Nevada Administrative Code (Last Updated: January 6, 2015) |
Chapter616B Industrial Insurance: Insurers; Liability for Provision of Coverage |
GENERAL PROVISIONS |
NAC 616B.001. Definitions. |
NAC 616B.008. Insurers and employers: Disclosure of information. |
NAC 616B.010. Maintenance of files for claims; address to be used for correspondence and other documents. |
NAC 616B.013. Availability, location and inspection of files of claims of injured workers; report of findings to insurer. |
NAC 616B.016. Reports of claims. |
NAC 616B.018. Notice to Administrator of accident or exposure to disease-causing agent or fatality from accident or exposure. |
NAC 616B.021. Payment of compensation, benefit penalty, or penalty for unreasonable delay or refusal to pay claim. |
REPORTING OF PAYROLL AND PREMIUMS |
NAC 616B.023. Determination of value of meal as wages. |
NAC 616B.029. Report of change in ownership of business. |
PROOF OF COVERAGE |
NAC 616B.100. Definitions. |
NAC 616B.106. “Binder” defined. |
NAC 616B.109. “Designated agent” defined. |
NAC 616B.118. “Proof of coverage” defined. |
NAC 616B.121. Adoption by reference of certain publications. |
NAC 616B.124. Private carrier: Duty to submit proof to designated agent. |
NAC 616B.127. Private carrier: Period for submission of proof; duty upon replacement of binder. |
NAC 616B.133. Private carrier: Methods for submission of proof and other information. |
NAC 616B.136. Employer: Provision of proof to insurer and Administrator; notification of previous insurer of cancellation of former policy. |
NAC 616B.139. Designated agent: Fee for certain services; provision of instructions for submission of proof. |
NAC 616B.148. Notification of Administrator regarding operation of employer without insurance. |
SELF-INSURED EMPLOYERS |
NAC 616B.400. Purpose. |
NAC 616B.403. Definitions. |
NAC 616B.406. “Annual claims expenditures” defined. |
NAC 616B.409. “Expected annual claims expenditures” defined. |
NAC 616B.412. “Expected annual incurred cost of claims” defined. |
NAC 616B.415. “Governmental employer” defined. |
NAC 616B.418. “Program of self-insurance” defined. |
NAC 616B.421. “Regulation” defined. |
NAC 616B.424. Eligibility to self-insure. |
NAC 616B.427. Governmental employer: Qualification as self-insured employer. |
NAC 616B.430. Application to self-insure; fee. |
NAC 616B.433. Determination of tangible net worth of employer; authority of Commissioner to accept additional deposit. |
NAC 616B.434. Determination of net cash flows of employer. |
NAC 616B.436. Required deposit: Form; management of certain securities; evaluation of certain securities and assets. |
NAC 616B.439. Letter of credit: Requirements. |
NAC 616B.442. Maintenance and review of documents to ensure adequacy of security deposit. |
NAC 616B.445. Authority of Commissioner to require guarantee of indemnification. |
NAC 616B.448. Administration of self-insurance by employer or independent contractor. |
NAC 616B.451. Certificate of authority covering self-insured employer and any subsidiary or affiliated corporation: Procedure; requirements. |
NAC 616B.460. Annual report: Filing; signature; failure to file. |
NAC 616B.463. Estimated expenditures for claims; calculation of reserve for reopened claims. |
NAC 616B.469. Submission of interim reports regarding occurrence of certain injuries and diseases. |
NAC 616B.471. Purchase of annuity for payment of claim. |
NAC 616B.472. Payment of claim with immediately negotiable instrument. |
NAC 616B.475. Reserve Account to Protect Against Insolvency: Creation; initial assessment. |
NAC 616B.478. Reserve Account to Protect Against Insolvency: Additional assessments; annual assessment. |
NAC 616B.481. Reserve Account to Protect Against Insolvency: Use; reimbursement by employer. |
NAC 616B.484. Reserve Account to Protect Against Insolvency: Special assessments; notification by mail; failure to pay; exception. |
NAC 616B.487. Cancellation of certificate by employer. |
NAC 616B.490. Withdrawal of certificate: Grounds; procedure. |
NAC 616B.493. Withdrawal of certificate: Continuing jurisdiction; reports; audits. |
NAC 616B.496. Severability. |
ASSOCIATIONS OF SELF-INSURED EMPLOYERS |
NAC 616B.510. Definitions. |
NAC 616B.513. “Annual claims expenditures” defined. |
NAC 616B.516. “Association” defined. |
NAC 616B.519. “Division of Insurance” defined. |
NAC 616B.522. “Expected annual incurred cost of claims” defined. |
NAC 616B.525. Application for certification. |
NAC 616B.528. Underwriting plan and related policies and guidelines: Submission required with application for certification; submission of proposed changes. |
NAC 616B.531. Remission of assessment for Account for Insolvent Associations of Self-Insured Employers. |
NAC 616B.534. Maintenance and administration of policy of excess insurance. |
NAC 616B.537. Required security deposit: Determination of amount; adjustment by Commissioner. |
NAC 616B.540. Required security deposit: Form; priority of payment in case of loss. |
NAC 616B.543. Required security deposit: Requirements for letter of credit. |
NAC 616B.546. Required security deposit: Records; maintenance and review of lists of claims; costs of administration. |
NAC 616B.549. Deposit of bond by third-party administrator of association; maximum amount of bond; filing of statement regarding association’s money. |
NAC 616B.552. Deposit of bond by association’s administrator; minimum and maximum amount of bond; filing of statement regarding association’s money. |
NAC 616B.555. Financial statement by each member: Submission; inspection; exception. |
NAC 616B.558. Administration of program of self-insurance by association. |
NAC 616B.564. Annual report: Filing; signature; failure to file. |
NAC 616B.567. Report and evaluation of estimated expenditures for claims in annual report; calculation of reserve for reopened claims. |
NAC 616B.570. Submission of reports regarding certain injuries and diseases, fatalities and hospitalization. |
NAC 616B.572. Purchase of annuity for payment of claim. |
NAC 616B.573. Payment of claim with immediately negotiable instrument. |
NAC 616B.575. Withdrawal of certificate: Continuing jurisdiction; reports; audits. |
NAC 616B.576. Account for Insolvent Associations: Annual assessment; notification by mail; exceptions. |
NAC 616B.579. Account for Insolvent Associations: Additional assessment; notification by mail; failure to pay; exception. |
NAC 616B.582. Account for Insolvent Associations: Use; reimbursement by association. |
NAC 616B.588. Submission of reports and financial statements. |
NAC 616B.591. Examinations and audits. |
NAC 616B.594. Calculation of annual assessment paid by each member of association. |
NAC 616B.597. Responsibilities of board of trustees; financial condition of association; financial condition of member. |
NAC 616B.598. Requests for approval of declaration of dividend and for approval of distribution of dividend. |
NAC 616B.600. Insolvency of association. |
NAC 616B.603. Determination and consideration of loss ratio. |
NAC 616B.606. Adoption of certain publications by reference. |
NAC 616B.609. Audited statement of financial condition of association; exhibits and schedules. |
NAC 616B.610. Determination of combined net cash flows of all members. |
NAC 616B.612. Contents of bylaws of association. |
PRIVATE CARRIERS |
NAC 616B.620. Policy of industrial insurance: Approval and modification of forms. |
NAC 616B.622. Policy of industrial insurance: Use of policy. |
NAC 616B.623. Policy of industrial insurance: Determination of unearned or earned premium when policy cancelled before anniversary date or written for less than 12 months. |
NAC 616B.624. Approval of organization or association of employers as group. |
NAC 616B.626. Combining experience for certain purposes. |
ASSESSMENTS |
NAC 616B.680. Definitions. |
NAC 616B.683. “Annual disbursements” defined. |
NAC 616B.686. “Annual expenditures for claims” defined. |
NAC 616B.689. “Expected annual disbursements” defined. |
NAC 616B.692. “Expected annual expenditures for claims” defined. |
NAC 616B.695. “Insurer” defined. |
NAC 616B.698. “Program of self-insurance” defined. |
NAC 616B.701. Estimated annual assessment. |
NAC 616B.704. Records and reports. |
NAC 616B.707. Consideration of expenditures as expenditures for claims; computation and reporting of value of clinical services. |
NAC 616B.710. Calculating annual expenditures for claims. |
NAC 616B.713. Statement of amount of expenditures for claims; amount to be used as source for determining annual expenditures for claims. |
NAC 616B.716. Estimate of annual expenditures for claims. |
NAC 616B.719. Calculation of expected annual expenditures for claims. |
NAC 616B.722. Calculation of estimated annual assessment. |
NAC 616B.725. Pro rata assessment. |
NAC 616B.7255. Division may adjust annual assessment. |
NAC 616B.728. Change in ownership of property; cancellation of status as self-insured employer or association. |
NAC 616B.731. Statement of assessment; additional assessments; payment. |
NAC 616B.734. Calculation of final assessment; issuance of statement of assessment. |
NAC 616B.737. Refund; payment of deficit. |
NAC 616B.740. Penalty for late payment. |
SUBSEQUENT INJURY ACCOUNT FOR PRIVATE CARRIERS |
NAC 616B.760. Claims against Account. |
NAC 616B.763. Reimbursement from Account; computation and reporting of value of accident benefits. |
NAC 616B.766. Determination of claim by Administrator; appeal. |
SUBSEQUENT INJURY ACCOUNT FOR SELF-INSURED EMPLOYERS |
NAC 616B.770. “Board” defined. |
NAC 616B.7702. Submission of claim. |
NAC 616B.7704. Recommendation of Administrator concerning acceptance or denial of claim or related expenses. |
NAC 616B.7706. Request for hearing; continuance. |
NAC 616B.7708. Acceptance or denial of claim or related expenses. |
NAC 616B.771. Preparation of written order of Board upon denial of claim or related expenses; objections. |
NAC 616B.7712. Representation by legal counsel at hearing. |
NAC 616B.7714. Withdrawal from proceeding by member of Board. |
SUBSEQUENT INJURY ACCOUNT FOR ASSOCIATIONS OF SELF-INSURED PUBLIC OR PRIVATE EMPLOYERS |
General Provisions |
Assessments |
Submission and Review of Claims |
LIABILITY FOR PROVISION OF COVERAGE |
Contractors, Sole Proprietors and Corporate Officers |
Election by Employer of Excluded Persons |
Consolidated Insurance Programs |
MODIFIED PROGRAM FOR OFFENDERS IN LOCAL WORK PROGRAMS |
NAC 616B.922. Scope. |
NAC 616B.924. Applicability of statutes and other regulations. |
NAC 616B.926. “Wages” defined. |
NAC 616B.928. Statement of rights and duties of offenders. |
NAC 616B.930. Injuries for which compensation not allowed. |
NAC 616B.932. Submission of notice of injury. |
NAC 616B.934. Periods for accrual and payment of compensation. |
NAC 616B.936. Payment of lump-sum benefits. |
NAC 616B.938. Medical treatment of offenders. |
NAC 616B.940. Hearings. |
NAC 616B.942. Services of Nevada Attorney for Injured Workers. |
NAC 616B.944. Low wage is not ground to reopen claim. |
NAC 616B.946. No right to reject coverage. |
NAC 616B.948. Civil rights not restored. |
MODIFIED PROGRAM FOR OFFENDERS IN PRISON INDUSTRY PROGRAMS |
NAC 616B.960. Scope. |
NAC 616B.962. Applicability of statutes and other regulations. |
NAC 616B.964. “Wages” defined. |
NAC 616B.966. Written procedure of rights and duties of offenders. |
NAC 616B.968. Injuries for which compensation not allowed. |
NAC 616B.970. Submission of notice of injury. |
NAC 616B.972. Periods for accrual and payment of compensation. |
NAC 616B.974. Payment of lump-sum benefits. |
NAC 616B.976. Medical treatment of offenders. |
NAC 616B.978. Hearings. |
NAC 616B.980. Services of Nevada Attorney for Injured Workers. |
NAC 616B.982. Low wage is not ground to reopen claim. |
NAC 616B.984. No right to reject coverage. |
NAC 616B.986. Civil rights not restored. |
APPEALS PANEL FOR INDUSTRIAL INSURANCE |
General Provisions |
Hearings |