NAC687B.1185. Requirements for denied claims.  


Latest version.
  • If a claim under a long-term care insurance contract or certificate is denied, the issuer shall, not later than 60 days after the date of a written request by the policyholder, certificate holder or a representative thereof:

         1. Provide a written explanation of the reasons for the denial; and

         2. Make available all information directly related to the denial.

     (Added to NAC by Comm’r of Insurance by R028-10, 12-16-2010, eff. 10-1-2011)