NAC688B.050. Written standards for processing claims; records substantiating compliance.

     1. Each insurer issuing a policy of group life insurance or a certificate issued under a policy of group life insurance shall adopt a written standard for processing a claim for a benefit under the policy of group life insurance that provides for the search of all policies or certificates issued by the insurer for other policies or certificates covering the life of the same person.

     2. The written standard must provide that the insurer shall:

     (a) Ask the person submitting a claim for a benefit under a policy of group life insurance or a certificate issued under a policy of group life insurance for any other names by which the person covered under the policy was known; and

     (b) Search all policies and certificates issued by the insurer to determine whether the insured was covered under a policy or certificate issued by the insurer under another name.

     3. The insurer shall maintain records substantiating compliance with the standard for processing a claim for a benefit under a policy of group life insurance or a certificate issued under a policy of group life insurance adopted pursuant to subsection 1.

     (Added to NAC by Comm’r of Insurance by R177-03, eff. 12-16-2003)