Self-insured employer definition

Self-insured employer means an employer or group of employers certified under ORS

Self-insured employer means an employer who has been certified under ORS

Self-insured employer means an employer or group of employers certified under ORS 656.430 as meeting the qualifications set out by ORS 656.407.

Examples of Self-insured employer in a sentence

• If an RME is a third party administrator of a Health Care Plan offered by a Self Insured Employer, Contractor will provide Health Care Services to Self Insured Plan Covered Persons who are provided coverage under such Health Care Plan.

• Liability for payment under this Agreement for Health Care Services provided to Self Insured Plan Covered Persons shall be with the Self Insured Employer who is sponsoring the self insured Health Care Plan and not the RME who is acting as the third party administrator.

• Payment however, on behalf of the Self Insured Employer, will be made through the RME that is providing third party administration but such RME shall have no liability for the payment.

• Upon payment to Contractor for services provided to a Covered Person pursuant to this Agreement, Contractor hereby assigns to RME or a Self Insured Employer, as applicable, all rights of Contractor to obtain payment from a third party for such services, including, but not limited to, rights of subrogation and reimbursement and lien rights.

• This paragraph shall not apply in the event of the insolvency of a Self Insured Employer who offers a self insured Health Care Plan administered by RME.

More Definitions of Self-insured employer

Self-insured employer means a person which provides accident and health benefits or medical, surgical, or hospital benefits on a self-insured basis to its own employees or to employees of an affiliated company or companies and which does not otherwise provide accident and health benefits or medical, surgical, or hospital benefits.

Self-insured employer means an employer or group of employers certified un- der ORS 656.430 as meeting the qualifica- tions set out by ORS 656.407.

Self-insured employer means an employer certified under ORS 656.430 as having met the qualifications of a self-insured employer under ORS 656.407.

Self-insured employer means the same as that term is defined in Section 34A-2-201.5.

Self-insured employer means an employer or group of employers

Self-insured employer means one of the following that is authorized by the division to pay direct workers' compensation benefits under Subsection (2):

Self-insured employer means an employer or workers’ com- pensation pool granted authority by the Commission to self- insure for workers’ compensation.