NAC616B.016. Reports of claims.

     1. Upon the request of the Administrator, each insurer shall file a report with the Administrator which contains the following information:

     (a) For claims other than claims for an occupational disease:

          (1) The number of new claims filed.

          (2) The number of claims for accident benefits only that were accepted by the insurer.

          (3) The number of claims for benefits for lost time that were accepted by the insurer.

          (4) The number of compensable fatalities.

          (5) The number of claims that were denied by the insurer.

     (b) For claims for an occupational disease:

          (1) The number of new claims filed.

          (2) The number of claims for accident benefits only that were accepted by the insurer.

          (3) The number of claims for benefits for lost time that were accepted by the insurer.

          (4) The number of compensable fatalities.

          (5) The number of claims that were denied by the insurer.

     (c) The number of requests to reopen a claim.

     (d) The number of requests to reopen a claim that were denied by the insurer.

     (e) The number of claims for accident benefits only that were reopened by the insurer.

     (f) The number of claims for benefits for lost time that were reopened by the insurer.

     (g) The number of injured employees who received benefits for a permanent partial disability.

     (h) The number of injured employees who received benefits for a permanent partial disability in a lump sum.

     (i) The number of injured employees who received benefits for vocational rehabilitation.

     (j) The number of injured employees who received benefits for vocational rehabilitation in a lump sum.

     (k) The number of claims closed pursuant to subsection 1 of NRS 616C.235.

     (l) The number of claims closed pursuant to subsection 2 of NRS 616C.235.

     (m) The number of claims open at the end of the fiscal year.

     (n) The total expenditures for claims reported in paragraphs (k) and (l).

     (o) Expenditures on claims for:

          (1) A temporary total disability.

          (2) A temporary partial disability.

          (3) A permanent total disability.

          (4) A permanent partial disability.

          (5) Benefits for survivors.

          (6) Burial expenses.

          (7) Travel and per diem expenses.

          (8) All medical expenses.

          (9) Vocational rehabilitation, including, without limitation, expenditures for:

               (I) Vocational rehabilitation maintenance.

               (II) The payment of compensation in a lump sum in lieu of vocational rehabilitation services.

               (III) Program expenses.

               (IV) Administrative expenses.

               (V) Other expenses relating to vocational rehabilitation.

     (p) Amounts recovered:

          (1) By subrogation of claims.

          (2) From the:

               (I) Subsequent Injury Account for Self-Insured Employers established pursuant to NRS 616B.554;

               (II) Subsequent Injury Account for Associations of Self-Insured Public or Private Employers established pursuant to NRS 616B.575; or

               (III) Subsequent Injury Account for Private Carriers established pursuant to NRS 616B.584.

          (3) From other sources.

     (q) Any other information requested by the Administrator.

     2. The information required pursuant to subsection 1 must, except as otherwise requested by the Administrator, include information concerning any administrative activity during the previous fiscal year relating to:

     (a) A claim for an injury that occurred during that year; and

     (b) Any other claims, regardless of when the injury occurred.

     3. As used in this section:

     (a) “Claim for accident benefits only” means a claim in which the benefits received by the injured employee or his or her dependents for the duration of the claim did not include benefits for a temporary total disability, temporary partial disability or permanent total disability.

     (b) “Claim for benefits for lost time” means a claim in which the benefits received by the injured employee or his or her dependents for the duration of the claim included benefits for a temporary total disability, temporary partial disability or permanent total disability.

     (c) “Vocational rehabilitation maintenance” has the meaning ascribed to it in NRS 616C.575.

     (Added to NAC by Div. of Industrial Relations by R105-00, 1-18-2001, eff. 3-1-2001)