Title 53

NRS 616B.371 Association’s administrator prohibited from financial interest in third-party administrator; third-party administrator prohibited from financial interest in association’s administrator; contractual requirement. 1. An association’s administrator employed by an associa…

NRS 616B.374 Solicitor’s permit: Advertising or offering for sale membership in proposed association of self-insured public or private employers without permit prohibited; application for permit; fee; penalty; exceptions. 1. Except as otherwise provided in this section, a person …

NRS 616B.377 Solicitor’s permit: Commissioner to conduct investigation after filing of application for permit; required issuance of permit; Commissioner to give notice to applicant if application denied; fee nonrefundable. 1. After the filing of an application for a solicitor’s p…

NRS 616B.380 Solicitor’s permit: Power of Commissioner to suspend or revoke permit; hearing required. 1. The Commissioner may suspend or revoke a solicitor’s permit if the Commissioner reasonably believes that: (a) A violation of this chapter or chapter 616A, 616C, 616D or 617 of…

NRS 616B.383 Advertisements or written materials to join association of self-insured public or private employers; solicitor to provide to Commissioner upon request copy of document relating to solicitation. 1. Any advertising or written material that solicits employers to join an…

NRS 616B.386 Membership in association: Application; eligibility; authority of association to determine eligibility; termination by member; cancellation by association; information to be provided to Commissioner; provision of compensation after membership has ceased. 1. If an emp…

NRS 616B.388 Provision of member information upon request. If a member of an association of self-insured public or private employers requests, in writing, information required for the member’s certificate of insurance, the association shall, within 30 days after receiving the req…

NRS 616B.392 Notification of Commissioner required if change in information submitted for certification. 1. An association of self-insured public or private employers shall notify the Commissioner of any change in the information submitted in its application for certification or …

NRS 616B.395 Examination of books, records, accounts and assets of association by Commissioner; payment of related expenses. 1. The Commissioner may examine the books, records, accounts and assets of an association of self-insured public or private employers as the Commissioner d…

NRS 616B.398 Commissioner is attorney-in-fact of association for receipt of initial legal process. An association of self-insured public or private employers shall be deemed to have appointed the Commissioner as its attorney-in-fact to receive any initial legal process authorized…

NRS 616B.401 Merger of associations. 1. An association of self-insured public employers may merge with another association of self-insured public employers if: (a) The resulting association assumes in full all obligations of the merging associations; and (b) The merger is approve…

NRS 616B.404 Statement of financial condition: Filing dates; contents; form; additional reports. 1. An association of self-insured public or private employers shall file with the Commissioner an audited statement of financial condition prepared by an independent certified public …

NRS 616B.407 Calculation of annual assessment paid by each member of association. 1. Except as otherwise provided in subsection 2, the annual assessment required to be paid by each member of an association of self-insured public or private employers must be: (a) Calculated by a r…

NRS 616B.410 Annual audits; summary of audit. 1. The Commissioner shall require each association of self-insured public or private employers to audit the payroll of each member of the association not less than annually in order to verify: (a) The classification or classifications…

NRS 616B.413 Payment of dividends to members of association. 1. If the assets of an association of self-insured public or private employers exceed the amount necessary for the association to: (a) Pay its obligations and administrative expenses; (b) Carry reasonable reserves; and …

NRS 616B.416 Plan for payment of annual assessments by members of association. 1. Each association of self-insured public or private employers shall adopt a plan for the payment of annual assessments by the members of the association which must be approved by the Commissioner. 2.…

NRS 616B.419 Required reserves. Each association of self-insured public or private employers shall maintain: 1. Actuarially appropriate loss reserves. Such reserves must include reserves for: (a) Actual claims and the expenses associated with those claims; and (b) Claims incurred…

NRS 616B.422 Insufficient assets to pay compensation due and maintain reserves. 1. If the assets of an association of self-insured public or private employers are insufficient to make certain the prompt payment of all compensation under chapters 616A to 617, inclusive, of NRS and…

NRS 616B.425 Order by Commissioner to cease and desist; penalty for violation of order. 1. The Commissioner may issue an order requiring an association of self-insured public or private employers or a member of the association to cease and desist from engaging in any act or pract…

NRS 616B.428 Administrative fines for violations; authority of Commissioner to withdraw certification; effect of withdrawal. 1. The Commissioner may impose an administrative fine for each violation of any provision of NRS 616B.350 to 616B.446, inclusive, or any regulation adopted…

NRS 616B.431 Withdrawal of certificate of association: Informal meeting; notice of withdrawal; hearing; effective date of withdrawal. 1. Except as otherwise provided in NRS 616D.120, before any action may be taken pursuant to subsection 2, the Commissioner shall arrange an inform…

NRS 616B.434 Retention by Commissioner of security deposit in event of termination of association. 1. If for any reason the status of an association of self-insured public or private employers as an association of self-insured employers is terminated, the security deposited under…

NRS 616B.437 Judicial review of Commissioner’s decision. Any association of self-insured public or private employers that is aggrieved by a decision of the Commissioner may petition for judicial review in the manner provided by chapter 233B of NRS. (Added to NRS by 1993, 679)—(Su…

NRS 616B.440 Insolvency; termination of liability on surety bond; effect of termination of surety bond. 1. For the purposes of NRS 616B.350 to 616B.446, inclusive, an association of self-insured public or private employers is insolvent if it is unable to pay its outstanding oblig…

NRS 616B.443 Assessment of all associations to provide for claims against insolvent association; Account for Insolvent Associations of Self-Insured Public or Private Employers. 1. The Commissioner may assess all associations of self-insured public or private employers to provide …

NRS 616B.446 Regulations. The Commissioner may adopt such regulations as are necessary to carry out the provisions of NRS 616B.350 to 616B.446, inclusive. (Added to NRS by 1993, 680; A 2007, 3340) PRIVATE CARRIERS

NRS 616B.460 Election by employer to purchase industrial insurance from private carrier; cancellation of policy by employer to purchase insurance from another insurer. 1. An employer may elect to purchase industrial insurance from a private carrier for his or her employees pursua…

NRS 616B.461 Notification of Administrator regarding issuance, renewal, cancellation or reinstatement of policy; investigation of information reported by private carrier. 1. An employer who cancels a policy of industrial insurance issued to the employer by a private carrier shall…

NRS 616B.463 Authorization and security required before industrial insurance may be provided by private carrier; private carrier subject to Nevada Insurance Code. 1. Before a private carrier may provide industrial insurance pursuant to chapters 616A to 617, inclusive, of NRS, the…

NRS 616B.466 Responsibility of private carrier after withdrawal of authorization to provide industrial insurance. If a private carrier withdraws from providing industrial insurance in this State or its authorization to do so is withdrawn, it remains responsible for all compensati…

NRS 616B.472 Suspension of authorization of private carrier to provide industrial insurance: Grounds; hearing. 1. The Commissioner shall suspend the authorization of a private carrier to provide industrial insurance for 1 year if, after a hearing thereon, the Commissioner finds t…

NRS 616B.475 Requirements for handling claims; employer and private carrier subject to regulations of Division. The claims of employees and their dependents resulting from injuries while in the employment of employers insured by a private carrier must be handled in the manner pro…

NRS 616B.500 Administration of plan of insurance authorized; conditions. 1. An insurer may enter into a contract to have his or her plan of insurance administered by a third-party administrator. 2. An insurer shall not enter into a contract with any person for the administration …

NRS 616B.503 Certification by Commissioner required; duties of third-party administrator. 1. A person shall not act as a third-party administrator for an insurer without a certificate issued by the Commissioner pursuant to NRS 683A.08524. 2. A person who acts as a third-party adm…

NRS 616B.506 Imposition of administrative fine for violations; withdrawal of certification. The Commissioner shall impose an administrative fine, not to exceed $1,000 for each violation, and may withdraw the certification of any third-party administrator who: 1. Fails to comply w…

NRS 616B.509 Regulations. The Commissioner may adopt any regulations that are necessary to carry out the provisions of NRS 616B.500, 616B.503 and 616B.506. (Added to NRS by 1991, 2393)—(Substituted in revision for NRS 616.304) ORGANIZATIONS FOR MANAGED CARE

NRS 616B.527 Authority of self-insured employers, associations of self-insured employers and private carriers; compliance with certain provisions. 1. A self-insured employer, an association of self-insured public or private employers or a private carrier may: (a) Except as otherw…

NRS 616B.5273 Adequacy of medical and health care services, choice of providers of health care and cost controls; regulations. 1. A self-insured employer, an association of self-insured public or private employers or a private carrier shall not enter into a contract with an organ…

NRS 616B.528 Restriction of or interference with communication between provider of health care and injured employee prohibited. An organization for managed care shall not restrict or interfere with any communication between a provider of health care and an injured employee regard…

NRS 616B.5285 Contracts with providers of health care; prohibited acts. An organization for managed care shall not terminate a contract with, demote, refuse to contract with or refuse to compensate a provider of health care solely because the provider, in good faith: 1. Advocates…

NRS 616B.529 Inducements to deny, reduce or delay medically necessary services prohibited. 1. An organization for managed care shall not offer or pay any type of material inducement, bonus or other financial incentive to a provider of health care to deny, reduce, withhold, limit …

NRS 616B.545 “Board” defined. As used in NRS 616B.545 to 616B.560, inclusive, unless the context otherwise requires, “Board” means the Board for the Administration of the Subsequent Injury Account for Self-Insured Employers created pursuant to NRS 616B.548. (Added to NRS by 1995,…

NRS 616B.548 Board for Administration of Subsequent Injury Account for Self-Insured Employers: Creation; membership; officers; vacancies; members serve without compensation; legal counsel. 1. There is hereby created the Board for the Administration of the Subsequent Injury Accoun…

NRS 616B.551 Board for Administration of Subsequent Injury Account for Self-Insured Employers: Meetings; regulations; quorum; administration of Account. 1. The members of the Board may meet throughout each year at the times and places specified by a call of the Chair or a majorit…

NRS 616B.554 Creation and administration of Subsequent Injury Account for Self-Insured Employers; assessment rates, payments and penalties. 1. There is hereby created in the Fund for Workers’ Compensation and Safety in the State Treasury the Subsequent Injury Account for Self-Ins…

NRS 616B.557 Payment of cost of additional compensation resulting from subsequent injury of employee of self-insured employer. Except as otherwise provided in NRS 616B.560: 1. If an employee of a self-insured employer has a permanent physical impairment from any cause or origin a…