OAR 436-110-0240
Insurer Participation in the Preferred Worker Program
(1)
Insurer participation. The insurer of the employer at injury must be an active participant in providing re-employment assistance under the Preferred Worker Program.(2)
Notice of assistance available. The insurer must notify the worker and employer at injury in writing of the assistance available from the Preferred Worker Program. A notice must be issued:(a)
Within five days of the worker being declared medically stationary;(b)
Upon determination of the worker’s eligibility or ineligibility for vocational assistance under ORS 656.340 (Vocational assistance procedure) and OAR 436-120; and(c)
Upon approval of a claim disposition agreement.(3)
Required notice language.(a)
The notice to the worker required by section (2) of this rule must be in bold type and contain the following language:(b)
The notice to the employer at injury required by section (2) of this rule must be in bold type and contain the following language:(4)
Reporting information to the division. The insurer must provide the division with preferred worker information upon the following:(a)
Claim closure according to ORS 656.268 (Claim closure), by submitting Form 1503, “Insurer Notice of Closure Summary,” as prescribed by OAR 436-030-0015 (Insurer Responsibility)(1);(b)
Within 30 calendar days of an order on reconsideration, opinion and order of an administrative law judge, order on review by the board, decision of the Court of Appeals or Supreme Court, or stipulation between the parties that grants initial permanent disability after the latest opening of the worker’s claim; and(c)
Approval of a claim disposition agreement, if documented medical evidence indicates permanent restrictions exist as a result of the injury or disease, and the worker is unable to return to regular work. If a claim disposition agreement is approved before the worker is medically stationary, the insurer must continue to process the claim to medically stationary for purposes of the Preferred Worker Program.
Source:
Rule 436-110-0240 — Insurer Participation in the Preferred Worker Program, https://secure.sos.state.or.us/oard/view.action?ruleNumber=436-110-0240
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