ORS 656.283
Hearing rights and procedure

  • rules
  • impeachment evidence
  • use of standards for evaluation of disability

(1)

Subject to ORS 656.319 (Time within which hearing must be requested), any party or the Director of the Department of Consumer and Business Services may at any time request a hearing on any matter concerning a claim, except matters for which a procedure for resolving the dispute is provided in another statute, including ORS 656.704 (Actions and orders regarding matters concerning claim and matters other than matters concerning claim).

(2)

A request for hearing may be made by any writing, signed by or on behalf of the party and including the address of the party, requesting the hearing, stating that a hearing is desired, and mailed to the Workers’ Compensation Board.

(3)

Intentionally left blank —Ed.

(a)

The board shall refer the request for hearing to an Administrative Law Judge for determination as expeditiously as possible. The hearing shall be scheduled for a date not more than 90 days after receipt by the board of the request for hearing. The hearing may not be postponed:

(A)

Except in extraordinary circumstances beyond the control of the requesting party; and

(B)

For more than 120 days after the date of the postponed hearing.

(b)

When a hearing set pursuant to paragraph (a) of this subsection is postponed because of the need to join one or more potentially responsible employers or insurers, the assigned Administrative Law Judge shall reschedule the hearing as expeditiously as possible after all potentially responsible employers and insurers have been joined in the proceeding and the medical record has been fully developed. The board shall adopt rules for hearings on claims involving one or more potentially responsible employers and insurers that:

(A)

Require the parties to participate in any prehearing conferences required to expedite the hearing; and

(B)

Authorize the Administrative Law Judge conducting the hearing to:
(i)
Establish a prehearing schedule for investigation of the claim, including but not limited to the interviewing of the claimant;
(ii)
Make prehearing rulings necessary to promote full discovery and completion of the medical record required for determination of the issues arising from the claim; and
(iii)
Specify what is required of the claimant to meet the obligation to reasonably cooperate with the investigation of claims.

(c)

Nothing in paragraph (b) of this subsection alters the obligation of an insurer or self-insured employer to accept or deny a claim for compensation as required under this chapter.

(d)

If a hearing has been postponed in accordance with paragraph (b) of this subsection:

(A)

The director may not consider the timeliness of a denial issued in the claim that is the subject of the hearing for the purpose of imposing a penalty against an insurer or self-insured employer that is potentially responsible for the claim; and

(B)

The 120-day maximum postponement established under paragraph (a) of this subsection for rescheduling a hearing does not apply.

(4)

Intentionally left blank —Ed.

(a)

At least 60 days’ prior notice of the time and place of hearing shall be given to all parties in interest by mail. Hearings shall be held in the county where the worker resided at the time of the injury or such other place selected by the Administrative Law Judge.

(b)

The 60-day prior notice required by paragraph (a) of this subsection:

(A)

May be waived by agreement of the parties and the board if waiver of the notice will result in an earlier date for the hearing.

(B)

Does not apply to hearings in cases assigned to the Expedited Claim Service under ORS 656.291 (Expedited Claim Service), cases involving stayed compensation under ORS 656.313 (Stay of compensation pending request for hearing or review) (1)(b) and requests for hearing that are consolidated with an existing case with an existing hearing date.

(5)

A record of all proceedings at the hearing shall be kept but need not be transcribed unless a party requests a review of the order of the Administrative Law Judge. Transcription shall be in written form as provided by ORS 656.295 (Board review of Administrative Law Judge orders) (3).

(6)

Except as otherwise provided in this section and rules of procedure established by the board, the Administrative Law Judge is not bound by common law or statutory rules of evidence or by technical or formal rules of procedure, and may conduct the hearing in any manner that will achieve substantial justice. Neither the board nor an Administrative Law Judge may prevent a party from withholding impeachment evidence until the opposing party’s case in chief has been presented, at which time the impeachment evidence may be used. Impeachment evidence consisting of medical or vocational reports not used during the course of a hearing must be provided to any opposing party at the conclusion of the presentation of evidence and before closing arguments are presented. Impeachment evidence other than medical or vocational reports that is not presented as evidence at hearing is not subject to disclosure. Evaluation of the worker’s disability by the Administrative Law Judge shall be as of the date of issuance of the reconsideration order pursuant to ORS 656.268 (Claim closure). Any finding of fact regarding the worker’s impairment must be established by medical evidence that is supported by objective findings. The Administrative Law Judge shall apply to the hearing of the claim such standards for evaluation of disability as may be adopted by the director pursuant to ORS 656.726 (Duties and powers to carry out workers’ compensation and occupational safety laws). Evidence on an issue regarding a notice of closure that was not submitted at the reconsideration required by ORS 656.268 (Claim closure) is not admissible at hearing, and issues that were not raised by a party to the reconsideration may not be raised at hearing unless the issue arises out of the reconsideration order itself. However, nothing in this section shall be construed to prevent or limit the right of a worker, insurer or self-insured employer to present the reconsideration record at hearing to establish by a preponderance of that evidence that the standards adopted pursuant to ORS 656.726 (Duties and powers to carry out workers’ compensation and occupational safety laws) for evaluation of the worker’s permanent disability were incorrectly applied in the reconsideration order pursuant to ORS 656.268 (Claim closure). If the Administrative Law Judge finds that the claim has been closed prematurely, the Administrative Law Judge shall issue an order rescinding the notice of closure.

(7)

Any party shall be entitled to issuance and service of subpoenas under the provisions of ORS 656.726 (Duties and powers to carry out workers’ compensation and occupational safety laws) (2)(c). Any party or representative of the party may serve such subpoenas.

(8)

After a party requests a hearing and before the hearing commences, the board, by rule, may require the requesting party, if represented by an attorney, to notify the Administrative Law Judge in writing that the attorney has conferred with the other party and that settlement has been achieved, subject to board approval, or that settlement cannot be achieved. [1965 c.285 §34; 1979 c.839 §7; 1981 c.535 §33; 1981 c.860 §§1,5; 1985 c.600 §9; 1987 c.884 §11; 1990 c.2 §20; 1995 c.332 §34; 1999 c.313 §7; 2003 c.667 §2; 2005 c.26 §11; 2005 c.624 §1; 2009 c.35 §2]

Source: Section 656.283 — Hearing rights and procedure; rules; impeachment evidence; use of standards for evaluation of disability, https://www.­oregonlegislature.­gov/bills_laws/ors/ors656.­html.

Notes of Decisions

Letter that did not specifically set out claimant’s address was nonetheless adequate request for hearing. Burkholder v. SAIF, 11 Or App 334, 502 P2d 1394 (1972)

Medical reports prepared by physician not available for cross-examination at hearing are admissible. Critofaro v. SAIF, 19 Or App 272, 527 P2d 412 (1974)

Claimant may request hearing on initial disability determination notwithstanding enrollment in ongoing vocational rehabilitation program. Minor v. Delta Truck Lines, 43 Or App 29, 602 P2d 288 (1979), Sup Ct review denied

Where claimant requested hearing on or about same date he filed claim and did not renew request after claim was denied, request on sole question of whether claim should be accepted was premature and therefore ineffective. Syphers v. K-W Logging, Inc., 51 Or App 769, 627 P2d 24 (1981), Sup Ct review denied

Court of Appeals properly relied on exhibit that was marked but not admitted as evidence where referee considered exhibit. Rivera v. R & S Nursery, 69 Or App 281, 684 P2d 1250 (1984)

“Lord Mansfield’s Rule” that, for establishing paternity, non-access of married party may not be testified to by the married parties, should not be applied in workers’ compensation hearings to exclude or ignore relevant evidence. Amos v. SAIF, 72 Or App 145, 694 P2d 998 (1985)

Because acceptance or denial of claim is not duty of noncomplying employer, employer could request hearing on compensability of claim without issuing denial. Horgen v. Martinez, 101 Or App 396, 790 P2d 1195 (1990)

Workers’ Compensation Board has authority to award attorney fees for legal services provided to client during director’s administrative review of dispute regarding vocational assistance. SAIF v. Severson, 105 Or App 67, 803 P2d 1203 (1990), modified 109 Or App 136, 817 P2d 1352 (1991)

Request for hearing is not jurisdictional, so failure of employer to file written request for hearing on particular issue was not preclusive where no objection was made at hearing. Salter v. SAIF, 108 Or App 717, 816 P2d 1208 (1991)

Request for hearing must be referable to particular denial. Guerra v. SAIF, 111 Or App 579, 826 P2d 1034 (1992)

Where Department of Insurance and Finance order on reconsideration was invalid, referee still had jurisdiction to review order. Pacheco-Gonzalez v. SAIF, 123 Or App 312, 860 P2d 822 (1993)

Referee has no authority to remand claim to Department of Insurance and Finance. Pacheco-Gonzalez v. SAIF, 123 Or App 312, 860 P2d 822 (1993)

Where no medical arbiter was appointed, medical report prepared after issuance of reconsideration order was admissible at hearing before referee. Scheller v. Holly House, 125 Or App 454, 865 P2d 475 (1993), Sup Ct review denied

Correct process is for director to informally investigate and issue order; then referee conducts hearing, develops record and decides based on facts in record whether director’s decision survives review; then board reviews based on record developed by referee. Colclasure v. Wash. Co. School Dist. No. 48-J, 317 Or 526, 857 P2d 126 (1993)

Physician request under ORS 656.245 for approval of noncompensable type of palliative care does not raise “question concerning a claim.” Hathaway v. Health Future Enterprises, 320 Or 383, 884 P2d 549 (1994); Nicholson v. Salem Area Transit, 320 Or 391, 884 P2d 864 (1994)

Requirement that evidence at appeal level be limited to evidence presented at reconsideration conditions ORS 656.287 right to introduce evidence at hearing. Rogue Valley Medical Center v. McClearen, 152 Or App 239, 952 P2d 1048 (1998), Sup Ct review denied

For mandatory reconsideration under ORS 656.268 to preclude further review, matter that claimant objects to must be manifest in notice of closure. Venetucci v. Metro, 155 Or App 559, 964 P2d 1090 (1998)

Issue that did not exist at time of reconsideration may be raised for first time at hearing. Crowder v. Alumaflex, 163 Or App 143, 986 P2d 1269 (1999)

Although worker retains burden of proof of disability on appeal, burden of identifying and establishing error of appealed decision rests on party seeking modification. Marvin Wood Products v. Callow, 171 Or App 175, 14 P3d 686 (2000)

Claimant seeking permanent total disability benefits is entitled to opportunity for oral evidentiary hearing at some meaningful stage in appeal process because limiting record on reconsideration to written evidence denies claimant due process by preventing meaningful opportunity to meet burden of proof and persuasion. Koskela v. Willamette Industries, Inc., 331 Or 362, 15 P3d 548 (2000)

Where witness testimony is type that generally does not involve issues of witness veracity or credibility, claimant does not have due process right to cross-examine witness. Logsdon v. SAIF, 181 Or App 317, 45 P3d 990 (2002), aff’d on other grounds, 336 Or 349, 84 P3d 119 (2004)

Same types of nonverified indicators of impairment that qualify as objective findings for purposes of determining compensability qualify as objective findings for purposes of determining extent of permanent disability. SAIF v. Drury, 202 Or App 14, 121 P3d 664 (2005), Sup Ct review denied

Person signing request for hearing “on behalf of” claimant need not be attorney. Havi Group LP v. Fyock, 204 Or App 558, 131 P3d 793 (2006)

Personal representative acting on behalf of deceased worker’s estate lacks standing to challenge claim resolution. Cato v. Alcoa-Reynolds Metals Co., 210 Or App 721, 152 P3d 981 (2007), Sup Ct review denied

Law Review Citations

32 WLR 217 (1996)

656.001
Short title
656.003
Application of definitions to construction of chapter
656.005
Definitions
656.006
Effect on employers’ liability law
656.008
Extension of laws relating to workers’ compensation to federal lands and projects within state
656.010
Treatment by spiritual means
656.012
Findings and policy
656.017
Employer required to pay compensation and perform other duties
656.018
Effect of providing coverage
656.019
Civil negligence action for claim denied on basis of failure to meet major contributing cause standard
656.020
Damage actions by workers against noncomplying employers
656.021
Coverage exception for laborers under contracts with construction and landscape contractor licensees
656.023
Who are subject employers
656.025
Individuals engaged in commuter ridesharing not subject workers
656.027
Who are subject workers
656.029
Obligation of person awarding contract to provide coverage for workers under contract
656.031
Coverage for municipal volunteer personnel
656.033
Coverage for participants in work experience or school directed professional training programs
656.035
Status of workers in separate occupations of employer
656.037
Exemption from coverage for persons engaged in certain real estate activities
656.039
Election of coverage for workers not subject to law
656.041
City or county may elect to provide coverage for adults in custody
656.043
Governmental agency paying wages responsible for providing coverage
656.044
State Accident Insurance Fund Corporation may insure liability under Longshoremen’s and Harbor Workers’ Compensation Act
656.046
Coverage of persons in college work experience and professional education programs
656.052
Prohibition against employment without coverage
656.054
Claim of injured worker of noncomplying employer
656.056
Subject employers must post notice of manner of compliance
656.070
Definitions for ORS 656.027, 656.070 and 656.075
656.075
Exemption from coverage for newspaper carriers
656.126
Coverage while temporarily in or out of state
656.128
Sole proprietors, limited liability company members, partners, independent contractors may elect coverage by insurer
656.132
Coverage of minors
656.135
Coverage of deaf school work experience trainees
656.138
Coverage of apprentices, trainees participating in related instruction classes
656.140
Coverage of persons operating equipment for hire
656.154
Injury due to negligence or wrong of a person not in the same employ as injured worker
656.156
Intentional injuries
656.160
Effect of incarceration on receipt of compensation
656.170
Validity of provisions of certain collective bargaining agreements
656.172
Applicability of and criteria for establishing program under ORS 656.170
656.174
Rules
656.202
Compensation payable to subject worker in accordance with law in effect at time of injury
656.204
Death
656.206
Permanent total disability
656.208
Death during permanent total disability
656.209
Offsetting permanent total disability benefits against Social Security benefits
656.210
Temporary total disability
656.211
“Average weekly wage” defined
656.212
Temporary partial disability
656.214
Permanent partial disability
656.216
Permanent partial disability
656.218
Continuance of permanent partial disability payments to survivors
656.222
Compensation for additional accident
656.225
Compensability of certain preexisting conditions
656.226
Cohabitants and children entitled to compensation
656.228
Payments directly to beneficiary or custodian
656.230
Lump sum award payments
656.232
Payments to aliens residing outside of United States
656.234
Compensation not assignable nor to pass by operation of law
656.236
Compromise and release of claim matters except for medical benefits
656.240
Deduction of benefits from sick leave payments paid to employees
656.245
Medical services to be provided
656.247
Payment for medical services prior to claim acceptance or denial
656.248
Medical service fee schedules
656.250
Limitation on compensability of physical therapist services
656.252
Medical report regulation
656.254
Medical report forms
656.256
Considerations for rules regarding certain rural hospitals
656.258
Vocational assistance service payments
656.260
Certification procedure for managed health care provider
656.262
Processing of claims and payment of compensation
656.263
To whom notices sent under ORS 656.262, 656.265, 656.268 to 656.289, 656.295 to 656.325 and 656.382 to 656.388
656.264
Compensable injury, denied claim and other reports
656.265
Notice of accident from worker
656.266
Burden of proving compensability and nature and extent of disability
656.267
Claims for new and omitted medical conditions
656.268
Claim closure
656.273
Aggravation for worsened conditions
656.277
Request for reclassification of nondisabling claim
656.278
Board has continuing authority to alter earlier action on claim
656.283
Hearing rights and procedure
656.285
Protection of witnesses at hearings
656.287
Use of vocational reports in determining loss of earning capacity at hearing
656.289
Orders of Administrative Law Judge
656.291
Expedited Claim Service
656.295
Board review of Administrative Law Judge orders
656.298
Judicial review of board orders
656.304
When acceptance of compensation precludes hearing
656.307
Determination of issues regarding responsibility for compensation payment
656.308
Responsibility for payment of claims
656.310
Presumption concerning notice of injury and self-inflicted injuries
656.313
Stay of compensation pending request for hearing or review
656.319
Time within which hearing must be requested
656.325
Required medical examination
656.327
Review of medical treatment of worker
656.328
List of authorized providers and standards of professional conduct for providers of independent medical examinations
656.331
Contact, medical examination of worker represented by attorney prohibited without written notice
656.340
Vocational assistance procedure
656.360
Confidentiality of worker medical and vocational claim records
656.362
Liability for disclosure of worker medical and vocational claim records
656.382
Penalties and attorney fees payable by insurer or employer in processing claim
656.383
Attorney fees in cases prior to decision or after request for hearing
656.385
Attorney fees in cases regarding certain medical service or vocational rehabilitation matters
656.386
Recovery of attorney fees, expenses and costs in appeal on denied claim
656.388
Approval of attorney fees required
656.390
Frivolous appeals, hearing requests or motions
656.403
Obligations of self-insured employer
656.407
Qualifications of insured employers
656.419
Workers’ compensation insurance contracts
656.423
Cancellation of coverage by employer
656.427
Termination of workers’ compensation insurance contract or surety bond liability by insurer
656.430
Certification of self-insured employer
656.434
Certification effective until canceled or revoked
656.440
Notice of certificate revocation
656.441
Advancement of funds from Workers’ Benefit Fund for compensation due workers insured by certain decertified self-insured employer groups
656.443
Procedure upon default by employer or self-insured employer group
656.445
Advancement of funds from Workers’ Benefit Fund for compensation due workers insured by insurer in default
656.447
Sanctions against insurer for failure to comply with contracts, orders or rules
656.455
Self-insured employers to process claims and make records available at authorized locations
656.502
“Fiscal year” defined
656.504
Rates, charges, fees and reports by employers insured by State Accident Insurance Fund Corporation
656.505
Estimate of payroll when employer fails to file payroll report
656.506
Assessments for programs
656.508
Authority to fix premium rates for employers
656.526
Distribution of dividends from surplus in Industrial Accident Fund
656.536
Premium charges for coverage of reforestation cooperative workers based on prevailing wage
656.552
Deposit of cash, bond or letter of credit to secure payment of employer’s premiums
656.554
Injunction against employer failing to comply with deposit requirements
656.556
Liability of person letting a contract for amounts due from contractor
656.560
Default in payment of premiums, fees, assessments or deposit
656.562
Moneys due Industrial Accident Fund as preferred claims
656.564
Lien for amounts due from employer on real property, improvements and equipment on or with which labor is performed by workers of employer
656.566
Lien on property of employer for amounts due
656.576
“Paying agency” defined
656.578
Workers’ election whether to sue third person or noncomplying employer for damages
656.580
Payment of compensation notwithstanding cause of action for damages
656.583
Paying agency may compel election and prompt action
656.587
Paying agency must join in any compromise
656.591
Election not to bring action operates as assignment of cause of action
656.593
Procedure when worker or beneficiary elects to bring action
656.595
Precedence of cause of action
656.596
Damage recovery as offset against compensation
656.602
Disbursement procedures
656.605
Workers’ Benefit Fund
656.612
Assessments for department activities
656.614
Self-Insured Employer Adjustment Reserve
656.622
Reemployment Assistance Program
656.625
Reopened Claims Program
656.628
Workers with Disabilities Program
656.630
Oregon Institute of Occupational Health Sciences funding
656.632
Industrial Accident Fund
656.634
Trust fund status of Industrial Accident Fund
656.635
Reserve accounts in Industrial Accident Fund
656.636
Reserves in Industrial Accident Fund for awards for permanent disability or death
656.640
Creation of reserves
656.642
Emergency Fund
656.644
Petty cash funds
656.702
Disclosure of records of corporation, department and insurers
656.704
Actions and orders regarding matters concerning claim and matters other than matters concerning claim
656.708
Hearings Division
656.709
Ombudsman for injured workers
656.712
Workers’ Compensation Board
656.714
Removal of board member
656.716
Board members not to engage in political or business activity that interferes with duties as board member
656.718
Chairperson
656.720
Prosecution and defense of actions by Attorney General and district attorneys
656.722
Authority to employ subordinates
656.724
Administrative Law Judges
656.725
Duties and status of Administrative Law Judges
656.726
Duties and powers to carry out workers’ compensation and occupational safety laws
656.727
Rules for administration of benefit offset
656.730
Assigned risk plan
656.732
Power to compel obedience to subpoenas and punish for misconduct
656.735
Civil penalty for noncomplying employers
656.740
Review of proposed order declaring noncomplying employer or nonsubjectivity determination
656.745
Civil penalty for inducing failure to report claims
656.751
State Accident Insurance Fund Corporation created
656.752
State Accident Insurance Fund Corporation
656.753
State Accident Insurance Fund Corporation exempt from certain financial administration laws
656.754
Manager
656.758
Inspection of books, records and payrolls
656.772
Annual audit of State Accident Insurance Fund Corporation by Secretary of State
656.774
Annual report by State Accident Insurance Fund Corporation to Secretary of State
656.776
Notice to Secretary of State regarding action on audit report
656.780
Certification and training of claims examiners
656.790
Workers’ Compensation Management-Labor Advisory Committee
656.794
Advisory committee on medical care
656.795
Informational materials for nurse practitioners
656.797
Certification by nurse practitioner of review of required materials
656.798
Duty of insurer, self-insured employer and self-insured employer group to provide information to director
656.799
Informational materials for other health care professionals
656.802
Occupational disease
656.804
Occupational disease as an injury under Workers’ Compensation Law
656.807
Time for filing of claims for occupational disease
656.850
License
656.855
Licensing system for worker leasing companies
656.990
Penalties
Green check means up to date. Up to date