NAC695G.100. Requirements for approval.

Latest version.

To obtain approval of a system for resolving complaints of insureds from the Commissioner as required pursuant to NRS 695G.200, a managed care organization must:

     1. Demonstrate that the system will include the external review of a final adverse determination.

     2. Submit to the Division:

     (a) The name and title of the employee responsible for the system;

     (b) A description of the procedure used to notify an insured of the decision regarding his complaint; and

     (c) A copy of the explanation of rights and procedures which is to be provided to insureds pursuant to NRS 695G.230.

(Added to NAC by Comm’r of Insurance by R132-98, eff. 3-30-99; A by R132-03, 4-16-2004)

                    
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