Or. Admin. Code § 471-070-1320

Current through Register Vol. 64, No. 1, January 1, 2025

Section 471-070-1320 - Benefits: Communication to Employers and Employee Application for Benefits

(1) After a claimant has filed an application or updated their claim for Paid Family and Medical Leave Insurance (PFMLI) benefits, the department shall notify any employers from whom the claimant is requesting paid leave and provide information about the employee's claim, including but not limited to the potential weekly benefit amount.

(2) Employers or administrators may respond to the notice from the department within 5 calendar days of the date on the department's notice to report any additional information before the employee's PFMLI claim is processed. Employers or administrators shall respond to the department's notice online or through another method approved by the department. If the employer or administrator fails to provide information within 5 calendar days, the claimant's application for benefits shall be processed using the information available in the department's records. If the employer or administrator later provides additional information, the department may reprocess the claim, taking into account the additional information.

(3) The department may determine whether a claimant has coverage under an equivalent plan approved under ORS 657B.210 and the effective dates of that coverage, along with gathering information about any claim for benefits that the claimant has filed under an equivalent plan. The department may request information from the claimant's equivalent plan employer and administrator, if applicable, after the claimant files an application with the department. When this information is requested, equivalent plan employers or administrators must respond to the department's request within 10 calendar days from the date on the request for information.

(4) After a claimant's application for benefits has been processed by the department and a decision is issued to the claimant, the department shall notify the claimant's employers and administrators, if applicable, whether the claimant's application for benefits was approved or denied by the department, and, if approved, the dates and period of leave that the claimant is approved for.

Or. Admin. Code § 471-070-1320

ED 9-2022, adopt filed 07/22/2022, effective 7/22/2022; ED 6-2024, amend filed 12/27/2024, effective 1/1/2025

Statutory/Other Authority: ORS 657B.340 & ORS 657B.040

Statutes/Other Implemented: ORS 657B.040