Nev. Admin. Code § 616B.760 - Claims against Account

1. A claim for reimbursement from the Subsequent Injury Account for Private Carriers pursuant to NRS 616B.587 or 616B.590 must be submitted, in writing, to the Administrator.

2. A private carrier who submits a claim pursuant to subsection 1 shall include with the claim:

(a) All documents contained in the file of the claim and any other supporting documents that the private carrier relies upon or deems important for the determination of a claim; and

(b) A completed copy of the form entitled "D-37, Insurer's Subsequent Injury Checklist," which is prescribed by the Administrator. A copy of the form may be obtained from the Administrator at no cost.

3. A claim submitted to the Administrator pursuant to subsection 1 must be organized in the manner prescribed in Form D-37, Insurer's Subsequent Injury Checklist.

4. The Administrator may refuse to process a claim that is incomplete or does not conform to the requirements of Form D-37, Insurer's Subsequent Injury Checklist.

5. This section does not prohibit or limit the Administrator from requiring or obtaining from the private carrier or any other person any additional information relating to a claim submitted pursuant to subsection 1.

Notes

Nev. Admin. Code § 616B.760

Added to NAC by Div. of Industrial Relations by R112-98, 12-18-98, eff. 7-1-99; A by R132-14, eff. 6/28/2016

NRS 616A.400, 616B.584, 616B.587, 616B.590