The insurer is not required to include in the annual report information concerning an oral inquiry by an insured relating a misunderstanding or miscommunication if the misunderstanding or miscommunication was resolved within 24 hours after the inquiry was made. If the misunderstanding or miscommunication was not resolved within 24 hours, the insurer shall report it as a complaint in the annual report. Chapter 695B of NAC is hereby amended by adding thereto the provisions set forth as sections 8 to 12, inclusive, of this regulation. As used in this chapter, unless the context otherwise requires, the words and terms defined in sections 9 and 10, of this regulation, have the meanings ascribed to them in those sections. Commissioner means the commissioner of insurance.
Division means the division of insurance of the department of business and industry.
The terms and conditions of the health care plan of insureds. An insurer shall submit its annual report regarding its system for resolving complaints as required pursuant to NRS 695B.390 on or before June 1 of each year. The insurer shall retain a copy of the annual report for at least 3 years or until the next examination conducted by the division, whichever is longer. The insurer is not required to include in the annual report information concerning an oral inquiry by an insured relating to a misunderstanding or miscommunication if the misunderstanding or miscommunication was resolved within 24 hours after the inquiry was made. If the misunderstanding or miscommunication was not resolved within 24 hours, the insurer shall report it as a complaint in the annual report.