Nevada Administrative Code

NAC 287.312 Dependents: Eligibility of child of participant, spouse or domestic partner. (NRS 122A.100, 287.043) 1. To determine whether the child of a participant or of his or her spouse or domestic partner who is incapable of self-support because of a physical or mental disabil…

NAC 287.3125 Dependents: Terms and conditions of certain changes. (NRS 287.043) Except during a period of open enrollment, the right to change coverage or insurance for a dependent or to add or change dependents is governed by the terms and conditions of any applicable plan, insu…

NAC 287.313 Responsibility for final determinations concerning eligibility. (NRS 287.043) The Executive Officer or a designee thereof shall make all final determinations concerning eligibility: 1. To become a participant in the Program pursuant to NRS 287.045. 2. As a dependent. …

NAC 287.314 Provision of information about Program to participants, representatives of participating public agencies and employees of Program. (NRS 287.043) 1. The Executive Officer or a designee thereof shall provide information about the Program to participants, representatives…

NAC 287.317 Participating public agency to notify Program of appointment of persons eligible to participate in Program or of termination of appointment; enrollment. (NRS 287.043) 1. A participating public agency shall notify the Program in a format prescribed by the Program upon:…

NAC 287.318 Enrollment forms: Required information. (NRS 287.043) Enrollment forms that are submitted to the Program must include, without limitation: 1. The name, address, social security number, if any, and signature of the person who is enrolling in the Program; and 2. The nam…

NAC 287.319 Notification of change of address by participant to Program. (NRS 287.043) A participant shall notify the Program within 30 days after a change of address of the participant. (Added to NAC by Bd. of Pub. Employees’ Benefits Prog. by R089-05, eff. 6-28-2006; A by R107-…

NAC 287.320 Withdrawal from Program: Procedure; termination of coverage; limitation on reentry; eligibility of certain officers and employees after exclusion of group; liability of Program. (NRS 287.043) 1. A participating local governmental agency which intends to terminate its …

NAC 287.355 Procedure for applying to leave Program. (NRS 287.043, 287.0479) A group may apply to leave the Program in accordance with NRS 287.0479 by: 1. Providing to the Executive Officer a letter of intent, which states the desire of the group to leave the Program entirely and…

NAC 287.357 Application to leave Program: Contents. (NRS 287.043, 287.0479) An application to leave the Program must include, without limitation: 1. A copy of the plan of benefits to be offered under the proposed opt-out plan, including, without limitation, a description of: (a) …

NAC 287.359 Application to leave Program: Deadline for submission; duties of Board. (NRS 287.043, 287.0479) 1. To apply to leave the Program, a group must submit an application to the Board on or before the first day of the 10th month before the proposed effective date of the dep…

NAC 287.361 Application to leave Program: Considerations for approval or denial; basis for findings by Board. (NRS 287.043, 287.0479) 1. In determining whether to approve or deny an application to leave the Program, the Board: (a) Shall consider whether: (1) The departure of the …

NAC 287.363 Approval of application by Board: Format and contents of decision; responsibilities of and noncompliance by group. (NRS 287.043, 287.0479) 1. A decision of the Board to approve an application to leave the Program will be in writing and will include, without limitation…

NAC 287.365 Denial of application by Board: Format and contents of decision. (NRS 287.043, 287.0479) A decision of the Board to deny an application of a group to leave the Program will be in writing and will include, without limitation: 1. The reasons of the Board for denying the…

NAC 287.367 Denial of application by Board: Procedure for reconsideration. (NRS 287.043, 287.0479) A group whose application to leave the Program has been denied by the Board may file a request for reconsideration with the Board not later than 40 days after the denial. The reques…

NAC 287.368 Denial of request for reconsideration: Appeal. (NRS 287.043, 287.0479) 1. A group whose request for reconsideration with the Board has been denied pursuant to NAC 287.367 may file an appeal with the Hearings Division of the Department of Administration. 2. On the same…

NAC 287.369 Effective date of departure from Program; coverage by Program until departure. (NRS 287.043, 287.0479) 1. The effective date of departure from the Program of a group whose application has been approved by the Board pursuant to NRS 287.0479 is the first day of the plan…

NAC 287.371 Eligibility of officer or employee to join opt-out plan; ineligibility of officer or employee to continue participation in opt-out plan. (NRS 287.043, 287.0479) 1. If an officer or employee is eligible to join an opt-out plan at the commencement of his or her employme…

NAC 287.373 Notification of Program regarding certain changes in status and court orders. (NRS 287.043, 287.0479) 1. Within 15 calendar days after a change in the status of a participant in an opt-out plan that affects the rate of his or her premium or contribution, the opt-out p…

NAC 287.375 Eligibility for coverage under opt-out plan: Administration of requirements by Program; compliance with determinations of Program. (NRS 287.043, 287.0479) 1. The Program shall administer the requirements for eligibility for coverage set forth in this chapter and chapt…

NAC 287.376 Participation in Program by certain persons eligible for coverage under or participating in opt-out plan prohibited; exceptions. (NRS 287.043, 287.0479) 1. A retired officer or employee, and any dependent thereof, who is eligible for coverage under an opt-out plan at …

NAC 287.379 Options for coverage under opt-out plan: Annual notification of Program; effective period. (NRS 287.043, 287.0479) At least 90 days before the commencement of a new plan year of an opt-out plan, the opt-out plan shall notify the Program of the options for coverage tha…

NAC 287.381 Premiums or contributions for participants in opt-out plans: General administrative duties of Program. (NRS 287.043, 287.0479) 1. The Program shall maintain the rates for premiums or contributions for participants in each opt-out plan separately in its information sys…

NAC 287.383 Premiums or contributions for participants in opt-out plans: Requirements for billing. (NRS 287.043, 287.0479) The Program shall bill on a monthly basis: 1. Each payroll center that deducts and pays the premium or contribution for a participant in an opt-out plan from…

NAC 287.385 Premiums or contributions for participants in opt-out plans: Remittance or transfer of payments; nonpayment by participant. (NRS 287.043, 287.0479) 1. A payroll center shall remit by the 25th of each month to the Program the amount of the premiums or contributions for…

NAC 287.386 Liability of Program and opt-out plan for expense or claim of officer or employee or retired officer or employee, or dependent thereof. (NRS 287.043, 287.0479) 1. The Program is not liable for any expense or claim of an officer or employee or retired officer or employ…

NAC 287.387 Administrative fee: Establishment by Program; calculation; notice. (NRS 287.043, 287.0479) 1. To recoup the administrative costs incurred by the Program related to opt-out plans, the Program shall, for each fiscal year, establish a monthly per capita administrative fe…

NAC 287.389 Duties of Program: Accounting for and remittance of payments; monthly reports. (NRS 287.043, 287.0479) 1. The Program shall: (a) Account for all payments for premiums or contributions for participants in opt-out plans that are actually received each month by the Progr…

NAC 287.400 Procedure for applying to reenter Program. (NRS 287.043, 287.0479) A group that was approved to leave the Program pursuant to NRS 287.0479 may apply to reenter the Program by submitting to the Board a completed application on a form prescribed by the Board at least 90…

NAC 287.420 Payment of premiums or contributions by public employer: Date due; penalty. (NRS 287.043, 287.046) 1. The total of the premiums or contributions which is billed by the Program and is owed by a public employer which: (a) Employs an officer or employee; (b) Is legally r…

NAC 287.430 Direct payment of premiums or contributions: Date due; cancellation of coverage. (NRS 287.043, 287.046) A person, other than a person who elects to continue coverage pursuant to the Public Health Service Act, 42 U.S.C. § 300bb-1(a), who: 1. Enrolls, reenrolls, joins o…

NAC 287.440 Payment of premiums or contributions by retired officers and employees. (NRS 287.043, 287.046) 1. Except as otherwise provided in subsection 2, retired officers and employees shall pay their premiums or contributions directly to the Program. 2. Retired officers and em…

NAC 287.450 Employees on leave without pay: Conditions for payment of premiums or contributions by participating public agency; continuation of or eligibility for coverage or insurance; coverage and insurance upon return to full-time employment. (NRS 287.043, 287.045, 287.046) 1.…

NAC 287.460 Officers and employees on leave because of injuries in course of employment: Payment of premiums or contributions; reports of change in status; coverage of dependents upon return to work. (NRS 287.043, 287.0439, 287.0445) 1. An officer or employee of a participating p…

NAC 287.470 Overpayment or underpayment of premiums or contributions. (NRS 287.043, 287.046) 1. The provisions of this section apply if an overpayment or underpayment of a premium or contribution occurs because of: (a) A clerical error by the Program or a participating public age…

NAC 287.485 Subsidy for retired officer or employee: Report required to obtain subsidy; audit of service credit required; billing; commencement of payment; adjustment of amount of subsidy; assumption of liability for service credit earned. (NRS 287.043, 287.046) 1. To obtain a su…

NAC 287.490 Subsidy for retired officer or employee: Calculation of amount of payment. (NRS 287.043, 287.046) 1. Except as otherwise provided in subsection 2 and NAC 287.153, the amount of the subsidy that must be paid by each public employer with which a retired officer or emplo…

NAC 287.510 Coverage of persons returning to work with previous employer within 1 year after leaving employment. (NRS 287.043, 287.045) If a person other than a retired officer or employee returns to work for a participating public agency with which the person was previously empl…

NAC 287.515 Coverage of retired participants upon reemployment with participating public agency. (NRS 287.043, 287.045) 1. Except as otherwise provided in this section, a person who participates in the Program as a retired officer or employee and who returns to full-time employme…

NAC 287.520 Coverage of person qualified as both employee and dependent; change of status from employee to dependent. (NRS 287.043) 1. Except as otherwise provided in NAC 287.530, if a person qualifies to be covered by the Program as both an employee and a dependent, the person: …

NAC 287.530 Coverage of retired person, spouse, domestic partner or surviving dependent: Generally. (NRS 122A.100, 287.043) 1. If the participant and his or her spouse or domestic partner are retired officers or employees who retired before July 1, 2004, and elect to participate …

NAC 287.540 Coverage of participating employee of State who reenrolls upon retirement or total disability; coverage of nonparticipating employee of State. (NRS 287.043) 1. A person who: (a) At the time of retirement or total disability, was: (1) Employed by a participating state …

NAC 287.542 Coverage of participating employee of local governmental agency who retires on or before September 1, 2008, and reenrolls upon retirement or total disability. (NRS 287.043) 1. A person who: (a) Is a retired officer or employee on or before September 1, 2008; (b) At th…

NAC 287.544 Coverage of nonparticipating employee of local governmental agency who retires on or before September 1, 2008, and enrolls upon retirement or total disability. (NRS 287.043) 1. A person who: (a) Is a retired officer or employee on or before September 1, 2008; (b) At t…

NAC 287.546 Coverage of participating employee of local governmental agency who retires after September 1, 2008, and reenrolls upon retirement or total disability. (NRS 287.043) 1. A person who: (a) Becomes a retired officer or employee after September 1, 2008; (b) At the time of…

NAC 287.548 Coverage of nonparticipating employee of local governmental agency who retires after September 1, 2008. (NRS 287.043) 1. A person who: (a) Becomes a retired officer or employee after September 1, 2008; and (b) At the time of retirement or total disability: (1) Was emp…

NAC 287.600 Definitions. (NRS 287.043) As used in NAC 287.600 to 287.695, inclusive, unless the context otherwise requires, the words and terms defined in NAC 287.601, 287.602 and 287.603 have the meanings ascribed to them in those sections. (Added to NAC by Bd. of Pub. Employees…