Chapter 44 — INSURANCE
2,728 sections in this chapter.
Repealed. Laws 1989, LB 319, § 82.
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[Repealed or reserved.]
Repealed. Laws 1989, LB 319, § 82.
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[Repealed or reserved.]
Repealed. Laws 1989, LB 319, § 82.
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[Repealed or reserved.]
Repealed. Laws 1989, LB 319, § 82.
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[Repealed or reserved.]
Repealed. Laws 1989, LB 319, § 82.
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[Repealed or reserved.]
Repealed. Laws 1989, LB 319, § 82.
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[Repealed or reserved.]
Repealed. Laws 1989, LB 319, § 82.
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[Repealed or reserved.]
Repealed. Laws 1989, LB 319, § 82.
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[Repealed or reserved.]
Repealed. Laws 1989, LB 319, § 82.
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[Repealed or reserved.]
Repealed. Laws 1989, LB 319, § 82.
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[Repealed or reserved.]
Repealed. Laws 1989, LB 319, § 82.
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[Repealed or reserved.]
Repealed. Laws 1989, LB 319, § 82.
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[Repealed or reserved.]
Repealed. Laws 1989, LB 319, § 82.
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[Repealed or reserved.]
Neb. Rev. Stat. § 44-1301 Act, how cited.
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Sections 44-1301 to 44-1318 shall be known and may be cited as the Health Carrier External Review Act.
Neb. Rev. Stat. § 44-1302 Purpose of act.
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The purpose of the Health Carrier External Review Act is to provide uniform standards for the establishment and maintenance of external review procedures to assure that covered persons have the opportunity for an independent review of an adverse determination or final adverse det…
Neb. Rev. Stat. § 44-1303 Terms, defined.
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For purposes of the Health Carrier External Review Act: (1) Adverse determination means a determination by a health carrier or its designee utilization review organization that an admission, the availability of care, a continued stay, or other health care service that is a covere…
Neb. Rev. Stat. § 44-1304 Applicability of act.
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(1) Except as provided in subsection (2) of this section, the Health Carrier External Review Act shall apply to all health carriers. (2)(a) The act shall not apply to a policy or certificate that provides coverage for: (i) A specified disease, specified accident, or accident-only…
Neb. Rev. Stat. § 44-1305 Health carrier; covered person; notification; when; written notice; contents; health carrier; duties.
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(1)(a) A health carrier shall notify the covered person in writing of the covered person's right to request an external review to be conducted pursuant to section 44-1308, 44-1309, or 44-1310 and include the appropriate statements and information as set forth in subsection (2) of…
Neb. Rev. Stat. § 44-1306 Request for external review.
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(1)(a) Except for a request for an expedited external review as set forth in section 44-1309, all requests for external review shall be made in writing to the director. (b) The director may prescribe by rule and regulation the form and content of external review requests required…
Neb. Rev. Stat. § 44-1307 Request for external review; exhaustion of internal grievance process; request for expedited external review of adverse determination; independent review organization; duties.
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(1)(a) Except as provided in subsection (2) of this section, a request for an external review pursuant to section 44-1308, 44-1309, or 44-1310 shall not be made until the covered person has exhausted the health carrier's internal grievance process as set forth in the Health Carri…
Neb. Rev. Stat. § 44-1308 Request for external review; filing; director; duties; health carrier; duties; preliminary review; contents; director; powers; notice of initial determination; contents; independent review organization; powers; duties; decision; notice; contents.
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(1)(a) Within four months after the date of receipt of a notice of an adverse determination or final adverse determination pursuant to section 44-1305, a covered person or the covered person's authorized representative may file a request for an external review with the director. …
Neb. Rev. Stat. § 44-1309 Request for expedited external review; director; duties; health carrier; duties; notice of initial determination; contents; expedited external review; independent review organization; powers; duties; decision; notice; contents.
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(1) Except as provided in subsection (6) of this section, a covered person or the covered person's authorized representative may make a request for an expedited external review with the director at the time that the covered person receives: (a) An adverse determination if: (i) Th…
Repealed. Laws 1989, LB 319, § 82.
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[Repealed or reserved.]
Neb. Rev. Stat. § 44-1310 Review of denial of coverage for service or coverage determined experimental or investigational; external review; expedited external review; director; duties; health carrier; duties; notice of initial determination; contents; appeal; clinical reviewer; duties; independent review organization; powers; duties; decision; notice; contents.
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(1)(a) Within four months after the date of receipt of a notice of an adverse determination or final adverse determination pursuant to section 44-1305 that involves a denial of coverage based on a determination that the health care service or treatment recommended or requested is…
Neb. Rev. Stat. § 44-1311 External review decision; how treated; limitation on subsequent request.
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(1) An external review decision is binding on the health carrier except to the extent the health carrier has other remedies available under applicable state law. (2) An external review decision is binding on the covered person except to the extent the covered person has other rem…
Neb. Rev. Stat. § 44-1312 Independent review organizations; approval; qualifications; application; contents; fee; termination of approval; director; powers and duties.
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(1) The director shall approve independent review organizations eligible to be assigned to conduct external reviews under the Health Carrier External Review Act. (2) In order to be eligible for approval by the director under this section to conduct external reviews under the act,…
Neb. Rev. Stat. § 44-1313 Independent review organization; minimum qualifications; clinical reviewers; qualifications; limitation on ownership or control; conflict of interests; presumption of compliance; director; powers; duties.
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(1) To be approved under section 44-1312 to conduct external reviews, an independent review organization shall have and maintain written policies and procedures that govern all aspects of both the standard external review process and the expedited external review process set fort…
Neb. Rev. Stat. § 44-1314 Liability for damages.
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No independent review organization, clinical reviewer working on behalf of an independent review organization, or employee, agent, or contractor of an independent review organization shall be liable in damages to any person for any opinions rendered or acts or omissions performed…
Neb. Rev. Stat. § 44-1315 Records; report; contents.
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(1)(a) An independent review organization assigned pursuant to section 44-1308, 44-1309, or 44-1310 to conduct an external review shall maintain written records in the aggregate by state and by health carrier on all requests for external review for which it conducted an external …
Neb. Rev. Stat. § 44-1316 Health carrier; cost.
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The health carrier against which a request for a standard external review or an expedited external review is filed shall pay the cost of the independent review organization for conducting the external review.
Neb. Rev. Stat. § 44-1317 Health carrier; disclosure; format; contents.
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(1)(a) Each health carrier shall include a description of the external review procedures in or attached to the policy, certificate, membership booklet, outline of coverage, or other evidence of coverage it provides to covered persons. (b) The disclosure required by subdivision (1…
Neb. Rev. Stat. § 44-1318 Applicability of act.
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The Health Carrier External Review Act applies to any claim submitted on and after January 1, 2014.
Repealed. Laws 1989, LB 319, § 82.
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[Repealed or reserved.]
Neb. Rev. Stat. § 44-133 Domestic company; certificate of authority; suspension or revocation; appeal.
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Whenever any of the grounds mentioned in section 44-4809, 44-4812, or 44-4817 are shown to exist as to a domestic company after a hearing upon notice to the company, the Department of Insurance may suspend or revoke the certificate of authority of such company to do business, ins…
Transferred to section 44-248.
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[Repealed or reserved.]
Transferred to section 44-249.
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[Repealed or reserved.]
Transferred to section 44-250.
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[Repealed or reserved.]
Transferred to section 44-251.
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[Repealed or reserved.]
Transferred to section 44-252.
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[Repealed or reserved.]
Transferred to section 44-253.
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[Repealed or reserved.]
Transferred to section 44-254.
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[Repealed or reserved.]
Transferred to section 44-255.
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[Repealed or reserved.]
Neb. Rev. Stat. § 44-134 Foreign or alien company; certificate of authority; suspension or revocation; appeal.
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Whenever the authority of a foreign or alien company to do business is suspended or revoked by its state of domicile or state of entry into the United States or whenever any of the grounds mentioned in section 44-4809, 44-4812, or 44-4817 exist as to a foreign or alien company, t…
Neb. Rev. Stat. § 44-135 Foreign company; certificate of authority; required; personal jurisdiction.
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Any foreign or alien insurance company or association, before it shall do any business in this state, shall procure a certificate of authority to do business in this state as provided by the laws of the State of Nebraska. Procuring such a certificate shall constitute sufficient c…
Neb. Rev. Stat. § 44-136 Foreign company; dissolution; effect on actions.
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The dissolution of any foreign insurance company or association shall not take away or impair the right of any person to commence an action in this state against such companies or associations, or their statutory successors as agents thereof, and procure service upon such compani…
Repealed. Laws 1983, LB 447, § 104.
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[Repealed or reserved.]
Transferred to section 44-2010.
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[Repealed or reserved.]
Transferred to section 44-2011.
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[Repealed or reserved.]
Repealed. Laws 1983, LB 447, § 104.
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[Repealed or reserved.]
Repealed. Laws 1983, LB 447, § 104.
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[Repealed or reserved.]