Common use of Denial of Claim Clause in Contracts

Denial of Claim. If an employee’s workers’ compensation claim is denied by the worker’s compensation carrier, the employee’s injury or illness will be treated as a non-occupational claim from the date of denial. In the event the denial is reversed by the Workers’ Compensation Board or Oregon courts, the employee’s sick leave and other paid leave accounts will be adjusted to reflect what they should have received in sick leave and other benefits, and the employee will be made whole in all ways consistent with this article, as if they had been granted an accepted claim from the date of injury due to the on-the-job injury or occupational illness. Any such restoration of leave, pay, and benefits will be adjusted to account for Workers’ Compensation time–loss payments consistent with this article.

Denial of Claim. If an employee’s workers’ compensation claim is denied by the worker’s workers’ compensation carrier, the employee’s injury or illness will be treated as a non-occupational claim from the date of denial. In the event the denial is reversed by the Workers’ Compensation Board or Oregon courts, the employee’s sick leave and other paid leave accounts will be adjusted to reflect what they should have received in sick leave and other benefits, and the employee will be made whole in all ways consistent with this article, Article as if they had been granted an accepted claim from the date of injury due to the on-the-job injury or occupational illness. Any such restoration of leave, pay, and benefits will be adjusted to account for Workers’ Compensation time–time loss payments consistent with this articleArticle.