Rescinding Notice Of Closure {1644r}

1644r - RESCINDING NOTICE OF CLOSURE. This form is used by an insurer to officially reverse a previously issued Notice of Closure on a workers’ compensation claim. This action is taken when it is determined that the claim should not have been closed, and as a result, the claim is returned to open status. The form provides key details such as the original closure date, the worker’s identifying information, and the claim and file numbers. It informs the worker that any prior decisions regarding disability benefits—both temporary and permanent—will be reconsidered based on current information and Oregon law. Additionally, the form explains that any overpayment previously identified will be recalculated once the claim is again eligible for closure. The document outlines the worker's appeal rights, stating that the worker has 60 days from the mailing date of the rescission to request reconsideration. Instructions on how to appeal are provided, including how to obtain and submit the appropriate appeal form. The notice also addresses how this action affects the worker’s claim, reinstating its open status and potentially reactivating time-loss benefits within 14 days if authorized by a doctor. www.FormsWorkflow.com