reglab/statecodes huggingface dataset:
Nevada Administrative Code › Chapter 616B - Industrial Insurance: Insurers; Liability for Provision of Coverage › ASSOCIATIONS OF SELF-INSURED EMPLOYERS › Section 616B.540 - Required security deposit: Form; priority of payment in case of loss

Current through June 11, 2024
1. Except as otherwise provided in paragraph
			 (e) of subsection 1 of
			 NRS
			 616B.353, an association shall satisfy the
			 requirement to make a security deposit by depositing with the Commissioner:
(a) Cash .
(b) A savings certificate, certificate of
			 deposit or investment certificate. Any such savings certificate, certificate of
			 deposit or investment certificate must be from a financial institution that is
			 insured federally, made payable to the Commissioner and the association
			 .
(c) A surety bond, if it is
			 written by an insurer authorized and licensed to transact the business of
			 surety insurance in this State .
(d) A letter of credit that meets the
			 standards set forth in NAC
			 616B.543.
(e) Securities guaranteed by the full faith
			 and credit of the United States.
(f) Any combination of paragraphs (a) to (e),
			 inclusive.
Priority of payment in case of loss must be in the order stated
				in this subsection.
Nevada Administrative Code › Chapter 616B - Industrial Insurance: Insurers; Liability for Provision of Coverage › ASSOCIATIONS OF SELF-INSURED EMPLOYERS › Section 616B.543 - Required security deposit: Requirements for letter of credit

Current through June 11, 2024
1. A letter of credit deposited pursuant to
			 NAC 616B.540 must:
(a) Include a statement
			 that no document other than the demand for payment under the terms of the
			 letter is necessary for payment.
(b) Be irrevocable.
(c) Be valid for at least 1 year and
			 automatically renew for each following year unless written notice is given by
			 the issuer to the Commissioner and the association at least 90 days before the
			 date of renewal.
(d) Be issued by a
			 bank chartered by this State or a bank that is a member of the United States
			 Federal Reserve System and has been approved by the Commissioner.
(e) Include a statement that it is not
			 subject to any conditions or qualifications other than the terms stated in the
			 letter. The letter may be the individual obligation of the financial
			 institution issuing it, but must not be contingent upon the institution's
			 ability to perfect any lien or security interest. The letter must not contain
			 references to any other agreements, documents or persons.
(f) Include a statement that the obligation
			 of the financial institution under the letter is not contingent upon
			 reimbursement.
Nevada Administrative Code › Chapter 616B - Industrial Insurance: Insurers; Liability for Provision of Coverage › ASSOCIATIONS OF SELF-INSURED EMPLOYERS › Section 616B.546 - Required security deposit: Records; maintenance and review of lists of claims; costs of administration

Current through June 11, 2024
An association shall maintain such records as are necessary to
				document that it maintains an adequate amount for a security deposit pursuant
				to
				NRS
				616B.353. To determine the accuracy of the
				recorded and reported amounts for claim reserves, the association shall
				maintain and the Commissioner will review:
1. A list of open and closed claims, which
			 must include:
(a) The claimant's
			 name;
(b) The number assigned to
			 the claim;
(c) The date of the
			 injury;
(d) The status of the
			 claim, including whether it is open or closed;
(e) The total reserve amount for medical
			 costs and indemnity for each claim;
(f) The total amount paid for medical costs
			 and indemnity for each claim;
(g)
			 The total reserve balance for medical costs and indemnity for each
			 claim;
(h) The total incurred cost
			 of each claim;
(i) The total for
			 all claims of payments for medical costs and indemnity; and
(j) The total of reserve balances for all
			 open claims, including future liabilities for medical costs and
			 indemnity.
Nevada Administrative Code › Chapter 616B - Industrial Insurance: Insurers; Liability for Provision of Coverage › ASSOCIATIONS OF SELF-INSURED EMPLOYERS › Section 616B.549 - Deposit of bond by third-party administrator of association; maximum amount of bond; filing of statement regarding association's money

Current through June 11, 2024
1. Except as otherwise provided in subsection
			 2, a third-party administrator of an association shall deposit with the
			 Commissioner a bond in the amount of $1,000 for each $100,000, or portion
			 thereof, of the association's money which he or she will control in the next
			 calendar year, less the amount of any bond that he or she must file pursuant to
			 NRS
			 683A.0857. The Commissioner may require a
			 third-party administrator to increase the amount of the bond if there is an
			 increase in the amount of the association's money that he or she
			 controls.
2. The maximum bond
			 required pursuant to this section is $1,000,000.
3. On or before April 1 of each year, a
			 third-party administrator of an association shall file with the Commissioner a
			 statement of the actual amount of the association's money that he or she
			 controlled in the previous calendar year and the amount of the association's
			 money that he or she expects to control in the next calendar year.
Added to NAC by Comm'r
				of Insurance, eff. 3-22-96; A by R139-99,
				1-27-2000
NRS
				  616B.353,
				  616B.446,
				  679B.130
Nevada Administrative Code › Chapter 616B - Industrial Insurance: Insurers; Liability for Provision of Coverage › ASSOCIATIONS OF SELF-INSURED EMPLOYERS › Section 616B.552 - Deposit of bond by association's administrator; minimum and maximum amount of bond; filing of statement regarding association's money

Current through June 11, 2024
1. Except as otherwise provided in subsection
			 2, an association's administrator shall deposit with the Commissioner a bond in
			 the amount of $1,000 for each $100,000, or portion thereof, of the
			 association's money which he or she will control.
2. The minimum bond required pursuant to this
			 section is $100,000. The maximum bond required pursuant to this section is
			 $1,000,000.
3. On or before April 1
			 of each year, the association's administrator shall file with the Commissioner
			 a statement of the actual amount of the association's money that he or she
			 controlled in the previous calendar year and the amount of the association's
			 money that he or she expects to control in the next calendar year.
Added to NAC by Comm'r
				of Insurance, eff. 3-22-96; A by R139-99,
				1-27-2000
NRS
				  616B.353,
				  616B.446,
				  679B.130
Nevada Administrative Code › Chapter 616B - Industrial Insurance: Insurers; Liability for Provision of Coverage › ASSOCIATIONS OF SELF-INSURED EMPLOYERS › Section 616B.555 - Financial statement by each member: Submission; inspection; exception

Current through June 11, 2024
1. Except as otherwise provided in subsection
			 3, each approved member of an association shall, within 120 days after the
			 close of the fiscal year of the member, submit to the association's
			 administrator or an independent certified public accountant who has been
			 designated by the board of trustees of the association a financial statement
			 for the member which:
(a) Has been prepared by
			 a certified public accountant in accordance with generally accepted accounting
			 principles of the United States; and
(b) Is stated in United States
			 dollars.
Nevada Administrative Code › Chapter 616B - Industrial Insurance: Insurers; Liability for Provision of Coverage › ASSOCIATIONS OF SELF-INSURED EMPLOYERS › Section 616B.558 - Administration of program of self-insurance by association

Current through June 11, 2024
1. An association shall at all times maintain
			 adequate resources for the administration of its program of self-insurance.
			 After the program is established, the adequacy of the association's resources
			 and standards of performance for the program will be evaluated by the
			 Commissioner and the Administrator, or a representative of either of them, on
			 the basis of:
(a) The association's
			 promptness in filing reports of accidents and occupational disease;
(b) The association's promptness in making
			 first payments in cases of uncontested claims;
(c) The percentage of contested
			 claims;
(d) The number of injured
			 employees who are reemployed or rehabilitated; and
(e) The delay between the termination of
			 compensation for temporary disabilities and the payment of compensation for
			 permanent partial disabilities.
Nevada Administrative Code › Chapter 616B - Industrial Insurance: Insurers; Liability for Provision of Coverage › ASSOCIATIONS OF SELF-INSURED EMPLOYERS › Section 616B.564 - Annual report: Filing; signature; failure to file

Current through June 11, 2024
1. As a condition to the continuance of its
			 certification, an association must file, on forms supplied by the Commissioner,
			 a report on claims filed with the association in the previous fiscal
			 year.
2. The annual report on
			 claims must be filed on or before September 30 of each year, or within an
			 additional time allowed by the Commissioner.
3. Unless otherwise approved by the
			 Commissioner, the annual report on claims must be signed by the third-party
			 administrator of the association, the association's administrator and by an
			 authorized member of its board of trustees.
4. An association will be assessed an
			 administrative fine of $50 for each day in which it has failed to file the
			 annual report on claims.
5. The
			 Commissioner may require an association to submit quarterly reports on claims
			 in addition to the annual report on claims.
Added to NAC by Comm'r
				of Insurance, eff. 3-22-96
NRS 616B.446,
				  679B.130
Nevada Administrative Code › Chapter 616B - Industrial Insurance: Insurers; Liability for Provision of Coverage › ASSOCIATIONS OF SELF-INSURED EMPLOYERS › Section 616B.567 - Report and evaluation of estimated expenditures for claims in annual report; calculation of reserve for reopened claims

Current through June 11, 2024
1. An
			 association shall calculate the estimated expenditure for each claim reported
			 in the annual report on claims. The estimated expenditure for a claim is the
			 total liability attributable to the industrial accident or occupational
			 disease, including the total amount of money disbursed as benefits for the
			 claim, and the estimated additional cost, including future costs actually and
			 potentially due, which may result from the settlement of a claim, regardless of
			 when it will be paid.
2. The
			 Commissioner may revise an estimated expenditure for a claim which he or she
			 determines is inaccurate or inadequate. A revision will be made only after the
			 association has been notified in writing and given an opportunity to object to
			 the revision.
3. A reserve for
			 reopened claims will be calculated by the Division of Insurance based upon a
			 percentage of the actual expenses paid on all closed claims. The percentage
			 will be based upon the following sliding scale according to the number of
			 uninterrupted years the association has been in a program of self-insurance:
(a) Inception to 5 years in the program, 3
			 percent;
(b) Six to 10 years in the
			 program, 2 percent;
(c) Eleven to
			 15 years in the program, 1 percent; and
(d) More than 15 years in the program, 0.5
			 percent.
Nevada Administrative Code › Chapter 616B - Industrial Insurance: Insurers; Liability for Provision of Coverage › ASSOCIATIONS OF SELF-INSURED EMPLOYERS › Section 616B.570 - Submission of reports regarding certain injuries and diseases, fatalities and hospitalization (Repealed)

Current through June 11, 2024
Added to NAC by Comm'r
				of Insurance, eff. 3-22-96; A by R112-04, 8-25-2004; R by
				R095-17AP,
				eff. 2/27/2018
NRS
				616B.300 and
				679B.130
Nevada Administrative Code › Chapter 616B - Industrial Insurance: Insurers; Liability for Provision of Coverage › ASSOCIATIONS OF SELF-INSURED EMPLOYERS › Section 616B.572 - Purchase of annuity for payment of claim

Current through June 11, 2024
1. Except as
			 otherwise provided in subsection 11, an association may purchase an annuity
			 payable to an employee who has filed a claim pursuant to chapters 616A to 617,
			 inclusive, of NRS, or to the employee's beneficiary, for the compensation owed
			 to the employee as a result of an industrial injury or occupational disease,
			 except accident benefits, if:
(a) The annuity
			 is purchased from an insurer authorized to do business in this State;
(b) The employee or the beneficiary is the
			 annuitant and all payments made pursuant to the annuity will be made directly
			 to the employee or the beneficiary; and
(c) The purchase of the annuity by the
			 association on behalf of the employee is made to provide compensation owed to
			 the employee or the beneficiary pursuant to chapters 616A to 617, inclusive, of
			 NRS.
Nevada Administrative Code › Chapter 616B - Industrial Insurance: Insurers; Liability for Provision of Coverage › ASSOCIATIONS OF SELF-INSURED EMPLOYERS › Section 616B.573 - Payment of claim with immediately negotiable instrument

Current through June 11, 2024
1. An association shall issue all payments
			 for claims, including payments made pursuant to an annuity, on instruments that
			 are immediately negotiable in this State pursuant to
			 NRS
			 687B.255.
2. The Commissioner may withdraw the
			 certification of an association that does not comply with subsection
			 1.
Added to NAC by Comm'r
				of Insurance, eff. 3-22-96; A 11-1-96
NRS 616B.446,
				  679B.130
Nevada Administrative Code › Chapter 616B - Industrial Insurance: Insurers; Liability for Provision of Coverage › ASSOCIATIONS OF SELF-INSURED EMPLOYERS › Section 616B.575 - Withdrawal of certificate: Continuing jurisdiction; reports; audits

Current through June 11, 2024
1. After the withdrawal of a certificate, the
			 Commissioner and Administrator retain jurisdiction over injuries sustained
			 during the period of self-insurance until all liabilities and all
			 responsibilities have terminated.
2. The Commissioner and Administrator will
			 require an association whose certificate has been withdrawn to provide any
			 necessary reports setting forth the status of all compensable cases which
			 remain open.
3. The Commissioner
			 and Administrator will audit the compensable claims of an association whose
			 certificate has been withdrawn, and the members of the association shall pay
			 the expenses incurred by the Commissioner and Administrator, or a
			 representative of either of them, in conducting the audits.
Added to NAC by Div. of
				Industrial Relations by R112-98, eff. 12-18-98
NRS
				  616A.400
Nevada Administrative Code › Chapter 616B - Industrial Insurance: Insurers; Liability for Provision of Coverage › ASSOCIATIONS OF SELF-INSURED EMPLOYERS › Section 616B.576 - Account for Insolvent Associations: Annual assessment; notification by mail; exceptions

Current through June 11, 2024
1. Except as
			 otherwise provided in subsection 3, an association shall pay to the
			 Commissioner for deposit in the Account for Insolvent Associations of
			 Self-Insured Public or Private Employers an annual assessment equal to 0.5
			 percent of the amount of the security that it is required to have on deposit
			 pursuant to
			 NRS
			 616B.353 on June 30 next preceding the date
			 on which the assessment is due.
2.
			 At least 20 days before the assessment is due, the Commissioner will provide to
			 each association a notice of its obligation to pay the assessment pursuant to
			 subsection 1. The notice will include:
(a) The
			 amount of money the association must pay; and
(b) The date on which the assessment is
			 due.
Nevada Administrative Code › Chapter 616B - Industrial Insurance: Insurers; Liability for Provision of Coverage › ASSOCIATIONS OF SELF-INSURED EMPLOYERS › Section 616B.579 - Account for Insolvent Associations: Additional assessment; notification by mail; failure to pay; exception

Current through June 11, 2024
1. Except as
			 otherwise provided in subsection 4, if the Commissioner determines that the
			 balance in the Account for Insolvent Associations of Self-Insured Public or
			 Private Employers is not sufficient to pay compensation that is due pursuant to
			 chapters 616A to 617, inclusive, of NRS on behalf of an insolvent association
			 or if an insolvent association or its surety fails to reimburse the Account
			 pursuant to NAC 616B.582, the Commissioner will collect an additional
			 assessment from all certified associations. The additional assessment will be
			 in an amount calculated to pay all compensation that is due pursuant to
			 chapters 616A to 617, inclusive, of NRS or to reimburse the Account for
			 Insolvent Associations of Self-Insured Public or Private Employers.
2. At least 20 days before the additional
			 assessment is due, the Commissioner will notify each association, by regular
			 mail, of its obligation to pay the additional assessment pursuant to subsection
			 1. The notice will include:
(a) The amount of
			 money the association must pay; and
(b) The date on which the additional
			 assessment is due.
Nevada Administrative Code › Chapter 616B - Industrial Insurance: Insurers; Liability for Provision of Coverage › ASSOCIATIONS OF SELF-INSURED EMPLOYERS › Section 616B.582 - Account for Insolvent Associations: Use; reimbursement by association

Current through June 11, 2024
1. If an association fails to pay any
			 compensation due under chapters 616A to 617, inclusive, of NRS because it is
			 insolvent, the Commissioner may use the money in the Account for Insolvent
			 Associations of Self-Insured Public or Private Employers to:
(a) Pay the compensation that is due;
			 or
(b) Retain experts and
			 administrators to assume, under the direction of the Commissioner, the
			 responsibility for the administration of the claim and the payment of the
			 compensation that is due.
Nevada Administrative Code › Chapter 616B - Industrial Insurance: Insurers; Liability for Provision of Coverage › ASSOCIATIONS OF SELF-INSURED EMPLOYERS › Section 616B.588 - Submission of reports and financial statements

Current through June 11, 2024
1.
			 During its first 2 years of operation, an association shall submit to the
			 Commissioner a quarterly report concerning the losses of the association. The
			 report must contain a statement of the number of open claims, the amount of
			 reserves established for the medical and indemnity payments on the open claims,
			 the amount paid to date for medical and indemnity payments on the open claims,
			 the number of closed claims and the actual amounts paid for medical and
			 indemnity payments on the closed claims. After an association has completed 2
			 years of operation, it shall submit the reports on a semiannual
			 basis.
2. During its first 2 years
			 of operation, an association shall submit a quarterly financial statement
			 concerning the association. After an association has completed 2 years of
			 operation, it shall submit the reports on a semiannual basis.
Added to NAC by Comm'r
				of Insurance, eff. 3-22-96
NRS
				  616B.404,
				  616B.446,
				  679B.130
Nevada Administrative Code › Chapter 616B - Industrial Insurance: Insurers; Liability for Provision of Coverage › ASSOCIATIONS OF SELF-INSURED EMPLOYERS › Section 616B.591 - Examinations and audits

Current through June 11, 2024
The Commissioner may contract with a person to conduct the
				examinations and audits of associations required by
				NRS
				616B.395 and
				616B.410,
				respectively. The person appointed shall conduct the examinations and audits in
				accordance with the provisions of the
Financial Examiners
				Handbook
published by the National Association of Insurance
				Commissioners and may consult additional resources as needed, but in case of
				conflict shall follow the provisions of the
Financial Examiners
				Handbook
.
Added to NAC by Comm'r
				of Insurance, eff. 3-22-96
NRS
				  616B.395,
				  616B.410,
				  616B.446,
				  679B.130
Nevada Administrative Code › Chapter 616B - Industrial Insurance: Insurers; Liability for Provision of Coverage › ASSOCIATIONS OF SELF-INSURED EMPLOYERS › Section 616B.594 - Calculation of annual assessment paid by each member of association

Current through June 11, 2024
If an association has received approval from the Commissioner
				pursuant to subsection 2 of
				NRS
				616B.407 to calculate the annual assessment
				required to be paid by each member of the association, it may use the rates and
				classifications, including experience modification factors, established by the
				advisory organization.
Added to NAC by Comm'r
				of Insurance, eff. 3-22-96; A by R139-99,
				1-27-2000
NRS
				  616B.353,
				  616B.407,
				  616B.446,
				  679B.130
Nevada Administrative Code › Chapter 616B - Industrial Insurance: Insurers; Liability for Provision of Coverage › ASSOCIATIONS OF SELF-INSURED EMPLOYERS › Section 616B.597 - Responsibilities of board of trustees; financial condition of association; financial condition of member

Current through June 11, 2024
In the performance of their duties, the members of the board of
				trustees of an association are fiduciaries to the association and are
				responsible for communicating all information regarding the association to its
				members, including, without limitation, the financial condition of the
				association and the loss experience of the members of the association. The
				board of trustees shall not withhold material information concerning losses or
				material information concerning the financial condition of the association from
				the members of the association and shall promptly disclose such information to
				any member upon request. If the financial condition of a member fails to comply
				with the financial requirements established by law, the bylaws of the
				association or the underwriting plan of the association, the association must
				immediately disclose such fact to the other members.
Added to NAC by Comm'r
				of Insurance, eff. 3-22-96
NRS
				  616B.365,
				  616B.446,
				  679B.130
Nevada Administrative Code › Chapter 616B - Industrial Insurance: Insurers; Liability for Provision of Coverage › ASSOCIATIONS OF SELF-INSURED EMPLOYERS › Section 616B.598 - Requests for approval of declaration of dividend and for approval of distribution of dividend

Current through June 11, 2024
1. An association
			 must submit a request for approval of a declaration of a dividend to the
			 Commissioner not less than 30 days before the proposed date of the declaration
			 of the dividend.
2. An association
			 must submit a request for approval of a distribution of a dividend to the
			 Commissioner not less than 30 days before the proposed date of the distribution
			 of the dividend.
3. A request for
			 approval of a distribution of a dividend submitted by an association pursuant
			 to subsection 2 must include:
(a) An actuarial
			 analysis of loss reserves that was prepared by a member of the American Academy
			 of Actuaries not more than 90 days before the date that the request is
			 submitted pursuant to subsection 2;
(b) An analysis of the assets and obligations
			 of the association by fund year that was prepared by the association on a form
			 approved by the Commissioner and includes a detail of the unrealized gains and
			 losses of the association;
(c) The
			 proposed date of the distribution of the dividend;
(d) The amount of the dividend by fund
			 year;
(e) A copy of the most recent
			 financial statements of the association;
(f) Any other information or report that the
			 Commissioner determines to be necessary to evaluate the request; and
(g) If an association has a deficit in any
			 fund year, a plan for making up the deficit of the association that meets the
			 requirements of
			 NRS
			 616B.422.
Nevada Administrative Code › Chapter 616B - Industrial Insurance: Insurers; Liability for Provision of Coverage › ASSOCIATIONS OF SELF-INSURED EMPLOYERS › Section 616B.600 - Insolvency of association

Current through June 11, 2024
If an association is deemed to be insolvent pursuant to
				NRS
				616B.422, the Commissioner may:
1. Invoke the provisions of the indemnity
			 agreement executed by each member of the association;
2. Use the security deposit of the
			 association;
3. Use any solvency
			 bonds deposited with him or her by or on behalf of the association;
			 and
4. Use the Account for
			 Insolvent Associations of Self-Insured Public or Private Employers,
to pay claims and related expenses.
Added to NAC by Comm'r
				of Insurance, eff. 3-22-96; A by R139-99,
				1-27-2000
NRS
				  616B.422,
				  616B.443,
				  616B.446,
				  679B.130
Nevada Administrative Code › Chapter 616B - Industrial Insurance: Insurers; Liability for Provision of Coverage › ASSOCIATIONS OF SELF-INSURED EMPLOYERS › Section 616B.603 - Determination and consideration of loss ratio

Current through June 11, 2024
Except as otherwise provided in this section, an employer with
				a loss ratio of 115 percent or higher under any program or contract of
				insurance for workers' compensation may not join an association. The
				Commissioner may allow an employer with a loss ratio higher than 115 percent to
				join an association if the employer demonstrates to the Commissioner that its
				loss ratio is the result of an unusual circumstance, such as a single loss, a
				claim that should have been subrogated or a claim that should have been
				submitted to a Subsequent Injury Account. The Commissioner will determine the
				loss ratio of a prospective member of an association by taking the average of
				the loss ratios of the prospective member for the 3 most recent fiscal years
				ending not less than 1 year before the date of application by the prospective
				member.
Added to NAC by Comm'r
				of Insurance, eff. 3-22-96; A by Div. of Industrial Relations by R112-98,
				12-18-98
NRS
				  616A.400,
				  616B.386,
				  616B.446,
				  679B.130
Nevada Administrative Code › Chapter 616B - Industrial Insurance: Insurers; Liability for Provision of Coverage › ASSOCIATIONS OF SELF-INSURED EMPLOYERS › Section 616B.606 - Adoption of certain publications by reference (Repealed)

Current through June 11, 2024
Added to NAC by Comm'r
				of Insurance, eff. 3-22-96; A by R063-06, 6-28-2006; R by
				R095-17AP,
				eff. 2/27/2018
NRS
				616B.300 and
				679B.130
Nevada Administrative Code › Chapter 616B - Industrial Insurance: Insurers; Liability for Provision of Coverage › ASSOCIATIONS OF SELF-INSURED EMPLOYERS › Section 616B.609 - Audited statement of financial condition of association; exhibits and schedules

Current through June 11, 2024
The audited statement of the financial condition of an
				association required by
				NRS
				616B.404 must be:
1. Prepared in accordance with generally
			 accepted accounting principles of the United States, stated in United States
			 dollars, and must contain the footnotes and opinions of the independent
			 certified public accountant who prepared it.
2. Accompanied by a statement, prepared by
			 the independent certified public accountant who prepared the audited statement,
			 certifying that the combined tangible net worth of all members of the
			 association satisfies the requirements of
			 NRS
			 616B.353 and that all members meet the
			 financial requirements for membership that are established by law, the bylaws
			 of the association or the underwriting plan of the association.
Added to NAC by Comm'r
				of Insurance, eff. 3-22-96; A by R112-04, 8-25-2004; R031-12, 9-14-2012; A by
				R095-17AP,
				eff. 2/27/2018
NRS
				616B.404,
				616B.446 and
				679B.130
Nevada Administrative Code › Chapter 616B - Industrial Insurance: Insurers; Liability for Provision of Coverage › ASSOCIATIONS OF SELF-INSURED EMPLOYERS › Section 616B.610 - Determination of combined net cash flows of all members

Current through June 11, 2024
For the purpose of determining combined net cash flows pursuant
				to paragraph (b) of subsection 2 of
				NRS
				616B.353, subparagraph (2) of paragraph (b)
				of subsection 5 of
				NRS
				616B.386, or subparagraph (2) of paragraph
				(b) of subsection 6 of
				NRS
				616B.386, an association of self-insured
				private employers shall submit to the Commissioner:
1. Copies of the association's last three
			 audited statements of financial condition submitted pursuant to
			 NRS
			 616B.404; and
2. Any additional information or documents
			 requested in writing by the Commissioner.
Added to NAC by Comm'r
				of Insurance by R119-07, eff. 12-4-2007
NRS
				  616B.353,
				  616B.386,
				  616B.446,
				  679B.130
Nevada Administrative Code › Chapter 616B - Industrial Insurance: Insurers; Liability for Provision of Coverage › ASSOCIATIONS OF SELF-INSURED EMPLOYERS › Section 616B.612 - Contents of bylaws of association

Current through June 11, 2024
The bylaws of an association must provide:
1. For review by the board of trustees, at
			 least annually, of the financial condition of each member of the
			 association;
2. For prompt
			 notification to all members if the board of trustees has determined that any
			 member is operating in a hazardous financial condition;
3. For review by the members, at least
			 annually, of the loss experience of each member of the association;
			 and
4. A plan for the cancellation
			 of membership, pursuant to subsection 9 of
			 NRS
			 616B.386, of members who have an excessive
			 loss experience or who have been deemed by the board of trustees to be
			 operating in a hazardous financial condition.
Added to NAC by Comm'r
				of Insurance, eff. 3-22-96
NRS 616B.446,
				  679B.130
Nevada Administrative Code › Chapter 616B - Industrial Insurance: Insurers; Liability for Provision of Coverage › PRIVATE CARRIERS › Section 616B.620 - Policy of industrial insurance: Approval and modification of forms

Current through June 11, 2024
1. Except as otherwise provided in subsection
			 2, an insurer shall file with the Commissioner for approval each form for a
			 policy of industrial insurance that the insurer intends to use and any
			 modification to such a form. If the Commissioner does not disapprove a form or
			 a modification to a form within 60 days after it has been filed, the form or
			 modification to the form shall be deemed approved.
2. An insurer may modify a form for a policy
			 of industrial insurance without filing the modified form with the Commissioner
			 pursuant to subsection 1 if:
(a) The insurer
			 uses a form for a policy of industrial insurance that was filed by the Advisory
			 Organization pursuant to
			 NRS 686B.1765 and approved
			 by the Commissioner;
(b) The
			 modification to the form and any use of the form are consistent with the manual
			 of rules that was filed by the Advisory Organization pursuant to
			 NRS 686B.1765 and approved
			 by the Commissioner; and
(c) The
			 modification is limited to:
(1) The inclusion
			 of the name or logo of the insurer on the form; or
(2) The format of the form, including,
			 without limitation, the size of the type used on the form.
Nevada Administrative Code › Chapter 616B - Industrial Insurance: Insurers; Liability for Provision of Coverage › PRIVATE CARRIERS › Section 616B.622 - Policy of industrial insurance: Use of policy

Current through June 11, 2024
Each private carrier shall use the basic policy of industrial
				insurance prescribed by the Commissioner pursuant to
				NRS
				616B.030.
Added to NAC by Comm'r
				of Insurance by R111-98, 3-12-99, eff. 7-1-99
NRS
				  616B.030,
				  679B.130
Nevada Administrative Code › Chapter 616B - Industrial Insurance: Insurers; Liability for Provision of Coverage › PRIVATE CARRIERS › Section 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

Current through June 11, 2024
1. To determine the
			 unearned premium that must be returned to an employer or the earned premium
			 that must be paid to the insurer, as appropriate, when a policy of industrial
			 insurance is cancelled before the anniversary date of the policy or written for
			 a term of less than 12 months:
(a) The
			 limitation of $36,000 established pursuant to
			 NRS
			 616B.222 on the amount an employee is deemed
			 to have received for services performed during the year in which a policy of
			 industrial insurance is effective shall be deemed to be earned by that employee
			 in increments of $3,000 per month and, if the policy includes a period of less
			 than a month, in daily increments of an amount that represents a proportionate
			 distribution of $3,000 over a month.
(b) Payment that is not received by an
			 employee in even increments throughout the year in which the policy is
			 effective shall be deemed to be paid in accordance with the rating rule for
			 bonuses filed by the advisory organization with the Commissioner pursuant to
			 NRS
			 686B.177.
Nevada Administrative Code › Chapter 616B - Industrial Insurance: Insurers; Liability for Provision of Coverage › PRIVATE CARRIERS › Section 616B.624 - Approval of organization or association of employers as group

Current through June 11, 2024
1. Except as otherwise provided in subsection
			 2, to obtain approval as an organization or association of employers as a group
			 pursuant to
			 NRS
			 616B.036, the organization or association
			 must file with the Commissioner or a designated representative thereof:
(a) A copy of the agreement of the
			 organization or association which has been certified by the custodian of the
			 original agreement; and
(b) A
			 written statement from the organization or association that describes the
			 safety committee that the organization or association will establish and
			 maintain to reduce the incidence and severity of accidents by carrying out a
			 program to control losses and provide information on the prevention of
			 accidents.
Nevada Administrative Code › Chapter 616B - Industrial Insurance: Insurers; Liability for Provision of Coverage › PRIVATE CARRIERS › Section 616B.626 - Combining experience for certain purposes

Current through June 11, 2024
A private carrier may combine the experience of the members of
				an organization or association of employers as a group for which the private
				carrier provides industrial insurance for the purposes of:
1. Paying dividends to the members;
			 or
2. Determining premiums pursuant
			 to a plan for retrospective rating if the plan has been filed with and approved
			 by the Commissioner.
Added to NAC by Comm'r
				of Insurance by R111-98, 3-12-99, eff. 7-1-99
NRS
				  679B.130
Nevada Administrative Code › Chapter 616B - Industrial Insurance: Insurers; Liability for Provision of Coverage › ASSESSMENTS › Section 616B.680 - Definitions

Current through June 11, 2024
As used in NAC 616B.680 to 616B.740, inclusive, unless the
				context otherwise requires, the words and terms defined in NAC 616B.683 to
				616B.698, inclusive, have the meanings ascribed to them in those
				sections.
Supplied in
				codification; A by Dep't of Industrial Relations, 7-29-87; 8-30-91; A by Div.
				of Industrial Relations by R096-99, 11-29-99
NRS
				  232.680,
				  616A.400
Nevada Administrative Code › Chapter 616B - Industrial Insurance: Insurers; Liability for Provision of Coverage › ASSESSMENTS › Section 616B.683 - "Annual disbursements" defined

Current through June 11, 2024
"Annual disbursements" means the sum of all payments for
				compensation made in a fiscal year from:
1. The Uninsured Employers' Claim Account;
			 and
2. The Subsequent Injury
			 Accounts.
Added to NAC by Dep't of
				Industrial Relations, eff. 8-26-83; A by Div. of Industrial Relations by
				R112-98, 12-18-98
NRS
				  232.680,
				  616A.400
Nevada Administrative Code › Chapter 616B - Industrial Insurance: Insurers; Liability for Provision of Coverage › ASSESSMENTS › Section 616B.686 - "Annual expenditures for claims" defined

Current through June 11, 2024
"Annual expenditures for claims" means:
1. For assessments for fiscal years before
			 fiscal year 1999-2000, the total amount of money actually paid for compensation
			 in a fiscal year, including those costs of claims covered under a policy of
			 reinsurance or a policy of excess insurance, by or on behalf of an insurer
			 pursuant to chapters 616A to 617, inclusive, of NRS, reduced by any amount
			 received from subrogation and reimbursement from the Subsequent Injury Account
			 of the insurer.
2. For assessments
			 for fiscal year 1999-2000 and for each subsequent fiscal year, the total amount
			 of money actually paid for compensation in a fiscal year for injuries occurring
			 on or after July 1, 1999, including those costs of claims covered under a
			 policy of reinsurance or a policy of excess insurance, by an insurer or its
			 third-party administrator pursuant to chapters 616A to 617, inclusive, of NRS,
			 reduced by any amount received from:
(a)
			 Subrogation;
(b) Reimbursement from
			 the Subsequent Injury Account of the insurer;
(c) Reimbursement for increases in
			 compensation for a permanent total disability pursuant to
			 NRS
			 616C.266; and
(d) Reimbursement from the Fund for Workers'
			 Compensation and Safety for increases in death benefits pursuant to
			 NRS
			 616C.268.
Nevada Administrative Code › Chapter 616B - Industrial Insurance: Insurers; Liability for Provision of Coverage › ASSESSMENTS › Section 616B.689 - "Expected annual disbursements" defined

Current through June 11, 2024
"Expected annual disbursements" means an estimate of the sum of
				all payments to be made for compensation in a fiscal year from:
1. The Uninsured Employers' Claim Account;
			 and
2. The Subsequent Injury
			 Accounts.
Added to NAC by Dep't of
				Industrial Relations, eff. 8-26-83; A by Div. of Industrial Relations by
				R112-98, 12-18-98
NRS
				  232.680,
				  616A.400
Nevada Administrative Code › Chapter 616B - Industrial Insurance: Insurers; Liability for Provision of Coverage › ASSESSMENTS › Section 616B.692 - "Expected annual expenditures for claims" defined

Current through June 11, 2024
"Expected annual expenditures for claims" means an estimate of
				the total amount of money to be paid for compensation in a fiscal year for
				injuries occurring on or after July 1, 1999, including those costs of claims
				covered under a policy of reinsurance or a policy of excess insurance, by an
				insurer or its third-party administrator pursuant to chapters 616A to 617,
				inclusive, of NRS.
Added to NAC by Dep't of
				Industrial Relations, eff. 8-26-83; A by Div. of Industrial Relations by
				R096-99, 11-29-99
NRS
				  232.680,
				  616A.400
Nevada Administrative Code › Chapter 616B - Industrial Insurance: Insurers; Liability for Provision of Coverage › ASSESSMENTS › Section 616B.695 - "Insurer" defined

Current through June 11, 2024
"Insurer" includes:
1.
			 A self-insured employer;
2. An
			 association of self-insured public employers;
3. An association of self-insured private
			 employers;
4. A private carrier;
			 and
5. An employer who provides
			 accident benefits for injured employees pursuant to
			 NRS
			 616C.265.
Added to NAC by Dep't of
				Industrial Relations, eff. 8-30-91; A by Div. of Industrial Relations by
				R096-99, 11-29-99; R096-99, 11-29-99, eff.
				1-1-2000
NRS
				  232.680,
				  616A.400
Nevada Administrative Code › Chapter 616B - Industrial Insurance: Insurers; Liability for Provision of Coverage › ASSESSMENTS › Section 616B.698 - "Program of self-insurance" defined

Current through June 11, 2024
"Program of self-insurance" means the program established
				pursuant to chapters 616A to 617, inclusive, of NRS for which an employer or
				association is issued a certificate of qualification as a self-insured
				employer, association of self-insured public employers or association of
				self-insured private employers, as applicable, by the
				Commissioner.
Added to NAC by Dep't of
				Industrial Relations, eff. 8-26-83; A by Div. of Industrial Relations by
				R112-98, 12-18-98; A by
				R134-20A,
				eff. 9/20/2022;
				Added to NAC by Div. of Industrial Relations by
				R134-20RA,
				eff. 12/19/2022
NRS 232.680,
				  616A.400
Nevada Administrative Code › Chapter 616B - Industrial Insurance: Insurers; Liability for Provision of Coverage › ASSESSMENTS › Section 616B.701 - Estimated annual assessment

Current through June 11, 2024
The Division will determine the estimated annual assessment to
				be made against each insurer in order to defray the:
1. Costs and expenses of administering the
			 program of workers' compensation and safety; and
2. Amount of the expected annual
			 disbursements to be made from the Uninsured Employers' Claim Account and the
			 Subsequent Injury Account of the insurer.
Added to NAC by Dep't of
				Industrial Relations, eff. 8-26-83; A by Div. of Industrial Relations by
				R112-98, 12-18-98
NRS
				  232.680,
				  616A.400
Nevada Administrative Code › Chapter 616B - Industrial Insurance: Insurers; Liability for Provision of Coverage › ASSESSMENTS › Section 616B.704 - Records and reports

Current through June 11, 2024
1. Each insurer
			 shall maintain records in this State of annual expenditures for claims,
			 including, without limitation:
(a) Copies of
			 checks issued;
(b) Registers of
			 checks issued relating to claims for workers' compensation, including, without
			 limitation, voided checks;
(c)
			 Registers of any other payment of claims other than by check; and
(d) Working papers used to report annual
			 expenditures for claims.
Nevada Administrative Code › Chapter 616B - Industrial Insurance: Insurers; Liability for Provision of Coverage › ASSESSMENTS › Section 616B.707 - Consideration of expenditures as expenditures for claims; computation and reporting of value of clinical services

Current through June 11, 2024
1. The Division
			 will consider expenditures for the following as expenditures for claims:
(a) A surgeon, assisting surgeon,
			 anesthesiologist or consulting physician.
(b) Charges by a hospital.
(c) Treatment by a physician or
			 chiropractor.
(d) X-ray films,
			 computerized axial tomography (CAT) scans, myelograms, magnetic resonance
			 imaging, and other diagnostic tests and procedures.
(e) Physical therapy.
(f) Prescribed drugs and medications,
			 eyeglasses, dental work, prostheses, orthotic devices and corrective shoes by
			 prescription.
(g) Travel to obtain
			 medical care or supplies.
(h) Any
			 other accident benefits.
(i)
			 Compensation for a permanent total, temporary total, permanent partial or
			 temporary partial disability.
(j)
			 Costs of vocational rehabilitation services for an injured employee.
(k) Death benefits.
(l) Burial expenses.
Nevada Administrative Code › Chapter 616B - Industrial Insurance: Insurers; Liability for Provision of Coverage › ASSESSMENTS › Section 616B.710 - Calculating annual expenditures for claims

Current through June 11, 2024
In calculating his or her annual expenditures for claims, an
				insurer shall:
1. Reduce the
			 expenditures for claims by an amount equal to the amount of money received
			 from:
(a) Subrogation;
(b) Reimbursement from the insurer's
			 Subsequent Injury Account;
(c)
			 Reimbursement for increases in compensation for a permanent total disability
			 pursuant to NRS
			 616C.266; and
(d) Reimbursement from the Fund for Workers'
			 Compensation and Safety for increases in death benefits pursuant to
			 NRS
			 616C.268, in the fiscal year in which the
			 money is received; and
Nevada Administrative Code › Chapter 616B - Industrial Insurance: Insurers; Liability for Provision of Coverage › ASSESSMENTS › Section 616B.713 - Statement of amount of expenditures for claims; amount to be used as source for determining annual expenditures for claims

Current through June 11, 2024
1. Except as
			 otherwise provided in subsection 2 and NAC
			 616B.7755, an insurer shall
			 provide to the Division a statement showing the amount of expenditures for
			 claims described in NAC
			 616B.707 for a period designated
			 by the Division.
2. If an insurer
			 assumes the obligation to pay the expenditures for claims of a selfinsured
			 employer, association of self-insured public employers or association of
			 self-insured private employers whose certificate of authority has been
			 withdrawn pursuant to this chapter and chapter 616B of NRS, the insurer must
			 provide to the Division a statement showing the amount of expenditures for
			 claims described in NAC
			 616B.707 which the insurer
			 assumed and paid on behalf of the self-insured employer, association of
			 self-insured public employers or association of self-insured private employers,
			 as applicable, for a period designated by the Division.
3. The statement provided pursuant to
			 subsection 1 or 2, as applicable, must be verified and signed by a responsible
			 person employed by the insurer or an authorized agent thereof.
4. Amounts reported to the Division pursuant
			 to subsection 1 or 2, as applicable, will be used as the source for determining
			 annual expenditures for claims.
Added to NAC by Dep't of
				Industrial Relations, eff. 8-26-83; A 7-29-87; A by Div. of Industrial
				Relations by R112-98, 12-18-98; R096-99, 11-29-99; A by
				R134-20A,
				eff. 9/20/2022;
				Added to NAC by Div. of Industrial Relations by
				R134-20RA,
				eff. 12/19/2022
NRS 232.680,
				  616A.400
Nevada Administrative Code › Chapter 616B - Industrial Insurance: Insurers; Liability for Provision of Coverage › ASSESSMENTS › Section 616B.716 - Estimate of annual expenditures for claims

Current through June 11, 2024
If the amount of annual expenditures for claims paid by any
				insurer is not provided to the Division within the required time, the Division
				will estimate that amount in order to calculate the assessment to be made
				against the insurer. The estimate will be based upon the insurer's previous
				history of expenditures for claims or other available data.
Added to NAC by Dep't of
				Industrial Relations, eff. 8-26-83-Substituted in revision for NAC
				616.5451
NRS
				  232.680,
				  616A.400
Nevada Administrative Code › Chapter 616B - Industrial Insurance: Insurers; Liability for Provision of Coverage › ASSESSMENTS › Section 616B.719 - Calculation of expected annual expenditures for claims

Current through June 11, 2024
1. Except as otherwise provided in NAC
			 616B.7761, the amount of the expected annual expenditures for claims of an
			 insurer is the annualized average of his or her expenditures for claims made
			 during the 3 previous calendar years, unless estimated by the Division pursuant
			 to NAC 616B.716.
2. For the
			 purposes of this section, the annualized average will be calculated by dividing
			 the total expenditures for claims for the 3 previous calendar years by the
			 number of years, or portion thereof, for which claims are reported.
Added to NAC by Dep't of
				Industrial Relations, eff. 8-26-83; A by Div. of Industrial Relations by
				R096-99, 11-29-99
NRS
				  232.680,
				  616A.400
Nevada Administrative Code › Chapter 616B - Industrial Insurance: Insurers; Liability for Provision of Coverage › ASSESSMENTS › Section 616B.725 - Pro rata assessment

Current through June 11, 2024
1. The estimated
			 annual assessment to be made against an insurer for a portion of a fiscal year
			 may be calculated by the Division.
2. A statement of such an assessment may be
			 issued to the insurer by the Division.
Added to NAC by Dep't of
				Industrial Relations, eff. 8-26-83; A 7-29-87; A by Div. of Industrial
				Relations by R112-98, 12-18-98; R096-99, 11-29-99
NRS
				  232.680,
				  616A.400
Nevada Administrative Code › Chapter 616B - Industrial Insurance: Insurers; Liability for Provision of Coverage › ASSESSMENTS › Section 616B.7255 - Division may adjust annual assessment

Current through June 11, 2024
The Division may adjust an annual assessment made against an
				insurer.
Added to NAC by Div. of
				Industrial Relations by R096-99, eff. 11-29-99
NRS
				  232.680,
				  616A.400