Nevada Administrative Code

NAC 686B.830 Requirements of insurers. (NRS 679B.130, 686B.1771) 1. Each insurer providing industrial insurance in this State shall: (a) Participate in the Nevada Workers’ Compensation Insurance Plan; and (b) Subscribe to the Articles of Agreement of the National Workers’ Compens…

NAC 686B.835 Distribution of premiums paid and losses incurred. (NRS 679B.130, 686B.1771) 1. The premiums paid and losses incurred by insurers for industrial insurance provided pursuant to the Nevada Workers’ Compensation Insurance Plan must be: (a) Ceded first to the National Wo…

NAC 686B.840 Requirements for qualification for insurance. (NRS 679B.130, 686B.1771) 1. To qualify for insurance under the Nevada Workers’ Compensation Insurance Plan, an employer must have been declined coverage by at least two insurers that are not affiliated with each other. 2…

NAC 686B.843 Filing requirements for final rates and loss cost multipliers; use of loss cost multipliers. (NRS 679B.130, 686B.1775) 1. For each filing of final rates or loss cost multipliers for policies of industrial insurance made pursuant to NRS 686B.1775, the insurer: (a) Sha…

NAC 686B.845 Plan for payment of dividends; plan for payment of savings, unearned premium deposits or equivalent abatement for premiums allowed or returned for policy. (NRS 679B.130, 686B.1781) 1. An insurer must file its plan for the payment of dividends for a policy of industri…

NAC 687B.0002 Definitions. As used in this chapter, unless the context otherwise requires, the words and terms defined in NAC 687B.0005 and 687B.001 have the meanings ascribed to them in those sections. (Supplied in codification)

NAC 687B.0005 “Commissioner” defined. (NRS 679B.130) “Commissioner” means the Commissioner of Insurance. (Added to NAC by Comm’r of Insurance, eff. 11-21-88)—(Substituted in revision for NAC 687B.020)

NAC 687B.001 “Division” defined. (NRS 679B.130) “Division” means the Division of Insurance of the Department of Business and Industry. (Added to NAC by Comm’r of Insurance, eff. 5-27-92)

NAC 687B.004 Procedures for filing certain forms and paying certain fees. (NRS 679B.130, 679B.136, 687B.120) 1. Any form required to be filed pursuant to the provisions of NRS 687B.120 must be filed in accordance with the System for Electronic Rate and Form Filing developed and i…

NAC 687B.005 Definitions. (NRS 679B.130) As used in NAC 687B.005 to 687B.140, inclusive, unless the context otherwise requires, the words and terms defined in NAC 687B.010 to 687B.0342, inclusive, have the meanings ascribed to them in those sections. (Added to NAC by Comm’r of In…

NAC 687B.010 “Applicant” defined. (NRS 679B.130) “Applicant” means: 1. In the case of an individual long-term care insurance contract, the person who seeks to contract for benefits. 2. In the case of a group long-term care insurance contract, the proposed certificate holder. (Add…

NAC 687B.012 “Basis for continuation of coverage” defined. (NRS 679B.130) “Basis for continuation of coverage” means a provision that maintains coverage under the existing group long-term care insurance contract, subject only to the continued timely payment of premiums, when such…

NAC 687B.013 “Basis for conversion of coverage” defined. (NRS 679B.130) “Basis for conversion of coverage” means a provision that a person: 1. Whose coverage under the group long-term care insurance contract would otherwise terminate, or whose coverage has been terminated for any…

NAC 687B.015 “Certificate” defined. (NRS 679B.130) “Certificate” means any certificate issued under a group long-term care insurance contract which is delivered or issued for delivery in this State. (Added to NAC by Comm’r of Insurance, eff. 11-21-88; A by R028-10, 12-16-2010, ef…

NAC 687B.019 “Converted policy” defined. (NRS 679B.130) “Converted policy” means an individual long-term care insurance contract providing benefits identical to, or benefits determined by the Commissioner to be substantially equivalent to, or in excess of, those provided under th…

NAC 687B.021 “Exceptional increase” defined. (NRS 679B.130) “Exceptional increase” means an increase which is filed by an insurer as exceptional and for which the Commissioner determines the need for the premium rate increase is justified: 1. Because of changes in laws or regulat…

NAC 687B.025 “Group long-term care insurance” defined. (NRS 679B.130) “Group long-term care insurance” means a long-term care insurance contract which is delivered or issued for delivery in this State to: 1. One or more employers or labor organizations, or to a trust or to the tr…

NAC 687B.030 “Long-term care insurance” defined. (NRS 679B.130) 1. “Long-term care insurance” means any group or individual insurance advertised, marketed, offered or designed to provide coverage for not less than 12 consecutive months for each person covered by the insurance on …

NAC 687B.0303 “Long-term care insurance contract” defined. (NRS 679B.130) 1. “Long-term care insurance contract” means: (a) An insurance policy or contract, or any portion thereof; or (b) A rider or endorsement to a policy of life insurance, a policy of disability income insuranc…

NAC 687B.0306 “Partnership certificate” defined. (NRS 679B.130) “Partnership certificate” means a certificate issued under a group partnership contract. (Added to NAC by Comm’r of Insurance by R028-10, 12-16-2010, eff. 10-1-2011)

NAC 687B.0309 “Partnership policy” defined. (NRS 679B.130) “Partnership policy” means an insurance policy delivered or issued for delivery in this State that is a “partnership contract” as defined in NAC 687B.0335. (Added to NAC by Comm’r of Insurance by R028-10, 12-16-2010, eff.…

NAC 687B.033 “Qualified actuary” defined. (NRS 679B.130) “Qualified actuary” means a person who is qualified to sign a statement of actuarial opinion pursuant to the “Qualification Standards for Actuaries Issuing Statements of Actuarial Opinion in the United States,” approved by …

NAC 687B.0332 “Qualified long-term care insurance contract” or “federally tax-qualified long-term care insurance contract” defined. (NRS 679B.130) “Qualified long-term care insurance contract” or “federally tax-qualified long-term care insurance contract” means: 1. Any individual…

NAC 687B.0335 “Qualified state long-term care insurance partnership contract” or “partnership contract” defined. (NRS 679B.130) “Qualified state long-term care insurance partnership contract” or “partnership contract” means a qualified long-term care insurance contract that: 1. P…

NAC 687B.034 “Similar long-term care insurance contract forms” defined. (NRS 679B.130) 1. “Similar long-term care insurance contract forms” means all long-term care insurance contracts and certificates issued by an insurer within the same classification of long-term care benefits…

NAC 687B.0342 “Similar organization” defined. (NRS 679B.130) “Similar organization” means a company other than an insurer that is authorized to offer long-term care insurance contracts pursuant to the provisions of chapter 695A, 695B, 695C or 695F of NRS. (Added to NAC by Comm’r …

NAC 687B.035 Scope. (NRS 679B.130) 1. Except as otherwise provided in this subsection, the provisions of NAC 687B.005 to 687B.140, inclusive, apply to a long-term care insurance contract delivered or issued for delivery in this State on or after November 21, 1988. The provisions …

NAC 687B.040 Compliance required. (NRS 679B.130) A policy of insurance, rider or endorsement may not be advertised, marketed or offered as long-term care insurance or insurance which provides coverage for care received in a nursing home unless it complies with the provisions of N…

NAC 687B.045 Modification or suspension of provisions. (NRS 679B.130) The Commissioner may, upon receiving a written request therefor and after an administrative hearing, issue an order to modify or suspend any provision of NAC 687B.005 to 687B.140, inclusive, with respect to a s…

NAC 687B.050 Organizational requirements. (NRS 679B.130) 1. Before advertising, marketing or offering a group long-term care insurance contract within this State, the insurer of an association shall file evidence with the Commissioner that it has complied with NAC 679B.036, and t…

NAC 687B.051 Licensing and training requirements. (NRS 679B.130) 1. A person may not sell, solicit or negotiate long-term care insurance unless the person: (a) Is licensed as a producer of insurance for health insurance; (b) Has successfully completed an initial course of trainin…

NAC 687B.052 Required reports. (NRS 679B.130) 1. An insurer shall maintain records for each agent which: (a) Specify the amount of replacement sales by the agent as a percentage of the total annual sales by the agent; and (b) Specify the amount of lapses in policies sold by the a…

NAC 687B.053 Compensation to producers for sale, renewal or replacement of contract or certificate. (NRS 679B.130) 1. An insurer or similar organization may pay compensation to a producer for the sale of a long-term care insurance contract or certificate on the basis of a set sch…

NAC 687B.054 Producer not authorized to sell, solicit or negotiate except as authorized by certain statutes. (NRS 679B.130) A producer is not authorized to sell, solicit or negotiate with respect to long-term care insurance except as authorized by chapter 683A of NRS. (Added to N…

NAC 687B.055 Contracts issued in other states. (NRS 679B.130) 1. No group long-term care insurance may be offered to a resident of this State under a group long-term care insurance contract issued in another state to a group described in subsection 4 of NAC 687B.025, unless this …

NAC 687B.056 Standards of suitability: Development; use. (NRS 679B.130) 1. The provisions of this section do not apply to a policy of life insurance or a rider or endorsement to a policy of life insurance that contains accelerated benefits for long-term care. 2. Every insurer or …

NAC 687B.0565 Standards of suitability: Procedure when applicant does not meet standards or declines to provide information. (NRS 679B.130) 1. If an insurer determines that an applicant does not meet the standards of suitability developed pursuant to NAC 687B.056, or if the appli…

NAC 687B.057 Standards of suitability: Annual report to Commissioner. (NRS 679B.130) On or before April 1 of each year, for the preceding calendar year, an insurer shall report to the Commissioner using form NDOI-947, which is available from the Division: 1. The number of applica…

NAC 687B.0575 Standards of suitability: Insurer to provide form regarding long-term care insurance. (NRS 679B.130) When an insurer or its agent provides the worksheet described in subsection 9 of NAC 687B.056 to an applicant, the insurer or its agent shall provide to the applican…

NAC 687B.058 Partnership program notice. (NRS 679B.130) 1. The provisions of this section apply to any qualified state long-term care insurance partnership contract. 2. An insurer or agent soliciting or offering to sell a long-term care insurance contract that is intended to qual…

NAC 687B.0585 Required disclosures regarding rate revisions. (NRS 679B.130) 1. For any long-term care insurance contract or certificate issued in this State on or after October 1, 2008, other than a long-term care insurance contract or certificate for which no applicable increase…

NAC 687B.059 Insurer to submit disclosures regarding rate revisions and actuarial certification to Commissioner for approval. (NRS 679B.130) 1. The provisions of this section do not apply to: (a) A long-term care insurance contract issued before October 1, 2008; (b) A policy of l…

NAC 687B.060 Right to return individual contracts or certificates; notice of right. (NRS 679B.130) 1. An applicant for long-term care insurance may return the long-term care insurance contract or certificate within 30 days after its delivery and have the premium refunded if, afte…

NAC 687B.0655 Requirements for long-term care insurance sold in conjunction with another insurance product. (NRS 679B.130) Long-term care insurance sold in conjunction with another insurance product, including, but not limited to, life insurance or an annuity must: 1. Be issued a…

NAC 687B.066 Provision for reinstatement in event of lapse of coverage. (NRS 679B.130) 1. A long-term care insurance contract or certificate must include a provision which provides that, in the event of a lapse in coverage, coverage will be reinstated if: (a) The insured provides…

NAC 687B.067 Applications: Questions; required statements; required information for applicants 80 years of age or older. (NRS 679B.130) 1. An application for a long-term care insurance contract or certificate that is not guaranteed issue must contain clear and unambiguous questio…

NAC 687B.068 Right to copy of application or enrollment form. (NRS 679B.130) An insurer shall deliver a copy of the completed application or enrollment form, whichever is applicable, to the insured no later than at the time of delivery of the long-term care insurance contract or …