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All Insurers:
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Insurers
must register with the Oregon Workers' Compensation Division within
30 days after obtaining a certificate of authority from the Oregon
Insurance Division and beginning to write workers' compensation
insurance policies for Oregon subject employers per Oregon Administrative
Rule 436-050-0110 (1) and (2). In order to register with WCD,
insurers must submit the Notification of Place of Business form.
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Insurers
using Service Companies:
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If
an insurer uses a service company, in addition to completing the
Notification of Place of Business form, it must also submit
a service agreement. A power of attorney (or letter
of authorization) must also be submitted if the agreement does not
grant the service company authority to act for the insurer in workers'
compensation claims and/or coverage proceedings under ORS
Chapter 656.
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Notification
of Place of Business (form) |
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Power
of Attorney (sample only, may submit letter of authorization)
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Service
Agreement (sample only) |
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Service
Companies (Third Party Administrators):
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Service
companies handling claims for Oregon workers must be incorporated
in or authorized to do business in Oregon and have a location in
Oregon for processing claims. The service company (TPA) must employ
only "certified" claims examiners to process workers'
compensation claims and the company must have a general lines adjuster
license with the Insurance Division. (The general lines adjuster
license is not the same license a TPA is required to have in order
to adjust life and health policies.) Service companies handling
only claims for self-insured employers are not required to have
a general lines adjuster license; however, before they may adjust
claims for insurers, they must meet the full licensing requirements.
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Service
Company (TPA) Notification of Place of Business In Oregon - Registration
Form |
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Claims
examiner certification or call the WCD Benefits & Certifications
Unit at (503)947-7585 |
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Independent
Claims Adjuster license or call Insurance Division Licensing
at 503-947-7215. |
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Please
send completed documents to:
Mail to:
Oregon Workers' Compensation Division
Compliance Section, Insurer Registration
350 Winter Street NE
PO Box 14480
Salem, OR 97309-0405
Fax: 503-947-7725
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