Nevada Administrative Code (Last Updated: January 6, 2015) |
Chapter616B Industrial Insurance: Insurers; Liability for Provision of Coverage |
GENERAL PROVISIONS |
NAC616B.008. Insurers and employers: Disclosure of information.
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1. To obtain information for the proper presentation of his or her claim in a proceeding held pursuant to chapters 616A to 616D, inclusive, of NRS, an injured employee or a person who has been authorized by the injured employee to represent him or her must deliver a written request to his or her insurer or employer. The insurer or employer shall provide such information to the injured employee or an authorized representative thereof within 30 days after receipt of the written request. If, at the time of receipt of the written request from the injured employee or an authorized representative, the requested information is in the possession of a third-party administrator, or an organization for managed care or a provider of health care with whom the insurer has contracted, the insurer shall take all reasonable steps necessary to obtain such information.
2. To obtain confidential information pursuant to subsection 3 of NRS 616B.012, the requesting agency, department or board must deliver to the insurer a written request that must:
(a) Be written on the official letterhead of the requesting agency, department or board;
(b) State the purpose for which the requesting agency, department or board will use the requested information;
(c) Contain all pertinent information available to the requesting agency, department or board to identify:
(1) The injured employee, including, without limitation, his or her name, social security number, date of birth and the date of the injury; or
(2) The employer, including, without limitation, his or her name, the name and address of the business, the names of the owners of the business and the employer’s policy number; and
(d) Contain any other information that the insurer may need to process the request.
Ê The insurer may require additional information to process the request. The insurer shall provide the requested confidential information to the requesting agency, department or board within 30 days after receiving the written request.
3. If a request requires the insurer to report on more than one employer or more than one injured employee, the head of the requesting agency, department or board must sign the request. If a request requires the insurer to report on only one employer or injured employee, either the head of the requesting agency, department or board or a designated agent thereof must sign the request.
4. Upon receipt of a written request made pursuant to the provisions of subsection 5 of NRS 616B.012 by the chief executive officer of any law enforcement agency of this State, the Administrator will instruct the insurer to provide the information requested to the chief executive officer within 30 days after receiving the instructions from the Administrator. The insurer shall provide the information requested within 30 days after receipt of such an instruction from the Administrator.
5. Any fee charged for providing information pursuant to this section and NRS 616B.012 may not exceed 30 cents per page. If more than one copy of an item of information that is requested pursuant to this section is maintained in the records of an insurer, employer or third-party administrator, or in the records of an organization for managed care or provider of health care with whom the insurer has contracted, no fee may be charged for any duplicate copy that is provided.
(Added to NAC by Div. of Industrial Relations by R208-97, eff. 4-17-98; A by R112-98, 12-18-98; R118-02, 9-7-2005)