Or. Admin. Code § 471-070-1320
Current through Register Vol. 63, No. 12, December 1, 2024
Section 471-070-1320 - Benefits: Communication to Employers and Employee Application for Benefits(1) After a claimant has filed an application or updated their claim for Paid Family and Medical Leave Insurance (PFMLI) benefits, the department shall notify any employers that the claimant is requesting leave from and provide information about the employee's claim.(2) Employers or administrators may respond to the notice from the department within 10 calendar days of the date on the department's notice to report any additional information about the employee's PFMLI claim. Employers or administrators shall respond to the department's notice online or through another method approved by the department. If the employer or administrator fails to provide information within 10 calendar days, the claimant's application for benefits shall be processed using the information available in the department's records. If the employer or administrator later provides additional information, the department may reprocess the claim, taking into account the additional information.(3) The department may need to determine whether a claimant has coverage under an equivalent plan approved under ORS 657B.210 and the effective dates of any coverage the claimant has, or information about a claim for benefits that the claimant has filed under an equivalent plan. The department may request additional information from the claimant's equivalent plan employer and administrator, if applicable, after the claimant files an application with the department. When this information is requested, equivalent plan employers or administrators must respond to the department's request within 10 calendar days from the date on the request for additional information.(4) After a claimant's application for benefits has been processed by the department and a decision is issued to the claimant, the department shall notify the claimant's employers and administrators, if applicable, whether the claimant's application for benefits was approved or denied by the department, and, if approved, the dates and period of leave that the claimant is approved for.Or. Admin. Code § 471-070-1320
ED 9-2022, adopt filed 07/22/2022, effective 7/22/2022Statutory/Other Authority: ORS 657B.340 & ORS 657B.040
Statutes/Other Implemented: ORS 657B.040