ORS § 743B.810

Current through 2024 Regular Session legislation effective June 6, 2024
Section 743B.810 - Enrollees covered by workers' compensation
(1) A health benefit plan may not exclude, and shall expedite preauthorizations required for, work-related injuries or occupational diseases if:
(a) The injured worker is covered by workers' compensation insurance and the health benefit plan; and
(b) The injured worker has submitted a workers' compensation claim for the work-related injury or occupational disease that has not been accepted or denied by the workers' compensation carrier.
(2) A health benefit plan subject to this section shall guarantee payment for preauthorized medical services to the provider of those medical services according to the terms, conditions and benefits of the plan if the claim is found not to be a compensable workers' compensation claim.
(3) As used in this section, "health benefit plan" has the meaning given that term in ORS 743B.005.
(4) The provisions of ORS 743A.001 do not apply to this section.

ORS 743B.810

Amended by 2017 Ch. 309, § 7, eff. 1/1/2018.
2014 c. 94, § 2

743B.810 was added to and made a part of the Insurance Code by legislative action but was not added to ORS chapter 743B or any series therein. See Preface to Oregon Revised Statutes for further explanation.