The Oregon Division of Workers 'Compensation on Wednesday proposed a rule that would change the treatment of COVID-19-related workers' compensation claims in the state.
The rule would define what it means to carry out a "reasonable investigation", including examining whether coronavirus exposure in the course and extent of work was likely, whether the employee did not work for a period of time as a result of quarantine and determining medical services was needed.
The change would also require review of denied COVID-19 claims if the insurer reported five or more COVID-19 claims – either accepted or denied – before October 1, and reviews of those claims would focus on whether a reasonable investigation was conducted. However, the rule provides an exemption from investigation requirements if a requirement is rejected for procedural reasons.
The State will hold a public hearing on the proposed amendment on January 5, 2021
More insurance and work compensation news on the coronavirus crisis here . Catalog