Senate Bill No. 53–Committee on Commerce and Labor
Prefiled January 28, 1999
(On Behalf of Legislative Committee on Workers’ Compensation)
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Referred to Committee on Commerce and Labor
SUMMARY—Specifies information administrator of division of industrial relations of department of business and industry can require certain insurers to provide on claims the insurers process. (BDR 53-696)
FISCAL NOTE: Effect on Local Government: No.
Effect on the State or on Industrial Insurance: No.
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EXPLANATION – Matter in
bolded italics is new; matter between brackets
THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:
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Section 1. NRS 616B.018 is hereby amended to read as follows: 616B.018 1. The administrator shall establish a method of indexing1-3
claims for compensation that will make information concerning the1-4
claimants of an insurer available to other insurers and the fraud control unit1-5
for industrial insurance established pursuant to NRS 228.420.1-6
2. Every insurer shall provide the following information1-7
required by the administrator for establishing and maintaining the index of1-8
claims1-9
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(a) The first name, last name, middle initial, if any, date of birth and1-11
social security number of the injured employee;1-12
(b) The name and tax identification number of the employer of the1-13
injured employee;2-1
(c) If the employer of the injured employee is a member of an2-2
association of self-insured public or private employers, the name and tax2-3
identification number of that association;2-4
(d) The name and tax identification number of the insurer, unless the2-5
employer of the injured employee is self-insured and this requirement2-6
would duplicate the information required pursuant to paragraph (b);2-7
(e) The date upon which the employer’s policy of industrial insurance2-8
that covers the claim became effective and the date upon which it will2-9
expire or must be renewed;2-10
(f) The number assigned to the claim by the insurer;2-11
(g) The date of the injury or of the sustaining of the occupational2-12
disease;2-13
(h) The part of the body that was injured or the occupational disease2-14
that was sustained by the injured employee;2-15
(i) The percentage of disability as determined by the rating physician2-16
or chiropractor;2-17
(j) Which part of the body was permanently impaired, if any;2-18
(k) What type of accident or occupational disease that is the subject of2-19
the claim;2-20
(l) The date, if any, that the claim was closed; and2-21
(m) If the claim has been closed, whether the closure was:2-22
(1) Automatic pursuant to the provisions of subsection 2 of NRS2-23
616C.235; or2-24
(2) Pursuant to the provisions of subsection 1 of NRS 616C.235,2-25
and what type of compensation was provided for the claim.2-26
3. The administrator shall require information provided pursuant to2-27
subsection 2 to be submitted:2-28
(a) In a format that is consistent with nationally recognized standards2-29
for the reporting of data regarding industrial insurance; and2-30
(b) Electronically or in another medium approved by the2-31
administrator.2-32
4. The administrator shall ensure that the requirement for an insurer2-33
to provide information pursuant to subsection 2 is administered in a fair2-34
and equal manner so that an insurer is not required to provide more or a2-35
different type of information than another insurer similarly situated.2-36
5. The provisions of this section do not prevent the administrator2-37
from:2-38
(a) Conducting audits pursuant to the provisions of NRS 616B.0032-39
and collecting information from such audits;2-40
(b) Receiving and collecting information from the reports that2-41
insurers must submit to the administrator pursuant to the provisions of2-42
NRS 616B.009;3-1
(c) Investigating alleged violations of the provisions of chapters 616A3-2
to 617, inclusive, of NRS; or3-3
(d) Enforcing the provisions of chapters 616A to 617, inclusive, of3-4
NRS.3-5
6. If an employee files a claim with an insurer, the insurer is entitled to3-6
receive from the administrator a list of the prior claims of the employee. If3-7
the insurer desires to inspect the files related to the prior claims, he must3-8
obtain the written consent of the employee.3-9
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be admitted into evidence in any hearing before an appeals officer, a3-11
hearing officer or the administrator.3-12
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services provided pursuant to this section. The fee must be payable monthly3-14
or at such other intervals as determined by the administrator.3-15
3-16
failed to provide the information required by3-17
the administrator shall impose an administrative fine of $1,000 for3-18
the initial violation,3-19
subsequent violation.3-20
10. As used in this section, "tax identification number" means the3-21
number assigned by the Internal Revenue Service of the United States3-22
Department of the Treasury for identification.3-23
Sec. 2. This act becomes effective on July 1, 1999.~