NAC688B.060. Processing of claims: Search for and action on additional policies issued by insurer on life of decedent; applicability.

     1. Except as otherwise provided in subsection 4, upon the submission of a claim for a benefit under a policy of group life insurance or a certificate issued under a policy of group life insurance, the insurer issuing the policy or certificate shall conduct a search pursuant to the standard adopted pursuant to NAC 688B.050 of all the policies or certificates issued by the insurer to determine if any other policy or certificate issued by the insurer provides coverage on the life of the decedent.

     2. If the person filing a claim provides information identifying other names by which the insured may have been known, the insurer shall search all the policies or certificates issued by the insurer to determine if the insured was covered by another policy or certificate under a different name.

     3. If the insurer determines that it has issued another policy or certificate on the life of the insured, the insurer shall:

     (a) Notify the policy or certificate owner and beneficiaries of the discovery of the policy or certificate; and

     (b) Within 6 months after discovering the policy or certificate, determine whether the insurer has liability to pay a claim on the policy or certificate.

     4. The provisions of this section do not apply to an insurer that does not maintain records of the individual holders of a certificate issued under a policy of group life insurance.

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