OAR 471-070-1230: Benefits: Administrative Decisions

(1) Administrative decision shall be made on timely submitted applications and claims in accordance with ORS 657B.100 and shall be based on information available from the following sources: the department’s records, information provided or obtained from the claimant, employers, administrators, or other sources as appropriate, including, but not limited to, health care providers and other state agencies. (2) Written notice of administrative decisions shall be provided to the claimant and delivered to the claimant’s last known address as shown in the department’s records or delivered electronically when permitted, if the claimant has opted for electronic notification. (3) The administrative decision shall contain, at a minimum: (a) Identification of the claimant; (b) Identification of the issues, citing the laws and rules involved; (c) The department’s conclusion and the facts and reasons underlying those conclusions; (d) A statement allowing benefits, including the frequency and duration, or denying benefits; (e) The date of the decision; and (f) A statement advising the claimant of their appeal rights and the manner in which an appeal may be submitted.