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Flashcards in Workers' Comp Regulatory Information Deck (17)
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1

Which section in the Oregon Revised Statute (ORS) covers the statutes related to workers’ compensation?

ORS 656 – Laws related to Workers’ Compensation.

2

Which chapter of the Oregon Administrative Rules (OARs) covers the rules related to workers’ compensation?

OAR 436

3

Division 55

Certification of Claims Examiners Rules

4

Division 60

Claims Administration Rules

5

Division 9

Oregon Medical Fee and Payment Rules

6

Division 10

Medical Services Rules

7

Division 15

Managed Care Organization Rules

8

Division 30

Claim Closure and Reconsideration Rules

9

Division 35

Disability Rating Standards

10

Division 105

Employer-at-Injury Program Rules

11

Division 110

Preferred Worker Program Rules

12

Division 120

Vocational Assistance to Injured Workers

13

What is the name of the state agency that regulates workers’ compensation?

Department of Consumer and Business Services (DCBS)

14

What are the divisions within DCBS that deal specifically with workers’ compensation, and what types of issues are reviewed by these divisions?

Workers’ Compensation Division (WCD)
and
Workers’ Compensation Board (WCB)

15

Workers’ Compensation Division (WCD)

- Administers rules related to claims processing
- Handles disputes related to medical services and vocational services issues
- Administers the reconsideration process for claim closures

16

Workers’ Compensation Board (WCB)

- Administers the rules related to administrative hearings and litigation

17

What is the role of case law in applying the statute and rules?

-Case law is an interpretation of the statute and rules by the WCB, Oregon Court of Appeals, or Oregon Supreme Court.
- It provides additional direction to the insurers on how to apply the law.