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Oregon: Bulletin addresses employer-paid reimbursement claims

The Workers' Compensation Division issued Bulletin 345 telling insurers how to apply employer-paid medical reimbursement claim costs for individual claims for unit statistical reporting purposes and providing updated maximum reimbursement amounts.

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An employer may choose to reimburse its workers' compensation insurer for medical services on accepted nondisabling claims up to certain amounts and not have those medical expenses charged to the employer in any other way. Before each policy year, insurers must send employers a notice advising of the employer's right to reimburse insurer-paid medical service costs up to the maximum amount set by the Department of Consumer and Business Services director. An employer may choose this reimbursement option regardless of which workers' compensation carrier insures the employer or whether the insurance policy addresses the reimbursement option. The insurer must exclude the reimbursed costs from the employer's experience rating. Insurers reporting to the National Council on Compensation Insurance Inc., under the Unit Report Expansion Workers' Compensation Statistical Plan approved by the director, are to use up to $1,700 per nondisabling claim if the injury date was on or after Jan. 1, 2011. For a copy of the bulletin, visit www.wcd.oregon.gov/policy/bulletins/docconv_12819/bul_345.pdf.

Read more at the WorkersComp Forum homepage.

October 21, 2010

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