Oregon Administrative Rules › Chapter 436 - DEPARTMENT OF CONSUMER AND BUSINESS SERVICES, WORKERS' COMPENSATION DIVISION › Division 50 - EMPLOYER/INSURER COVERAGE RESPONSIBILITY › Section 436-050-0005 - Definitions

Current through Register Vol. 63, No. 7, July 1, 2024
Unless a term is defined elsewhere in these rules, the
				definitions of ORS chapter 656 are incorporated by reference and made a part of
				these rules. For the purpose of these rules, unless the context requires
				otherwise:
(1)
"Assigned claims
			 agent"
means an entity selected by the director to process the claims of
			 a noncomplying employer under ORS
			 656.054.
(2)
"Audited financial
			 statement"
means a financial statement audited by an outside accounting
			 firm.
(3)
"Board"
means the Workers' Compensation Board and includes its Hearings
			 Division.
(4)
"Cancel"
or
"cancellation,"
in relation to an insurance policy, means
			 ending the policy at a date before its expiration date.
(5)
"Claims processing location"
means a place of business maintained or operated by an insurer, self-insured
			 employer, self-insured employer group, or service company to process claims and
			 make records available. "Claims processing location" does not include a post
			 office box, commercial mail receiving agency, virtual office, or the place of
			 residence of an employee of the insurer, self-insured employer, self-insured
			 employer group, or service company.
(6)
"Days"
means calendar days
			 unless otherwise specified.
(7)
"Default"
means failure of an employer, insurer, or self-insured
			 employer to pay the moneys due to the director under ORS
			 656.506,
			 656.612, and
			 656.614 at such intervals as the
			 director directs.
(8)
"Director"
means the director of the Department of Consumer and
			 Business Services or the director's designee.
(9)
"Division"
means the
			 Workers' Compensation Division of the Department of Consumer and Business
			 Services.
(10)
"Governmental
			 subdivision"
means a city, county, special district as defined in ORS
			 198.010, intergovernmental
			 agency created under ORS
			 225.050, school district as
			 defined in ORS 255.005, public housing
			 authority created under ORS chapter 456, or regional council of governments
			 created under ORS chapter 190.
(11)
"Insurer"
means the State Accident Insurance Fund Corporation or
			 an insurer authorized under ORS chapter 731 to transact workers' compensation
			 insurance in Oregon.
(12)
"Nonrenewal"
means the insurer's decision not to renew a policy at
			 its expiration date.
(13)
"Person"
means an individual, partnership, corporation, joint
			 venture, limited liability company, association, government agency, sole
			 proprietorship, or other business entity allowed to do business in the State of
			 Oregon.
(14)
"Premium"
means the monetary consideration for an insurance policy.
(15)
"Premium assessments"
means
			 moneys due the director under ORS
			 656.612 and
			 656.614.
(16)
"Principal"
means the
			 entity whose liability is secured by a surety bond.
(17)
"Process claims"
means the
			 determination of compensability and management of workers' compensation claims
			 by an Oregon certified claims examiner.
(18)
"Proof of coverage"
has the
			 meaning provided under OAR
			 436-162-0005.
(19)
"Reinstatement"
means the
			 continuation or reestablishing of workers' compensation insurance coverage
			 under a workers' compensation insurance policy that was previously
			 canceled.
(20)
"Renewal"
or
"renew"
means the issuance of a policy
			 succeeding a previously issued policy or the issuance of a certificate or
			 notice extending the terms of an existing policy for a specified period beyond
			 its expiration date.
(21)
"Self-insured employer"
means an employer certified under ORS
			 656.430 as having met the
			 qualifications of a self-insured employer under ORS
			 656.407.
(22)
"Self-insured employer
			 group"
means five or more employers certified under ORS
			 656.430 as having met the
			 qualifications of a self-insured employer under ORS
			 656.407.
(23)
"Service company"
means the
			 contracted agent for an insurer, self-insured employer, or self-insured
			 employer group authorized to process claims and make payment of compensation on
			 behalf of the insurer, self-insured employer, or self-insured employer
			 group.
(24)
"State"
means the state of Oregon.
(25)
"Written"
means information communicated in writing, and includes
			 electronic records.
Statutory/Other Authority: ORS
				  656.726(4)
Statutes/Other Implemented: ORS
				  656.726(4)