Nevada Administrative Code (Last Updated: January 6, 2015) |
Chapter695B Nonprofit Corporations for Hospital, Medical and Dental Service |
PAYMENT OF BENEFITS |
NAC695B.100. Subrogation: Right 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, a nonprofit corporation for hospital, medical or dental service may include in a group contract for hospital, medical or dental service issued pursuant to chapter 695B 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 corporation 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 corporation.
2. A nonprofit corporation for hospital, medical or dental service 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)