Or. Admin. R. 471-070-1120

Current through Register Vol. 63, No. 5, May 1, 2024

Section 471-070-1120 - [Effective 9/10/2024] Benefits: Verification of a Serious Health Condition

A claimant applying for Paid Family and Medical Leave Insurance (PFMLI) benefits for their own serious health condition or to care for a family member with a serious health condition must submit verification of the serious health condition from a health care provider that includes:

(1) The health care provider's first and last name, type of medical practice/specialization, and their contact information, including mailing address and telephone number;

(2) The patient's first and last name;

(3) The claimant's first and last name, when different from the patient identified in section (2) of this rule;

(4) The approximate date on which the serious health condition commenced or when the serious health condition created the need for leave;

(5) A reasonable estimate of the duration of the condition or recovery period for the patient;

(6) A reasonable estimate of the frequency and duration of intermittent leave and estimated treatment schedule, if applicable; and

(7) Other information as requested by the department to determine eligibility for the PFMLI benefits; including:

(a) For medical leave, information sufficient to establish that the claimant has a serious health condition, including but not limited to a diagnosis; or

(b) For family leave, information sufficient to establish that the claimant's family member has a serious health condition, including but not limited to a diagnosis.

Or. Admin. R. 471-070-1120

ED 9-2022, adopt filed 07/22/2022, effective 7/22/2022; ED 5-2023, amend filed 07/31/2023, effective 8/1/2023; ED 2-2024, temporary amend filed 03/13/2024, effective 3/15/2024 through 9/10/2024

Statutory/Other Authority: ORS 657B.340 & ORS 657B.090

Statutes/Other Implemented: ORS 657B.090