N.D. Admin. Code 92-01-03-02

Current through Supplement No. 395, January, 2025
Section 92-01-03-02 - Definitions

In this chapter:

1. "Act" means the North Dakota Workers Compensation Act.
2. "Attempt to resolve" means a prompt, active, honest, good-faith effort by the claimant to settle disputes with the organization, through the office.
3. "Benefits" means an obligation of the organization to provide a claimant with assistance as required by the Act.
4. "Certificate of completion" means the form sent to the claimant when the office closes its file, which acknowledges the claimant made a good-faith effort to resolve the dispute.
5. "Claimant" means an employee who has filed a claim for benefits with the organization.
6. "Decision review specialist" means a person employed by the office to assist a claimant in a disputed claim.
7. "Disputed claim" means a challenge to an order issued by the organization.
8. "Interested party" means:
a. The claimant.
b. The claims adjuster assigned to that claimant's claim.
c. A claims supervisor.
d. The claimant's employer or immediate supervisor.
e. The claimant's treating doctor.
f. A member of the organization's legal department.
g. Any other person the decision review specialist determines appropriate.
9. "Office" means the decision review office.
10. "Order" means an administrative order issued pursuant to North Dakota Century Code chapter 28-32 or section 65-01-16.
11. "Organization" means workforce safety and insurance, or the director, or any department heads, assistants, or employees of the organization designated by the director to act within the course and scope of their employment in administering the policies, powers, and duties of the Act.

N.D. Admin Code 92-01-03-02

Effective April 1, 1996; amended effective May 1, 1998; May 1, 2000; July 1, 2010.
Amended by Administrative Rules Supplement 367, January 2018, effective 1/1/2018.

General Authority: NDCC 65-02-08

Law Implemented: NDCC 65-02-27