Nevada Administrative Code

NAC 286.440 Request for appeal or reconsideration; statement from member of staff. (NRS 286.200) 1. A person or the person’s representative must request an appeal or reconsideration in writing and submit it to the System within 45 days after notification of the decision made by t…

NAC 286.450 Procedure for appeal. (NRS 286.200) An appeal before the Board will be conducted as follows: 1. A member of the staff shall provide a brief, objective summary of the problem and the reasons for the staff’s decision. 2. The appellant or the appellant’s representative s…

NAC 287.005 Definitions. (NRS 287.043) As used in NAC 287.005 to 287.695, inclusive, unless the context otherwise requires, the words and terms defined in NAC 287.0056 to 287.145, inclusive, have the meanings ascribed to them in those sections. [Com. on Group Ins., Broker of Reco…

NAC 287.0056 “Biennial employee” defined. (NRS 287.043) “Biennial employee” means an employee whose position of employment is only authorized for 4 to 6 months every other year and who plans to return to the same or a similar position for the next period during which such a posit…

NAC 287.011 “Certifying agency” defined. (NRS 287.043) “Certifying agency” means: 1. Except as otherwise provided in subsection 2, for officers and employees of the State and local governmental agencies, the Public Employees’ Retirement System. 2. For members of the professional …

NAC 287.021 “Continuous employment” defined. (NRS 287.043) “Continuous employment”: 1. Includes a break in employment of less than 1 year; and 2. Does not include a break in employment of 1 year or more. (Added to NAC by Bd. of Pub. Employees’ Benefits Prog. by R107-09, eff. 4-20…

NAC 287.025 “Day” defined. (NRS 287.043) “Day” means a calendar day. (Added to NAC by Bd. of Pub. Employees’ Benefits Prog. by R154-03, eff. 3-22-2004)

NAC 287.035 “Dependent” defined. (NRS 122A.100, 287.043) “Dependent” includes, without limitation: 1. One spouse from a marriage pursuant to law or one domestic partner as defined in NRS 122A.030; and 2. Any person described in NAC 287.312, Ê who is determined to be eligible for …

NAC 287.055 “Health insurance” defined. (NRS 287.043) “Health insurance” means insurance coverage for medical, dental, vision, prescription drugs and the treatment of mental health or substance abuse. (Added to NAC by Bd. of Pub. Employees’ Benefits Prog. by R126-00, 12-22-2000, …

NAC 287.059 “Initial date of hire” defined. (NRS 287.043) “Initial date of hire” means the first date on which service credit is earned by a participant during the participant’s last period of continuous employment with a public employer, as determined by the appropriate certifyi…

NAC 287.065 “Medicare” defined. (NRS 287.043) “Medicare” has the meaning ascribed to it in NRS 439B.130. (Added to NAC by Com. on Benefits, eff. 5-4-92)—(Substituted in revision for NAC 287.0075)

NAC 287.085 “Open enrollment” defined. (NRS 287.043) “Open enrollment” means the event in which participants in the Program may change elections offered by the Program concerning coverage and dependents. (Added to NAC by Bd. of Pub. Employees’ Benefits Prog. by R126-00, 12-22-200…

NAC 287.090 “Opt-out plan” defined. (NRS 287.043) “Opt-out plan” means an alternative plan to provide life, accident or health insurance, or any combination thereof, for a group which is approved by the Board pursuant to NRS 287.0479. (Added to NAC by Bd. of Pub. Employees’ Benef…

NAC 287.095 “Participant” defined. (NRS 287.043) “Participant” includes the following persons who are eligible to participate in the Program: 1. An officer or employee of a participating public agency; 2. A retired officer or employee whose last employer is a participating public…

NAC 287.100 “Plan year” defined. (NRS 287.043) “Plan year” means the period set forth by the Board in which Program benefits and rates are offered for enrollment. (Added to NAC by Bd. of Pub. Employees’ Benefits Prog. by R126-00, 12-22-2000, eff. 1-1-2001; A by R067-03, 9-24-2003…

NAC 287.126 “Public employer” defined. (NRS 287.043) “Public employer” means the State or a local governmental agency. (Added to NAC by Bd. of Pub. Employees’ Benefits Prog. by R154-03, eff. 3-22-2004)

NAC 287.135 “Retired officer or employee” defined. (NRS 287.043) “Retired officer or employee” means an officer or employee of a public employer who: 1. Has met the requirements to receive, and is receiving any distribution of, benefits from: (a) The Judges’ Retirement System; (b…

NAC 287.141 “Subsidy” defined. (NRS 287.043) “Subsidy” means a portion of the cost of premiums or contributions for group insurance provided by the Program which is paid by: 1. The State pursuant to NRS 287.046; or 2. A local governmental agency pursuant to paragraph (b) of subse…

NAC 287.143 “Tier of coverage” defined. (NRS 287.043) “Tier of coverage” means the category of rates and premiums or contributions for coverage that correspond to: 1. An eligible participant only; or 2. An eligible participant and one or more eligible dependents. (Added to NAC by…

NAC 287.145 “Vendor” defined. (NRS 287.043) “Vendor” means a person who provides products or services to the Program or its participants and dependents, including, but not limited to, an insurance broker, a consultant, an insurer, a health maintenance organization, a physical or …

NAC 287.150 “Full-time employment” interpreted. (NRS 287.043, 287.045) As used in NRS 287.045, the Board interprets “full-time employment” to mean the employment, election or appointment by a participating public agency of a person who: 1. In any calendar month, works as a public…

NAC 287.153 “The same portion of the cost of coverage under the Public Employees’ Benefits Program for retired persons covered under the Program as the State pays pursuant to NRS 287.046 for persons retired with state service who participate in the Program” interpreted. (NRS 287.…

NAC 287.155 Date of receipt of required notices. (NRS 287.043) A person shall be deemed to have received any notice required pursuant to this chapter or chapter 287 of NRS 5 days after the notice is mailed, by first-class mail, to that person’s last known address, unless the Exec…

NAC 287.160 Determination of late submission of documents or information. (NRS 287.043) Any form, application, claim or other document or information that is required to be submitted to the Program, Executive Officer or Board on or before a specific date will be considered late i…

NAC 287.170 Chair: Duty; voting. (NRS 287.043) 1. The Chair shall preside over the meetings of the Board. 2. Unless the Chair is required to abstain from voting or is otherwise disqualified from participating in a matter before the Board: (a) If the Chair does not vote on the mat…

NAC 287.172 Duties of Chair; election of Vice Chair; agenda of meetings; motions. (NRS 287.043) 1. The Chair shall: (a) Determine the agenda of a meeting of the Board; and (b) Preside over the meetings of the Board. 2. At the first meeting of each plan year, the Board will elect …

NAC 287.174 Meetings: Agenda. (NRS 287.043) 1. The Chair shall determine the agenda of a meeting of the Board. 2. Any member of the Board may submit to the Executive Officer, or in his or her absence, the Operations Officer of the Program appointed pursuant to NRS 287.0426, a req…

NAC 287.176 Meetings: Approval of actions; motions; rules of conduct. (NRS 287.043) 1. All action by the Board must be approved by a majority of the members of the Board who are present at the meeting. A tie vote constitutes a rejection of the question or matter before the Board.…

NAC 287.178 Meetings: Minutes; transcript. (NRS 287.0415, 287.043) 1. The minutes of each meeting of the Board must be distributed to each member of the Board. 2. A transcript of a meeting posted to the Internet website of the Board pursuant to NRS 287.0415 will remain posted on …

NAC 287.190 Advisory opinions: Request; action by Executive Officer; appeal. (NRS 233B.120, 287.043) 1. Except as otherwise provided in subsection 3, a person may request that the Executive Officer issue an advisory opinion concerning the applicability of any provision of NRS 287…

NAC 287.192 Advisory opinions: Oral opinion prohibited; effect of response by electronic mail or oral response. (NRS 233B.120, 287.043) The Executive Officer shall not render an oral advisory opinion to a request for an advisory opinion. A response by electronic mail or an oral r…

NAC 287.194 Petitions for declaratory orders. (NRS 233B.120, 287.043) 1. Except as otherwise provided in subsection 3, a person may file a petition with the Executive Officer requesting that the Board issue a declaratory order concerning the applicability of any provision of NRS …

NAC 287.196 Petitions for adoption, filing, amendment or repeal of regulations. (NRS 233B.100, 287.043) 1. Any person who wishes to petition for the adoption, filing, amendment or repeal of a regulation that the Board is authorized to adopt, file, amend or repeal must file a peti…

NAC 287.310 Prerequisites to participation; fees; establishment of rates; provision to agency of report on history of claims. (NRS 287.043) 1. To participate in group coverage or insurance provided by the Program, a local governmental agency, through its governing body, must prov…

NAC 287.311 Dependents: Enrollment and disenrollment. (NRS 122A.100, 287.043) 1. Except as otherwise provided in NAC 287.312, a participant who desires or is required to enroll or disenroll a person in the Program as a dependent as a result of a life event that qualifies the part…

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 …