Section 742.542 – Effect of personal injury protection benefits paid.
Payment by a motor vehicle liability insurer of personal injury protection benefits for its own insured shall be applied in reduction of the amount of damages that the insured may be entitled to recover from the insurer under uninsured or underinsured motorist coverage for the same accident but may not be applied in reduction of […]
Section 742.518 – Definitions for ORS 742.518 to 742.542.
As used in ORS 742.518 to 742.542: (1) “Evaluation services” means physical examinations or reviews of medical records of beneficiaries conducted at the request of an insurer by either an employee of the insurer or a third-party medical record or bill review service to determine whether the provision or continuation of medical services is necessary […]
Section 742.544 – Reimbursement for benefits paid.
(1)(a) As used in this subsection, “total amount of the recovery” means the amount that a person injured in a motor vehicle accident recovers from: (A) Underinsured motorist benefits described in ORS 742.502 (2); (B) Liability insurance coverage the injured person receives from other parties involved in the motor vehicle accident; (C) Personal injury protection […]
Section 742.520 – Personal injury protection benefits for motor vehicle liability policies; applicability.
(1)(a) Every motor vehicle liability policy issued for delivery in this state that covers any private passenger motor vehicle shall provide personal injury protection benefits to the person insured thereunder, members of that person’s family residing in the same household, children not related to the insured by blood, marriage or adoption who are residing in […]
Section 742.546 – Required disclosure in release for bodily injuries related to personal injury protection benefits.
(1) When a motor vehicle liability insurer obtains a release for bodily injuries within 60 calendar days following an accident from a person who is eligible to receive personal injury protection benefits under ORS 742.518 to 742.542, the release must state that, subject to the motor vehicle liability insurer’s applicable limits of liability, the rights […]
Section 742.521 – Conditions applicable to arbitration proceedings.
(1) Arbitration proceedings under ORS 742.520 shall be conducted under local court rules in the county where the arbitration is held. (2) Findings and awards made in an arbitration proceeding under this section: (a) Are binding on the parties to the arbitration proceeding; (b) Are not binding on any other party; and (c) May not […]
Section 742.548 – Required language in disclosure; conditions for rescission of release.
If a representative of a motor vehicle liability insurer obtains a release for a claim of bodily injuries in person from a person who is eligible to receive personal injury protection benefits under ORS 742.518 to 742.542: (1) The representative of the insurer must provide the eligible person with a clear and conspicuous notice substantially […]
Section 742.522 – Binding arbitration under ORS 742.520; costs.
(1) Costs to the insured of the arbitration proceeding under ORS 742.520 (6) shall not exceed $100 and all other costs of arbitration shall be borne by the insurer. (2) As used in this section, “costs” does not include attorney fees or expenses incurred in the production of evidence or witnesses or the making of […]
Section 742.524 – Contents of personal injury protection benefits; deductibles.
(1) Personal injury protection benefits required by ORS 742.520 consist of the following payments for the injury or death of each person: (a) All reasonable and necessary expenses of medical, hospital, dental, surgical, ambulance and prosthetic services incurred within two years after the date of the person’s injury, but not more than $15,000 in the […]
Section 742.525 – Provider charges.
(1) Except as provided in subsection (2) of this section, a provider shall charge a person who receives personal injury protection benefits or that person’s insurer the lesser of: (a) An amount that does not exceed the amount the provider charges the general public; or (b) An amount that does not exceed the fee schedules […]