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ts and appeals handled through the system for resolving complaints since the last report and a compilation of the causes underlying the complaints filed;
(c) The current status of each complaint and appeal filed; and
(d) The average amount of time that was needed to resolve a complaint and an appeal, if any.
2. Each insurer shall maintain records of complaints filed with it which concern something other than health care services and shall submit to the Commissioner a report summarizing such complaints at such times and in such format as the Commissioner may require.
(Added to NRS by 1997, 308; A 2003, 774)
NRS 689A.755 Written notice to insured explaining right to file complaint; notice to insured required when insurer denies coverage of health care service.
1. Following approval by the Commissioner, each insurer that issues a policy of health insurance in this State shall provide written notice to an insured, in clear and comprehensible language that is understandable to an ordinary layperson, explaining the right of the insured to file a written complaint. Such notice must be provided to an insured:
(a) At the time he receives his evidence of coverage;
(b) Any time that the insurer denies coverage of a health care service or limits coverage of a health care service to an insured; and
(c) Any other time deemed necessary by the Commissioner.
2. Any time that an insurer denies coverage of a health care service to an insured, including, without limitation, denying a claim relating to a policy of health insurance pursuant to NRS 689A.410, it shall notify the insured in writing within 10 working days after it denies coverage of the health care service of:
(a) The reason for denying coverage of the service;
(b) The criteria by which the insurer determines whether to authorize or deny coverage of the health care service; and
(c) His right to file a written complaint and the procedure for filing such a complaint.
3. A written notice which is approved by the Commissioner shall be deemed to be in clear and comprehensible language that is understandable to an ordinary layperson.
(Added to NRS by 1997, 308; A 1999, 3082)
CHAPTER 690B - CASUALTY INSURANCE
GENERAL PROVISIONS
NRS 690B.010 Other applicable provisions.
NRS 690B.012 Claims: Approval or denial; request for additional information; payment; interest on unpaid claim.
MOTOR VEHICLES
NRS 690B.015 Commissioner to conduct survey of operators of body shops; information to be compiled in report.
NRS 690B.016 Prohibition against knowing recommendation of unlicensed body shop or required patronization of particular body shop.
NRS 690B.017 Provisions for arbitration not binding.
NRS 690B.020 Uninsured or hit-and-run vehicles; insolvency of insurer.
NRS 690B.023 Insurer to provide evidence of insurance; contents.
NRS 690B.025 Primary and excess coverage; garageman required to post notice.
NRS 690B.028 Insurer prohibited from taking adverse action because juvenile violated speed limit in certain cases.
NRS 690B.029 Mandatory provision for reduction of premiums for certain persons 55 years of age or older.
NRS 690B.031 Reduction in premium of certain policies of insurance required if motor vehicle is equipped with air bag and other safety device; calculation; approval of Commissioner.
NRS 690B.035 Policy covering damage to one or more of operator’s vehicles.
NRS 690B.040 Policy providing certain automobile coverage in Mexico.
NRS 690B.042 Claimant for damages for personal injury to provide medical reports, records and bills or authorization to receive reports, records and bills to opposing party upon request; insurer to disclose pertinent facts or provisions of policy relating to coverage at issue to insured or claimant upon request.
PRODUCTS LIABILITY
NRS 690B.060 Reports to Commissioner. [Repealed.]
INDUSTRIAL INSURANCE
NRS 690B.090 Issuance authorized.
INSURANCE FOR HOME PROTECTION
NRS 690B.100 Definitions.
NRS 690B.110 Applicability of other provisions.
NRS 690B.120 Exemptions from licensing requirements.
NRS 690B.130 Deposit of securities or surety bond; maintenance of capital stock or surplus, premium reserves and losses and loss expense reserves.
NRS 690B.140 Investments in tangible personal property: Limitation.
NRS 690B.150 Annual statement.
NRS 690B.155 Provision requiring binding arbitration authorized; procedures for arbitration.
NRS 690B.160 Contracts: Specifications; cancellation; renewal.
NRS 690B.170 Contracts: Regulations on content.
NRS 690B.175 Regulations.
NRS 690B.180 Prohibited acts.
MEDICAL MALPRACTICE
NRS 690B.200 Definitions.
NRS 690B.210 “Claims-made policy” defined.
NRS 690B.220 “Extended reporting endorsement” defined.
NRS 690B.230 “Practitioner” defined.
NRS 690B.240 “Professional liability insurance” defined.
NRS 690B.250 Practitioners of the healing arts: Reports to licensing boards.
NRS 690B.260 Physicians and osteopathic physicians: Reports to Commissioner and licensing boards.
NRS 690B.270 Disclosure of reasons for failure to issue professional liability insurance.
NRS 690B.280 Disclosure of reasons for higher premium.
NRS 690B.290 Insurer required to offer extended reporting endorsement to certain practitioners; disclosure of formula used to determine premium.
NRS 690B.300 Prohibition against setting different premium rates based on number of babies delivered for certain practitioners; exception.
NRS 690B.310 Prohibition against confidentiality of certain information relating to settlement of claim for breach of professional duty of certain practitioners.
NRS 690B.320 Insurer required to offer extended reporting endorsement; required disclosures.
NRS 690B.330 Required reduction in premium for implementation of qualified risk management system.
NRS 690B.340 Review of settlement or judgment by Commissioner.
NRS 690B.350 Essential medical specialties: Determination, cancellation, termination or nonrenewal of professional liability insurance.
NRS 690B.360 Information pertinent to monitoring compliance with applicable standards for rates: Commissioner to collect; analysis; annual report.
NRS 690B.370 Annual report on loss prevention and control programs.
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GENERAL PROVISIONS
NRS 690B.010 Other applicable provisions. All contracts of casualty insurance covering subjects resident, located or to be performed in this State are subject to the applicable provisions of chapter 687B of NRS (the insurance contract), and to other applicable provisions of this Code.
(Added to NRS by 1971, 1777)
NRS 690B.012 Claims: Approval or denial; request for additional information; payment; interest on unpaid claim.
1. Except as otherwise provided in subsections 2, 3 and 4, an insurer shall approve or deny a claim of its insured relating to a contract of casualty insurance within 30 days after the insurer receives the claim. If the claim is approved, the insurer shall pay the claim within 30 days after it is approved. If the approved claim is not paid within that period, the insurer shall pay interest on the claim at the rate of interest established pursuant to NRS 99.040. The interest must be calculated from the date the payment is due until the claim is paid.
2. If the insurer requires additional information or time to determine whether to approve or deny a claim, it shall notify the policyholder of its request for the additional information or time within 20 days after it receives the policyholder’s claim, and at least once every 30 days thereafter, until the claim is approved or deni
Vegas Law
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