NRS 695B.380 – Establishment; approval; requirements; examination.

1. Except as otherwise provided in subsection 4, each insurer that issues a contract for hospital or medical services in this State shall establish a system for resolving any complaints of an insured concerning health care services covered under the policy. The system must be approved by the Commissioner. 2. A system for resolving complaints […]

NRS 695B.390 – Annual report; insurer required to maintain records of complaints concerning something other than health care services.

1. Each insurer that issues a contract for hospital or medical services in this State shall submit to the Commissioner an annual report regarding its system for resolving complaints established pursuant to subsection 1 of NRS 695B.380 on a form prescribed by the Commissioner which includes, without limitation: (a) A description of the procedures used […]

NRS 695B.400 – Written notice to insured required to be provided by insurer explaining right to file complaint; written notice to insured required when insurer denies coverage of health care service.

1. Following approval by the Commissioner, each insurer that issues a contract for hospital or medical services in this State shall provide written notice to an insured, in clear and comprehensible language that is understandable to an ordinary layperson, explaining the right of the insured to file a written complaint. Such notice must be provided […]