NAC695D.540. Annual report: Content; maintenance of records.

     1. Each organization that issues a policy in this State shall submit to the Commissioner and the State Board of Health an annual report regarding its system for resolving complaints established pursuant to NAC 695D.500 on a form prescribed by the Commissioner in consultation with the State Board of Health which includes, without limitation:

     (a) A description of the procedures used for resolving any complaints of a member;

     (b) The total number of complaints and appeals handled through the system for resolving complaints since the last report and a compilation of the causes underlying the complaints filed;

     (c) The current status of each complaint and appeal filed; and

     (d) The average amount of time that was needed to resolve a complaint and an appeal, if any.

     2. Each organization shall maintain records of complaints filed with it which concern something other than services and shall submit to the Commissioner a report summarizing such complaints at such times and in such format as the Commissioner may require.

     (Added to NAC by Comm’r of Insurance by R132-98, eff. 3-30-99)