OAR 436-120-0005
Definitions


For the purpose of these rules, unless the context requires otherwise:

(1)

“Cost-of-living matrix” is a chart issued annually by the division in Bulletin 124 that publishes the conversion factors, effective July 1 of each year, used to adjust for changes in the cost-of-living rate from the date of injury to the date of calculation. The conversion factor is based on the annual percentage increase or decrease in the average weekly wage, as defined in ORS 656.211 (“Average weekly wage” defined).

(2)

“Counselor” means the vocational assistance counselor certified under these rules to provide vocational assistance to injured workers and activities for determining a worker’s eligibility for vocational assistance.

(3)

“Director” means the director of the Department of Consumer and Business Services, or the director’s delegate for the matter.

(4)

“Division” refers to the Workers’ Compensation Division of the Department of Consumer and Business Services.

(5)

“Employer at injury” means the organization that employed the worker when the worker sustained the injury or occupational disease.

(6)

“Insurer” means the insurance company or self-insured employer responsible for the workers’ compensation claim.

(7)

“Provider” means the vocational assistance provider that is an insurer or other public or private organization registered under these rules to provide vocational assistance to injured workers and activities for determining a worker’s eligibility for vocational assistance.

(8)

“Reasonable cause” may include, but is not limited to, a medically documented limitation in a worker’s activities due to illness or medical condition of the worker or the worker’s family, financial hardship, incarceration for less than six months, or circumstances beyond the reasonable control of the worker. “Reasonable cause” for failure to provide information or participate in activities related to vocational assistance will be determined based upon individual circumstances of the case.

(9)

“Reasonable labor market” for an occupation means it can be said to have reasonable employment opportunities if competitively qualified workers can expect to find equivalent jobs in the occupation within a reasonable period of time. A reasonable period of time, for workers in the majority of occupations, would be the six months that they could collect regular unemployment insurance benefits, if they were entitled to them.

(10)

“Regular employment” means the employment the worker held at the time of the injury or at the time of the claim for aggravation, whichever gave rise to the potential eligibility for vocational assistance; or, for a worker not employed at the time of aggravation, the employment the worker held on the last day of work before the aggravation claim. If the basis for potential eligibility is a reopening to process a newly accepted condition, “regular employment” is the employment the worker held at the time of the injury. When the condition arose after claim closure, “regular employment” is determined as if it were an aggravation claim.

(11)

“Substantial handicap to employment” means the worker, because of the injury or aggravation, lacks the necessary physical capacities, knowledge, skills, and abilities to be employed in suitable employment.

(a)

“Knowledge” means an organized body of factual or procedural information derived from the worker’s education, training, and experience.

(b)

“Skills” means the demonstrated mental and physical proficiency to apply knowledge.

(c)

“Abilities” means the cognitive, psychological, and physical capability to apply the worker’s knowledge and skills.

(12)

Intentionally left blank —Ed.

(a)

“Suitable employment” or “suitable job” means employment or a job:

(A)

For which the worker has the necessary physical capacities, knowledge, skills, and abilities;

(B)

Located where the worker customarily worked, or within reasonable commuting distance of the worker’s residence. A reasonable commuting distance is no more than 50 miles one-way modified by other factors including, but not limited to:
(i)
Wage of the job;
(ii)
The pre-injury commute;
(iii)
The worker’s physical capacities, if they restrict the worker’s ability to sit or drive for 50 miles;
(iv)
Commuting practices of other workers who live in the same geographic area; and
(v)
The distance from the worker’s residence to the nearest cities or towns that offer employment opportunities;

(C)

That pays a suitable wage or would average on a year-round basis a suitable wage;

(D)

That is permanent. Temporary work is suitable if the worker’s job at injury was temporary and the worker has transferable skills to earn, on a year-round basis, a suitable wage; and

(E)

For which a reasonable labor market as described under OAR 436-120-0157 (Determining Substantial Handicap to Employment) is documented to exist.

(b)

“Suitable employment” or “suitable job” may also be modified or new employment resulting from an employer at injury activated use of the Preferred Worker Program under OAR 436-110, as described in OAR 436-120-0165 (End of Eligibility for Vocational Assistance)(1)(c).

(13)

“Suitable wage” means:

(a)

For the purpose of determining eligibility for vocational assistance, a wage at least 80 percent of the adjusted weekly wage.

(b)

For the purpose of providing or ending vocational assistance, a wage as close as possible to 100 percent of the adjusted weekly wage. This wage may be considered suitable if less than 80 percent of the adjusted weekly wage, if the wage is as close as possible to the adjusted weekly wage.

(14)

“Training” means a vocational rehabilitation service provided to a worker who is enrolled and actively engaged in an approved training plan as documented on Form 1081, “Training Plan.”

(15)

“Transferable skills” means the knowledge and skills demonstrated in past training or employment that make a worker employable in suitable new employment. More general characteristics such as aptitudes or interests do not, by themselves, constitute transferable skills.

(16)

“Vocational assistance” means any of the services, goods, allowances, and temporary disability compensation under these rules to assist an eligible worker return to work. This does not include activities for determining a worker’s eligibility for vocational assistance.
436–120–0003
General Provisions
436–120–0005
Definitions
436–120–0008
Administrative Review and Hearings
436–120–0012
General Requirements For Notices and Warnings
436–120–0115
Vocational Eligibility Evaluation
436–120–0117
Deferral of Eligibility Evaluation
436–120–0145
Vocational Assistance Eligibility
436–120–0147
Establishing the Adjusted Weekly Wage
436–120–0157
Determining Substantial Handicap to Employment
436–120–0165
End of Eligibility for Vocational Assistance
436–120–0175
Redetermining Eligibility for Vocational Assistance
436–120–0177
Selection of Category of Vocational Assistance
436–120–0185
Choosing a Counselor
436–120–0187
Optional Services
436–120–0197
Direct Employment
436–120–0410
Determining a Vocational Goal
436–120–0443
Training — General
436–120–0445
Training Requirements
436–120–0500
Training: Development and Implementation
436–120–0510
Training Plan Support
436–120–0520
Responsibilities of the Worker and the Counselor
436–120–0523
Re-evaluating a Training Plan
436–120–0527
Ending a Training Plan
436–120–0530
Director Review of Return-to-Work Plan
436–120–0700
Direct Worker Purchases
436–120–0710
Direct Worker Purchases: Categories
436–120–0720
Fee Schedule
436–120–0755
Reimbursement from the Workers’ Benefit Fund
436–120–0800
Registration of Providers
436–120–0810
Certification and Classification of Provider Staff
436–120–0820
Renewal of Certification
436–120–0840
Professional Standards for Providers and Counselors
436–120–0900
Audits, Penalties and Sanctions
436–120–0915
Sanctions of Providers and Counselors
Last Updated

Jun. 24, 2021

Rule 436-120-0005’s source at or​.us