OAR 436-150-0040
Accounting and Repayment of Payment of Benefits
(1)
The director shall establish an account of record to monitor all expenditures and transactions relating to the Workers’ Benefit Fund Claims Program and these rules. The accounting shall provide a detailed record of payments to each injured worker and the respective insurer responsible for the claim to include, but not be limited to, information as specified in OAR 436-150-0030 (Payment of Benefits)(2).(2)
When the obligation to make payment of compensation is assumed by the Oregon Insurance Guaranty Association (OIGA) due to the insolvency of an insurer, the OIGA shall reimburse the Workers’ Benefit Fund for all moneys advanced to injured workers for covered claims, as specified by OAR 734.510 (Definitions for ORS 734.510 to 734.710)(4) and these rules. The OIGA shall reimburse the director within 60 days of receipt of sufficient information necessary to support the covered claims. All moneys received from the OIGA by the director shall be placed into the Workers’ Benefit Fund.(3)
If an insurer defaults in its payments to injured workers, but later resumes its obligation to make payments, the insurer shall reimburse the director for any moneys paid to the injured worker. Such payment shall be in such amounts and at such intervals as prescribed by an order of the director. Failure of the insurer to comply with the order of the director may result in civil penalty pursuant to ORS 656.745 (Civil penalty for inducing failure to report claims).(4)
Any dispute over an amount owing the director in accordance with these rules shall be resolved pursuant to OAR 436-150-0008 (Administrative Review)(2).
Source:
Rule 436-150-0040 — Accounting and Repayment of Payment of Benefits, https://secure.sos.state.or.us/oard/view.action?ruleNumber=436-150-0040.