2021 Oregon Revised Statutes
Chapter 656 - Workers’ Compensation
Section 656.407 - Qualifications of insured employers.


(a) As a carrier-insured employer by causing proof of coverage provided by an insurer to be filed with the director; or
(b) As a self-insured employer by establishing proof that the employer has an adequate staff qualified to process claims promptly and has the financial ability to make certain the prompt payment of all compensation and other payments that may become due to the director under this chapter.
(2) Except as provided in subsection (3) of this section, a self-insured employer shall establish proof of financial ability by:
(a) Demonstrating acceptable financial viability based on information required by the director by rule; and
(b) Providing security that the director determines acceptable by rule. The security must be in an amount reasonably sufficient to insure payment of compensation and other payments that may become due to the director but not less than the employer’s normal expected annual claim liabilities and in no event less than $100,000. In arriving at the amount of security required under this subsection, the director may take into consideration the financial ability of the employer to pay compensation and other payments and probable continuity of operation. The security shall be held by the director to secure the payment of compensation for injuries to subject workers of the employer and to secure other payments that may become due from the employer to the director under this chapter. Moneys received as security under this subsection shall be deposited with the State Treasurer in an account separate and distinct from the General Fund. Interest earned by the account shall be credited to the account. The amount of security may be increased or decreased from time to time by the director.
(3)(a) A city, county or a qualified self-insured employer group that wishes to be exempt from subsection (2) of this section may make written application therefor to the director. The application shall include a copy of the most recent annual audit of the city, county or qualified self-insured employer group filed with the Secretary of State under ORS 297.405 to 297.740, information regarding the establishment of a loss reserve account for the payment of compensation to injured workers and such other information as the director may require. The director shall approve the application and the city, county or qualified self-insured employer group shall be exempt from subsection (2) of this section if the director finds that:
(A) The city, county or qualified self-insured employer group has been self-insured in compliance with subsection (2) of this section for more than three consecutive years prior to making the application referred to in this subsection.
(B) The city, county or qualified self-insured employer group has in effect a loss reserve account:
(i) That is actuarially sound and that is adequately funded as determined by an annual audit under ORS 297.405 to 297.740 to pay all compensation to injured workers and amounts due the director pursuant to this chapter. A copy of the annual audit shall be filed with the director. Upon a finding that there is probable cause to believe that the loss reserve account is not actuarially sound, the director may require a city, county or qualified self-insured employer group to obtain an independent actuarial audit of the loss reserve account. The requirements of this subsection are in addition to and not in lieu of any other audit or reporting requirement otherwise prescribed by or pursuant to law.
(ii) That is dedicated to and may be expended only for the payment of compensation and amounts due the director by the city, county or qualified self-insured employer group under this chapter.
(b) The director shall have the first lien and priority right to the full amount of the loss reserve account required to pay the present discounted value of all present and future claims under this chapter.
(c) The city, county or qualified self-insured employer group shall notify the director no later than 60 days prior to any action to discontinue the loss reserve account. The city, county or qualified self-insured employer group shall advise the director of the plans of the city, county or qualified self-insured employer group to submit the security deposits required in subsection (2) of this section, or obtain coverage as a carrier-insured employer prior to the date the loss reserve account ceases to exist. If the city, county or qualified self-insured employer group elects to discontinue self-insurance, it shall submit such security as the director may require to insure payment of all compensation and amounts due the director for the period the city, county or qualified self-insured employer group was self-insured.
(d) In order to requalify as a self-insured employer, the city, county or qualified self-insured employer group must deposit prior to discontinuance of the loss reserve account such security as is required by the director pursuant to subsection (2) of this section.
(e) Notwithstanding ORS 656.440, if prior to the date of discontinuance of the loss reserve account the director has not received the security deposits required in subsection (2) of this section, the certificate of self-insurance of the city, county or qualified self-insured employer group is automatically revoked as of that date.
(4) As used in this section, "qualified self-insured employer group" means a self-insured employer group that is a municipal corporation or a public corporation, as those terms are defined in ORS 297.405. [1975 c.556 §27; 1979 c.839 §28; 1981 c.854 §27; 1985 c.212 §7; 1989 c.966 §67; 1991 c.648 §1; 1993 c.18 §140; 2003 c.170 §2; 2007 c.241 §13; 2013 c.471 §1; 2014 c.48 §3]

Structure 2021 Oregon Revised Statutes

2021 Oregon Revised Statutes

Volume : 16 - Trade Practices, Labor and Employment

Chapter 656 - Workers’ Compensation

Section 656.005 - Definitions.

Section 656.012 - Findings and policy.

Section 656.017 - Employer required to pay compensation and perform other duties; state not authorized to be direct responsibility employer.

Section 656.018 - Effect of providing coverage; exclusive remedy.

Section 656.019 - Civil negligence action for claim denied on basis of failure to meet major contributing cause standard; statute of limitations.

Section 656.020 - Damage actions by workers against noncomplying employers; defenses outlawed.

Section 656.021 - Coverage exception for laborers under contracts with construction and landscape contractor licensees.

Section 656.025 - Individuals engaged in commuter ridesharing not subject workers; conditions.

Section 656.027 - Who are subject workers.

Section 656.029 - Obligation of person awarding contract to provide coverage for workers under contract; exceptions; effect of failure to provide coverage.

Section 656.031 - Coverage for municipal volunteer personnel.

Section 656.033 - Coverage for participants in work experience or school directed professional training programs.

Section 656.039 - Election of coverage for workers not subject to law; procedure; cancellation; election of coverage for home care workers and personal support workers.

Section 656.041 - City or county may elect to provide coverage for adults in custody.

Section 656.044 - State Accident Insurance Fund Corporation may insure liability under Longshoremen’s and Harbor Workers’ Compensation Act; procedure; cancellation.

Section 656.046 - Coverage of persons in college work experience and professional education programs.

Section 656.052 - Prohibition against employment without coverage; proposed order declaring noncomplying employer; effect of failure to comply.

Section 656.054 - Claim of injured worker of noncomplying employer; procedure for disputing acceptance of claim; recovery of costs from noncomplying employer; restrictions.

Section 656.056 - Subject employers must post notice of manner of compliance.

Section 656.070 - Definitions for ORS 656.027, 656.070 and 656.075.

Section 656.075 - Exemption from coverage for newspaper carriers; casualty insurance and other requirements.

Section 656.126 - Coverage while temporarily in or out of state; judicial notice of other state’s laws; agreements between states relating to conflicts of jurisdiction; limitation on compensation for claims in this state and other jurisdictions.

Section 656.128 - Sole proprietors, limited liability company members, partners, independent contractors may elect coverage by insurer; cancellation.

Section 656.132 - Coverage of minors.

Section 656.135 - Coverage of deaf school work experience trainees.

Section 656.138 - Coverage of apprentices, trainees participating in related instruction classes.

Section 656.140 - Coverage of persons operating equipment for hire.

Section 656.156 - Intentional injuries.

Section 656.160 - Effect of incarceration on receipt of compensation.

Section 656.170 - Validity of provisions of certain collective bargaining agreements; alternative dispute resolution systems; exclusive medical service provider lists; authority of director.

Section 656.172 - Applicability of and criteria for establishing program under ORS 656.170.

Section 656.174 - Rules.

Section 656.202 - Compensation payable to subject worker in accordance with law in effect at time of injury; exceptions; notice regarding payment.

Section 656.204 - Death.

Section 656.206 - Permanent total disability.

Section 656.209 - Offsetting permanent total disability benefits against Social Security benefits.

Section 656.210 - Temporary total disability; payment during medical treatment; election; rules.

Section 656.212 - Temporary partial disability.

Section 656.214 - Permanent partial disability.

Section 656.216 - Permanent partial disability; method of payment; effect of prior receipt of temporary disability payments.

Section 656.218 - Continuance of permanent partial disability payments to survivors; effect of death prior to final claim disposition.

Section 656.225 - Compensability of certain preexisting conditions.

Section 656.228 - Payments directly to beneficiary or custodian.

Section 656.230 - Lump sum award payments.

Section 656.232 - Payments to aliens residing outside of United States.

Section 656.234 - Compensation not assignable nor to pass by operation of law; certain benefits subject to support obligations.

Section 656.236 - Compromise and release of claim matters except for medical benefits; approval by Administrative Law Judge or board; approval by director for certain reserve reimbursements; restriction on charging costs to workers; restriction on jo...

Section 656.245 - Medical services to be provided; services by providers not members of managed care organizations; authorizing temporary disability compensation and making finding of impairment for disability rating purposes by certain providers; re...

Section 656.247 - Payment for medical services prior to claim acceptance or denial; review of disputed services; duty of health benefit plan to pay for certain medical services in denied claim.

Section 656.248 - Medical service fee schedules; basis of fees; application to service provided by managed care organization; resolution of fee disputes; rules.

Section 656.252 - Medical report regulation; rules; duties of attending physician or nurse practitioner; disclosure of information; notice of changing attending physician or nurse practitioner; copies of medical service billings to be furnished to wo...

Section 656.254 - Medical report forms; penalties and other sanctions; procedure for declaring health care practitioner ineligible for workers’ compensation reimbursement.

Section 656.260 - Certification procedure for managed health care provider; peer review, quality assurance, service utilization and contract review; confidentiality of certain information; immunity from liability; rules; medical service dispute resol...

Section 656.262 - Processing of claims and payment of compensation; payment by employer; acceptance and denial of claim; penalties and attorney fees; cooperation by worker and attorney in claim investigation; rules.

Section 656.264 - Compensable injury, denied claim and other reports.

Section 656.265 - Notice of accident from worker.

Section 656.266 - Burden of proving compensability and nature and extent of disability.

Section 656.267 - Claims for new and omitted medical conditions.

Section 656.268 - Claim closure; termination of temporary total disability benefits; reconsideration of closure; medical arbiter to make findings of impairment for reconsideration; credit or offset for fraudulently obtained or overpaid benefits; rule...

Section 656.273 - Aggravation for worsened conditions; procedure; limitations; additional compensation.

Section 656.277 - Request for reclassification of nondisabling claim; nondisabling claim procedure; attorney fees.

Section 656.278 - Board has continuing authority to alter earlier action on claim; limitations.

Section 656.283 - Hearing rights and procedure; rules; impeachment evidence; use of standards for evaluation of disability.

Section 656.287 - Use of vocational reports in determining loss of earning capacity at hearing; rules.

Section 656.289 - Orders of Administrative Law Judge; review; disposition of claim when compensability disputed; approval of director required for reimbursement of certain expenditures.

Section 656.291 - Expedited Claim Service; jurisdiction; procedure; representation; rules.

Section 656.295 - Board review of Administrative Law Judge orders; application of standards for evaluation of disability.

Section 656.298 - Judicial review of board orders; settlement during pendency of petition for review.

Section 656.307 - Determination of issues regarding responsibility for compensation payment; mediation or arbitration procedure; rules.

Section 656.308 - Responsibility for payment of claims; effect of new injury; denial of responsibility; procedure for joining employers and insurers; attorney fees; limitation on filing claims subject to settlement agreement.

Section 656.310 - Presumption concerning notice of injury and self-inflicted injuries; reports as evidence.

Section 656.313 - Stay of compensation pending request for hearing or review; procedure for denial of claim for medical services; reimbursement.

Section 656.319 - Time within which hearing must be requested.

Section 656.325 - Required medical examination; worker-requested examination; qualified physicians; claimant’s duty to reduce disability; suspension or reduction of benefits; cessation or reduction of temporary total disability benefits; rules; penal...

Section 656.327 - Review of medical treatment of worker; findings; review; costs.

Section 656.328 - List of authorized providers and standards of professional conduct for providers of independent medical examinations; exclusion; complaints; rules.

Section 656.331 - Contact, medical examination of worker represented by attorney prohibited without written notice; rules.

Section 656.340 - Vocational assistance procedure; eligibility criteria; service providers; resolution of vocational assistance disputes; rules.

Section 656.360 - Confidentiality of worker medical and vocational claim records.

Section 656.362 - Liability for disclosure of worker medical and vocational claim records.

Section 656.382 - Penalties and attorney fees payable by insurer or employer in processing claim.

Section 656.383 - Attorney fees in cases prior to decision or after request for hearing.

Section 656.385 - Attorney fees in cases regarding certain medical service or vocational rehabilitation matters; rules; limitation; penalties.

Section 656.386 - Recovery of attorney fees, expenses and costs in appeal on denied claim; attorney fees in other cases.

Section 656.388 - Approval of attorney fees required; lien for fees; fee schedule; adjustment; report of legal service costs.

Section 656.390 - Frivolous appeals, hearing requests or motions; expenses and attorney fee.

Section 656.403 - Obligations of self-insured employer.

Section 656.407 - Qualifications of insured employers.

Section 656.419 - Workers’ compensation insurance contracts.

Section 656.423 - Cancellation of coverage by employer; notice required.

Section 656.427 - Termination of workers’ compensation insurance contract or surety bond liability by insurer.

Section 656.430 - Certification of self-insured employer; employer groups; insurance policy requirements; revocation of certification; rules.

Section 656.434 - Certification effective until canceled or revoked; revocation of certificate.

Section 656.440 - Notice of certificate revocation; appeal; effective date.

Section 656.441 - Advancement of funds from Workers’ Benefit Fund for compensation due workers insured by certain decertified self-insured employer groups.

Section 656.443 - Procedure upon default by employer or self-insured employer group; rules.

Section 656.445 - Advancement of funds from Workers’ Benefit Fund for compensation due workers insured by insurer in default; limitations; rules.

Section 656.447 - Sanctions against insurer for failure to comply with contracts, orders or rules.

Section 656.455 - Self-insured employers to process claims and make records available at authorized locations; disposal of records; expenses for out-of-state audits; rules.

Section 656.504 - Rates, charges, fees and reports by employers insured by State Accident Insurance Fund Corporation.

Section 656.505 - Estimate of payroll when employer fails to file payroll report; demand for and recovery of premiums and assessments.

Section 656.506 - Assessments for programs; setting assessment amount; determination by director of benefit level.

Section 656.508 - Authority to fix premium rates for employers.

Section 656.526 - Distribution of dividends from surplus in Industrial Accident Fund.

Section 656.536 - Premium charges for coverage of reforestation cooperative workers based on prevailing wage; manner of determining prevailing wage.

Section 656.552 - Deposit of cash, bond or letter of credit to secure payment of employer’s premiums.

Section 656.554 - Injunction against employer failing to comply with deposit requirements.

Section 656.560 - Default in payment of premiums, fees, assessments or deposit; remedies.

Section 656.562 - Moneys due Industrial Accident Fund as preferred claims; moneys due department as taxes due state.

Section 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.

Section 656.566 - Lien on property of employer for amounts due.

Section 656.580 - Payment of compensation notwithstanding cause of action for damages; lien on cause of action for compensation paid.

Section 656.583 - Paying agency may compel election and prompt action.

Section 656.591 - Election not to bring action operates as assignment of cause of action; repayments to department by paying agency.

Section 656.593 - Procedure when worker or beneficiary elects to bring action; release of liability and lien of paying agency in certain cases.

Section 656.595 - Precedence of cause of action; compensation paid or payable not to be an issue.

Section 656.596 - Damage recovery as offset against compensation; recovery procedure; notice to paying agency.

Section 656.605 - Workers’ Benefit Fund; uses and limitations.

Section 656.612 - Assessments for department activities; amount; collection procedure.

Section 656.614 - Self-Insured Employer Adjustment Reserve; Self-Insured Employer Group Adjustment Reserve.

Section 656.622 - Reemployment Assistance Program; claim data not to be used for insurance rating; rules.

Section 656.625 - Reopened Claims Program; rules.

Section 656.628 - Workers with Disabilities Program; use of funds; conditions and limitations; rules.

Section 656.630 - Oregon Institute of Occupational Health Sciences funding; report of activities.

Section 656.632 - Industrial Accident Fund.

Section 656.634 - Trust fund status of Industrial Accident Fund.

Section 656.635 - Reserve accounts in Industrial Accident Fund.

Section 656.642 - Emergency Fund.

Section 656.702 - Disclosure of records of corporation, department and insurers.

Section 656.704 - Actions and orders regarding matters concerning claim and matters other than matters concerning claim; authority of director and board; administrative and judicial review; rules.

Section 656.709 - Ombudsman for injured workers; ombudsman for small business; duties.

Section 656.712 - Workers’ Compensation Board; members; qualifications; chairperson; confirmation; term; vacancies.

Section 656.714 - Removal of board member.

Section 656.716 - Board members not to engage in political or business activity that interferes with duties as board member; oath and bond required.

Section 656.718 - Chairperson; quorum; panels.

Section 656.724 - Administrative Law Judges; appointment; qualifications; term; performance survey; removal procedure.

Section 656.725 - Duties and status of Administrative Law Judges.

Section 656.726 - Duties and powers to carry out workers’ compensation and occupational safety laws; rules.

Section 656.727 - Rules for administration of benefit offset.

Section 656.730 - Assigned risk plan.

Section 656.735 - Civil penalty for noncomplying employers; amount; liability of partners and of corporate and limited liability company officers; effect of final order; penalty as preferred claim; disposition of moneys collected.

Section 656.740 - Review of proposed order declaring noncomplying employer or nonsubjectivity determination; review of proposed assessment or civil penalty; insurer as party; hearing.

Section 656.745 - Civil penalty for inducing failure to report claims; limits on penalty amounts; failure to pay assessments; failure to comply with statutes, rules or orders; amount; procedure.

Section 656.751 - State Accident Insurance Fund Corporation created; board; members’ qualifications; terms; compensation; expenses; function; report.

Section 656.752 - State Accident Insurance Fund Corporation; purpose and functions.

Section 656.753 - State Accident Insurance Fund Corporation exempt from certain financial administration laws; contracts with state agencies for services.

Section 656.754 - Manager; appointment; functions.

Section 656.758 - Inspection of books, records and payrolls; statement of employment data; civil penalty for misrepresentation; failure to submit books for inspection and refusal to keep correct payroll.

Section 656.772 - Annual audit of State Accident Insurance Fund Corporation by Secretary of State; scope of review; report of audit.

Section 656.774 - Annual report by State Accident Insurance Fund Corporation to Secretary of State; contents.

Section 656.780 - Certification and training of claims examiners; records of certification and training of examiners; department inspection of records; penalties; rules.

Section 656.790 - Workers’ Compensation Management-Labor Advisory Committee; membership; duties; expenses.

Section 656.795 - Informational materials for nurse practitioners.

Section 656.797 - Certification by nurse practitioner of review of required materials.

Section 656.798 - Duty of insurer, self-insured employer and self-insured employer group to provide information to director.

Section 656.799 - Informational materials for other health care professionals; certification of review of materials.

Section 656.802 - Occupational disease; mental disorder; presumptions as to stress disorders; proof.

Section 656.807 - Time for filing of claims for occupational disease; procedure.

Section 656.850 - License; compliance with workers’ compensation and safety laws.

Section 656.855 - Licensing system for worker leasing companies; rules; fees; dedication of moneys received.

Section 656.990 - Penalties.