OAR 438-005-0053
Notice of Denial of Responsibility
(1)
If a self-insured employer or insurer intends to deny responsibility for a claim on the basis of injury or exposure with another employer, the self-insured employer or insurer shall, within the period allowed under ORS 656.262 (Processing of claims and payment of compensation) for processing the claim, so indicate in or as part of a denial otherwise meeting the requirements of 656.262 (Processing of claims and payment of compensation), OAR 436-001-0600 (Multilingual Help Page) (including Bulletin No. 379) and OAR 438-005-0055 (Notice of Claim Denial and Hearing Rights).(2)
The notice shall:(a)
Identify the condition(s) for which responsibility is being denied;(b)
State the factual and legal reasons for the denial; and(c)
Advise the claimant to file separate, timely claims against other potentially responsible insurers or self-insured employers, including other insurers for the same employer, in order to protect the claimant’s rights to obtain benefits on the claim.(3)
The denial may:(a)
List the names and addresses of other insurers or self-insured employers who may be responsible for the claimant’s condition; and(b)
State whether the self-insured employer or insurer has requested the appointment of a paying agent pursuant to ORS 656.307 (Determination of issues regarding responsibility for compensation payment).
Source:
Rule 438-005-0053 — Notice of Denial of Responsibility, https://secure.sos.state.or.us/oard/view.action?ruleNumber=438-005-0053.