Oregon Checklists - Worker's Compensation Claims

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Workers' Compensation Laws are laws passed by state legislatures that compensate employees for work-related injuries or illnesses. Any employee injured on the job within the scope of his employment is entitled to workers' compensation benefits. This is true even if the employee was injured because of his own negligence or for failure to follow the instructions of his employer. Self inflicted injuries are not covered. Benefits include medical expenses, lost wages, and death benefits. Most employers have insurance to cover these benefits. If they don't have insurance, they still have to pay benefits.

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FAQ

The waiting period is three consecutive calendar days, beginning with the day you lost wages or did not complete your work shift as a result of your accidental injury or exposure.

Authorization to release medical records By signing this form, you authorize health care providers and other custodians of claim records to release relevant records to the workers' compensation insurer, self-insured employer, claim administrator, and the Oregon Department of Consumer and Business Services.

Ask your employer the name of its workers' compensation insurer. ? Complete Form 801, ?Report of Job Injury or Illness,? available from your employer and Form 827, ?Workers' and Health Care Provider's Report for Workers' Compensation Claim,? available from your health care provider.

?You have a right to choose your own medical provider. If your claim is enrolled in a managed care organization (MCO), you can still choose your own doctor within the MCO.

In the case of a workplace accident or traumatic injury, you must notify your employer within 90 days of the incident; however, this does not apply to overuse injuries or occupational disease.

In the case of a workplace accident or traumatic injury, you must notify your employer within 90 days of the incident; however, this does not apply to overuse injuries or occupational disease.

In some cases, family-owned companies that do not hire employees are exempt contractors even if multiple family members work for the company. For example: Partnerships where all the partners are family members are exempt. Corporations where all the corporate officers are family members are exempt.

Your doctor should help you complete the Form 827 ?Worker's and Health Care Provider's Report for Workers' Compensation Claims.? Your doctor should send this to the insurer within 72 hours of your visit to help file your claim.? Your employer can not pay for medical costs out-of-pocket. Your doctor should not bill you.

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Oregon Checklists - Worker's Compensation Claims