Nevada Administrative Code (Last Updated: January 6, 2015) |
Chapter689B Group and Blanket Health Insurance |
PAYMENT OF BENEFITS |
NAC689B.180. Subrogation: Right of insurer and insured to recover from third party; lien against recovery; subrogation not basis for denial of payment of benefits.
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1. Except as otherwise provided by specific federal or state statute or regulation, an insurer may include in a policy of group health insurance issued pursuant to chapter 689B of NRS a provision for subrogation regarding the right of an insured to recover, and the imposition of a lien upon any recovery by an insured, from a third person for the cost of medical benefits reimbursed by the insurer to the insured because of injuries incurred by the insured as a result of the actions of the third person. The amount of the lien must not be more than the amount of the reimbursements paid by the insurer.
2. An insurer shall not deny the payment of any benefits based upon such a provision for subrogation.
(Added to NAC by Comm’r of Insurance, eff. 12-15-94)