OAR 836-043-0145
Disposition of Test Audits

(1) The bureau shall submit individual results of each test audit to the office or offices designated by the insurer as soon as the bureau audit is completed.
(2) For audits that do not result in a significant premium difference, defined as in excess of $500 in premium or in excess of two percent of the total standard premium, whichever is greater, the bureau shall provide the insurer with the policy numbers and the named insureds for all test audits closed without change.
(3) For audits that result in a significant premium difference, the bureau shall provide the insurer with a report explaining the difference and the effect of such difference upon the total premium. An example of this report template is located on the Department of Consumer and Business Services, Division of Financial Regulation website at dfr.oregon.gov.
(4) Results of test audits of individual insurers shall be confidential data under ORS 731.312 (Report of examination).
(5) Immediately upon receipt of the bureau’s report, the insurer shall determine whether it agrees with the bureau’s findings, auditing the insured if necessary. If the insurer agrees with the bureau’s findings, the insurer shall file the corrected information on the original or, if necessary, on a revised unit statistical report. When the net premium difference is not sufficient to qualify as an “error” but a single difference is sufficiently large to qualify as an error prior to any offsetting premium amounts, the insurer shall be advised of such differences by an “advisory” notice. Also, when individual claims have been assigned to an incorrect classification an “advisory” notice shall also be submitted to the insurer. Upon receipt of the “advisory” notice, the insurer shall report such payrolls or losses on the initial or, if necessary, a “C” (corrected) Unit Statistical Report. All test audit differences must be closed within sixty days of notification unless the insurer requests an extension and the request is approved by the bureau.
(6) When classifications utilized by the insurer are found to be in error, the bureau shall take the normal appropriate action to secure compliance.
(7) Findings resulting from test audits shall not be utilized in any action by an insurer to enforce premium collections.
(8) If there is disagreement with the bureau’s findings, the insurer shall communicate with the designated contact at the National Council on Compensation Insurance office to resolve areas of contention.
(9) When an insurer is unable to resolve test audit differences with the bureau staff, the insurer may present an appeal to the committee.
(10) When an insurer is unable to resolve test audit differences with the committee, the insurer may present an appeal to the director for final determination.

Source: Rule 836-043-0145 — Disposition of Test Audits, https://secure.­sos.­state.­or.­us/oard/view.­action?ruleNumber=836-043-0145.

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 836-043-0145’s source at or​.us