Nev. Admin. Code § 616B.7773 - Claims

Current through October 13, 2021

1. Except as otherwise provided in NAC 616B.779, the Board will approve or disapprove, in whole or in part:

(a) Each 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 section; and

(b) Any expenses of the association related to each such claim that the Administrator has verified pursuant to the provisions of NAC 616B.707.

2. To submit a claim to the Board, an association must:

(a) Serve the claim, in writing, on the Administrator;

(b) 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

(d) 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.

3. A copy of Form D-37 may be obtained from the Administrator or on the Internet website maintained by the Administrator at no cost.

4. 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 Administrator.

5. This 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.

Notes

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 R026-18A, eff. 2-20-2020

NRS 616B.572, 616B.578