Or. Admin. R. 418-020-0060

Current through Register Vol. 63, No. 8, August 1, 2024

Section 418-020-0060 - Workers' Compensation

(1) The Commission elects workers' compensation coverage on behalf of consumer-employers who employ providers.

(2) Consumer-employers and consumer representatives must:

(a) Sign required documents for a provider to receive workers' compensation coverage.

(b) Report provider injuries to the Commission as soon as becoming aware of a provider's injury.

(c) Provide information to the Commission and workers' compensation carrier when providers report an injury.

(3) Service delivery office staff shall:

(a) Collect from each consumer-employer, at time of eligibility for services, appropriate signed workers' compensation documents.

(b) Report injuries immediately to the Commission.

(c) Respond to requests for information from the Commission and workers' compensation carrier when providers report injuries and when claims are filed.

(4) The Commission shall:

(a) Assist providers who are injured while performing service plan authorized tasks with filing claims.

(b) Work as the agent of consumer-employers while providing information to the insurance carrier's claims adjusters, attorneys, return-to-work specialists, and vocational rehabilitation administrators.

(5) Providers injured while providing authorized services must:

(a) Report work injuries as soon as becoming aware of injuries to the:

(A) Consumer-employer, consumer's authorized representative, or the consumer's common law employer;

(B) Case manager; and

(C) Commission.

(b) Cooperate with the Commission and workers' compensation carrier by providing all required documents and returning phone calls timely.

(c) Keep the consumer-employer, consumer-representative, or consumer's common law employer informed regarding work restrictions resulting from injuries at work, medical appointments, and return to work dates.

Or. Admin. R. 418-020-0060

HCC 1-2014, f. 11-26-14, cert. ef. 12/1/2014; HCC 1-2019, amend filed 06/21/2019, effective 7/1/2019; HCC 2-2022, amend filed 10/12/2022, effective 10/14/2022

Statutory/Other Authority: ORS 410.602

Statutes/Other Implemented: ORS 410.606, 410.625 & 656.039