Nevada Administrative Code

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…

NAC 287.601 “Adverse determination” defined. (NRS 287.043) “Adverse determination” has the meaning ascribed to it in NRS 695G.012. (Added to NAC by Bd. of Pub. Employees’ Benefits Prog. by R002-12, eff. 6-29-2012)

NAC 287.602 “Appeals Manager” defined. (NRS 287.043) “Appeals Manager” means the person designated by the Claims Administrator to review and decide appeals of the denials of claims pursuant to NAC 287.670. (Added to NAC by Bd. of Pub. Employees’ Benefits Prog. by R002-12, eff. 6-…

NAC 287.603 “Claims Administrator” defined. (NRS 287.043) “Claims Administrator” means a third-party administrator with which the Program has entered into a contract pursuant to NRS 287.0434 to administer the claims of participants of the Program. (Added to NAC by Bd. of Pub. Emp…

NAC 287.608 Claims Administrator or vendor required to be independent contractor. (NRS 287.043) Any Claims Administrator or vendor must be an independent contractor pursuant to NRS 333.700. (Added to NAC by Bd. of Pub. Employees’ Benefits Prog. by R002-12, eff. 6-29-2012)

NAC 287.610 Period for submission. (NRS 287.043) A claim made to the Program must be submitted to the Claims Administrator of the Program not later than 1 year after the date on which the expense reported in the claim is incurred. A claim submitted after that time will not be pai…

NAC 287.620 Assumption regarding availability of benefits under Medicare; coordination under Medicare. (NRS 287.043) 1. If a medical claim is made by a retired participant who is 65 years of age or older, the Claims Administrator shall assume that benefits are available to the pa…

NAC 287.660 Notification of adverse determination; grounds for appeal. (NRS 287.043) 1. The Claims Administrator shall notify a participant of an adverse determination of a claim of the participant or his or her dependent. Such notification must: (a) Be in writing; (b) Explain th…

NAC 287.670 Appeal of adverse determination: Requirements; duties of Appeals Manager. (NRS 287.043) 1. Except as otherwise provided in NAC 287.695, to initiate an appeal of an adverse determination of a claim, a participant must submit a written request to the Claims Administrato…

NAC 287.680 Appeal of decision of Appeals Manager: Requirements; duties of Executive Officer or designee. (NRS 287.043) 1. Except as otherwise provided in NAC 287.695, if a participant in the Program is unsatisfied with the decision of the Appeals Manager made pursuant to NAC 287…

NAC 287.690 Request for external review. (NRS 287.043) If a participant in the Program is not satisfied with the decision of the Executive Officer or the designee on the appeal made by the participant pursuant to NAC 287.680, the participant may request an external review of the …

NAC 287.695 Request for expedited review by Claims Administrator. (NRS 287.043) 1. In addition to the expedited procedure set forth in NRS 695G.271 and 695G.275, a participant may submit a request, verbally or in writing, to the Claims Administrator for an expedited review of an …

NAC 287.700 Definitions. (NRS 287.330) As used in NAC 287.700 to 287.735, inclusive, unless the context otherwise requires: 1. “Committee” means the Committee established to administer the Program. 2. “Investment consultant” means a private person, corporation, institution or oth…

NAC 287.703 Interlocal contract with political subdivision: Entry; requirements. (NRS 287.330) 1. The Committee will, pursuant to NRS 277.180, enter into an interlocal contract with a political subdivision to enable any employee of the political subdivision to participate in the …

NAC 287.705 Purpose. (NRS 287.330) The purpose of NAC 287.705 to 287.735, inclusive, is to set forth the procedures for the selection of investment consultants and recordkeepers for the Program. (Added to NAC by Com. to Admin. Pub. Employees’ Deferred Comp. Prog., eff. 9-13-91; A…

NAC 287.710 Recordkeepers: Selection and removal. (NRS 287.330) 1. The Committee will select recordkeepers for the Program. The Committee will contract with more than one recordkeeper if the Committee deems it necessary and in the best interests of the participants. 2. The select…