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Worker
benefit training
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The
Benefits and Certification Unit of the Compliance Section offers a
variety of classes on worker's benefits. Presentations can range from
one to two hours.
Topic areas:
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Time
Loss Benefits
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“Time
Loss Benefits” includes calculating the average weekly
wage, explaining the three-day waiting period, and computing
temporary total disability (TTD) and temporary partial disability
(TPD). Other subjects include pre- and post-injury wages, termination,
and vacation or sick leave involved with TPD calculations. This
training also explains the wage averaging method, assumed wage,
and calculating wages for temporary or leased workers with TTD. |
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Total
Disability and Death Benefits
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“Total
Disability and Death Benefits” includes definitions of
terms, the worker’s burden of proof of permanent total
disability (PTD) status, the insurer’s responsibilities,
and the calculation of PTD and death benefits. |
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Timely
Payment and Reporting
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“Timely
Payment and Reporting” includes information regarding timely
reporting, reporting 1502s (Insurer Reports) to WCD, timely
pay periods, and lump-sum payment of permanent partial disability
awards. Time limitations for reporting an injury or occupational
disease, insurer requirements for reporting disabling/nondisabling
claims. This workshop is designed to help insurers, examiners,
and other system participants understand the processes and laws
involved. |
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Designation
of Paying Agent and Monetary Adjustments
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“Designation
of Paying Agent and Monetary Adjustments” explains when
designation is appropriate and when a claim cannot be included
in a paying agent designation. The insurer’s responsibilities
and the criteria used by benefit consultants to determine which
party to designate are explained. Other subjects include proration
of benefits for concurrent employment, when proration is appropriate,
and the claimant’s entitled benefits. This training can
also cover monetary adjustments between insurers under ORS 656.307
and miscellaneous monetary adjustments under ORS 656.202 and
ORS 656.726(3). |
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