Nevada Administrative Code (Last Updated: January 6, 2015) |
Chapter616B Industrial Insurance: Insurers; Liability for Provision of Coverage |
SUBSEQUENT INJURY ACCOUNT FOR PRIVATE CARRIERS |
NAC616B.763. Reimbursement from Account; computation and reporting of value of accident benefits.
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1. The Administrator will not consider the following expenditures to be expenditures for claims for which a private carrier may receive reimbursement from the Subsequent Injury Account for Private Carriers:
(a) Amounts held in reserve for any anticipated expense in connection with a claim.
(b) Money paid in excess of the compensation calculated pursuant to NRS 616C.440, 616C.475, 616C.490 or 616C.500 or NAC 616C.577 for a temporary total, temporary partial, permanent total or permanent partial disability or vocational rehabilitation maintenance.
(c) Legal expenses, including, without limitation, court costs, attorney’s fees, costs for depositions, investigations and hearings.
(d) Payment of an award of interest.
(e) Administrative expenses, including, without limitation, expenses incurred for:
(1) Copying records;
(2) Reviewing any report of a physician or chiropractor contained in a file relating to a claim; or
(3) Services relating to the management of costs of medical care.
(f) Costs incurred in a claim that is ultimately denied.
2. The value of accident benefits furnished by a private carrier for industrial injuries or illnesses must be computed and reported pursuant to the schedule of fees and charges for accident benefits adopted pursuant to subsection 2 of NRS 616C.260.
(Added to NAC by Div. of Industrial Relations by R112-98, 12-18-98, eff. 7-1-99; A by R118-02, 9-7-2005)