Workers' Compensation Statue and Administrative Rules

Question 1

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

Answer 1

ORS 656 –Laws related to Workers’ Compensation and Safe Employment

Question 2

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

Answer 2

OAR 436

Question 3

What are the 10 key Divisions within OAR 436?

Answer 3

Division 9
Division 10
Division 15
Division 30
Division 35
Division 55
Division 60
Division 105
Division 110
Division 120

Question 4

Division 9

Answer 4

Oregon Medical Fee and Payment Rules

Question 5

Division 10

Answer 5

Medical Services Rules

Question 6

Division 15

Answer 6

Managed Care Organization Rules

Question 7

Division 30

Answer 7

Claim Closure and Reconsideration Rules

Question 8

Division 35

Answer 8

Disability Rating Standards

Question 9

Division 55

Answer 9

Certification of Claims Examiners Rules

Question 10

Division 60

Answer 10

Claims Administration Rules

Question 11

Division 105

Answer 11

Employer-at-Injury Program Rules

Question 12

Division 110

Answer 12

Preferred Worker Program Rules

Question 13

Division 120

Answer 13

Vocational Assistance to Injured Workers

Question 14

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

Answer 14

Department of Consumerand BusinessServices (DCBS)

Question 15

What are the divisions within DCBS that deal specifically with workers’ compensation?

Answer 15

Workers’ Compensation Division (WCD)

Workers’ Compensation Board (WCB)

Question 16

What types of issues are reviewed by Workers’ Compensation Division?

Answer 16

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

Question 17

What types of issues are reviewed by the Workers’ Compensation Board?

Answer 17

Administers the rules related to administrative hearings and litigation

Question 18

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

Answer 18

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.