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Oregon proposes guidance on COVID-19 claims



Insurers would need to conduct a "reasonable investigation" before denying an employee compensation claim related to exposure to COVID-19 at work and reporting to state regulators when it has five or more such claims filed, according to a public proposal. Wednesday by the Oregon Department of Consumer and Business Services, Workers & # 39; Compensation Division.

The proposed rule of the Management-Labor Advisory Committee, of which it now requests public comment until Monday, would apply to all claims filed on or after October 1.

According to the proposal, an investigation must include at least findings "whether the nature of the worker resulted in exposure to COVID-1

9 or SARS-CoV-2" and "whether the worker did not work for a period of quarantine or otherwise under the guidance of a medical service provider or In addition, before the insurer rejects the claim, the worker tests positive for COVID-19 or receives a suspected diagnosis of COVID-19, the insurer is aware of the test results or the diagnosis and the source of the exposure is unknown, the insurer must obtain medicine opinion before issuing a denial. "

An insurance company with five or more claims will undergo a review to examine compliance with proposed rules, according to the proposal.

More news about insurance and compensation to workers about the coronavirus crisis here .

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