Nev. Admin. Code § 616C.097

Current through December 31, 2024

Section 616C.097 - Statement on written notice of determination regarding disagreement with determination

1. Any written notice of a determination by an organization for managed care that relates to accident benefits must include at the bottom of the notice a statement in substantially the following form:

If you disagree with the above determination, sign, date, and briefly explain on the bottom of this notice the reason for your appeal and return this notice to the organization for managed care at the address indicated within 14 days after the date on which this notice was mailed by the organization for managed care.

2. Any written notice of a determination by an insurer or third-party administrator that relates to benefits, other than accident benefits, must include at the bottom of the notice a statement in substantially the following form:

If you disagree with the above determination, sign, date, and briefly explain on the bottom of this notice the reason for your appeal and return it to the Hearing Officer at the Department of Administration within 70 days after the date on which the notice was mailed by the insurer or third-party administrator.

Nev. Admin. Code § 616C.097

Added to NAC by Div. of Industrial Relations, eff. 3-28-94-Substituted in revision for NAC 616.5542; A by R130-14, eff. 9/9/2016

NRS 616A.400