ORS 737.505: Insured entitled to rate information; remedies of aggrieved persons.
Edition: 2025 EditionEffective: 2026-01-01Last verified: 2026-09-07
(1) Every rating organization and every insurer which makes its own rates, within a reasonable time after receiving written request therefor and upon payment of such reasonable charge as it may make, shall furnish to any insured affected by a rate made by it, or to the authorized representative of such insured, all pertinent information as to such rate. (2) Every rating organization and every insurer which makes its own rates shall provide within this state reasonable means whereby any person aggrieved by the application of its rating system may be heard, in person or by the authorized representative, on written request by the person or authorized representative to review the manner in which such rating system has been applied in connection with the insurance afforded the person. If the rating organization or insurer fails to grant or reject such request within 30 days after it is made, the applicant may proceed in the same manner as if the application had been rejected. (3) Any party affected by the action of such rating organization or such insurer on such request, within 30 days after written notice of such action, may appeal to the Director of the Department of Consumer and Business Services, who, after a hearing held at a place designated by the director upon not less than 10 days’ written notice to the appellant and to such rating organization or insurer, shall affirm or reverse such action. (4) Appeals to the director pursuant to ORS 737.318 with regard to a final premium audit billing must be made within 60 days after receipt of the billing. (5) The director may, upon a showing of good cause, stay any workers’ compensation insurer’s collection effort on a final premium audit billing during the pendency of an appeal authorized by subsection (4) of this section. [Amended by 1967 c.359 §327; 1987 c.884 §6]
This rule cites
- ORS 737.318 — resolved
Cited by
- ORS 183.457: Representation of persons other than agencies participating in contested case hearings.
- ORS 731.028: Applicability of certain Insurance Code provisions to State Accident Insurance Fund Corporation.
- ORS 737.318: Premium audit program for workers’ compensation insurance; rules; penalties.
- ORS 750.705: Application of Insurance Code.
- OAR 137-003-0008: Authorized Representative in Designated Agencies
- OAR 137-003-0555: Authorized Representative of Parties Before Designated Agencies
- OAR 836-005-0112: Persons Represented by Authorized Representative
- OAR 836-043-0005: Definitions for the Workers’ Compensation Insurance Plan
- OAR 836-043-0071: Dispute Resolution Procedures
- OAR 836-043-0101: Statutory Authority; Purpose; Applicability
- OAR 836-043-0120: Minimum Standards of Insured Education Program
- OAR 836-043-0170: Premium Audit Hearings
- OAR 836-043-0230: Committee Operating Rules
- OAR 836-085-0217: Employer Failure to Cooperate; Appeal
Official source: https://www.oregonlegislature.gov/bills_laws/ors/ors737.html