- Senate Bill No. 133–Committee on Commerce and Labor
CHAPTER........
AN ACT relating to industrial insurance; authorizing certain private companies, public
entities and utilities to establish and administer a consolidated insurance program to
obtain industrial insurance coverage for a construction project; providing certain
limitations regarding the scope of a consolidated insurance program; authorizing the
state indurstrial insurance system or certain private carriers to provide industrial
insurance coverage for a consolidated insurance program; requiring that a
consolidated insurance program must provide for the safety and administration of
claims of employees of contractors and subcontractors who are engaged in a
construction project; setting forth the provisions that must be included within a
contract to provide industrial insurance coverage for a consolidated insurance
program; allocating responsibility for the payment of claims for industrial insurance
that are covered by a consolidated insurance program; and providing other matters
properly relating thereto.
THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN
SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:
Section 1. Chapter 616A of NRS is hereby amended by adding thereto
the provisions set forth as sections 2, 3 and 4 of this act.
Sec. 2.
"Consolidated insurance program" means a program of
insurance that provides, for a specified period:
1. Industrial insurance coverage;
2. A comprehensive program of safety; and
3. For the administration of claims for industrial insurance,
for each employee of a contractor or subcontractor who is engaged in a
construction project when such an employee works at the site of the
construction project.
Sec. 3.
"Contractor-controlled insurance program" means a
consolidated insurance program that is established and administered by
the principal contractor of the construction project.
Sec. 4.
"Owner-controlled insurance program" means a
consolidated insurance program that is established and administered by
the owner of the construction project.
Sec. 5. NRS 616A.020 is hereby amended to read as follows:
- 616A.020 1. The rights and remedies provided in chapters 616A to
- 616D, inclusive, of NRS for an employee on account of an injury by
- accident sustained arising out of and in the course of the employment shall
- be exclusive, except as otherwise provided in those chapters, of all other
- rights and remedies of the employee, his personal or legal representatives,
- dependents or next of kin, at common law or otherwise, on account of such
- injury.
- 2. The terms, conditions and provisions of chapters 616A to 616D,
- inclusive, of NRS for the payment of compensation and the amount thereof
- for injuries sustained or death resulting from such injuries shall be
- conclusive, compulsory and obligatory upon both employers and
- employees coming within the provisions of those chapters.
- 3. The exclusive remedy provided by this section to a principal
- contractor extends, with respect to any injury by accident sustained by an
- employee of any contractor in the performance of the contract, to every
- architect, land surveyor or engineer who performs services for:
- (a) The contractor;
- (b) The owner of the property; or
- (c) Any such beneficially interested persons.
- 4.
The exclusive remedy provided by this section applies to the owner
- of a construction project who provides industrial insurance coverage for
- the project by establishing and administering a consolidated insurance
- program pursuant to section 8 of this act to the extent that the program
- covers the employees of the contractors and subcontractors who are
- engaged in the construction of the project.
- 5.
If an employee receives any compensation or accident benefits under
- chapters 616A to 616D, inclusive, of NRS, the acceptance of such
- compensation or benefits shall be in lieu of any other compensation, award
- or recovery against his employer under the laws of any other state or
- jurisdiction and such employee is barred from commencing any action or
- proceeding for the enforcement or collection of any benefits or award under
- the laws of any other state or jurisdiction.
Sec. 6. NRS 616A.025 is hereby amended to read as follows:
- 616A.025 As used in chapters 616A to 616D, inclusive, of NRS,
- unless the context otherwise requires, the words and terms defined in NRS
- 616A.030 to 616A.360, inclusive,
and sections 2, 3 and 4 of this act, have
- the meanings ascribed to them in those sections.
Sec. 6.5. NRS 616A.230 is hereby amended to read as follows:
- 616A.230 "Employer" means:
- 1. The state, and each county, city, school district, and all public and
- quasi-public corporations therein without regard to the number of persons
- employed.
- 2. Every person, firm, voluntary association, and private corporation,
- including any public service corporation, which has in service any person
- under a contract of hire.
- 3. The legal representative of any deceased employer.
- 4. The Nevada rural housing authority.
5. An owner or principal contractor who establishes and administers
a consolidated insurance program pursuant to section 8 of this act, with
respect to the employees covered under that consolidated insurance
program.
Sec. 7.
Chapter 616B of NRS is hereby amended by adding thereto the
provisions set forth as sections 8 to 21, inclusive, of this act.
Sec. 8. 1. A private company, public entity or utility may:
(a) Establish and administer a consolidated insurance program to
provide industrial insurance coverage for employees of contractors and
subcontractors who are engaged in a construction project of which the
private company, public entity or utility is the owner or principal
contractor, if the estimated total cost of the construction project is equal
to or greater than the threshold amount established by the commissioner
pursuant to subsection 3; and
(b) As a condition precedent to the award of a contract to perform
work on the construction project, require that contractors and
subcontractors who will be engaged in the construction of the project
participate in the consolidated insurance program.
2. If a private company, public entity or utility:
(a) Establishes and administers a consolidated insurance program;
and
(b) Pursuant to the contract for the construction of the project, owes a
periodic payment to a contractor or subcontractor whose employees are
covered under the consolidated insurance program,
the private company, public entity or utility shall not withhold such a
periodic payment on the basis that the contractor or subcontractor has
not signed an employer’s report of industrial injury or occupational
disease as required pursuant to NRS 616C.045.
3. The commissioner shall establish the threshold amount that the
estimated total cost of a construction project must be equal to or greater
than before a consolidated insurance program may be established and
administered for that project pursuant to this section. The base amount
for the threshold must initially be $150,000,000 and thereafter must be
an amount equal to $150,000,000 as adjusted by the commissioner on
June 30 of each year to reflect the present value of that amount with
respect to the construction cost index.
4. As used in this section:
(a) "Construction cost index" means the construction cost index
published by the Engineering News-Record as a measure of inflation.
(b) "Estimated total cost" means the estimated cost to complete all
parts of a construction project, including, without limitation, the cost of:
(1) Designing the project;
(2) Acquiring the real property on which the project will be
constructed;
(3) Connecting the project to utilities;
(4) Excavating and carrying out underground improvements for the
project; and
(5) Acquiring equipment and furnishings for the project.
The term does not include the cost of any fees or charges associated with
acquiring the money necessary to complete the project.
Sec. 9.
(Deleted by amendment.
)
Sec. 10. A consolidated insurance program must not cover more
than one construction project.
Sec. 11.
A consolidated insurance program may cover more than
one construction project.
Sec. 12. 1. The system or a private carrier who is authorized to
transact industrial insurance in this state may contract with a private
company, public entity or utility to provide industrial insurance coverage
for a consolidated insurance program.
2. A private company, public entity or utility that enters into a
contract with the system or a private carrier for the provision of
industrial insurance coverage for a consolidated insurance program
shall file a copy of the contract with the commissioner at least 60 days
before the date on which the construction project is scheduled to begin.
3. The commissioner shall, within 60 days after receiving a copy of a
contract pursuant to subsection 2, review and approve or disapprove the
contract. If the commissioner does not disapprove the contract within 60
days after receiving it, the contract shall be deemed approved.
Sec. 13.
1. A consolidated insurance program that a private
company, public entity or utility is authorized to establish and administer
pursuant to section 8 of this act must, in the manner set forth in this
section, provide for the safety of an employee of a contractor or
subcontractor who is engaged in the construction project when such an
employee works at the site of the construction project.
2. The owner or principal contractor of the construction project shall
develop and carry out a safety program that includes, without limitation:
(a) The establishment of minimum standards of safety to be observed
during construction of the project;
(b) The holding of regular meetings to address and discuss issues
related to safety;
(c) Training of contractors and subcontractors regarding issues and
procedures related to safety;
(d) Regular inspections of the site of the construction project to
identify potential safety hazards and ensure that minimum standards of
safety are being observed;
(e) The notification of contractors and subcontractors of special
hazards that exist at the site of the construction project, including advice
on ways in which the contractors and subcontractors can avoid those
hazards; and
(f) The prompt investigation of any injuries that take place at the site
of the construction project which result in death or serious bodily injury.
3. The owner or principal contractor of the construction project shall
hire or contract with two persons to serve as the primary and alternate
coordinators for safety for the construction project. The primary and
alternate coordinators for safety must:
(a) Possess credentials in the field of safety that the administrator
determines to be adequate to prepare a person to act as a coordinator for
safety for a construction project, including, without limitation,
credentials issued by the:
(1) Board of Certified Safety Professionals; or
(2) Insurance Institute of America; or
(b) Have at least 3 years of experience in overseeing matters of
occupational safety and health in the field of construction that the
administrator determines to be adequate to prepare a person to act as a
coordinator for safety for a construction project.
4. The primary and alternate coordinators for safety for the
construction project:
(a) Must not serve as coordinators for safety for another construction
project that is covered by a different consolidated insurance program;
(b) Shall oversee and enforce the safety program established pursuant
to subsection 2, including, without limitation, resolving problems related
to the operation of the safety program; and
(c) Shall ensure that the contractors, employers and subcontractors
who are engaged in the construction of the project coordinate their
efforts regarding issues of occupational safety and health to create and
maintain a safe and healthful workplace.
5. The alternate coordinator for safety shall report to the primary
coordinator for safety regarding activities that take place at the site of the
construction project when the primary coordinator is absent.
6. The owner or principal contractor of the construction project shall
ensure that the primary or alternate coordinator for safety for the
construction project is physically present at the site of the construction
project whenever activity related to construction is taking place at the
site.
Sec. 14.
A consolidated insurance program that a private company,
public entity or utility is authorized to establish and administer pursuant
to section 8 of this act must, in the manner set forth in this section,
provide for the administration of claims for industrial insurance for an
employee of a contractor or subcontractor who is engaged in the
construction project when such an employee works at the site of the
construction project.
2. The owner or principal contractor of the construction project shall
hire or contract with a person to serve as the administrator of claims for
industrial insurance for the construction project. Such a person must not
serve as an administrator of claims for industrial insurance for another
construction project that is covered by a different consolidated insurance
program.
3. The administrator of claims for industrial insurance for the
construction project who is hired or with whom the owner or principal
contractor contracts pursuant to subsection 2 shall:
(a) Assist an employee who is covered under the consolidated
insurance program or, in the event of the employee’s death, one of his
dependents, in filing a written notice of injury or death as required
pursuant to NRS 616C.015 or a written notice of an occupational disease
as required pursuant to NRS 617.342;
(b) Sign and file on behalf of a contractor or subcontractor whose
employees are covered under the consolidated insurance program an
employer’s report of industrial injury or occupational disease as required
pursuant to NRS 616C.045 or 617.354;
(c) Ensure that an employee who is covered under the consolidated
insurance program and who has been injured or who has incurred an
occupational disease while working on the construction project is
directed to a medical facility that will provide treatment to the employee
under the program;
(d) Handle all issues, to the extent reasonably practicable, relating to
claims for industrial insurance at the site of the construction project; and
(e) Hire or contract such assistant administrators as may be necessary
to carry out his responsibilities pursuant to this section.
4. The owner or principal contractor of the construction project shall
ensure that the administrator of claims for industrial insurance for the
construction project or an assistant administrator is physically present at
the site of the construction project whenever activity related to
construction is taking place at the site.
Sec. 15.
(Deleted by amendment.)
Sec. 16. 1. A consolidated insurance program must not provide
industrial insurance coverage, a comprehensive program of safety or for
the administration of claims for industrial insurance for an employee of
a contractor or subcontractor who is engaged in the construction of the
project that is covered by the consolidated insurance program at any time
that such an employee does not work at the site of the construction
project.
2. A contractor or subcontractor who is engaged in the construction
of a project that is covered by a consolidated insurance program shall
maintain separate industrial insurance coverage for its employees who:
(a) Are not assigned to participate in the construction of the project;
or
(b) Are assigned to participate in the construction of the project but
who do not work at the site of the project.
3. The owner or principal contractor of a construction project shall
reimburse a contractor or subcontractor who bids successfully on the
construction project for the cost of providing separate industrial
insurance coverage for an employee if:
(a) The contractor or subcontractor set the amount of his bid in a
reasonable, good faith belief that the employee would work at the site of
the construction project and would therefore be covered by the
consolidated insurance program; and
(b) Because of changed circumstances not reasonably foreseeable at
the time the bid was submitted, the employee worked in whole or in part
at a location other than the site of the construction project, requiring the
contractor or subcontractor to obtain separate industrial insurance
coverage for that employee.
Sec. 17.
If an owner or principal contractor establishes and
administers a consolidated insurance program pursuant to section 8 of
this act, each employee who is covered under the consolidated insurance
program shall be deemed to be an employee of the owner or principal
contractor for the purpose of determining the loss experience of the
owner or principal contractor.
Sec. 18. With respect to a construction project for which the owner
intends to establish and administer an owner-controlled insurance
program or the principal contractor intends to establish and administer a
contractor-controlled insurance program, the owner or principal
contractor, as appropriate, shall:
1. In the notice or advertisement for bids for the construction of the
project, state:
(a) That the employees of contractors and subcontractors who are
engaged in the construction of the project will be covered under a
consolidated insurance program when such employees work at the site of
the project; and
(b) Whether such a program will be an owner-controlled insurance
program or a contractor-controlled insurance program; and
2. Hold a pre-bid conference at which it provides to potential
contractors and subcontractors, without limitation, the following
information:
(a) A general explanation of the manner in which a consolidated
insurance program operates;
(b) An overview of the provisions of sections 8 to 21, inclusive, of this
act;
(c) A general description of the safety procedures that will be required
as part of the consolidated insurance program; and
(d) The procedures pursuant to which claims for industrial insurance
will be administered.
Sec. 19.
The system or a private carrier who contracts to provide
industrial insurance coverage for a consolidated insurance program
pursuant to section 12 of this act is liable to pay each claim for industrial
insurance that is covered by the program, regardless of whether:
1. The claim is filed after the completion of the construction project;
or
2. Any party to the contract is not transacting business within this
state at the time the claim is filed.
Sec. 20.
A contract for the provision of industrial insurance that is
authorized pursuant to section 12 of this act must include, without
limitation:
1. Provisions that require compliance with each of the requirements
relating to safety and the administration of claims for industrial
insurance at the site of the construction project that are set forth in
sections 13 and 14 of this act;
2. The names and qualifications of the persons appointed to oversee
issues of safety and the administration of claims for industrial insurance
at the site of the construction project pursuant to sections 13 and 14 of
this act;
3. The terms and conditions pursuant to which the contract provides
industrial insurance coverage. The terms and conditions must include,
without limitation:
(a) A definition of the site of the construction project that:
(1) Delineates clearly the area within which coverage is provided;
and
(2) Is reasonably contiguous to the actual physical site of the
construction project; and
(b) A description of the scope and details of the construction project
and the duration of industrial insurance coverage that is provided for the
project;
4. A list in which the owner, principal contractor, construction
manager, contractors and subcontractors of the construction project are
set forth as named insureds; and
5. A provision setting forth the penalties to which the owner,
principal contractor, construction manager, contractors and
subcontractors of the construction project may be subject if such persons
or entities fail to comply with the provisions relating to safety and the
administration of claims for industrial insurance that are required
pursuant to sections 13 and 14 of this act.
Sec. 21.
The commissioner may adopt such regulations as the
commissioner determines are necessary to carry out the provisions of
sections 8 to 21, inclusive, of this act, to the extent that the authority
granted pursuant to this section does not duplicate authority granted to
the administrator.
Sec. 22.
NRS 616B.612 is hereby amended to read as follows:
- 616B.612 1. Every employer within the provisions of chapters 616A
- to 616D, inclusive, or 617 of NRS, and those employers who accept the
- terms of those chapters and are governed by their provisions, shall provide
- and secure compensation according to the terms, conditions and provisions
- of those chapters for any personal injuries by accident sustained by an
- employee arising out of and in the course of the employment.
- 2. A contractor or subcontractor shall be deemed to have provided
- and secured compensation for his employees as required pursuant to
- subsection 1 to the extent that those employees are covered by a
- consolidated insurance program.
- 3. Travel for which an employee receives wages shall, for the purposes
- of chapters 616A to 616D, inclusive, of NRS, be deemed in the course of
- employment.
-
[3.] 4. In such cases the employer or any insurer of the employer is
- relieved from other liability for recovery of damages or other compensation
- for those personal injuries unless otherwise provided by the terms of
- chapters 616A to 616D, inclusive, of NRS.
Sec. 23. NRS 616C.045 is hereby amended to read as follows:
- 616C.045 1.
[Within] Except as otherwise provided in section 14 of
- this act, within 6 working days after the receipt of a claim for
- compensation from a physician or chiropractor, an employer shall complete
- and file with his insurer or third-party administrator an employer’s report of
- industrial injury or occupational disease.
- 2. The report must:
- (a) Be on a form prescribed by the administrator;
- (b) Be signed by the employer or his designee;
- (c) Contain specific answers to all questions required by the regulations
- of the administrator; and
- (d) Be accompanied by a statement of the wages of the employee if the
- claim for compensation received from the treating physician or chiropractor
- indicates that the injured employee is expected to be off work for 5 days or
- more.
- 3. An employer who files the report required by subsection 1 by
- electronic transmission shall, upon request, mail to the insurer or third-
- party administrator the form that contains the original signature of the
- employer or his designee. The form must be mailed within 7 days after
- receiving such a request.
- 4. The administrator shall impose an administrative fine of not more
- than $1,000 on an employer for each violation of this section.
Sec. 24. NRS 617.354 is hereby amended to read as follows:
- 617.354 1.
[Within] Except as otherwise provided in section 14 of
- this act, within 6 working days after the receipt of a claim for
- compensation from a physician or chiropractor, an employer shall complete
- and file with his insurer or third-party administrator an employer’s report of
- industrial injury or occupational disease.
- 2. The report must:
- (a) Be on a form prescribed by the administrator;
- (b) Be signed by the employer or his designee;
- (c) Contain specific answers to all questions required by the regulations
- of the department; and
- (d) Be accompanied by a statement of the wages of the employee if the
- claim for compensation received from the treating physician or chiropractor
- indicates that the employee is expected to be off work for 5 days or more.
- 3. An employer who files the report required by subsection 1 by
- electronic transmission shall, upon request, mail to the insurer or third-
- party administrator the form that contains the original signature of the
- employer or his designee. The form must be mailed within 7 days after
- receiving such a request.
- 4. The administrator shall impose an administrative fine of not more
- than $1,000 against an employer for each violation of this section.
Sec. 25. NRS 686A.200 is hereby amended to read as follows:
- 686A.200 1.
[No] Except as otherwise provided in section 8 of this
- act, no person shall require, directly or indirectly, or through any trustee,
- director, officer, agent or employee or affiliate, as a condition, agreement
- or understanding to selling or furnishing any other person any loan, or
- extension thereof, credit, sale, goods, property, contract, lease or service,
- that such other person shall place, continue (other than as to life insurance)
- or renew any policy of insurance of any kind through any particular agent,
- broker or insurer. No agent, broker or insurer shall knowingly participate in
- any such prohibited plan or transaction. No person shall fix a price charged
- for such thing or service, or discount from or rebate upon price, on the
- condition, agreement or understanding that any insurance is to be obtained
- through a particular agent, broker or insurer.
- 2. Subsection 1 does not prevent:
- (a) The exercise by any such person upon a reasonable basis of any right
- to approve or disapprove of the insurer and representative to underwrite the
- insurance. Such basis shall relate only to the adequacy and terms of the
- coverage with respect to the interest of the vendor, lender, lessor or
- provider of service to be insured thereunder, the financial standards to be
- met by the insurer, and the ability of the insurer or representative to service
- the policy.
- (b) The exercise by the vendor, lender, lessor or provider of service of
- the right to furnish or renew the insurance, and to charge the account of the
- other person with the costs thereof, if such other person fails to deliver such
- insurance to the lender, vendor, lessor or provider of service, where
- otherwise called for and in order, at least 15 days prior to expiration of the
- existing policy.
Sec. 26. NRS 686A.220 is hereby amended to read as follows:
- 686A.220 1.
[No] Except as otherwise provided in section 8 of this
- act, no officer or employee of this state, or of any public agency, public
- authority or public corporation (except a public corporation or public
- authority created pursuant to agreement or compact with another state), and
- no person acting or purporting to act on behalf of such officer or employee,
- or public agency or public authority or public corporation, shall, with
- respect to any public building or construction contract which is about to be
- or which has been competitively bid, require the bidder to make application
- or furnish financial data to, or to obtain or procure any of the surety bonds
- or contracts of insurance specified in connection with such contracts or by
- any law from, a particular insurer or agent or broker.
- 2.
[No] Except as otherwise provided in section 8 of this act, no such
- officer or employee or any person acting or purporting to act on behalf of
- such officer or employee shall negotiate, make application for, obtain or
- procure any of such surety bonds or contracts of insurance (except
- contracts of insurance for builder’s risk or owner’s protective liability)
- which can be obtained or procured by the bidder, contractor or
- subcontractor.
- 3. This section does not, however, prevent the exercise by such officer
- or employee on behalf of the state or such public agency, public authority
- or public corporation of its right to approve the form, sufficiency or manner
- of execution of the surety bonds or contracts of insurance furnished by the
- insurer selected by the bidder to underwrite such bonds or contracts of
- insurance.
- 4. Any provisions in any invitation for bids or in any of the contract
- documents in conflict with this section are declared to be contrary to the
- public policy of this state.
- 5. A violation of this section is subject to the penalties provided by
- NRS 679A.180 (general penalty).
Sec. 26.5. Sections 68.8 and 140 of Senate Bill No. 37 of this session
are hereby amended to read as follows:
Sec. 68.8. NRS 616D.120 is hereby amended to read as
follows:
- 616D.120 1. Except as otherwise provided in this section, if
- the administrator determines that an insurer, organization for
- managed care, health care provider, third-party administrator or
- employer has:
- (a) Through fraud, coercion, duress or undue influence:
- (1) Induced a claimant to fail to report an accidental injury or
- occupational disease;
- (2) Persuaded a claimant to settle for an amount which is less
- than reasonable;
- (3) Persuaded a claimant to settle for an amount which is less
- than reasonable while a hearing or an appeal is pending; or
- (4) Persuaded a claimant to accept less than the compensation
- found to be due him by a hearing officer, appeals officer, court of
- competent jurisdiction, written settlement agreement, written
- stipulation or the division when carrying out its duties pursuant to
- chapters 616A to 617, inclusive, of NRS;
- (b) Refused to pay or unreasonably delayed payment to a
- claimant of compensation found to be due him by a hearing officer,
- appeals officer, court of competent jurisdiction, written settlement
- agreement, written stipulation or the division when carrying out its
- duties pursuant to chapters 616A to 616D, inclusive, or chapter 617
- of NRS, if the refusal or delay occurs:
- (1) Later than 10 days after the date of the settlement
- agreement or stipulation;
- (2) Later than 30 days after the date of the decision of a court,
- hearing officer, appeals officer or division, unless a stay has been
- granted; or
- (3) Later than 10 days after a stay of the decision of a court,
- hearing officer, appeals officer or division has been lifted;
- (c) Refused to process a claim for compensation pursuant to
- chapters 616A to 616D, inclusive, or chapter 617 of NRS;
- (d) Made it necessary for a claimant to initiate proceedings
- pursuant to chapters 616A to 616D, inclusive, or chapter 617 of
- NRS for compensation found to be due him by a hearing officer,
- appeals officer, court of competent jurisdiction, written settlement
- agreement, written stipulation or the division when carrying out its
- duties pursuant to chapters 616A to 616D, inclusive, or chapter 617
- of NRS;
- (e) Failed to comply with the division’s regulations covering the
- payment of an assessment relating to the funding of costs of
- administration of chapters 616A to 617, inclusive, of NRS;
- (f) Failed to provide or unreasonably delayed payment to an
- injured employee or reimbursement to an insurer pursuant to NRS
- 616C.165; or
- (g) Intentionally failed to comply with any provision of, or
- regulation adopted pursuant to, this chapter or chapter 616A, 616B,
- 616C or 617 of NRS,
- the administrator shall impose an administrative fine of $1,000 for
- each initial violation, or a fine of $10,000 for a second or
- subsequent violation.
- 2. Except as otherwise provided in chapters 616A to 616D,
- inclusive, or chapter 617 of NRS, if the administrator determines
- that an insurer, organization for managed care, health care provider,
- third-party administrator or employer has failed to comply with any
- provision of this chapter or chapter 616A, 616B, 616C or 617 of
- NRS, or any regulation adopted pursuant thereto, the administrator
- may take any of the following actions:
- (a) Issue a notice of correction for:
- (1) A minor violation, as defined by regulations adopted by
- the division; or
- (2) A violation involving the payment of compensation in an
- amount which is greater than that required by any provision of this
- chapter or chapter 616A, 616B, 616C or 617 of NRS, or any
- regulation adopted pursuant thereto.
- The notice of correction must set forth with particularity the
- violation committed and the manner in which the violation may be
- corrected.
[Nothing in] The provisions of this section [authorizes]
- do not authorize the administrator to modify or negate in any
- manner a determination or any portion of a determination made by a
- hearing officer, appeals officer or court of competent jurisdiction or
- a provision contained in a written settlement agreement or written
- stipulation.
- (b) Impose an administrative fine for:
- (1) A second or subsequent violation for which a notice of
- correction has been issued pursuant to paragraph (a); or
- (2) Any other violation of this chapter or chapter 616A, 616B,
- 616C or 617 of NRS, or any regulation adopted pursuant thereto,
- for which a notice of correction may not be issued pursuant to
- paragraph (a).
- The fine imposed may not be greater than $250 for an initial
- violation, or more than $1,000 for any second or subsequent
- violation.
- (c) Order a plan of corrective action to be submitted to the
- administrator within 30 days after the date of the order.
- 3. If the administrator determines that a violation of any of the
- provisions of paragraphs (a) to (d), inclusive, of subsection 1 has
- occurred, the administrator shall order the insurer, organization for
- managed care, health care provider, third-party administrator or
- employer to pay to the claimant a benefit penalty in an amount
- [
equal to 50 percent of the compensation due or $10,000, whichever
- is less. In no event may a benefit penalty be less than $500. The]
- that is not less than $5,000 and not greater than $25,000. To
- determine the amount of the benefit penalty, the administrator
- shall consider the degree of physical harm suffered by the injured
- employee or his dependents as a result of the violation of
- paragraph (a), (b), (c) or (d) of subsection 1, the amount of
- compensation found to be due the claimant and the number of
- fines and benefit penalties previously imposed against the insurer,
- organization for managed care, health care provider, third-party
- administrator or employer pursuant to this section. If this is the
- third violation within 5 years for which a benefit penalty has been
- imposed against the insurer, organization for managed care,
- health care provider, third-party administrator or employer, the
- administrator shall also consider the degree of economic harm
- suffered by the injured employee or his dependents as a result of
- the violation of paragraph (a), (b), (c) or (d) of subsection 1.
- Except as otherwise provided in this section, the benefit penalty is
- for the benefit of the claimant and must be paid directly to him
- within 10 days after the date of the administrator’s determination. If
- the claimant is the injured employee and he dies before the
- benefit penalty is paid to him, the benefit penalty must be paid to
- his estate. Proof of the payment of the benefit penalty must be
- submitted to the administrator within 10 days after the date of his
- determination unless an appeal is filed pursuant to NRS 616D.140.
- Any compensation to which the claimant may otherwise be entitled
- pursuant to chapters 616A to 616D, inclusive, or chapter 617 of
- NRS must not be reduced by the amount of any benefit penalty
- received pursuant to this subsection.
- 4. In addition to any fine or benefit penalty imposed pursuant to
- this section, the administrator may assess against an insurer who
- violates any regulation concerning the reporting of claims
- expenditures used to calculate an assessment an administrative
- penalty of up to twice the amount of any underpaid assessment.
- 5. If:
-
(a) The administrator determines that a person has violated any
- of the provisions of NRS 616D.200, 616D.220, 616D.240,
- 616D.300, 616D.310 or 616D.350 to 616D.440, inclusive; and
- (b) The fraud control unit for industrial insurance established
- pursuant to NRS 228.420 notifies the administrator that the unit will
- not prosecute the person for that violation,
- the administrator shall impose an administrative fine of not more
- than $10,000.
- 6. Two or more fines of $1,000 or more imposed in 1 year for
- acts enumerated in subsection 1 must be considered by the
- commissioner as evidence for the withdrawal of:
- (a) A certificate to act as a self-insured employer.
- (b) A certificate to act as an association of self-insured public or
- private employers.
- (c) A certificate of registration as a third-party administrator.
7. The commissioner may, without complying with the
provisions of NRS 616B.327 or 616B.431, withdraw the
certification of a self-insured employer, association of self-insured
public or private employers or third-party administrator if, after a
hearing, it is shown that the self-insured employer, association of
self-insured public or private employers or third-party administrator
violated any provision of subsection 1.
- Sec. 140. 1. This section, section 27, subsection 1 of section
- 127, and sections 128 and 129 of this act become effective upon
- passage and approval.
-
2. Subsection 1 of section 132 of this act becomes effective on
- June 1, 1999.
- 3. Sections 2, 3, 12.5, 86.1, 86.2, 86.6 to 86.9, inclusive, 96.5,
- 116, 122, 126.3, 127.5 , 130 and 135 of this act become effective
- on July 1, 1999.
-
[3.] 4. Section 86.4 of this act becomes effective on July 1,
- 1999, only if Assembly Bill No. 660 of this session is enacted by
- the legislature.
-
[4.] 5. Sections 20.5, 35, 89, 117 and 139.4 of this act become
- effective at 12:01 a.m. on July 1, 1999.
-
[5.] 6. Sections 20, 24, 25, 26 and 96 and [subsection 1 of
- section 132] of this act become effective on the date the governor
- issues a proclamation pursuant to subsection 1 of section 129 of this
- act.
-
[6.] 7. Sections 29 and 126.5 of this act become effective on
- the date the governor issues a proclamation pursuant to subsection 1
- of section 129 of this act, only if the governor issues the
- proclamation before October 1, 1999.
-
[7.] 8. Section 29.5 of this act becomes effective:
- (a) At 12:01 a.m. on October 1, 1999, only if the governor issues
a proclamation pursuant to subsection 1 of section 129 of this act on
- October 1, 1999; or
- (b) On the date the governor issues a proclamation pursuant to
- subsection 1 of section 129 of this act, only if the governor issues
- the proclamation after October 1, 1999.
-
[8.] 9. Sections 49.5, 52.5, 53.5, 57.2, 57.4, 62.1 to 62.5,
- inclusive, 68.2 to 68.8, inclusive, 80.5 and 139.2 of this act become
- effective on January 1, 2000.
-
[9.] 10. Sections 1, 4 to 12, inclusive, 13 to 19, inclusive, 21,
- 22, 23, 28, 30 to 34, inclusive, 36 to 49, inclusive, 50, 51, 52, 53,
- 54 to 57, inclusive, 58 to 62, inclusive, 64 to 68, inclusive, 69 to 80,
- inclusive, 81 to 86, inclusive, 87, 88, 90 to 95, inclusive, 97 to 115,
- inclusive, 118 to 121, inclusive, 123 to 126, inclusive, subsection 2
- of section 127,
[130,] 131, subsection 2 of section 132, 133, 134,
- 136 to 139, inclusive, and 141 of this act become effective on
- January 1, 2000, only if, on that date, the manager of the state
- industrial insurance system transfers the assets of the state industrial
- insurance system to a domestic mutual insurance company pursuant
- to section 129 of this act.
-
[10.] 11. Section 63 of this act becomes effective at 12:01 a.m.
- on January 1, 2000, only if, on that date, the manager of the state
- industrial insurance system transfers the assets of the state industrial
- insurance system to a domestic mutual insurance company pursuant
- to section 129 of this act.
-
[11.] 12. Sections 20, 96, 116 and 122 of this act expire by
- limitation on January 1, 2000, if the manager of the state industrial
- insurance system transfers the assets of the state industrial insurance
- system to a domestic mutual insurance company pursuant to section
- 129 of this act.
-
[12.] 13. Section 8 of this act expires by limitation on June 30,
- 2003.
[13.] 14. Section 100 of this act expires by limitation on May
1, 2013.
Sec. 27. 1. This section and section 26.5 of this act become effective
upon passage and approval.
2. Sections 1 to 10, inclusive, and 12 to 26, inclusive, of this act
become effective on October 1, 1999.
3. Section 10 of this act expires by limitation on September 30, 2001.
4. Section 11 of this act becomes effective on October 1, 2001.
~