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Procedural Rules


Published: 2015

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The Oregon Administrative Rules contain OARs filed through November 15, 2015

 

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DEPARTMENT OF CONSUMER AND BUSINESS SERVICES,

INSURANCE DIVISION

 

DIVISION 5
PROCEDURAL RULES

836-005-0105
Notice to Interested Persons of Rulemaking
Except when acting in an emergency to adopt a temporary rule in accordance with ORS 183.335(5), the Director of the Department of Consumer and Business Services will give prior notice of the proposed adoption, amendment, or repeal of an administrative rule by the Insurance Division:
(1) By causing notice of the proposed action to be published once, in the Secretary of State's Bulletin referred to in ORS 183.360, at least 21 days prior to the effective date of the rule.
(2) By mailing copies of the notice to persons on the Director's mailing list established by the Insurance Division pursuant to ORS 183.335(7), at least 28 days prior to the effective date of the rule.
(3) By mailing or delivering copies of the notice to the Associated Press, the Daily Journal of Commerce and the Business Journal.
(4) By mailing copies of the notice to organizations and publications that may provide notice to persons who may have an interest, such as the following, depending on the subject matter of the proposal:
(a) Authorized insurers;
(b) Independent Insurance Agents of Oregon;
(c) Oregon Association of Insurance and Financial Advisors;
(d) National Association of Independent Insurers;
(e) American Insurance Association;
(f) Alliance of American Insurers;
(g) American Council of Life Insurers;
(h) America's Health Insurance Plans;
(i) Professional Insurance Agents of Oregon/Idaho;
(j) Oregon Association of Health Underwriters;
(k) Reinsurance Association of America;
(L) Insurance Information Institute;
(m) National Council on Compensation Insurance; and
(n) Insurance Services Office.
Stat. Auth.: ORS 183.341

Stats. Implemented: ORS 183.341

Hist.: IC 63, f. & ef. 12-5-75; IC 5-1982, f. 1-29-82, ef. 2-1-82; ID 4-1996, f. 2-28-96, cert. ef. 3-1-96; ID 19-2006, f. & cert. ef. 9-26-06
836-005-0107
Model Rules of Procedure
Governing Rulemaking
The Model Rules of Procedure,
OAR 137-001-0005 to 137-005-0070, in effect on January 31, 2012, as promulgated
by the Attorney General of the State of Oregon under the Administrative Procedures
Act, are adopted as the rules of procedure for the Insurance Division.
[ED. NOTE: The full text of
the Attorney General’s Model Rules of Pro?cedures is available from the Office
of the Attorney General or the Insurance Division.]
Stat. Auth.: ORS 183.341

Stats. Implemented: ORS 183.025,
183.090 & 183.310 - 183.550

Hist.: IC 2-1981, f. & ef.
11-20-81; IC 7-1983, f. & ef. 9-28-83; IC 3-1986, f. & ef. 3-5-86; IC 16-1988,
f. & cert. ef. 10-12-88; ID 19-1990, f. & cert. ef. 12-13-90; ID 3-1992,
f. & cert. ef. 2-13-92; ID 2-1994, f. & cert. ef. 3-23-94; ID 8-1995, f.
& cert. ef. 12-8-95; ID 7-1998, f. & cert. ef. 4-15-98; ID 10-2000, f. &
cert. ef. 11-3-00; ID 3-2002, f. & cert. ef. 1-24-02; ID 3-2004, f. & cert.
ef. 5-7-04; ID 8-2006, f. & cert. ef. 4-27-06; ID 7-2012, f. & cert. ef.
3-27-12
836-005-0112
Persons Represented by Authorized Representative
(1) A party or limited party participating in a contested case hearing in which an insured appears under ORS 737.505 may be represented by authorized representative of the party or limited party.
(2) On or before the first appearance in a contested case by an authorized representative, the authorized representative must provide the presiding officer a letter from the party or limited party that authorizes the representative to appear on behalf of the party or limited party.
(3) The presiding officer may limit an authorized representative's presentation of evidence, examination and cross-examination of witnesses or presentation of factual arguments to ensure the orderly and timely development of the hearing record. The presiding officer may not allow an authorized representative to present any legal argument.
(4) As used in this rule:
(a) Authorized representative means a member of a partnership that is a party or limited party in the contested case, an authorized officer or regular employee of a corporation, association or organized group that is a party or limited party in the contested case, or an authorized officer or employee of a governmental authority other than a state agency, that is a party or limited party in the contested case;
(b) Legal argument includes any argument on:
(A) The jurisdiction of the Department to hear the contested case;
(B) The constitutionality of a statute or rule or the application of a constitutional requirements; or
(C) The application of court precedent to the facts of the contested case.
(c) Legal argument does not include any argument on:
(A) The application of the facts to the statutes or rules that directly apply to the issues in the contested case;
(B) Comparison of prior actions of the Department;
(C) The literal meaning of the statutes or rules that directly apply to the issues in the contested case; or
(D) The admissibility of evidence or the correctness of procedures being followed.
(5) When an authorized representative represents a party of limited party in a hearing, the presiding officer shall advise the representative of the manner in which objections may be made and the manner in which matters may be preserved for appeal. The advice is of a procedural nature and does not change applicable law on waiver or applicable law on the duty to make timely objection. When an objection may involve a legal argument, the presiding officer shall provide reasonable opportunity for the authorized for the authorized representative to consult legal counsel and shall permit the legal counsel to file written legal argument within a reasonable time after conclusion of the hearing.
Stat. Auth.: ORS 821

Stats. Implemented: ORS 183.457(1)(d) & ORS 183.457(2)(b)

Hist.: IC 6-1988, f. & cert. ef. 3-30-88
836-005-0400
Annual Complaint Report
The Director shall publish an annual statistical report on complaints against insurers as required under ORS 731.264, according to the method established in this rule. Each report shall contain the number, percentage, type and disposition of complaints against each insurer that were closed by the Department of Consumer and Business Services during the reporting period. The report shall be based on the records of the Department of Consumer and Business Services. The report shall be structured as a cross tabulation of complaints closed during the reporting period, by complaint type and disposition, against each insurer with respect to whom one or more complaints were closed during the period for which the report is made.
Stat. Auth.: ORS 731

Stats. Implemented: ORS 731.264(3)

Hist.: ID 3-1989(Temp), f. & cert. ef. 2-28-89; ID 11-1989, f. & cert. ef. 11-20-89; ID 19-2006, f. & cert. ef. 9-26-06

The official copy of an Oregon Administrative Rule is
contained in the Administrative Order filed at the Archives Division,
800 Summer St. NE, Salem, Oregon 97310. Any discrepancies with the
published version are satisfied in favor of the Administrative Order.
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