If the misunderstanding or miscommunication was not resolved within 24 hours, the organization shall report it as a complaint in the annual report. Each organization shall maintain a summary of the complaints received by it, including those complaints which do not result in any action by the organization. The summary must be retained 3 years or until the next examination conducted by the division and may be transferred to microfilm or otherwise maintained electronically. Chapter 695G of NAC is hereby amended by adding thereto the provisions set forth as sections 19 to 24, inclusive, of this regulation. Commissioner means the commissioner of insurance.
Division means the division of insurance of the department of business and industry.
Managed care organization has the meaning ascribed to it in NRS 695G.050. A copy of the explanation of rights and procedures which is to be provided to insureds pursuant to NRS 695G.230. A managed care organization shall submit its annual report regarding its system for resolving complaints as required pursuant to NRS 695G.220 on or before June 1 of each year. The managed care organization 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 managed care organization 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.