Criteria for Eligibility
(1)In order for the director to authorize expenditures from the Workers’ Benefit Fund Claims Program there must be:
(a)Verification from an authority from the insurer’s state of domicile that the insurer responsible for payment of compensation is in default, such as a notice of voluntary or involuntary rehabilitation, conservatorship, or other information indicating the insurer cannot or will not make payments of compensation; and
(b)An order of the director authorizing disbursements to injured workers from the Workers’ Benefit Fund Claims Program. The order shall specify the qualifying claims, duration of payment obligation, and maximum expenditure limitation. The maximum expenditure limitation may not exceed the amount of securities on deposit for the insurer pursuant to ORS 731.628 (Deposit required of workers’ compensation insurers).
(2)When expenditures are authorized pursuant to section (1) of this rule, the paying agency shall provide the director with sufficient information, as specified in OAR 436-150-0030 (Payment of Benefits)(2), to enable the director to advance funds to eligible injured workers.
(3)To be eligible for payment under the program:
(a)Compensation must be due and payable pursuant to ORS chapter 656; and
(b)There must be a record of an insurance policy on file with the director by the insurer covering the employer on the date of injury.
(4)Payments to eligible injured workers in accordance with these rules shall be applied toward the insurer’s payment obligations under ORS chapter 656 and will be deducted from compensation due, pursuant to ORS 734.570 (Required functions of association).
Rule 436-150-0010 — Criteria for Eligibility,