OAR 836-043-0101: Statutory Authority; Purpose; Applicability

(1) OAR 836-043-0101 to 836-043-0170 are adopted by the Director of the Department of Consumer and Business Services pursuant to the requirements of ORS 737.318. (2) OAR 836-043-0101 to 836-043-0170 establish a premium audit program system for workers' compensation insurance for the following purposes: (a) Achieving equitable premium charges to insureds and collecting credible ratemaking data; (b) Prescribing minimum standards for an efficient premium audit program that ensures an adequate proportion of an insurer's earned premium is audited and focuses on operations where accurate reporting may be difficult or where misreportings are more likely; (c) Educating insureds about the audit reporting function of the rating system; (d) Establishing a continuing test audit program of all insurers; (e) Providing an appeal process pursuant to ORS 737.318(3)(d) and 737.505(4) to (5) for insureds to request a hearing to dispute the results of an audit, as described in a final premium audit billing issued by an insurer to an insured. (3) OAR 836-043-0101 to 836-043-0170 apply to all authorized workers' compensation insurers, the State Accident Insurance Fund Corporation, Oregon insureds, and the National Council on Compensation Insurance.