(a) The injured worker is covered by workers’ compensation insurance and the health benefit plan; and
(b) The injured worker has submitted a workers’ compensation claim for the work-related injury or occupational disease that has not been accepted or denied by the workers’ compensation carrier.
(2) A health benefit plan subject to this section shall guarantee payment for preauthorized medical services to the provider of those medical services according to the terms, conditions and benefits of the plan if the claim is found not to be a compensable workers’ compensation claim.
(3) As used in this section, "health benefit plan" has the meaning given that term in ORS 743B.005.
(4) The provisions of ORS 743A.001 do not apply to this section. [2014 c.94 §2; 2017 c.309 §7]
Note: 743B.810 was added to and made a part of the Insurance Code by legislative action but was not added to ORS chapter 743B or any series therein. See Preface to Oregon Revised Statutes for further explanation.
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