OAR 436-050-0205
Notice of Self-Insurer’s Personal Elections

When a person makes an election under ORS 656.039 (Election of coverage for workers not subject to law), 656.128 (Sole proprietors, limited liability company members, partners, independent contractors may elect coverage by insurer), or 656.140 (Coverage of persons operating equipment for hire), the self-insured must notify the director in writing of the election and of any cancellation of the election within 30 days of the effective date.

Source: Rule 436-050-0205 — Notice of Self-Insurer’s Personal Elections, https://secure.­sos.­state.­or.­us/oard/view.­action?ruleNumber=436-050-0205 (accessed May 26, 2025).

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

May 26, 2025

Rule 436-050-0205's source at or​.us