Or. Admin. R. 836-043-0105

Current through Register Vol. 63, No. 6, June 1, 2024

Section 836-043-0105 - Definitions

As used in OAR 836-043-0101 to 836-043-0170, unless the context requires otherwise:

(1) "Audit" means a process of verification of information used to determine the premium for a workers' compensation insurance policy that is performed in one of the following formats:

(a) "Desk audit" means an audit performed by an insurer at a site, other than the insured's principal place of business, mutually agreed to by the insurer and the insured. A desk audit does not consist of an examination of a payroll report submitted by the insured to the insurer in lieu of an audit.

(b) "Field audit" means an audit performed by an insurer at the insured's principal place of business, work site, or other site mutually agreed to by the insurer and the insured.

(2) "Bureau" means the licensed rating organization of this state for workers' compensation insurance.

(3) "Classification" means a grouping of insurance risks according to a classification system used by an insurer.

(4) "Classification System" means a schedule of classifications and a rule or set of rules used by an insurer for determining the classifications applicable to an insured.

(5) "Committee" means the Oregon Workers' Compensation Rating System Review and Advisory Committee established by OAR 836-043-0200 to 836-043-0240.

(6) "Insured" means an employer who has been issued a workers' compensation insurance policy by an insurer.

(7) "Insurer" means any insurer authorized to write workers' compensation insurance in this state or the State Accident Insurance Fund Corporation.

(8) "Payroll" or "remuneration" means money or substitutes for money payable to workers for their services, which are specified or defined by the rating system used by the insurer subject to the limitations imposed in the definition of "payroll" in ORS 656.005.

(9) "Payroll report" means a report of an insured's payroll by class code used by an insurer to determine the premium for an insurance policy.

(10) "Premium" means the contractual consideration charged to an insured for an insurance policy for a specified period of time, regardless of the timing of actual charges.

(11) "Rate" means a monetary amount applied to the exposure units for a classification to determine the premium for an insurance policy.

(12) "Rating Plan" means a rule or set of rules used by an insurer to calculate premium for an insurance policy, including all rating plan factors applied, after application of classification premium rates to exposure units.

(13) "Rating System" means a collection of rating plans to be used by an insurer, rules for determining which rating plans are applicable to an insured, a classification system and other rules used by an insurer for determining contractual consideration for an insurance policy.

(14) "Standard Premium" means the premium determined by application of approved rates, including experience rating modifications and other charges in accordance with the statistical plan as defined in OAR 836-042-0045.

(15) "Workers' Compensation Insurance" means insurance providing coverage for the obligations of an employer arising from illness or insurance to workers whether such obligation is imposed by ORS Chapter 656, similar laws of the United States or agreement between states.

Or. Admin. R. 836-043-0105

ID 1-1988, f. & cert. ef. 1-20-88; ; ID 13-2012, f. 7-16-12, cert. ef. 1-1-13

Stat. Auth.: ORS 731.244, 737.310 & 737.318

Stats. Implemented: ORS 737.235, 737.318 & 737.505