As used in NRS 683A.0805 to 683A.0893, inclusive, unless the context otherwise requires, the words and terms defined in NRS 683A.081 to 683A.084, inclusive, have the meanings ascribed to them in those sections. (Added to NRS by 1999, 2789; A 2007, 3318)
“Affiliate” has the meaning ascribed to it in NRS 692C.030. (Added to NRS by 1999, 2789)
“Control” has the meaning ascribed to it in NRS 692C.050. (Added to NRS by 1999, 2789)
“Insurer” includes, without limitation: 1. An insurance company licensed pursuant to the provisions of this Code; 2. A prepaid limited health service organization that has been issued a certificate of authority pursuant to chapter 695F of NRS; 3. A health maintenance organization that has been issued a certificate of authority pursuant to chapter 695C of […]
“Underwrite” includes, without limitation: 1. Accepting applications for insurance coverage in accordance with the written rules of an insurer; 2. Planning and coordinating a program of insurance; and 3. Procuring bonds and excess insurance. (Added to NRS by 1999, 2790)
No person may act as, offer to act as or hold himself or herself out to the public as an administrator, unless: 1. The person has obtained a certificate of registration as an administrator from the Commissioner pursuant to NRS 683A.08524; 2. If the person is an individual and adjusts workers’ compensation claims in this […]
1. A health maintenance organization licensed under chapter 695C of NRS may enter into a contract to act as an administrator of a program of health insurance. 2. Before entering into a contract pursuant to subsection 1, a health maintenance organization must file a copy of the contract with the Commissioner for approval. The Commissioner […]
1. A nonprofit corporation for hospital or medical services licensed pursuant to chapter 695B of NRS may enter into a contract to act as an administrator of a program of health insurance. 2. Before entering into a contract pursuant to subsection 1, the nonprofit corporation must notify the Commissioner in writing and provide the Commissioner […]
Each application for a certificate of registration as an administrator must include or be accompanied by: 1. A financial statement of the applicant that has been reviewed by an independent certified public accountant and which includes: (a) A statement regarding the amount of money that the applicant expects to collect from or disburse to residents […]
1. Except as otherwise provided in subsection 2 or 3, the Commissioner shall issue a certificate of registration as an administrator to an applicant who: (a) Submits an application on a form prescribed by the Commissioner; (b) Has complied with the provisions of NRS 683A.08522; and (c) Pays the fee for the issuance of a […]
1. A certificate of registration as an administrator is valid for 3 years after the date the Commissioner issues the certificate to the administrator or the administrator renews the certificate, as applicable. A certificate expires on the renewal date for the certificate if the administrator does not renew the certificate pursuant to subsection 2 on […]
1. Not later than 90 days after the expiration of the fiscal year of the administrator, or within such other period as the Commissioner may allow, each holder of a certificate of registration as an administrator shall file with the Commissioner an annual report for that fiscal year. Each annual report must be verified by […]
The Commissioner may waive any requirement which the Commissioner has promulgated for issue of an administrator’s certificate to any person or class of persons. In so doing the Commissioner shall consider, without limitation: 1. Whether the person acting as an administrator is primarily involved in a business other than that of administrator. 2. Whether the […]
1. Each administrator shall file with the Commissioner a bond which complies with NRS 679B.175, continuous in form and in an amount determined by the Commissioner of not less than $100,000. 2. The Commissioner shall establish schedules for the amount of the bond required, based on the amount of money received and distributed by an […]
1. No person may act as an administrator unless the person has entered into a written agreement with an insurer, and the written agreement contains provisions to effectuate the requirements contained in NRS 683A.08522 to 683A.08528, inclusive, 683A.087 to 683A.0883, inclusive, and 683A.0892 which apply to the duties of the administrator. 2. The written agreement […]
1. Payment by or on behalf of an insured to an administrator shall be deemed to have been received by the insurer. 2. Payment to the administrator by the insurer of return premiums or claim settlements shall not be deemed to be payment to the insured or claimant until the money is received by the […]
1. If an administrator establishes a panel of providers of health care or contracts with an organization that establishes a panel of providers of health care, the administrator shall not charge a provider of health care or such an organization: (a) Any fee to include the name of the provider of health care on the […]
An administrator may advertise the insurance which he or she administers only after the administrator receives the approval of the insurer who underwrites the business involved. (Added to NRS by 1977, 731; A 1999, 2795)
1. Each administrator shall maintain at his or her principal office adequate books and records of all transactions between the administrator, the insurer and the insured. The books and records must be maintained in accordance with prudent standards of recordkeeping for insurance and with regulations of the Commissioner for a period of 5 years after […]
1. All insurance charges and premiums collected by an administrator on behalf of an insurer and return premiums received from an insurer are held by the administrator in a fiduciary capacity. 2. Money must be remitted within 15 days to the person or persons entitled to it, or be deposited within 15 days in one […]
