Or. Admin. R. 436-035-0008
Current through Register Vol. 63, No. 6, June 1, 2024
Section 436-035-0008 - Calculating Disability Benefits (Dates of Injury prior to 1/1/2005)(1) Scheduled disability with a date of injury prior to January 1, 2005, is rated on the permanent loss of use or function of a body part caused by a compensable injury. To calculate the scheduled impairment benefit, use the following steps: (a) Determine the percent of scheduled impairment using the impairment values found in OAR 436-035-0019 through 436-035-0260, and the applicable procedures within these rules. (b) Multiply the result in (a) by the maximum degrees, under ORS 656.214, for the injured body part. (c) Multiply the result from (b) by the statutory dollar rate under ORS 656.214 and illustrated in Bulletin 111. (d) The result from (c) is the scheduled impairment benefit. If there are multiple extremities with impairment then each is determined and awarded separately, including hearing and vision loss. Example: Scheduled impairment benefit
0.12 Scheduled impairment percent (12%)
x 192 Maximum degrees for the body part
= 23.04 Degrees of scheduled disability
x $559.00 Statutory dollar rate per degree
= $12,879.36 Scheduled impairment benefit
(2) Unscheduled disability with a date of injury prior to January 1, 2005, is rated on the permanent loss of use or function of a body part or system caused by a compensable injury, as modified by the factors of age, education, and adaptability. (a) To calculate the unscheduled impairment benefit when the worker returns or is released to regular work according to OAR 436-035-0009(3), use the following steps. (A) Determine the percent of unscheduled impairment using the impairment values found in OAR 436-035-0019 and OAR 436-035-0330 through 436-035-0450, and the applicable procedures within these rules. (B) Multiply the result in (A) by the maximum degrees for unscheduled impairment. (C) Multiply the result in (B) by the statutory dollar rate under ORS 656.214 and illustrated in Bulletin 111. (D) The result in (C) is the unscheduled impairment benefit. Example: Unscheduled impairment benefit (worker returns/is released to regular work)
0.12 Unscheduled impairment percent (12%)
x 320 Maximum degrees for unscheduled impairment
= 38.40 Degrees of unscheduled disability
x $184.00 Statutory dollar rate per degree
= $7,065.60 Unscheduled impairment benefit
(b) To calculate the unscheduled disability benefit when the worker does not return or is not released to regular work according to OAR 436-035-0009(3), use the following steps. (A) Determine the percent of unscheduled impairment using the impairment values found in OAR 436-035-0019 and 436-035-0330 through 436-035-0450, and the applicable procedures within these rules. (B) Determine the social-vocational factor, under OAR 436-035-0012, and add it to (A). (C) Multiply the result from (B) by the maximum degrees for unscheduled impairment. (D) Multiply the result from (C) by the statutory dollar rate for unscheduled impairment under ORS 656.214. (E) The result from (D) is the unscheduled impairment benefit. Example: Unscheduled impairment benefit (worker does not return/released to regular work)
0.12 Unscheduled impairment percentage (12%)
+ 6% Social-vocational factor
= 18% Unscheduled impairment
X 320 Maximum degrees for unscheduled impairment
= 57.6 Degrees of unscheduled disability
X $184.00 Statutory dollar rate per degree
= $10,598.40 Unscheduled impairment benefit
Or. Admin. R. 436-035-0008
WCD 5-1975, f. 2-6-75, ef. 2-25-75; WCD 8-1978(Admin), f. 6-30-78, ef. 7-10-78; WCD 4-1980(Admin), f. 3-20-80, ef. 4-1-80; WCD 5-1981(Admin), f. 12-30-81, ef. 1-1-82; Renumbered from 436-065-0005, 5-1-85; WCD 13-1987, f. 12-18-87, ef. 1-1-88; WCD 2-1988, f. 6-3-88, cert. ef. 7-1-88; Renumbered from 436-030-0120; WCD 5-1988, f. 9-2-88, cert. ef. 8-19-88; WCD 7-1988, f. 12-21-88, cert. ef. 1-1-89; WCD 18-1990(Temp), f. 9-14-90, cert. ef. 10-1-90; WCD 20-1990(Temp), f. & cert. ef. 11-20-90; WCD 2-1991, f. 3-26-91, cert. ef. 4-1-91; WCD 6-1992, f. 2-14-92, cert. ef. 3-13-92; WCD 3-1996, f. 1-29-96, cert. ef. 2-17-96; WCD 6-1998, f. 5-13-98, cert. ef. 7-1-98; WCD 6-1999, f. & cert. ef. 4-26-99; WCD 2-2003, f. 1-15-03 cert. ef. 2-1-03; WCD 9-2004, f. 10-26-04, cert. ef. 1-1-05; WCD 8-2005, f. 12-6-05, cert. ef. 1-1-06; WCD 8-2012, f. 11-26-12, cert. ef. 1-1-13; WCD 1-2015, f. 1-29-15, cert. ef. 3/1/2015Stat. Auth.: ORS 656.726
Stats. Implemented.: ORS 656.005, 656.214, 656.268 & 656.726