| |
| Oregon
law requires all employers with one or more subject workers to provide workers' compensation
insurance. The employer can obtain workers' compensation coverage: |
|
|
Directly
through an insurer |
|
|
By
becoming certified as a self-insured employer |
|
|
By
obtaining coverage under a worker leasing arrangement |
| |
|
| In
a worker leasing arrangement, a worker leasing company, also known as professional employer
organization, may provide the workers' compensation coverage for the workers. In Oregon,
the coverage under a worker leasing arrangement is provided by one, and only one, of
the following: |
|
|
The
client's workers' compensation insurance policy |
|
|
The
self-insured employer |
|
|
A
worker leasing company's workers' compensation insurance policy |
| |
|
|
If a client has obtained its own policy or is certified as a self-insured employer,
coverage automatically defaults to the client's coverage, regardless of the coverage
the worker leasing company may have.
Oregon law requires
tracking the experience rating for each employer or client employer. When coverage
is provided under a master policy established by a worker leasing company, the worker
leasing company's master policy must include separate policy numbers that are reported
to the National Council on Compensation Insurance for each client employer.
The code descriptions
found under the "Employee Leasing Policy Identification" field in the IAIABC
EDI Implementation Guide for Proof of Coverage, Release 2.1, Data Dictionary for reporting
worker leasing policies do not readily fit the Oregon reporting requirements. When
policy data is transmitted using codes two through six, the department will interpret
that the client employer is covered by the worker leasing company's policy. The worker
leasing company's insurer is responsible for Oregon compensable work-injury claims
of both leased and non-leased workers of the client employer. Oregon will assume the
policy information submitted under these codes was generated because of the experience
rating tracking. If code seven is reported, the department will interpret that the
client company obtained its own policy and is the named insured covering the client
employer's leased and non-leased workers.
Insurers report
proof-of-coverage information for worker leasing policies to the department the same
as any other policy issued for an employer in Oregon. However, worker leasing companies
must file separate notices with the department, when their clients have arranged for
workers' compensation coverage through the worker leasing company. These notices are
called "worker leasing notices." If an insurer reports policy information,
this does not excuse the worker leasing company of its obligation to issue and cancel
a worker leasing notice according to the worker leasing arrangement.
|
|
|
| |
|
In summary:
|
|
|
Code
one indicates a policy extending coverage for all the insured's Oregon subject workers.
There is no association with a worker leasing company. |
|
|
Codes
two through six indicates a policy established by a worker leasing company with coverage
extended for Oregon subject workers, whether leased or not. |
|
|
Code
seven indicates a policy extending coverage for all the insured's Oregon subject workers
whether leased or not. This is different from code one in that there is an association
with a worker leasing company. |
|
|
The
worker leasing company must file worker leasing notices directly with the department
for each of the covered clients when the client is not the named insured but instead
is or may be an additional named insured relying on the arrangement for coverage through
a worker leasing company. |
|
|
| |