Nevada Administrative Code
Chapter 695D - Organizations for Dental Care
SYSTEM FOR RESOLVING COMPLAINTS OF MEMBERS
Section 695D.540 - Annual report: Content; maintenance of records

Universal Citation: NV Admin Code 695D.540

Current through December 12, 2024

1. Each organization that issues a policy in this State shall submit to the Commissioner and the State Board of Health an annual report regarding its system for resolving complaints established pursuant to NAC 695D.500 on a form prescribed by the Commissioner in consultation with the State Board of Health which includes, without limitation:

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

(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 organization shall maintain records of complaints filed with it which concern something other than 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 NAC by Comm'r of Insurance by R132-98, eff. 3-30-99

NRS 679B.130, 695D.100

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