OAR 836-043-0210
Definitions

As used in; OAR 836-043-0200 (Statutory Authority; Purpose; Applicability) to 836-043-0240 (Committee Activities), unless the context requires otherwise:

(1)

“Aggrieved Person” means any person adversely affected by application of a rating system or by any decision of the Committee.

(2)

“Classification” means a grouping of insurance risks according to a classification system used by an insurer.

(3)

“Classification System” means a schedule of classifications and a rule or set of rules used by an insurer for determining the classification applicable to an insured.

(4)

“Committee” means the Oregon Workers’ Compensation Rating System Review and Advisory Committee established by OAR 836-043-0200 (Statutory Authority; Purpose; Applicability) to 836-043-0240 (Committee Activities).

(5)

“Experience Rating” means modification of workers’ compensation insurance premium according to the Experience Rating Plan Manual of the National Council on Compensation Insurance filed with the Director.

(6)

“Hearing” or “Hearings” means an informal and reasonable means whereby any person aggrieved by the application of NCCI’s rating system or an authorized representative of the person may be heard by the Oregon Workers’ Compensation Rating System Review and Advisory Committee to review the manner in which such rating system has been applied in connection with the insurance afforded the person. This hearing does not constitute a contested case hearing within the meaning of ORS 183.310 (Definitions for chapter).

(7)

“Insured” means an employer who has been issued a workers’ compensation insurance policy by an insurer. An insured may designate, in writing, a representative to present their appeal before the Committee. The Small Business Ombudsman of the Department of Insurance and Finance may be a representative.

(8)

“Insurer” means any insurer authorized to transact workers’ compensation insurance and includes the State Accident Insurance Fund Corporation.

(9)

“Member” means a member of the Oregon Workers’ Compensation Rating System Review and Advisory Committee of the Director of the Department of Insurance and Finance.

(10)

“National Council on Compensation Insurance” or “NCCI” is the rating organization that has been licensed by the Director for workers’ compensation insurance, of which organization authorized workers’ compensation insurers must be members pursuant to ORS 737.560 (Rating organization membership).

(11)

“Northwestern Division” or “NWD” is a branch of the National Council on Compensation Insurance providing related services for Oregon.

(12)

“Premium” means the contractual consideration charged to an insured for insurance for a specific period of time regardless of the timing of actual charges.

(13)

“Rate” means a monetary amount applied to the units of exposure basis assigned to a classification and used by an insurer to determine the premium for an insured, prior to any adjustment or adjustments resulting from the application of any rating plan.

(14)

“Rating Plan” means a rule or set of rules used by an insurer to calculate premium for an insured, and the parameter values used in such calculation, after application of classification premium rates to units of exposure.

(15)

“Rating System” means a collection of rating plans to be used by an insurer, rules for determining which rating plans are applicable to an insured, a classification system and other rules used by an insurer for determining contractual consideration for an insured.

(16)

“Retrospective Rating” means a method of adjustment of workers’ compensation insurance premium according to the insurer’s rating plan for the policy of an insured based on losses incurred during the period covered by the policy.

(17)

“Workers’ Compensation Insurance” means insurance providing an employer coverage from the obligations of an employer arising from illness or injury to workers whether such obligation is imposed by ORS Chapter 656 (Workers’ Compensation) of this state, similar laws of the United States, or agreements between states.
[Publications: Publications referenced are available from the agency.]

Source: Rule 836-043-0210 — Definitions, https://secure.­sos.­state.­or.­us/oard/view.­action?ruleNumber=836-043-0210.

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. 24, 2021

Rule 836-043-0210’s source at or​.us