Nevada Administrative Code

NAC 615.011 Definitions. (NRS 615.150, 615.280) As used in this chapter, unless the context otherwise requires, the words and terms defined in NAC 615.014, 615.021 and 615.031 have the meanings ascribed to them in those sections. (Added to NAC by Dep’t of Employm’t, Training & Re…

NAC 615.014 “Administrator” defined. (NRS 615.150, 615.280) “Administrator” has the meaning ascribed to it in NRS 615.023. (Added to NAC by Dep’t of Employm’t, Training & Rehab. by R229-05, eff. 6-28-2006)

NAC 615.021 “Bureau” defined. (NRS 615.150, 615.280) “Bureau” has the meaning ascribed to it in NRS 615.031. (Added to NAC by Dep’t of Employm’t, Training & Rehab. by R229-05, eff. 6-28-2006)

NAC 615.031 “Vocational rehabilitation services” defined. (NRS 615.150, 615.280) “Vocational rehabilitation services” has the meaning ascribed to it in NRS 615.140. (Added to NAC by Dep’t of Employm’t, Training & Rehab. by R229-05, eff. 6-28-2006) RESOLUTION OF GRIEVANCES

NAC 615.105 Request for hearing; request for resolution by alternate means; informal discussions. (NRS 615.150, 615.280) 1. Except as otherwise provided in this subsection, a person applying for or receiving vocational rehabilitation services who is aggrieved by a decision of the…

NAC 615.115 Assignment of and conduct of hearing by hearing officer; continuance of hearing. (NRS 615.150, 615.280) 1. The Administrator or his designee shall, after receiving a request for a hearing pursuant to subsection 1 of NAC 615.105, immediately submit the request to the H…

NAC 615.125 Submission of statements by parties before hearing. (NRS 615.150, 615.280) The hearing officer may require each party to submit, at least 5 days before the hearing, a statement that includes: 1. The facts of the dispute; 2. The issues of law presented in the dispute; …

NAC 615.135 Representation of aggrieved party at hearing. (NRS 615.150, 615.280) The aggrieved party may be represented at the hearing by an attorney or any other person designated by the aggrieved party. (Added to NAC by Dep’t of Employm’t, Training & Rehab. by R229-05, eff. 6-2…

NAC 615.145 Rules of evidence. (NRS 615.150, 615.280) The hearing officer is not bound by the technical rules of evidence. Decisions concerning the admissibility of evidence must be made in accordance with the provisions of NRS 233B.123. (Added to NAC by Dep’t of Employm’t, Train…

NAC 615.155 Rights of parties at hearing; order of presentation. (NRS 615.150, 615.280) Each party may present his case, examine and cross-examine witnesses, and rebut evidence. The aggrieved party shall present his case first, followed by the case of the Bureau, followed by such…

NAC 615.165 Decision of hearing officer: Issuance; appeal. (NRS 615.150, 615.280) 1. Not later than 30 days after the hearing, the hearing officer shall issue a written decision in accordance with the requirements of chapter 233B of NRS. 2. The decision of the hearing officer is …

NAC 615.175 Transcript of proceedings. (NRS 615.150, 615.280) Upon the request of a party, the Bureau shall provide a transcript of the oral proceedings of the hearing. The Bureau may require payment of the cost to provide the transcript. (Added to NAC by Dep’t of Employm’t, Trai…

NAC 616A.010 Definitions. (NRS 616A.400) As used in this chapter, unless the context otherwise requires, the words and terms defined in: 1. NRS 616A.030 to 616A.360, inclusive; and 2. NAC 616A.015 to 616A.275, inclusive, Ê have the meanings ascribed to them in those sections. (Su…

NAC 616A.015 “Adjuster” defined. (NRS 616A.400) “Adjuster” means the unit of an insurer or a third-party administrator that is responsible for the administration of claims for compensation for industrial injury or occupational disease in this State, including, without limitation,…

NAC 616A.040 “Appeals officer” defined. (NRS 616A.400) “Appeals officer” means an officer appointed pursuant to NRS 616C.340 to conduct hearings of appeals from decisions of hearing officers in cases concerning compensation under chapters 616A to 617, inclusive, of NRS. [Hearings…

NAC 616A.050 “Chief” defined. (NRS 616A.400) “Chief” means the Chief Administrative Officer of the Workers’ Compensation Section. (Supplied in codification; A by Div. of Industrial Relations by R108-09, 6-30-2010)—(Substituted in revision for NAC 616.015)

NAC 616A.060 “Claimant” defined. (NRS 616A.400) “Claimant” means a person who applies for or claims any right or benefit from an insurer because of any accident under chapters 616A to 616D, inclusive, of NRS or any occupational disease under chapter 617 of NRS. [Hearings Div., Pr…

NAC 616A.085 “Electronic transmission” defined. (NRS 616A.400, 616A.417, 616C.040, 616C.045) “Electronic transmission” means the sending of information in a legible manner by electronic means, including, without limitation, by facsimile machine, computer, electronic mail or scann…

NAC 616A.120 “Fiscal year” defined. (NRS 679B.130) “Fiscal year” means a 12-month period as determined by the Commissioner. [Industrial Comm’n, No. 31.101, eff. 10-13-77]—(NAC A by Comm’r of Insurance by R086-98, 6-26-98)

NAC 616A.130 “Hearing officer” defined. (NRS 616A.400) “Hearing officer” means an officer appointed by the Chief of the Hearings Division to conduct initial administrative hearings for review of final determinations made by the staff of an insurer in contested claims for compensa…

NAC 616A.170 “Manual” defined. (NRS 679B.130) “Manual” means the classifications and basic rates filed by the Advisory Organization, as defined in NRS 616A.045, and adopted by the Commissioner. (Added to NAC by Industrial Insurance System, eff. 10-26-83; A by Comm’r of Insurance …

NAC 616A.181 “Office” defined. (NRS 616A.400) “Office” means a place of business which is located in this State and which is operated and maintained by an insurer or third-party administrator. The term does not include the private residence of a person who works for the insurer o…

NAC 616A.190 “Patient” defined. (NRS 616A.400) “Patient” means any person who receives treatment by a panel physician or chiropractor or any other provider of medical care operating within the scope of his or her license for an industrial injury or occupational disease accepted b…

NAC 616A.200 “Payroll” defined. (NRS 616A.400) “Payroll” means, for the purpose of computing premiums for workers’ compensation to be paid by an employer who is not a self-insured employer or a member of an association of self-insured public or private employers, the first $36,00…

NAC 616A.270 “Vocational rehabilitation” defined. (NRS 616A.400) “Vocational rehabilitation” means the process of assisting an injured employee, whose education, experience, job skills and aptitude can be modified through education or vocational training, to return to gainful emp…

NAC 616A.275 “Workers’ Compensation Section” defined. (NRS 616A.400) “Workers’ Compensation Section” means the Workers’ Compensation Section of the Division of Industrial Relations of the Department of Business and Industry. (Added to NAC by Div. of Industrial Insurance Regulatio…

NAC 616A.300 Scope. (NRS 616A.400) The provisions of chapters 616A to 616D, inclusive, of NAC concern workers’ compensation and govern the determination and payment of benefits and compensation for injuries, disability, occupational disease and death. [Industrial Comm’n, No. 1.01…

NAC 616A.310 Computation of time. (NRS 679B.130) In computing any period of time prescribed in chapters 616A to 616D, inclusive, of NAC, the day of the act from which the designated period begins to run must not be included. The last day of the period so computed must be included…

NAC 616A.390 Administrator of Division: Performance of duties. (NRS 616A.400) The Administrator will perform each duty he or she is required to perform pursuant to chapters 616A to 617, inclusive, of NAC or will designate a person to perform the duty on his or her behalf. (Added …

NAC 616A.400 Correspondence with Division or any of its sections. (NRS 616A.400) 1. All correspondence and other documents being submitted to the Division or any of its sections must be addressed to the Division, or one of its suboffices, and not to an individual member of its st…

NAC 616A.410 Time to respond to request of Administrator for information. (NRS 616A.400) If the Administrator or the Administrator’s designated agent requests information in writing from an employer, an insurer, a third-party administrator, an organization for managed care or a p…

NAC 616A.420 Declaratory order or advisory opinion of Division. (NRS 616A.400) Any interested person may petition the Division for a declaratory order or advisory opinion as to the applicability of any statutory provision, regulation or decision of the Division, or any of its sec…

NAC 616A.440 Petition requesting adoption, amendment or repeal of regulation. (NRS 616A.400) 1. A petition requesting that the Division adopt, amend or repeal a regulation must include: (a) The name and address of the petitioner; (b) A clear and concise statement of the regulatio…

NAC 616A.460 Informational poster to be displayed by employers. (NRS 616A.400, 616A.490) 1. Each employer governed by the provisions of chapters 616A to 617, inclusive, of NRS shall prominently display at his or her place of business a poster with the language and in the format s…

NAC 616A.470 Poster to be displayed by employers with employees who receive tips. (NRS 616A.400) 1. Each employer governed by the provisions of chapters 616A to 617, inclusive, of NRS who has employees who receive tips shall prominently display a poster with the language and in t…

NAC 616A.480 Use, alteration, printing and distribution of certain posters and forms. (NRS 616A.400, 616A.417) 1. The following posters and forms or data must be used by an insurer, employer, injured employee, provider of health care, organization for managed care or third-party …

NAC 616A.550 Certificate of registration: Grounds for refusal to recommend for final approval. (NRS 616A.400) 1. The Division may refuse to recommend for final approval an application for a certificate of registration as an administrator pursuant to subsection 3 of NRS 683A.08524…

NAC 616A.600 Application for initial issuance of certificate: Generally. (NRS 616A.469, 679B.130) Except as otherwise provided in NAC 616A.610, an external review organization applying for the initial issuance of a certificate to conduct external reviews must submit to the Commis…

NAC 616A.610 Application for initial issuance of certificate: Organization certified or accredited by accrediting body that is nationally recognized. (NRS 616A.469, 679B.130) If an external review organization has been certified or accredited as an external review organization by…

NAC 616A.620 Issuance of certificate by Commissioner. (NRS 616A.469, 679B.130) Except as otherwise provided in NAC 616A.650, if an external review organization applying for the initial issuance of a certificate to conduct external reviews submits the application and accompanying …

NAC 616A.630 Expiration and renewal of certificate. (NRS 616A.469, 679B.130) 1. In accordance with NRS 616A.469, a certificate to conduct external reviews expires 1 year after the date the certificate is issued by the Commissioner. 2. Except as otherwise provided in NAC 616A.650,…

NAC 616A.640 Fees of Commissioner. (NRS 616A.469, 679B.130) The Commissioner will charge and collect: 1. Except as otherwise provided in subsection 2, from an external review organization submitting an application for the initial issuance of a certificate to conduct external revi…

NAC 616A.650 Refusal, suspension or revocation of certification: Grounds; surrender of certificate. (NRS 616A.469, 679B.130) 1. The Commissioner may refuse to issue or renew, or may suspend or revoke, a certificate to conduct external reviews if the Commissioner determines that a…

NAC 616A.660 Duties of organization upon termination of certification or accreditation by accrediting body that is nationally recognized. (NRS 616A.469, 679B.130) An external review organization issued a certificate to conduct external reviews by the Commissioner pursuant to NAC …

NAC 616A.670 Fees to conduct external reviews. (NRS 616A.469, 616C.363, 679B.130) The fees an external review organization issued a certificate to conduct external reviews may charge to conduct external reviews: 1. Must be reasonable; 2. Must not exceed the fees set forth in the …

NAC 616B.008 Insurers and employers: Disclosure of information. (NRS 616A.400, 616B.012) 1. To obtain information for the proper presentation of his or her claim in a proceeding held pursuant to chapters 616A to 616D, inclusive, of NRS, an injured employee or a person who has bee…

NAC 616B.013 Availability, location and inspection of files of claims of injured workers; report of findings to insurer. (NRS 616A.400) 1. An insurer or third-party administrator shall ensure that each file of any claim of an injured worker concerning an industrial injury which i…