OAR 436-050-0005
Definitions

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 non-complying employer under ORS 656.054 (Claim of injured worker of noncomplying employer).
(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 keep records as required by ORS 731.475 (Records storage required of workers’ compensation insurers) and 656.455 (Self-insured employers required to keep records of compensation claims). “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 (Assessments for programs), 656.612 (Assessments for department activities), and 656.614 (Self-Insured Employer Adjustment Reserve) 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 (“District” defined for chapter), intergovernmental agency created under ORS 225.050 (Joint construction, ownership and operation of waterworks), school district as defined in ORS 255.005 (Definitions), 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 (Assessments for department activities) and 656.614 (Self-Insured Employer Adjustment Reserve).
(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 (General Definitions).
(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 (Certification of self-insured employer) as having met the qualifications of a self-insured employer under ORS 656.407 (Qualifications of insured employers).
(22) “Self-insured employer group” means five or more employers certified under ORS 656.430 (Certification of self-insured employer) as having met the qualifications of a self-insured employer under ORS 656.407 (Qualifications of insured employers).
(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.

Source: Rule 436-050-0005 — Definitions, https://secure.­sos.­state.­or.­us/oard/view.­action?ruleNumber=436-050-0005.

436–050–0003
Purpose and Applicability 436–050–0005
Definitions 436–050–0008
Requests for Hearings or Administrative Review 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
Nonsubject Workers 436–050–0050
Corporate Officers, Limited Liability Company Members, Partners 436–050–0055
Extraterritorial Coverage 436–050–0110
Notice of Insurer’s Place of Business in State 436–050–0120
Records Insurers Must Keep in Oregon 436–050–0150
Qualifications 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 436–050–0185
Qualifications for Deposit Exemption for Self-Insured Cities, Counties, and Qualified Self-Insured Employer Groups, Application Procedures, Conditions and Requirements, Revocation and Requalification 436–050–0190
Using Self-Insured Employers’ Security Deposit/Self-Insured Employer Adjustment Reserve/Self-Insured Employer Group Adjustment Reserve/Director-Ordered Assessments of Private Employer Members of Self-Insured Employer Groups 436–050–0195
Requirements for Changes in Self-Insured Employer Entity 436–050–0200
Self-Insured Certification Cancellation 436–050–0205
Notice of Self-Insurer’s Personal Elections 436–050–0210
Notice of Self-Insurer’s Place of Business in State 436–050–0220
Records Self-Insured Employer Must Keep in Oregon 436–050–0230
Out-of-State Recordkeeping and Claims Processing by Self-Insured Employer 436–050–0260
Qualifications of 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/Cancellation of Employers with a Self-Insured Employer Group 436–050–0300
Self-Insured Employer Group, Common Claims Fund 436–050–0340
Group Self-Insurance Revocation
Last Updated

Jun. 24, 2021

Rule 436-050-0005’s source at or​.us