Nevada Administrative Code
Chapter 616C - Industrial Insurance: Benefits for Injury or Death
DETERMINATION AND PAYMENT OF BENEFITS
Claims for Compensation
Section 616C.094 - Notification of determination concerning request relating to claim
Current through December 31, 2024
1. Except as otherwise provided in this section, within 30 days after receipt of a written request relating to a claim made by:
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.
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
