OAR 436-045-0010
Criteria for Eligibility
(1)
In order to qualify for reimbursement from the Reopened Claims Program there must be:(a)
An order or award issued by the Board upon its own motion pursuant to ORS 656.278 (Board has continuing authority to alter earlier action on claim) and as provided by OAR chapter 438, division 12 or a voluntary claim reopening; and(b)
Verifiable compensation paid in accordance with the order or award issued by the Board or voluntary claim reopening, including permanent disability awarded as a result of a reopening due to a new or omitted medical condition pursuant to ORS 656.278 (Board has continuing authority to alter earlier action on claim)(1)(b).(2)
Notwithstanding paragraph (1)(b) of this rule, reimbursement may be made from the Program for reasonable overpayments of temporary disability. Reasonable overpayments are those made from the date a worker becomes medically stationary, returns to work or is released to work until the insurer is notified or should have known of the status change.(3)
Costs for claims to subject workers of an employer who is in a noncomplying status as defined in ORS 656.052 (Prohibition against employment without coverage) are not eligible for reimbursement from the Program but remains a cost recoverable from the employer as provided by ORS 656.054 (Claim of injured worker of noncomplying employer)(3).
Source:
Rule 436-045-0010 — Criteria for Eligibility, https://secure.sos.state.or.us/oard/view.action?ruleNumber=436-045-0010.