ORS 743B.810: Enrollees covered by workers’ compensation.

(1) A health benefit plan may not exclude, and shall expedite preauthorizations required for, work-related injuries or occupational diseases if:

      (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.