reglab/statecodes huggingface dataset:
Nevada Administrative Code › Chapter 287 - Programs for Public Employees › GROUP INSURANCE › Participation in Public Employees' Benefits Program › Section 287.311 - Dependents: Enrollment and disenrollment

Current through June 11, 2024
1. Except as
				otherwise provided in NAC 287.312, a participant who desires or is required to
				enroll or disenroll a person in the Program as a dependent as a result of a
				life event that qualifies the participant to amend his or her coverage outside
				the period of open enrollment must, within 60 days after the date on which the
				dependent becomes eligible to participate or loses his or her eligibility to
				participate in the Program:
(a) Execute a
				declaration of enrollment electronically through the Internet website of the
				Board, under penalty of perjury and subject to the provisions of NRS 686A.290 and 686A.291.
(b) Submit copies of
				any supporting documentation required to establish or terminate the dependent's
				eligibility to participate in the Program as a dependent as requested by the
				Program.
Nevada Administrative Code › Chapter 287 - Programs for Public Employees › GROUP INSURANCE › Participation in Public Employees' Benefits Program › Section 287.312 - Dependents: Eligibility of child of participant, spouse or domestic partner

Current through June 11, 2024
1. To determine whether the child of a
						participant or of his or her spouse or domestic partner who is incapable of
						self-support because of a physical or mental disability continues to be eligible
						for coverage by the Program, the Executive Officer or his or her designee:
(a) Shall require submission by a physician who
						provides care to the child of a written statement on a form prescribed by the
						Board indicating that the child has a mental or physical impairment which causes
						the child to be incapable of self-sustaining employment and to depend on the
						participant or his or her spouse or domestic partner primarily for support. The
						written statement required by this paragraph must be prepared by the physician
						within 90 days before the statement is provided to the Program.
(b) May require:
(1) Submission of periodic updates regarding
						the physical or mental disability of the child by the participant or his or her
						spouse or domestic partner;
(2)
						Submission of the child to a mental or physical examination conducted by a
						physician selected by and at the expense of the Program; and
(3) Any other documentation required by the
						Program that demonstrates financial support of the child by the participant or
						his or her spouse or domestic partner.
Nevada Administrative Code › Chapter 287 - Programs for Public Employees › GROUP INSURANCE › Participation in Public Employees' Benefits Program › Section 287.3125 - Dependents: Terms and conditions of certain changes (Repealed)

Current through June 11, 2024
Added to NAC by Bd. of
							Pub. Employees' Benefits Prog. by R016-08, 8-26-2008, eff.
							7-1-2009;	R
				  by
				  R047-24A,
				  eff. 6/5/2024
NRS 287.0415, 287.043,
					 287.045
Nevada Administrative Code › Chapter 287 - Programs for Public Employees › GROUP INSURANCE › Participation in Public Employees' Benefits Program › Section 287.313 - Responsibility for final determinations concerning eligibility

Current through June 11, 2024
The Executive Officer or a designee thereof shall make all
							final determinations concerning eligibility:
1. To become a participant in the Program
						pursuant to
						NRS
						287.045.
2. As a dependent.
Added to NAC by Bd. of
							Pub. Employees' Benefits Prog. by R089-05, eff. 6-28-2006; A by R016-08,
							8-26-2008, eff. 7-1-2009
NRS 287.043
Nevada Administrative Code › Chapter 287 - Programs for Public Employees › GROUP INSURANCE › Participation in Public Employees' Benefits Program › Section 287.314 - Provision of information about Program to participants, representatives of participating public agencies and employees of Program

Current through June 11, 2024
1. The
						Executive Officer or a designee thereof shall provide information about the
						Program to participants, representatives of participating public agencies and
						employees of the Program.
2. The
						information required to be provided pursuant to subsection 1 must include,
						without limitation:
(a) Procedures, forms and
						instructions relating to enrollment and participation in the Program;
(b) Forms and instructions relating to
						enrollment through the Internet website of the Program; and
(c) A summary of the benefits available through
						the Program.
Nevada Administrative Code › Chapter 287 - Programs for Public Employees › GROUP INSURANCE › Participation in Public Employees' Benefits Program › Section 287.317 - Participating public agency to notify Program of appointment of persons eligible to participate in Program or of termination of appointment; enrollment

Current through June 11, 2024
1. A participating public agency shall notify
						the Program in a format prescribed by the Program upon:
(a) Appointing to the participating public
						agency a person who will be eligible to participate in the Program pursuant to
						NRS
						287.045, so the Program may provide the
						required information about the Program to the employee pursuant to NAC 287.314;
						or
(b) The termination of an
						appointment to the participating public agency, within 15 days after the
						employee's first or last day of employment with the participating public agency,
						as applicable.
Nevada Administrative Code › Chapter 287 - Programs for Public Employees › GROUP INSURANCE › Participation in Public Employees' Benefits Program › Section 287.318 - Enrollment forms: Required information (Repealed)

Current through June 11, 2024
Added to NAC by Bd. of
							Pub. Employees' Benefits Prog. by R089-05, eff. 6-28-2006; A by R109-12,
							12-20-2012;	R
				  by
				  R047-24A,
				  eff. 6/5/2024
NRS 287.0415, 287.043,
					 287.045
Nevada Administrative Code › Chapter 287 - Programs for Public Employees › GROUP INSURANCE › Participation in Public Employees' Benefits Program › Section 287.319 - Notification of change of address by participant to Program (Repealed)

Current through June 11, 2024
Added to NAC by Bd. of
							Pub. Employees' Benefits Prog. by R089-05, eff. 6-28-2006; A by R107-09,
							4-20-2010;	R
				  by
				  R047-24A,
				  eff. 6/5/2024
NRS 287.0415, 287.043,
					 287.045
Nevada Administrative Code › Chapter 287 - Programs for Public Employees › GROUP INSURANCE › Participation in Public Employees' Benefits Program › Section 287.320 - Withdrawal from Program: Procedure; termination of coverage; limitation on reentry; eligibility of certain officers and employees after exclusion of group; liability of Program

Current through June 11, 2024
1. A participating
						local governmental agency which intends to terminate its interlocal contract and
						withdraw from the Program must give a written notice to the Executive Officer of
						the Program at least 60 days before the date on which it intends to withdraw. The
						effective date of withdrawal is the last day of the month in which the 60-day
						period expires.
2. Effective November
						30, 2008, if a participating local governmental agency withdraws from the
						Program:
(a) Coverage provided for all active
						officers and employees of the local governmental agency terminates on the date on
						which the local governmental agency withdraws from the Program.
(b) Except for retired officers and employees
						who were enrolled in the Program on November 30, 2008, and continue their
						participation in the Program, coverage provided for all retired officers and
						employees of the local governmental agency terminates on the date on which the
						local governmental agency withdraws from the Program. If a retired officer or
						employee whose coverage by the Program terminates pursuant to this paragraph
						qualifies as a dependent of a participant, the termination of coverage pursuant
						to this paragraph is a qualifying status change for the retired officer or
						employee.
Nevada Administrative Code › Chapter 287 - Programs for Public Employees › GROUP INSURANCE › Option of Group to Leave Public Employees' Benefits Program › Section 287.355 - Procedure for applying to leave Program

Current through June 11, 2024
A group may apply to leave the Program in accordance with NRS
							NRS
							NRS
							287.0479 by:
1. Providing to the Executive Officer a letter
						of intent, which states the desire of the group to leave the Program entirely and
						forego all benefits of the Program; and
2. Submitting to the Board a completed
						application and 15 copies thereof.
Added to NAC by Bd. of
							Pub. Employees' Benefits Prog. by R097-03, eff.
							9-24-2003
NRS 287.043,
								287.0479
Nevada Administrative Code › Chapter 287 - Programs for Public Employees › GROUP INSURANCE › Option of Group to Leave Public Employees' Benefits Program › Section 287.357 - Application to leave Program: Contents

Current through June 11, 2024
An application to leave the Program must include, without
							limitation:
1. A copy of the plan of
						benefits to be offered under the proposed opt-out plan, including, without
						limitation, a description of:
(a) The benefits
						to be provided under the proposed opt-out plan;
(b) The manner for determining eligibility for
						benefits under the proposed opt-out plan; and
(c) The circumstances under which any
						participant in the proposed opt-out plan, including, without limitation, active
						and retired officers and employees, may lose coverage under the proposed opt-out
						plan.
Nevada Administrative Code › Chapter 287 - Programs for Public Employees › GROUP INSURANCE › Option of Group to Leave Public Employees' Benefits Program › Section 287.359 - Application to leave Program: Deadline for submission; duties of Board

Current through June 11, 2024
1. To apply to leave the Program, a group must
						submit an application to the Board on or before the first day of the 10th month
						before the proposed effective date of the departure of the group from the
						Program.
2. If additional information
						is required to process any application, the Board will notify the representative
						of the group who is designated pursuant to NAC 287.357.
3. The Board will provide an opportunity for:
(a) A representative of the Program to present
						arguments for or against the approval of an application.
(b) The representative of the group who is
						designated pursuant to NAC 287.357 to present arguments that support the approval
						of an application.
Nevada Administrative Code › Chapter 287 - Programs for Public Employees › GROUP INSURANCE › Option of Group to Leave Public Employees' Benefits Program › Section 287.361 - Application to leave Program: Considerations for approval or denial; basis for findings by Board

Current through June 11, 2024
1. In determining
						whether to approve or deny an application to leave the Program, the Board:
(a) Shall consider whether:
(1) The departure of the group from the Program
						would cause an increase of more than 5 percent in the costs of premiums or
						contributions for the remaining participants in the Program;
(2) The proposed opt-out plan is financially
						sound and operated pursuant to sound accounting and financial management
						practices;
(3) The proposed opt-out
						plan provides adequate benefits at the time of application that includes offering
						the same coverage to active officers and employees and retired officers and
						employees using rates based on the commingled experience of all active and
						retired participants; and
(4) The
						group applying to leave the Program, and the members thereof, meet the
						requirements set forth in subsection 3 of NRS
						NRS
						287.0479.
Nevada Administrative Code › Chapter 287 - Programs for Public Employees › GROUP INSURANCE › Option of Group to Leave Public Employees' Benefits Program › Section 287.363 - Approval of application by Board: Format and contents of decision; responsibilities of and noncompliance by group

Current through June 11, 2024
1. A decision of the
						Board to approve an application to leave the Program will be in writing and will
						include, without limitation, the effective date of departure of the group from
						the Program and the dates for completion of any administrative tasks necessary to
						effect the departure of the group.
2.
						If the Board approves the application of a group to leave the Program, the
						approval will be conditioned upon completion of the following actions:
(a) The group must submit to the Board a
						completed release and waiver of rights agreement, in a form acceptable to the
						Board, obtained from and signed by each member of the group.
(b) A contract, in a form acceptable to the
						Board, must be executed between the Program and the proposed opt-out plan of the
						group. The contract must set forth the terms of coverage for the group,
						provisions for the payment of premiums or contributions of participants to the
						opt-out plan and such other details necessary to effect departure of the group
						from the Program.
Nevada Administrative Code › Chapter 287 - Programs for Public Employees › GROUP INSURANCE › Option of Group to Leave Public Employees' Benefits Program › Section 287.365 - Denial of application by Board: Format and contents of decision

Current through June 11, 2024
A decision of the Board to deny an application of a group to
							leave the Program will be in writing and will include, without limitation:
1. The reasons of the Board for denying the
						application.
2. The findings of the
						Board on the mandatory criteria for review set forth in paragraph (a) of
						subsection 1 of NAC 287.361.
3. The
						findings of the Board on any of the optional criteria for review set forth in
						paragraph (b) of subsection 1 of NAC 287.361 that the Board considered in
						reaching its decision.
4. A statement
						that any data, information or report on which the Board relied to make its
						decision to deny the application is available to the group upon
						request.
Added to NAC by Bd. of
							Pub. Employees' Benefits Prog. by R097-03, eff. 9-24-2003; A by R089-05,
							6-28-2006
NRS 287.043,
								287.0479
Nevada Administrative Code › Chapter 287 - Programs for Public Employees › GROUP INSURANCE › Option of Group to Leave Public Employees' Benefits Program › Section 287.367 - Denial of application by Board: Procedure for reconsideration

Current through June 11, 2024
A group whose application to leave the Program has been denied
							by the Board may file a request for reconsideration with the Board not later than
							40 days after the denial. The request may include any additional information that
							the group determines is relevant to reconsideration. The Board will hold a
							reconsideration hearing and render its decision within 30 days after receiving
							the request.
Added to NAC by Bd. of
							Pub. Employees' Benefits Prog. by R097-03, eff.
							9-24-2003
NRS 287.043,
								287.0479
Nevada Administrative Code › Chapter 287 - Programs for Public Employees › GROUP INSURANCE › Option of Group to Leave Public Employees' Benefits Program › Section 287.368 - Denial of request for reconsideration: Appeal

Current through June 11, 2024
1. A
						group whose request for reconsideration with the Board has been denied pursuant
						to NAC 287.367 may file an appeal with the Hearings Division of the Department of
						Administration.
2. On the same date
						on which a group files an appeal with the Hearings Division pursuant to
						subsection 1, the group must provide a copy of the appeal to the Executive
						Officer. Within 30 days after the Executive Officer receives a copy of the
						appeal, the Executive Officer shall transmit to the Hearings Division a copy of:
(a) The decision of the Board to deny the
						application of a group to leave the Program that was prepared pursuant to NAC
						287.365; and
(b) The record from the
						hearing conducted pursuant to NAC 287.367.
Nevada Administrative Code › Chapter 287 - Programs for Public Employees › GROUP INSURANCE › Option of Group to Leave Public Employees' Benefits Program › Section 287.369 - Effective date of departure from Program; coverage by Program until departure

Current through June 11, 2024
1. The effective date of departure from the
						Program of a group whose application has been approved by the Board pursuant to
						NRS
						287.0479 is the first day of the plan year that
						is at least 120 days after the date on which the Board approves the
						application.
2. The Program shall
						provide coverage to participants in a group that has been approved by the Board
						to leave the Program until the effective date of departure of the group from the
						Program set forth in the decision of the Board approving the application of the
						group to leave the Program.
Added to NAC by Bd. of
							Pub. Employees' Benefits Prog. by R097-03, eff. 9-24-2003; A by R002-12,
							6-29-2012
NRS 287.043,
								287.0479
Nevada Administrative Code › Chapter 287 - Programs for Public Employees › GROUP INSURANCE › Option of Group to Leave Public Employees' Benefits Program › Section 287.371 - Eligibility of officer or employee to join opt-out plan; ineligibility of officer or employee to continue participation in opt-out plan

Current through June 11, 2024
1. If an
						officer or employee is eligible to join an opt-out plan at the commencement of
						his or her employment, the officer or employee must, upon commencing employment:
(a) Elect to join the opt-out plan;
						or
(b) Decline coverage under the
						opt-out plan.
Nevada Administrative Code › Chapter 287 - Programs for Public Employees › GROUP INSURANCE › Option of Group to Leave Public Employees' Benefits Program › Section 287.373 - Notification of Program regarding certain changes in status and court orders

Current through June 11, 2024
1. Within 15 calendar days after a change in
						the status of a participant in an opt-out plan that affects the rate of his or
						her premium or contribution, the opt-out plan shall notify the Program of that
						change in an electronic format acceptable to the Program.
2. If an officer or employee has declined
						participation in an opt-out plan, the officer or employee shall notify the
						Program within 60 days after the officer or employee has:
(a) Been ordered to obtain health insurance for
						his or her child pursuant to
						NRS
						31A.350; or
(b) A change in life status or the addition of
						a dependent that initiates eligibility for both the declined employee and any
						affected dependent.
Nevada Administrative Code › Chapter 287 - Programs for Public Employees › GROUP INSURANCE › Option of Group to Leave Public Employees' Benefits Program › Section 287.375 - Eligibility for coverage under opt-out plan: Administration of requirements by Program; compliance with determinations of Program

Current through June 11, 2024
1. The Program shall administer the
						requirements for eligibility for coverage set forth in this chapter and chapter
						287 of NRS for participants in opt-out plans, including, without limitation:
(a) Processing notice of termination, workers'
						compensation leave, military leave, family and medical leave and leave without
						pay and any related changes that affect coverage.
(b) Processing an order for an officer or
						employee to obtain health insurance for his or her child pursuant to NRS
						NRS
						31A.350.
Nevada Administrative Code › Chapter 287 - Programs for Public Employees › GROUP INSURANCE › Option of Group to Leave Public Employees' Benefits Program › Section 287.376 - Participation in Program by certain persons eligible for coverage under or participating in opt-out plan prohibited; exceptions

Current through June 11, 2024
1. A
						retired officer or employee, and any dependent thereof, who is eligible for
						coverage under an opt-out plan at the time of his or her retirement may not elect
						to participate in the Program unless the group which participates in the opt-out
						plan applies to reenter the Program pursuant to NAC 287.400.
2. When a participant in an opt-out plan
						becomes a survivor of a deceased officer or employee, the participant:
(a) May remain covered by the opt-out plan;
						and
(b) May not join the
						Program.
Nevada Administrative Code › Chapter 287 - Programs for Public Employees › GROUP INSURANCE › Option of Group to Leave Public Employees' Benefits Program › Section 287.379 - Options for coverage under opt-out plan: Annual notification of Program; effective period

Current through June 11, 2024
At least 90 days before the commencement of a new plan year of
							an opt-out plan, the opt-out plan shall notify the Program of the options for
							coverage that will be offered to participants in the opt-out plan during that
							plan year, including, without limitation, the schedules of the rates for premiums
							or contributions in accordance with the tiers of coverage established by the
							Program. Such options for coverage and schedules of rates must remain in effect
							throughout the entire new plan year.
Added to NAC by Bd. of
							Pub. Employees' Benefits Prog. by R097-03, eff.
							9-24-2003
NRS 287.043,
								287.0479
Nevada Administrative Code › Chapter 287 - Programs for Public Employees › GROUP INSURANCE › Option of Group to Leave Public Employees' Benefits Program › Section 287.381 - Premiums or contributions for participants in opt-out plans: General administrative duties of Program

Current through June 11, 2024
1. The Program shall
						maintain the rates for premiums or contributions for participants in each opt-out
						plan separately in its information system.
2. The Program shall calculate the State's
						share of the costs of premiums or contributions for participants in an opt-out
						plan pursuant to
						NRS
						287.046 in the same manner as for participants
						in the Program.
3. The difference
						between the amount of the premium or contribution of a participant in an opt-out
						plan and the amount paid by the State toward the premium or contribution of the
						participant pursuant to
						NRS
						287.046 must be assessed to the
						participant.
4. If the amount paid by
						the State toward the premium or contribution of a participant in an opt-out plan
						pursuant to
						NRS
						287.046 exceeds the amount of the premium or
						contribution for that participant, the Program shall retain the
						balance.
Added to NAC by Bd. of
							Pub. Employees' Benefits Prog. by R097-03, eff.
							9-24-2003
NRS 287.043,
								287.0479
Nevada Administrative Code › Chapter 287 - Programs for Public Employees › GROUP INSURANCE › Option of Group to Leave Public Employees' Benefits Program › Section 287.383 - Premiums or contributions for participants in opt-out plans: Requirements for billing

Current through June 11, 2024
The Program shall bill on a monthly basis:
1. Each payroll center that deducts and pays
						the premium or contribution for a participant in an opt-out plan from the salary
						or monthly retirement allowance, as applicable, of the participant for the amount
						of the premiums or contributions for such participants based on the schedule of
						rates for premiums or contributions for that opt-out plan.
2. Each participant in an opt-out plan that is
						responsible for the paying of his or her premium or contribution
						directly.
3. The Retired Employees'
						Group Insurance Budget Account in the State Retirees' Health and Welfare Benefits
						Fund created by
						NRS 287.0436 for
						the portion of the amount of the premiums or contributions for participants in an
						opt-out plan who retired from the service of the State that is paid by the State
						pursuant to subsection 2 of
						NRS
						287.046. The Program shall identify separately
						the portion of the amount billed to the State pursuant to this subsection that is
						attributable to participants in each opt-out plan.
4. The Active Employee Group Insurance Subsidy
						Account established pursuant to subsection 7 of
						NRS
						287.044 within the Agency Fund for the Payroll
						of the State created by
						NRS
						227.130 for the portion of the amount of the
						premiums or contributions for participants in an opt-out plan that is paid by the
						State pursuant to subsection 1 of
						NRS
						287.044. The Program shall identify separately
						the portion of the amount billed to the State pursuant to this subsection that is
						attributable to participants in each opt-out plan.
Added to NAC by Bd. of
							Pub. Employees' Benefits Prog. by R097-03, eff. 9-24-2003; A by R002-12,
							6-29-2012
NRS 287.043,
								287.0479
Nevada Administrative Code › Chapter 287 - Programs for Public Employees › GROUP INSURANCE › Option of Group to Leave Public Employees' Benefits Program › Section 287.385 - Premiums or contributions for participants in opt-out plans: Remittance or transfer of payments; nonpayment by participant

Current through June 11, 2024
1. A
						payroll center shall remit by the 25th of each month to the Program the amount of
						the premiums or contributions for participants in opt-out plans that is billed to
						the payroll center for that month by the Program pursuant to subsection 1 of NAC
						287.383. The payroll center shall identify separately the portion of each such
						payment to the Program that is attributable to participants in each opt-out
						plan.
2. A participant of an opt-out
						plan that is billed directly by the Program pursuant to subsection 2 of NAC
						287.383 for his or her premiums or contributions shall remit the amount of the
						premium or contribution within 30 days after he or she was billed.
3. The amount of the premiums or contributions
						for participants in an opt-out plan for which the Retired Employees' Group
						Insurance Budget Account is billed each month pursuant to subsection 3 of NAC
						287.383 must be transferred to the Program by the 25th day of each month, subject
						to adequate funding in that Account.
4. The amount of the premiums or contributions
						for participants in an opt-out plan for which the Active Employee Group Insurance
						Subsidy Account is billed each month pursuant to subsection 4 of NAC 287.383 must
						be transferred to the Program by the 25th day of each month, subject to adequate
						funding in that Account.
5. The
						Program shall notify an opt-out plan of the nonpayment of a premium or
						contribution by a participant in the opt-out plan who is billed by the Program
						for his or her premiums or contributions directly or through a payroll center.
						The Program shall not initiate termination of coverage of such a
						participant.
Added to NAC by Bd. of
							Pub. Employees' Benefits Prog. by R097-03, eff. 9-24-2003; A by R002-12,
							6-29-2012
NRS 287.043,
								287.0479
Nevada Administrative Code › Chapter 287 - Programs for Public Employees › GROUP INSURANCE › Option of Group to Leave Public Employees' Benefits Program › Section 287.386 - Liability of Program and opt-out plan for expense or claim of officer or employee or retired officer or employee, or dependent thereof

Current through June 11, 2024
1. The Program is not liable for any expense or
						claim of an officer or employee or retired officer or employee, or any dependent
						thereof, who is a member of a group that is covered by an opt-out plan if the
						expense or claim is incurred after the date on which the officer or employee or
						retired officer or employee becomes eligible for coverage by the opt-out
						plan.
2. An opt-out plan is not
						liable for any expense or claim of an officer or employee or retired officer or
						employee, or any dependent thereof, who is eligible for coverage by the Program
						if the expense or claim is incurred after the date on which the officer or
						employee or retired officer or employee becomes eligible for coverage by the
						Program.
Added to NAC by Bd. of
							Pub. Employees' Benefits Prog. by R002-12, eff.
							6-29-2012
NRS 287.043,
								287.0479
Nevada Administrative Code › Chapter 287 - Programs for Public Employees › GROUP INSURANCE › Option of Group to Leave Public Employees' Benefits Program › Section 287.387 - Administrative fee: Establishment by Program; calculation; notice

Current through June 11, 2024
1. To recoup the administrative costs incurred
						by the Program related to opt-out plans, the Program shall, for each fiscal year,
						establish a monthly per capita administrative fee to be charged to each opt-out
						plan for each participant in the opt-out plan.
2. The administrative fee charged to each
						opt-out plan each month pursuant to subsection 1 must be based on the number of
						participants in the opt-out plan during that month.
3. The per capita administrative fee must be
						calculated by:
(a) Subtracting from the amount
						of the annual budget of the Program:
(1)
						Consulting fees incurred by the Program for health benefits for participants in
						the Program;
(2) Fully insured costs
						of the Program;
(3) Administrative
						costs for the plan of self-insurance of the Program;
(4) Expenses for claims made by participants in
						the plan of self-insurance of the Program;
(5) Reserve expenses for the plan of
						self-insurance of the Program; and
(6) Any other costs incurred by the Program
						that the Program deems to be unrelated to participants in opt-out
						plans.
Nevada Administrative Code › Chapter 287 - Programs for Public Employees › GROUP INSURANCE › Option of Group to Leave Public Employees' Benefits Program › Section 287.389 - Duties of Program: Accounting for and remittance of payments; monthly reports

Current through June 11, 2024
1. The Program shall:
(a) Account for all payments for premiums or
						contributions for participants in opt-out plans that are actually received each
						month by the Program pursuant to NAC 287.385; and
(b) Remit all such payments monthly to the
						applicable opt-out plan less the amount of the monthly administrative fee charged
						to the opt-out plan by the Program pursuant to NAC 287.387.
Nevada Administrative Code › Chapter 287 - Programs for Public Employees › GROUP INSURANCE › Option of Group to Reenter Public Employees' Benefits Program › Section 287.400 - Procedure for applying to reenter Program

Current through June 11, 2024
A group that was approved to leave the Program pursuant to NRS
							NRS
							287.0479 may apply to reenter the Program by
							submitting to the Board a completed application on a form prescribed by the Board
							at least 90 days before the commencement of the plan year in which reentry is
							desired. The application must include, without limitation:
1. A nonrefundable application fee of $250.00,
						plus $2.25 per participant in the opt-out plan.
2. A nonrefundable fee to be deposited in the
						Fund for the Public Employees' Benefits Program created pursuant to
						NRS
						287.0435 for the purpose of funding the reserve
						maintained by the Program to stabilize rates. The Executive Officer or his or her
						designee shall calculate the amount of the nonrefundable fee by:
(a) Dividing the funded reserve maintained by
						the Program to stabilize rates on the date on which the application was submitted
						by the total number of participants in the Program on that date; and
(b) Multiplying the number determined pursuant
						to paragraph (a) by the total number of participants in the opt-out plan who will
						reenter the Program.
The fees or the first installment payment of the fees, if
							installment payments are authorized by the Program, must be paid by the effective
							date of reentry.
Nevada Administrative Code › Chapter 287 - Programs for Public Employees › GROUP INSURANCE › Payment of Premiums and Contributions; Coverage › Section 287.420 - Payment of premiums or contributions by public employer: Date due; penalty

Current through June 11, 2024
1. The total of the premiums or contributions
						which is billed by the Program and is owed by a public employer which:
(a) Employs an officer or employee;
(b) Is legally responsible for the surviving
						spouse or child of a police officer, firefighter or volunteer firefighter killed
						in the line of duty; or
(c) Pays a
						subsidy for any of its retired officers or employees, for the officer, employee,
						surviving spouse or child, or retired officer or employee who elects to
						participate in the Program and the respective premium or contribution, if any,
						which is deducted from his or her compensation must be received by the Program by
						the 25th of each month.
Nevada Administrative Code › Chapter 287 - Programs for Public Employees › GROUP INSURANCE › Payment of Premiums and Contributions; Coverage › Section 287.430 - Direct payment of premiums or contributions: Date due; cancellation of coverage

Current through June 11, 2024
A person, other than a person who elects to continue coverage
							pursuant to the Public Health Service Act,
							42
							U.S.C. §
										300bb-1(a),
							who:
1. Enrolls, reenrolls, joins or is
						continuing coverage in the Program; and
2. Is responsible for the payment of the
						premium or contribution for group insurance directly to the Program or an
						insurer, shall pay the premium or contribution to the Program or insurer, as
						appropriate, no later than the date which is 30 days after the due date of the
						payment, as determined by the Program. If the total amount of the premium or
						contribution is not received by that date, the coverage will be cancelled
						effective on the last day of the month that the coverage was fully paid unless
						the particular contract of coverage or insurance for which payment is being made
						otherwise provides.
Added to NAC by Com. on
							Group Ins., eff. 5-27-86; A 12-17-87; A by Com. on Benefits, 5-4-92; A by Bd. of
							Pub. Employees' Benefits Prog. by R126-00, 12-22-2000, eff. 1-1-2001; R154-03,
							3-22-2004; R089-05, 6-28-2006; R107-09, 4-20-2010
NRS 287.043,
								287.046
Nevada Administrative Code › Chapter 287 - Programs for Public Employees › GROUP INSURANCE › Payment of Premiums and Contributions; Coverage › Section 287.440 - Payment of premiums or contributions by retired officers and employees

Current through June 11, 2024
1. Except as otherwise provided in subsection
						2, retired officers and employees shall pay their premiums or contributions
						directly to the Program.
2. Retired
						officers and employees who receive a retirement benefit from the Public
						Employees' Retirement System shall pay their premiums or contributions to the
						Program through an automatic deduction from that benefit unless the:
(a) Retirement benefit is less than the premium
						or contribution; or
(b) Coverage of
						the retired officer or employee is provided through the Program by an individual
						medical care plan offered through an exchange to supplement Medicare.
Nevada Administrative Code › Chapter 287 - Programs for Public Employees › GROUP INSURANCE › Payment of Premiums and Contributions; Coverage › Section 287.450 - Employees on leave without pay: Payment of premiums or contributions; eligibility for coverage as dependent of participant; coverage upon return to work

Current through June 11, 2024
1. A participating public agency that employs
						an employee who is on leave without pay shall not pay any amount of the cost of
						premiums or contributions that is due the Program for group insurance for that
						employee unless the employee is compensated for a combination of work actually
						performed and accrued annual leave or sick leave, if the total is at least 80
						hours per month for each month that coverage or insurance is provided.
2. An employee who is on approved leave without
						pay:
(a) May continue coverage or insurance for
						himself or herself and any of his or her eligible dependents:
(1) If the amount of the paycheck of the
						employee is more than the cost of the premium or contribution, by having the cost
						of the premium or contribution deducted from his or her paycheck; or
(2) If the amount of the paycheck of the
						employee is less than the cost of the premium or contribution, by paying the cost
						of the premium or contribution directly to the Program.
Nevada Administrative Code › Chapter 287 - Programs for Public Employees › GROUP INSURANCE › Payment of Premiums and Contributions; Coverage › Section 287.460 - Officers and employees on leave because of injuries in course of employment: Payment of premiums or contributions; reports of change in status; coverage of dependents upon return to work

Current through June 11, 2024
1. An officer or
						employee of a participating public agency who:
(a) Is on leave because he or she was injured
						in the course of employment;
(b)
						Receives compensation for a temporary total disability pursuant to NRS
						NRS
						616C.475; and
(c) Was a participant in the Program at the
						time of the injury, may continue coverage or insurance for himself or herself and
						any of his or her eligible dependents by having the cost of the premium or
						contribution deducted from his or her paycheck if the amount of the paycheck is
						more than the cost of the premium or contribution or, if the amount of the
						paycheck is less than the cost of the premium or contribution, by paying the cost
						of the premium or contribution directly to the Program. The officer or employee
						shall report the change of status to the participating public agency that employs
						him or her when he or she takes leave and when he or she returns to work. Within
						15 days after notification of such a change of status by the officer or employee,
						the participating public agency shall report to the Program, on a form prescribed
						by the Program, the change of status of the officer or employee.
Nevada Administrative Code › Chapter 287 - Programs for Public Employees › GROUP INSURANCE › Payment of Premiums and Contributions; Coverage › Section 287.470 - Overpayment or underpayment of premiums or contributions

Current through June 11, 2024
1. The provisions of this section apply if an
						overpayment or underpayment of a premium or contribution occurs because of:
(a) A clerical error by the Program or a
						participating public agency;
(b) A
						change of coverage or a change in the working status of a participating officer
						or employee; or
(c) The failure of a
						participant to give timely notice that a dependent is ineligible for
						coverage.
Nevada Administrative Code › Chapter 287 - Programs for Public Employees › GROUP INSURANCE › Payment of Premiums and Contributions; Coverage › Section 287.485 - Subsidy for retired officer or employee: Report required to obtain subsidy; audit of service credit required; billing; commencement of payment; adjustment of amount of subsidy; assumption of liability for service credit earned

Current through June 11, 2024
1. To obtain a subsidy, a retired officer or
						employee who participates in the Program must report to the Program, on a form
						prescribed by the Program, each public employer with which he or she earned
						service credit and the period of service with each such public
						employer.
2. The Executive Officer or
						a designee thereof shall request an audit from the appropriate certifying agency
						to determine the initial date of hire of a retired officer or employee and the
						years and months of service credit earned by the retired officer or employee with
						each public employer of the retired officer or employee during the period of that
						employment. Such a request must be made within 14 days after the later of:
(a) The receipt of the report made to the
						Program pursuant to subsection 1; or
(b) The date of the retirement of the retired
						officer or employee.
Nevada Administrative Code › Chapter 287 - Programs for Public Employees › GROUP INSURANCE › Payment of Premiums and Contributions; Coverage › Section 287.490 - Subsidy for retired officer or employee: Calculation of amount of payment

Current through June 11, 2024
1. Except as otherwise provided in subsection 2
						and section 1, the amount of the subsidy that must be paid by each public
						employer with which a retired officer or employee was employed is calculated in
						the manner set forth in NRS
						NRS
						287.046.
2. Each public employer with which the retired
						officer or employee was employed shall pay an amount of the total subsidy for the
						retired officer or employee equal to the proportion that the service credit
						earned by the retired officer or employee with that public employer bears to the
						total service credit earned by the retired officer or employee with all public
						employers with which the retired officer or employee was employed. The amount of
						the total subsidy must be based on the cumulative total years and months of
						service by the retired officer or employer for all public employers with which
						the retired officer or employee was employed.
Added to NAC by Bd. of
							Pub. Employees' Benefits Prog. by R154-03, 3-22-2004, eff. 7-1-2004; A by
							R126-07, 1-30-2008; A by
							R013-15,
							eff. 10/27/2015
NRS 287.043,
								287.046
Nevada Administrative Code › Chapter 287 - Programs for Public Employees › GROUP INSURANCE › Payment of Premiums and Contributions; Coverage › Section 287.500 - Coverage of seasonal employees and biennial employees (Repealed)

Current through June 11, 2024
Added to NAC by Com. on
							Benefits, eff. 5-4-92; A by Bd. of Pub. Employees' Benefits Prog. by R126-00,
							12-22-2000, eff. 1-1-2001; R154-03, 3-22-2004; R089-05, 6-28-2006; R126-07,
							1-30-2008; R by
							R028-16A,
							eff. 9/9/2016
NRS 287.043,
								287.045
Nevada Administrative Code › Chapter 287 - Programs for Public Employees › GROUP INSURANCE › Payment of Premiums and Contributions; Coverage › Section 287.510 - Coverage of persons returning to work with previous employer within 1 year after leaving employment (Repealed)

Current through June 11, 2024
Added to NAC by Com. on
							Group Ins., eff. 5-27-86; A by Bd. of Pub. Employees' Benefits Prog. by R126-00,
							12-22-2000, eff. 1-1-2001; R154-03, 3-22-2004; R089-05, 6-28-2006; R126-07,
							1-30-2008;	R
				  by
				  R047-24A,
				  eff. 6/5/2024
NRS 287.0415, 287.043,
					 287.045
Nevada Administrative Code › Chapter 287 - Programs for Public Employees › GROUP INSURANCE › Payment of Premiums and Contributions; Coverage › Section 287.515 - Coverage of retired participants upon reemployment (Repealed)

Current through June 11, 2024
Added to NAC by Bd. of
							Pub. Employees' Benefits Prog. by R089-05, eff. 6-28-2006; A by R126-07,
							1-30-2008; R108-12, 12-20-2012; A by
							R028-16A,
							eff. 9/9/2016;	R
				  by
				  R047-24A,
				  eff. 6/5/2024
NRS 287.0415, 287.043,
					 287.045
Nevada Administrative Code › Chapter 287 - Programs for Public Employees › GROUP INSURANCE › Payment of Premiums and Contributions; Coverage › Section 287.520 - Coverage of person qualified as both employee and dependent; change of status from employee to dependent

Current through June 11, 2024
1. Except as
						otherwise provided in NAC 287.530, if a person qualifies to be covered by the
						Program as both an employee and a dependent, the person:
(a) If the person is a spouse or domestic
						partner:
(1) May be covered by the Program as an
						employee; and
(2) May not be covered
						by the Program as a dependent.
Nevada Administrative Code › Chapter 287 - Programs for Public Employees › GROUP INSURANCE › Payment of Premiums and Contributions; Coverage › Section 287.530 - Coverage of retired person, spouse, domestic partner or surviving dependent: Generally

Current through June 11, 2024
1. If the participant
						and his or her spouse or domestic partner are retired officers or employees who
						retired before July 1, 2004, and elect to participate in the Program, one may
						elect to be the dependent of the other. A spouse or a domestic partner who
						elected to be the dependent pursuant to this subsection may elect to become a
						primary insured during open enrollment. If the retired officer or employee
						designated as the primary insured dies, the spouse or domestic partner who
						elected to be the dependent becomes the primary insured.
2. A person who retires on or after July 1,
						2004, and who is eligible to participate in the Program as a primary insured may
						not elect to be a dependent of his or her spouse or domestic partner who is a
						primary insured in the Program.
3. A
						surviving spouse or domestic partner who:
(a)
						Retired before July 1, 2004;
(b) Is
						enrolled in the Program as a surviving dependent; and
(c) Is eligible to participate in the Program
						as a primary insured, may elect to change his or her status to retiree status
						during open enrollment. A person who chooses such an election pursuant to this
						subsection must meet the requirements of NAC 287.485 to be eligible for a
						subsidy.
Nevada Administrative Code › Chapter 287 - Programs for Public Employees › GROUP INSURANCE › Payment of Premiums and Contributions; Coverage › Section 287.540 - Coverage of participating employee of State who reenrolls upon retirement or total disability; coverage of nonparticipating employee of State

Current through June 11, 2024
1. A person who:
(a) At the time of retirement or total
						disability, was:
(1) Employed by a participating
						state agency; and
(2) A participant
						in the Program; and
Nevada Administrative Code › Chapter 287 - Programs for Public Employees › GROUP INSURANCE › Payment of Premiums and Contributions; Coverage › Section 287.542 - Coverage of participating employee of local governmental agency who retires on or before September 1, 2008, and reenrolls upon retirement or total disability

Current through June 11, 2024
1. A person who:
(a) Is a retired officer or employee on or
						before September 1, 2008;
(b) At the
						time of retirement or total disability, was:
(1) Employed by a participating local
						governmental agency; and
(2) A
						participant in the Program; and
(c) Within 60 days after the official date of
						retirement or total disability:
(1) Notifies the
						participating local governmental agency that employed him or her at the time of
						retirement or total disability of his or her intent to continue coverage in the
						Program; and
(2) Reenrolls in the
						Program, will have uninterrupted benefits and is not subject to any waiting
						period.
Nevada Administrative Code › Chapter 287 - Programs for Public Employees › GROUP INSURANCE › Payment of Premiums and Contributions; Coverage › Section 287.544 - Coverage of nonparticipating employee of local governmental agency who retires on or before September 1, 2008, and enrolls upon retirement or total disability

Current through June 11, 2024
1. A person who:
(a) Is a retired officer or employee on or
						before September 1, 2008;
(b) At the
						time of retirement or total disability:
(1) Was
						employed by a participating local governmental agency; and
(2) Was not a participant in the Program;
						and
(c) Within 60 days
						after the official date of retirement or total disability:
(1) Notifies the participating local
						governmental agency that employed him or her at the time of retirement or total
						disability of his or her intent to enroll in the Program; and
(2) Enrolls in the Program, is subject to a
						60-day waiting period.