Title 57

NRS 686B.045 Waiver for state innovation of applicable provisions of Patient Protection and Affordable Care Act; implementation of state plan. 1. The Commissioner may apply to the Secretary of Health and Human Services pursuant to 42 U.S.C. § 18052 for a waiver for state innovati…

NRS 686B.050 Standards. 1. Rates must not be excessive, inadequate or unfairly discriminatory, nor may an insurer charge any rate which if continued will have or tend to have the effect of destroying competition or creating a monopoly. 2. The Commissioner may disapprove rates if …

NRS 686B.060 Determination of whether rates comply with standards. In determining whether rates comply with the standards under NRS 686B.050, the following criteria shall be applied: 1. Due consideration shall be given to past and prospective loss and expense experience within an…

NRS 686B.070 Filing of rates, forms of related policies and supplementary information and any changes and amendments thereof with Commissioner. 1. Every authorized insurer and every rate service organization licensed under NRS 686B.140 which has been designated by any insurer for…

NRS 686B.073 Program of flex-rated filing; qualifications for filing under program; circumstances under which filing under program not allowed; review by Commissioner of filings; regulations. 1. The Commissioner shall establish a program of flex-rated filing to allow an insurer t…

NRS 686B.080 Filing and supporting information open to public inspection; copies; exceptions. 1. Except as otherwise provided in subsections 2 to 5, inclusive, each filing and any supporting information filed under NRS 686B.010 to 686B.1799, inclusive, must, as soon as filed, be …

NRS 686B.090 Rates and supplementary information: Established based on factors or through modified use of rate service organization in certain circumstances. 1. An insurer shall establish rates and supplementary rate information for any market segment based on the factors in NRS …

NRS 686B.100 Filing of supporting data. 1. By rule, the Commissioner may require the filing of supporting data as to any or all kinds or lines of insurance or subdivisions thereof or classes of risks or combinations thereof as the Commissioner deems necessary for the proper funct…

NRS 686B.110 Approval or disapproval of rate proposals for kind or line of insurance other than health plans: Procedure; regulations. 1. Except as otherwise provided in NRS 686B.112, the Commissioner shall consider each proposed increase or decrease in the rate of any kind or lin…

NRS 686B.112 Approval or disapproval of rate filing for health plan: Procedure; regulations; assessment of costs. 1. The Commissioner shall perform an actuarial review of and consider each rate filing of a health plan issued pursuant to the provisions of chapter 689A, 689B, 689C,…

NRS 686B.115 Hearing on rates open to public; cost for transcripts; public testimony. 1. Any hearing held by the Commissioner to determine whether rates comply with the provisions of NRS 686B.010 to 686B.1799, inclusive, must be open to members of the public. 2. All costs for tra…

NRS 686B.117 Intervention in hearing on rates. If a filing made with the Commissioner pursuant to paragraph (a) of subsection 1 of NRS 686B.070 pertains to insurance covering the liability of a practitioner licensed pursuant to chapter 630, 631, 632 or 633 of NRS for a breach of …

NRS 686B.119 Notice to policyholders by insurer of material change in premiums based upon change in zip code of policyholder by United States Postal Service; regulations. Each insurer shall notify its policyholders, in a manner which the Commissioner shall prescribe by regulation…

NRS 686B.125 Limitation on rates for coverage for dental care; annual report of losses and premiums collected required; calculation of average ratio of losses to premiums and identification of excessive rate; examination by Commissioner to ascertain compliance; consequences of fa…

NRS 686B.130 Licensing of rate service organization and advisory organization: Required to provide services relating to rates of certain insurance; services of rate service organization and advisory organization required to be offered to any insurer. 1. A rate service organizatio…

NRS 686B.140 Licensing of rate service organization and advisory organization: Application; issuance, expiration and renewal of license. [Effective until the date of the repeal of 42 U.S.C. § 666, the federal law requiring each state to establish procedures for withholding, suspe…

NRS 686B.143 Payment of child support: Statement by applicant for license; grounds for denial of license; duty of Commissioner. [Effective until the date of the repeal of 42 U.S.C. § 666, the federal law requiring each state to establish procedures for withholding, suspending and…

NRS 686B.147 Suspension of license for failure to pay child support or comply with certain subpoenas or warrants; reinstatement of license. [Effective until the date of the repeal of 42 U.S.C. § 666, the federal law requiring each state to establish procedures for withholding, su…

NRS 686B.150 Binding agreements by insurers relating to rates and rules. No insurer shall assume any obligation to any person other than a policyholder or other companies under common control to use or adhere to certain rates or rules, and no other person shall impose any penalty…

NRS 686B.160 Rules providing statistical plans for use by insurers in recording and reporting of experience; authorized designation of rate service organization to assist Commissioner in gathering and compiling experience for availability to public. 1. The Commissioner may promul…

NRS 686B.170 Examination of service organizations by Commissioner. 1. Whenever the Commissioner deems it necessary in order to inform himself or herself about any matter related to the enforcement of the insurance laws, the Commissioner may examine the affairs and condition of an…

NRS 686B.175 Commissioner authorized to assess insurers for state contribution for federally reinsured losses. 1. The Commissioner is authorized to assess each insurance company authorized to do business in this state an aggregate amount sufficient to provide a fund to reimburse …

NRS 686B.1751 Definitions. As used in NRS 686B.1751 to 686B.1799, inclusive, unless the context otherwise requires, the words and terms defined in NRS 686B.1752 to 686B.1762, inclusive, have the meanings ascribed to them in those sections. (Added to NRS by 1995, 2049; A 1999, 222…

NRS 686B.1752 “Advisory Organization” defined. “Advisory Organization,” when preceded by the definite article, means the organization designated by the Commissioner pursuant to NRS 686B.1764. (Added to NRS by 1995, 2049)

NRS 686B.1754 “Classification of risks” defined. “Classification of risks” or “classification” means the system or arrangement used to recognize differences of exposure to hazards among employers with different occupations, industries or operations. (Added to NRS by 1995, 2049)

NRS 686B.1755 “Expenses” defined. “Expenses” means the portion of a rate attributable to the costs for the acquisition of employers to insure, supervision of employees and agents, collection of accounts, general expenses, taxes, licenses and fees. (Added to NRS by 1995, 2049)

NRS 686B.1757 “Industrial insurance” defined. “Industrial insurance” means insurance which provides the compensation required by chapters 616A to 617, inclusive, of NRS and employer’s liability insurance provided in connection with that insurance. (Added to NRS by 1995, 2049)

NRS 686B.1759 “Insurer” defined. “Insurer” means any private carrier authorized to provide industrial insurance in this state. (Added to NRS by 1995, 2049; A 1997, 1450; 1999, 444, 1833)

NRS 686B.17595 “Large-deductible agreement” defined. “Large-deductible agreement” means any combination of one or more policies, endorsements, contracts or security arrangements, which provide for the policyholder to bear the risk of loss of a specified amount of $25,000 or more …

NRS 686B.176 “Plan for rating experience” defined. “Plan for rating experience” means a procedure used to predict the future losses of an individual policyholder by measuring the past losses of the individual policyholder against the losses of other policyholders in the same clas…

NRS 686B.17605 “Prospective loss cost” defined. “Prospective loss cost” means the portion of a rate that is based on historical aggregate losses and loss adjustment expenses which are adjusted to their ultimate value and projected to a future point in time. Except as otherwise pr…

NRS 686B.1761 “Rate” defined. “Rate” means the cost of insurance based on a unit of exposure to liability before any adjustments are made for an individual employer’s losses, or expenses, or a combination of both. The term does not include minimum premiums charged by an insurer. …

NRS 686B.1762 “Willful” defined. “Willful” or “willfully” in relation to an act or omission which constitutes a violation of this chapter means with actual knowledge or belief that the act or omission constitutes a violation and with specific intent to commit the violation. (Adde…

NRS 686B.1763 Applicability of provisions; Commissioner required to administer provisions. 1. NRS 686B.1751 to 686B.1799, inclusive, apply to insurers providing industrial insurance and to the Advisory Organization designated by the Commissioner. The Commissioner shall administer…

NRS 686B.1764 Designation as statistical agent; duties. The Commissioner shall designate one licensed advisory organization to act as the Commissioner’s statistical agent and to assist the Commissioner in compiling relevant statistical information. The designation must be made pu…

NRS 686B.17645 Duty to file with Commissioner formula to assess insurers for certain costs; approval of formula. 1. The Advisory Organization shall, at least 60 days before imposing an assessment pursuant to this section, file with the Commissioner a formula for an assessment on …

NRS 686B.1765 Powers. The Advisory Organization may: 1. Develop statistical plans including definitions for the classification of risks. 2. Collect statistical data from its members and subscribers or any other reliable source. 3. Prepare and distribute data on prospective loss c…

NRS 686B.1767 Prohibited acts by advisory organization. An advisory organization shall not: 1. Compile or distribute recommendations concerning rates which include expenses, other than expenses to adjust losses or profit; or 2. File rates, supplementary rate information or suppor…

NRS 686B.1769 Uniform Plan for Rating Experience: Requirements; use. 1. The Uniform Plan for Rating Experience must: (a) Contain reasonable standards for eligibility in the Plan; (b) Provide adequate incentives for employers to prevent losses; and (c) Permit sufficient difference…

NRS 686B.177 Rating information to be filed with Commissioner; approval of rates. The Advisory Organization shall file with the Commissioner a copy of every prospective loss cost, every manual of rating rules, every rating schedule and every change, amendment or modification to t…

NRS 686B.1771 Insurer not required to issue policy of industrial insurance to any particular employer; plan for apportionment among insurers of persons entitled to insurance who have not been accepted by an insurer; approval of rates for plan by Commissioner; regulations. 1. No i…

NRS 686B.1772 Insurers required to adhere to Uniform System of Classifications of Risks and Uniform Plan for Rating Experience; filing with and approval by Commissioner of subclassifications for Uniform System of Classification. 1. Every insurer shall adhere to the Uniform System…

NRS 686B.1773 Insurers required to record and report certain information and adhere to manual of rules and Uniform Plan for Rating Experience. 1. Every insurer shall: (a) Record and report its experience and losses for policies of industrial insurance to the Advisory Organization…

NRS 686B.1774 Commissioner required to determine whether interaction among insurers and employers for buying and selling industrial insurance is competitive. 1. The Commissioner shall determine whether the interaction among insurers and employers for the buying and selling of ind…

NRS 686B.1775 Filing of rates, supplementary rate information and supporting data by insurer with Commissioner; findings of Commissioner. 1. Each insurer shall file with the Commissioner all the rates, supplementary rate information, supporting data, and changes and amendments th…

NRS 686B.1777 Circumstances under which Commissioner authorized to require supporting information regarding rates and required to hold hearing related to disapproval of rates. 1. If the Commissioner finds that: (a) The interaction among insurers is not competitive; (b) The rates …