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Annual Report Of Workers' Compensation Costs. This form is semi-interactive and may be filled out online.The report includes 19 tables, 7 figures, and 5 appendices detailing outcomes related to workers' compensation benefits, costs, and coverage. Summary of the 2020 Workers' Compensation Annual Report . 1 million in the aggregate for indemnity, medical, and expense payments. This report is for Insurance Carriers to report their annual premiums and assessments to the Commission for tax assessment purposes. Total Paid: Total amount paid in the period for all categories of spending (indemnity, medical, and expense) during the period. Annual surcharge upon all policyholders and self-insured employers; annual report of total compensation payments and earned premiums;. Instructions for completing Insurer Annual Report of Oregon Workers' Compensation. (ORS Chapter 656) Defense Legal Service Costs. General.