ORS 656.289: Orders of Administrative Law Judge; review; disposition of claim when compensability disputed; approval of director required for reimbursement of certain expenditures.
Edition: 2025 EditionEffective: 2026-01-01Last verified: 2026-09-07
(1) Upon the conclusion of any hearing, or prior thereto with concurrence of the parties, the Administrative Law Judge shall promptly and not later than 30 days after the hearing determine the matter and make an order in accordance with the Administrative Law Judge’s determination. (2) A copy of the order shall be sent forthwith by mail to the Director of the Department of Consumer and Business Services and to all parties in interest. (3) The order is final unless, within 30 days after the date on which a copy of the order is mailed to the parties, one of the parties requests a review by the Workers’ Compensation Board under ORS 656.295. When one party requests a review by the board, the other party or parties shall have the remainder of the 30-day period and in no case less than 10 days in which to request board review in the same manner. The 10-day requirement may carry the period of time allowed for requests for board reviews beyond the 30th day. The order shall contain a statement explaining the rights of the parties under this subsection and ORS 656.295. (4)(a) Notwithstanding ORS 656.236, in any case where there is a bona fide dispute over compensability of a claim, the parties may, with the approval of an Administrative Law Judge, the board or the court, by agreement make such disposition of the claim as is considered reasonable. (b) Insurers or self-insured employers who are parties to an approved disputed claim settlement under this subsection shall not be joined as parties in subsequent proceedings under this chapter to determine responsibility for payment for claim conditions for which settlement has been made. (c) Notwithstanding ORS 656.005 (21), as used in this subsection, “party” does not include a noncomplying employer, except where a noncomplying employer has submitted a disputed claim settlement with a claimant for approval before the claim has been referred to an assigned claims agent by the director. Upon approval of the disputed claim settlement, the Administrative Law Judge, the board or the court shall mail to the director a copy of the disputed claim settlement. (5) Any claim in which the parties enter into a disposition under subsection (4) of this section shall not be eligible for reimbursement of expenditures from the Workers’ Benefit Fund without the prior approval of the director. [1965 c.285 §35; 1969 c.212 §1; 1977 c.804 §9; 1983 c.809 §3; 1990 c.2 §21; 1995 c.332 §35; 1995 c.641 §19]
Administrative rules citing this section
- OAR 436-045-0010: Criteria for Eligibility — implements
- OAR 436-060-0150: Temporary rule language in effect until 10/04/2026. Timely Payment of Compensation — implements
- OAR 436-075-0003: Applicability of Rules — implements
- OAR 436-075-0010: Criteria for Eligibility — implements
- OAR 436-075-0065: Dispositions — implements
- OAR 438-011-0005: Request for Board Review — implements
- OAR 438-015-0050: Attorney Fees in Connection with Disputed Claim Settlements — implements
- OAR 603-082-0010: Purpose — implements
- OAR 603-082-0020: Definitions — implements
This rule cites
- ORS 656.295 — resolved
- ORS 656.236 — resolved
- ORS 656.005 — resolved
Cited by
- ORS 656.054: Claim of injured worker of noncomplying employer; procedure for disputing acceptance of claim; recovery of costs from noncomplying employer; restrictions.
- ORS 656.234: Compensation not assignable nor to pass by operation of law; certain benefits subject to support obligations.
- ORS 656.247: Payment for medical services prior to claim acceptance or denial; review of disputed services; duty of health benefit plan to pay for certain medical services in denied claim.
- ORS 656.262: Processing of claims and payment of compensation; payment by employer; acceptance and denial of claim; penalties and attorney fees; cooperation by worker and attorney in claim investigation; rules.
- ORS 656.263: To whom notices sent under ORS 656.262, 656.265, 656.268 to 656.289, 656.295 to 656.325 and 656.382 to 656.388.
- ORS 656.278: Board has continuing authority to alter earlier action on claim; limitations.
- ORS 656.308: Responsibility for payment of claims; effect of new injury; denial of responsibility; procedure for joining employers and insurers; attorney fees; limitation on filing claims subject to settlement agreement.
- ORS 656.313: Stay of compensation pending request for hearing or review; procedure for denial of claim for medical services; reimbursement.
- OAR 436-001-0296: Settlements and Dismissals
- OAR 436-030-0185: Reconsideration: Settlements and Withdrawals
- OAR 436-040-0005: Definitions
- OAR 436-060-0140: Acceptance or Denial of a Claim
- OAR 436-060-0180: Designation and Responsibility of a Paying Agent
- OAR 436-060-0500: Reimbursement of Supplemental Disability for Workers with Multiple Jobs at the Time of Injury
- OAR 436-075-0010: Criteria for Eligibility
- OAR 436-075-0065: Dispositions
- OAR 436-110-0330: Claim Cost Reimbursement
- OAR 438-009-0001: Special Definitions
- OAR 438-009-0005: Settlement Stipulations
- OAR 438-009-0010: Disputed Claim Settlements
- OAR 438-011-0005: Request for Board Review
- OAR 438-011-0010: Applicability
- OAR 438-015-0050: Attorney Fees in Connection with Disputed Claim Settlements
Official source: https://www.oregonlegislature.gov/bills_laws/ors/ors656.html