Nev. Admin. Code § 616C.094

Current through November 8, 2024
Section 616C.094 - Notification of determination concerning request relating to claim
1. Except as otherwise provided in this section, within 30 days after receipt of a written request relating to a claim made by:
(a) An injured employee, an employer, a health care provider or the attorney or other representative of any of them; or
(b) A spouse, child or parent of an injured employee who is deceased or incapacitated, the insurer, third-party administrator or organization for managed care shall, in writing, notify the person making the request of its determination concerning the request.
2. If the insurer, third-party administrator or organization for managed care terminates or denies any benefit in response to a written request, it shall notify the person making the request, the injured employee and the attorney or authorized representative of the injured employee, in writing, giving the reasons for its determination and an explanation of the right of the person making the request to appeal the determination.
3. If the insurer or third-party administrator denies a written request to reopen a claim, it shall notify the person making the request, the employer of that person and the injured employee or the attorney or authorized representative of the injured employee, in writing, specifying the reasons for its determination and an explanation of the person's right to appeal.

Nev. Admin. Code § 616C.094

Added to NAC by Dep't of Industrial Relations, eff. 6-29-84; A 2-22-88; A by Div. of Industrial Insurance Regulation, 8-30-91; A by Div. of Industrial Relations by R006-97, 12-9-97; R090-99, 10-28-99; A by R130-14, eff. 9/9/2016

NRS 616A.400, 616C.065, 616C.235, 616C.390