Workshop No. 1: Time Loss Benefits

“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 workshop also explains the wage averaging method, assumed wage, and calculating wages for temporary or leased workers with TTD.

Workshop No. 2: Total Disability and Death Benefits

“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. This workshop also provides examples and case law.

Workshop No. 3: Timely Payment and Reporting

“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, and WCD approval/disapproval of lump sum payments are explained. This workshop is designed to help insurers, examiners, and other system participants understand the processes and laws involved.

Workshop No. 4: Designation of Paying Agent and Monetary Adjustments

“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 workshop concludes with monetary adjustments between insurers under ORS 656.307 and miscellaneous monetary adjustments under ORS 656.202 and ORS 656.726(3).