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NRS 689B.029 - Annual report regarding system for resolving complaints; insurer to maintain records of complaints concerning something other than health care services.

NV Rev Stat § 689B.029 (2019) (N/A)
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1. Each insurer that issues a policy of group health insurance in this State shall submit to the Commissioner an annual report regarding its system for resolving complaints established pursuant to subsection 1 of NRS 689B.0285 on a form prescribed by the Commissioner which includes, without limitation:

(a) A description of the procedures used for resolving any complaints of an insured;

(b) The total number of complaints and appeals handled through the system for resolving complaints since the last report and a compilation of the causes underlying the complaints filed;

(c) The current status of each complaint and appeal filed; and

(d) The average amount of time that was needed to resolve a complaint and an appeal, if any.

2. Each insurer shall maintain records of complaints filed with it which concern something other than health care services and shall submit to the Commissioner a report summarizing such complaints at such times and in such format as the Commissioner may require.

(Added to NRS by 1997, 309; A 2003, 775; 2017, 2366)

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NRS 689B.0285 - System for resolving complaints: Approval; requirements; examination.
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NRS 689B.0295 - Written notice to insured explaining right to file complaint; notice to insured required when insurer denies coverage of health care service.