Or. Admin. Code § 836-080-0225

Current through Register Vol. 63, No. 12, December 1, 2024

Section 836-080-0225 - Required Claim Communication Practices

An insurer shall:

(1) Not later than the 30th day after receipt of notification of claim, acknowledge the notification or pay the claim. An appropriate and dated notation of the acknowledgment shall be included in the insurer's claim file.

(2) Not later than the 21st day after receipt of an inquiry from the Director about a claim, furnish the Director with an adequate response.

(3) Make an appropriate reply, not later than the 30th day after receipt, to all other pertinent communications about a claim from a claimant that reasonably indicate a response is expected.

(4) Upon receiving notification of claim from a first party claimant, promptly provide necessary claim forms, instructions and assistance that is reasonable in the light of the information possessed by the insurer, so that the claimant can comply with the policy conditions and the insurer's reasonable requirements. Compliance with this section not later than the 30th day after receipt of notification of a claim constitutes compliance with section (1) of this rule.

Or. Admin. Code § 836-080-0225

IC 2-1980, f. 5-8-80, ef. 6-1-80; ID 3-1998, f. & cert. ef. 2-10-98

Stat. Auth.: ORS 731.244

Stats. Implemented: ORS 746.230