OAR 836-043-0028
Application by Electronic Transmission or Telephone


(1)

An application made by electronic transmission or telephone must be completed in full and must be signed. The signature may be submitted by facsimile transmission. The effective date of coverage shall be determined in accordance with OAR 836-043-0044 (Binding Coverage).

(2)

An employer or the representative of an employer may apply for assigned risk coverage electronically by accessing NCCI’s online application service. Upon receipt of an application submitted electronically, the Plan Administrator shall review the information to determine whether the employer is eligible. If the employer is eligible and the application is complete and accurate, the Plan Administrator shall calculate electronically the initial or deposit premium amount and request the employer to submit the amount to continue the application process. The amount of the initial or deposit premium shall be determined in accordance with rules set forth in Exhibit 3 to OAR 836-043-0024 (Right to Apply).

(3)

The employer or its agent must submit the total required initial premium to the Plan Administrator by credit card or electronic funds transfer. A portion of the deposit premium may be satisfied with an authorized surety’s financial guaranty bond as provided in OAR 836-043-0034 (Surety Bonds).

(4)

Intentionally left blank —Ed.

(a)

The employer or the representative of the employer may contact the Plan Administrator by telephone to apply for assigned risk coverage. If the information provided by telephone is complete, accurate, and the employer is deemed eligible for coverage, the Plan Administrator shall:

(A)

Advise the employer of the total estimated annual premium and required initial or deposit premium required to bind coverage; and

(B)

Fax the employer a copy of the completed applications as set forth in Exhibits 1 and 2 of OAR 836-043-0024 (Right to Apply) for review and signature.

(b)

For a application made by telephone, the employer or the representative of the employer shall submit the total required initial or deposit premium by electronic funds transfer in accordance with rules set forth in Exhibit 3 to OAR 836-0043-0028.
[ED. NOTE: Exhibits referenced are available from the agency.]

Source: Rule 836-043-0028 — Application by Electronic Transmission or Telephone, https://secure.­sos.­state.­or.­us/oard/view.­action?ruleNumber=836-043-0028.

836–043–0001
Statutory Authority
836–043–0005
Definitions for the Workers’ Compensation Insurance Plan
836–043–0009
Participation by Insurers and Insurance Producers
836–043–0017
Plan Administrator
836–043–0021
Servicing Carriers
836–043–0024
Right to Apply
836–043–0028
Application by Electronic Transmission or Telephone
836–043–0032
Nonelectronic Application
836–043–0034
Surety Bonds
836–043–0041
Application Review
836–043–0044
Binding Coverage
836–043–0046
Rates and Forms, Policy Term, Additional Coverages and Other Provisions
836–043–0048
Additional States’ Coverage
836–043–0050
Interstate Assignments
836–043–0053
Premium Obligations
836–043–0056
Insurer Cancellation and Nonrenewal of Workers’ Compensation Insurance Policies or Surety Bonds
836–043–0060
Assignment Formula
836–043–0062
Issuance and Continuation of Policy
836–043–0064
Renewal, Nonrenewal
836–043–0066
Reassignment
836–043–0068
Cancellation
836–043–0071
Dispute Resolution Procedures
836–043–0072
Voluntary Coverage
836–043–0076
Takeout Credit
836–043–0079
Notification of Outstanding Premium
836–043–0082
Policyholder Services
836–043–0087
Producer Changes and Compensation
836–043–0089
Confidentiality of Information
836–043–0091
Self-Funded Plan
836–043–0101
Statutory Authority
836–043–0105
Definitions
836–043–0110
Insurer Premium Audit Program
836–043–0115
Insurer Audit Procedure Guide
836–043–0120
Minimum Standards of Insured Education Program
836–043–0125
Purpose
836–043–0130
Selection of Risks for Test Audit
836–043–0135
Test Audits
836–043–0145
Disposition of Test Audits
836–043–0150
Summary of Test Audit Results
836–043–0155
Test Audit Standards
836–043–0165
Monitoring Audit Program System
836–043–0170
Premium Audit Hearings
836–043–0175
Statutory Authority
836–043–0180
Definitions
836–043–0185
Insurer Classification Notice
836–043–0200
Statutory Authority
836–043–0210
Definitions
836–043–0220
Committee Participation
836–043–0230
Committee Operating Rules
836–043–0240
Committee Activities
836–043–0300
Qualifications for Workers’ Compensation Rating Oganizations
836–043–0310
Exchange of Data Among Workers’ Compensation Rating Organizations
836–043–0320
Competitive Selection Process
Last Updated

Jun. 8, 2021

Rule 836-043-0028’s source at or​.us