Except as otherwise provided in NAC
, the Board will approve
or disapprove, in whole or in part:
claim made for reimbursement from the Account by an association, if the claim
is completed by the association pursuant to the requirements set forth in this
Any expenses of
the association related to each such claim that the Administrator has verified
pursuant to the provisions of NAC
To submit a claim to the Board, an
(a) Serve the claim, in
writing, on the Administrator;
Include with the claim a completed copy of the form entitled "D-37, Insurer's
Subsequent Injury Checklist" that is prescribed by the Administrator;
(c) Organize the claim in the manner
prescribed in Form D-37 ; and
Include with the claim all information which is necessary to establish that the
claim should be paid from the Account. Such information must include, without
limitation, the pertinent medical records of the injured employee who is the
subject of the claim.
A copy of Form D-37 may be obtained from the Administrator or on the Internet
website maintained by the Administrator at no cost.
An association that submits a claim
pursuant to subsection 2 shall, upon the request of the Administrator:
(a) Allow the Administrator to inspect the
records maintained by the association concerning the claim; or
(b) Provide copies of those records to the
section does not prohibit or limit the Administrator from requiring or
obtaining from the association, the employer or any other person any additional
information relating to a claim submitted pursuant to subsection 2.
Nev. Admin. Code § 616B.7773
Added to NAC by Bd.
for Admin. of Subsequent Injury Fund for Ass'ns of Self-Insured Pub. or Private
Employers by R215-97, eff. 8-19-99; A by