Or. Admin. Code § 436-050-0195 - Requirements for Changes in Self-Insured Employer Entity

(1) Notification of changes in entity, contact information, or ownership. If there is any change in the entity, changes in addresses, telephone numbers, and points of contact, or ownership of a self-insured employer, the self-insured employer must notify the director in writing within 30 days after the change occurs.

(2) Adding or deleting entities. If a self-insured employer wishes to add or delete entities to a self-insured employer's certification:

(a) The self-insured employer must submit a completed Form 1865, "Endorsement to Include Legal Entity in Self-Insured Certification," signed by an officer of the self-insured employer;

(b) Each entity must enter into an agreement, signed by an officer of the entity, making the entity jointly and severally liable for the payment of any compensation and moneys due to the director by the certified self-insured employer or any other entity included in the self-insured employer's certification; and

(c) The director will determine, based on the information provided, the effect of the change on the deposit required and whether the entities can be combined for experience rating purposes.

(3) Failure to provide notification. Failure to provide notification as required under this rule may result in assessment of penalties, revocation of self-insurance certification, or both.

Notes

Or. Admin. Code § 436-050-0195

WCD 7-1989, f. 12-22-89, cert. ef. 1-1-90; WCD 5-2001, f. 6-22-01, cert. ef. 7-1-01; WCD 12-2003, f. 12-4-03, cert. ef. 1-1-04; WCD 6-2012, f. 10-4-12, cert. ef. 1-1-13; WCD 5-2016, f. 11-28-16, cert. ef. 1/1/2017; WCD 7-2017, amend filed 12/14/2017, effective 1/1/2018; WCD 7-2022, amend filed 11/07/2022, effective 1/1/2023

Statutory/Other Authority: ORS 656.407, ORS 656.430 & ORS 656.726(3)

Statutes/Other Implemented: ORS 656.407 & ORS 656.430