the board, the other party or parties shall have the remainder of the 30-day period and in no case less than 10 days in which to request board review in the same manner. The 10-day requirement may carry the period of time allowed for requests for board reviews beyond the 30th day. The order shall contain a statement explaining the rights of the parties under this subsection and ORS 656.295 (Board review of Administrative Law Judge orders).
(4)(a) Notwithstanding ORS 656.236 (Compromise and release of claim matters except for medical benefits), in any case where there is a bona fide dispute over compensability of a claim, the parties may, with the approval of an Administrative Law Judge, the board or the court, by agreement make such disposition of the claim as is considered reasonable.
(b) Insurers or self-insured employers who are parties to an approved disputed claim settlement under this subsection shall not be joined as parties in subsequent proceedings under this chapter to determine responsibility for payment for claim conditions for which settlement has been made.
(c) Notwithstanding ORS 656.005 (Definitions) (21), as used in this subsection, “party” does not include a noncomplying employer, except where a noncomplying employer has submitted a disputed claim settlement with a claimant for approval before the claim has been referred to an assigned claims agent by the director. Upon approval of the disputed claim settlement, the Administrative Law Judge, the board or the court shall mail to the director a copy of the disputed claim settlement.
(5) Any claim in which the parties enter into a disposition under subsection (4) of this section shall not be eligible for reimbursement of expenditures from the Workers’ Benefit Fund without the prior approval of the director. [1965 c.285 §35; 1969 c.212 §1; 1977 c.804 §9; 1983 c.809 §3; 1990 c.2 §21; 1995 c.332 §35; 1995 c.641 §19]
Where court found bona fide dispute over compensability and approved settle­ment agree­ment between employee and employer, no “compensable claim” existed for which employee could later bring claim for aggrava­tion of pre­vi­ous injury. Seeber v. Marlette Homes, 30 Or App 233, 566 P2d 926 (1977)
Thirty-day time period for ap­peal from referee’s order begins to run from date of original order and not from date of order correcting irrelevancy in original order. Chisholm v. SAIF, 277 Or 51, 559 P2d 511 (1977)
Whether settle­ment amount is propor­tionate to injury and cost incurred is irrelevant where bona fide dispute exists as to compensability. Greenwade v. SAIF, 41 Or App 697, 598 P2d 1265 (1979), Sup Ct review denied
Settle­ment entered into by one insurer and claimant on issue of responsibility after issuance of order under ORS 656.307 (Determination of issues regarding responsibility for compensation payment) was invalid where there was dispute as to which insurer was responsible for claimant’s injury or condi­tion. J.C. Compton Co. v. DeGraff, 52 Or App 317, 628 P2d 437 (1981), Sup Ct review denied, modified 52 Or App 1023, 630 P2d 395 (1981)
Subsequent injury to same body part does not create bona fide dispute as to claimant’s entitle­ment to future medical benefits for accepted original injury. EBI Companies v. Freschette, 71 Or App 526, 692 P2d 723 (1984), Sup Ct review denied
Referee cannot extend 30-day ap­peal period for order determining issues directly affecting claimant’s right to compensa­tion where referee did not intend to reconsider any issue in such order. Farmers Ins. Group v. SAIF, 301 Or 612, 724 P2d 799 (1986)
Where disputed claims settle­ment agree­ment between claimant and his insurer provided, in part, that insurer would hold claimant harmless from outstanding medical bills for disputed psychiatric condi­tion, claimant’s unilateral understanding that bill would be paid in full was not part of contract. EBI Companies v. Moore, 90 Or App 99, 750 P2d 1194 (1988)
Provision of health insurance contract requiring loan receipt agree­ment that insured worker would reimburse health insurance carrier directly for pay­ments made for covered medical expenses was contrary to legislative policy that disputes between health insurance providers and workers’ compensa­tion insurance carriers be settled by arbitra­tion. Pacific Hospital Assn. v. Marchbanks, 91 Or App 459, 756 P2d 648 (1988)
Thirty-day dead­line for issuance of order is not limita­tion on referee’s authority to withdraw or abate decision before time for ap­peal to Workers’ Compensa­tion Board expires. Lyday v. Liberty Northwest Ins. Corp., 115 Or App 668, 839 P2d 756 (1992)
Where referee signed abate­ment order within 30-day period but did not mail it until time period had expired, date of abate­ment order was when it was mailed. Geer v. SAIF, 121 Or App 647, 855 P2d 1145 (1993)
Stipulated settle­ment agree­ment approved by administrative law judge is determina­tion by administrative law judge re­gard­ing merits of claim and therefore allows for award of attorney fees if compensa­tion was not disallowed or reduced. Deaton v. Hunt-Elder, 145 Or App 110, 928 P2d 992 (1996)
Disputed claim settle­ment may only dispose of claims that have been formally denied prior to date of settle­ment. Trevisan v. SAIF, 146 Or App 358, 932 P2d 1202 (1997)
Agree­ment that provides for claim to remain in denied status must be in form of disputed claim settle­ment, not stipula­tion. Simmons v. Lane Mass Transit District, 171 Or App 268, 15 P3d 568 (2000)