Nevada Administrative Code
Chapter 695G - Managed Care
SYSTEM FOR RESOLVING COMPLAINTS OF INSUREDS
Section 695G.100 - Requirements for approval
Universal Citation: NV Admin Code 695G.100
Current through December 12, 2024
To obtain approval of a system for resolving complaints of insureds from the Commissioner as required pursuant to NRS 695G.200, a managed care organization must:
1. Demonstrate that the system will include the external review of a final adverse determination.
2. Submit to the Division:
(a) The name and title of the employee responsible for the system;
(b) A description of the procedure used to notify an insured of the decision regarding his complaint; and
(c) A copy of the explanation of rights and procedures which is to be provided to insureds pursuant to NRS 695G.230.
Added to NAC by Comm'r of Insurance by R132-98, eff. 3-30-99; A by R132-03, 4-16-2004
NRS 679B.130, 695G.200
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