A.B. 123

 

Assembly Bill No. 123–Assemblymen de Braga, Chowning, Freeman, Gibbons, Anderson, Berman, Claborn, Collins, Giunchigliani, Koivisto, Lee, Manendo, Mortenson, Oceguera, Parks, Parnell and Smith

 

February 13, 2001

____________

 

Referred to Committee on Commerce and Labor

 

SUMMARY—Revises provisions relating to health insurance. (BDR 57‑603)

 

FISCAL NOTE:            Effect on Local Government: Yes.

                                    Effect on the State: Yes.

 

~

 

EXPLANATION – Matter in bolded italics is new; matter between brackets [omitted material] is material to be omitted.

Green numbers along left margin indicate location on the printed bill (e.g., 5-15 indicates page 5, line 15).

 

AN ACT relating to health insurance; requiring health insurers to provide certain information concerning payment for health care services to an insured or provider of health care upon request; requiring health insurers to reimburse certain specialists with whom they do not have a contract for health care services provided to certain insureds; requiring the board of the public employees’ benefits program to comply with certain provisions concerning health insurance applicable to other insurers with regard to health insurance it provides through a plan of self-insurance; requiring the board to notify certain persons of a proposed change in the premium charged for or coverage of health insurance provided by the public employees’ benefits program; and providing other matters properly relating thereto.

 

THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN

SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:

 

1-1    Section 1. NRS 679B.130 is hereby amended to read as follows:

1-2    679B.130  1.  The commissioner may adopt reasonable regulations for

1-3  the administration of any provision of this code , [or] chapters 616A to

1-4  617, inclusive, of NRS[.] and section 23 of this act.

1-5    2.  A person who willfully violates any regulation of the commissioner

1-6  is subject to such suspension or revocation of a certificate of authority or

1-7  license, or administrative fine in lieu of such suspension or revocation, as

1-8  may be applicable under this code or chapter 616A, 616B, 616C, 616D or

1-9  617 of NRS for violation of the provision to which the regulation relates.

1-10  No penalty applies to any act done or omitted in good faith in conformity

1-11  with any such regulation, notwithstanding that the regulation may, after the

1-12  act or omission, be amended, rescinded or determined by a judicial or other

1-13  authority to be invalid for any reason.


2-1    Sec. 2.  Chapter 689A of NRS is hereby amended by adding thereto

2-2  the provisions set forth as sections 3 and 4 of this act.

2-3    Sec. 3.  An insurer shall, at the request of an insured or provider of

2-4  health care with whom it has a contract for the provision of health care

2-5  services, provide as soon as practicable to the insured or provider of

2-6  health care:

2-7    1.  An estimate of the rate at which the provider of health care will be

2-8  reimbursed for providing a health care service to the insured and the

2-9  amount of money for which the insured will be responsible for the health

2-10  care service; or

2-11    2.  If the insurer pays claims on the basis of fees for health care

2-12  services that are usual and customary, an estimate of the usual and

2-13  customary fee for providing a health care service to the insured and the

2-14  percentage of that fee for which the insured will be responsible,

2-15  including, without limitation, the percentage of the fee for which the

2-16  insured will be responsible if the health care service provided to the

2-17  insured is provided by a provider of health care who does not have a

2-18  contract for the provision of health care services with the insurer.

2-19    Sec. 4.  1.  If an insured requires health care services that may be

2-20  provided by a specialist and his insurer does not have a contract for the

2-21  provision of health care services with such a specialist whose place of

2-22  business is located within 50 miles from the residence of the insured, the

2-23  insurer shall reimburse:

2-24    (a) A specialist whose place of business is located within 50 miles

2-25  from the residence of the insured; or

2-26    (b) A specialist whose place of business is located more than 50 miles

2-27  from the residence of the insured if there is no specialist whose place of

2-28  business is located within 50 miles from the residence of the insured,

2-29  for specialized health care services that are provided to the insured by

2-30  that specialist.

2-31    2.  An insurer shall reimburse a specialist pursuant to the provisions

2-32  of this section in an amount that is not less than the amount the insurer

2-33  would be required to reimburse a specialist with whom it has a contract

2-34  for the provision of health care services.

2-35    Sec. 5.  NRS 689A.0423 is hereby amended to read as follows:

2-36    689A.0423  1.  A policy of health insurance must provide coverage

2-37  for:

2-38    (a) Enteral formulas for use at home that are prescribed or ordered by a

2-39  physician as medically necessary for the treatment of inherited metabolic

2-40  diseases characterized by deficient metabolism, or malabsorption

2-41  originating from congenital defects or defects arising shortly after birth, of

2-42  amino acid, organic acid, carbohydrate or fat; and

2-43    (b) [At least $2,500 per year for special] Special food products which

2-44  are prescribed or ordered by a physician as medically necessary for the

2-45  treatment of a person described in paragraph (a).

2-46    2.  The coverage required by subsection 1 must be [provided] :

2-47    (a) Provided whether or not the condition existed when the policy was

2-48  purchased[.] ; and


3-1    (b) Subject to the same deductible, copayment, coinsurance, waiting

3-2  period and any other conditions for coverage that are required under the

3-3  policy.

3-4    3.  A policy subject to the provisions of this chapter that is delivered,

3-5  issued for delivery or renewed on or after [January 1, 1998,] October 1,

3-6  2001, has the legal effect of including the coverage required by this

3-7  section, and any provision of the policy or the renewal which is in conflict

3-8  with this section is void.

3-9    4.  As used in this section:

3-10    (a) “Inherited metabolic disease” means a disease caused by an

3-11  inherited abnormality of the body chemistry of a person.

3-12    (b) “Special food product” means a food product that is specially

3-13  formulated to have less than one gram of protein per serving and is

3-14  intended to be consumed under the direction of a physician for the dietary

3-15  treatment of an inherited metabolic disease. The term does not include a

3-16  food that is naturally low in protein.

3-17    Sec. 6.  Chapter 689B of NRS is hereby amended by adding thereto

3-18  the provisions set forth as sections 7 and 8 of this act.

3-19    Sec. 7.  An insurer that issues a policy of group health insurance

3-20  shall, at the request of an insured or provider of health care with whom it

3-21  has a contract for the provision of health care services, provide as soon

3-22  as practicable to the insured or provider of health care:

3-23    1.  An estimate of the rate at which the provider of health care will be

3-24  reimbursed for providing a health care service to the insured and the

3-25  amount of money for which the insured will be responsible for the health

3-26  care service; or

3-27    2.  If the insurer pays claims on the basis of fees for health care

3-28  services that are usual and customary, an estimate of the usual and

3-29  customary fee for providing a health care service to the insured and the

3-30  percentage of that fee for which the insured will be responsible,

3-31  including, without limitation, the percentage of the fee for which the

3-32  insured will be responsible if the health care service provided to the

3-33  insured is provided by a provider of health care who does not have a

3-34  contract for the provision of health care services with the insurer.

3-35    Sec. 8.  1.  If an insured requires health care services that may be

3-36  provided by a specialist and his insurer that issues a policy of group

3-37  health insurance does not have a contract for the provision of health

3-38  care services with such a specialist whose place of business is located

3-39  within 50 miles from the residence of the insured, the insurer shall

3-40  reimburse:

3-41    (a) A specialist whose place of business is located within 50 miles

3-42  from the residence of the insured; or

3-43    (b) A specialist whose place of business is located more than 50 miles

3-44  from the residence of the insured if there is no specialist whose place of

3-45  business is located within 50 miles from the residence of the insured,

3-46  for specialized health care services that are provided to the insured by

3-47  that specialist.

3-48    2.  An insurer that issues a policy of group health insurance shall

3-49  reimburse a specialist pursuant to the provisions of this section in an


4-1  amount that is not less than the amount the insurer would be required to

4-2  reimburse a specialist with whom it has a contract for the provision of

4-3  health care services.

4-4    Sec. 9.  NRS 689B.0353 is hereby amended to read as follows:

4-5    689B.0353  1.  A policy of group health insurance must provide

4-6  coverage for:

4-7    (a) Enteral formulas for use at home that are prescribed or ordered by a

4-8  physician as medically necessary for the treatment of inherited metabolic

4-9  diseases characterized by deficient metabolism, or malabsorption

4-10  originating from congenital defects or defects arising shortly after birth, of

4-11  amino acid, organic acid, carbohydrate or fat; and

4-12    (b) [At least $2,500 per year for special] Special food products which

4-13  are prescribed or ordered by a physician as medically necessary for the

4-14  treatment of a person described in paragraph (a).

4-15    2.  The coverage required by subsection 1 must be [provided] :

4-16    (a) Provided whether or not the condition existed when the policy was

4-17  purchased[.] ; and

4-18    (b) Subject to the same deductible, copayment, coinsurance, waiting

4-19  period and any other conditions for coverage that are required under the

4-20  policy.

4-21    3.  A policy subject to the provisions of this chapter that is delivered,

4-22  issued for delivery or renewed on or after [January 1, 1998,] October 1,

4-23  2001, has the legal effect of including the coverage required by this

4-24  section, and any provision of the policy or the renewal which is in conflict

4-25  with this section is void.

4-26    4.  As used in this section:

4-27    (a) “Inherited metabolic disease” means a disease caused by an

4-28  inherited abnormality of the body chemistry of a person.

4-29    (b) “Special food product” means a food product that is specially

4-30  formulated to have less than one gram of protein per serving and is

4-31  intended to be consumed under the direction of a physician for the dietary

4-32  treatment of an inherited metabolic disease. The term does not include a

4-33  food that is naturally low in protein.

4-34    Sec. 10.  Chapter 695A of NRS is hereby amended by adding thereto

4-35  the provisions set forth as sections 11 and 12 of this act.

4-36    Sec. 11.  A society shall, at the request of an insured or provider of

4-37  health care with whom it has a contract for the provision of health care

4-38  services, provide as soon as practicable to the insured or provider of

4-39  health care:

4-40    1.  An estimate of the rate at which the provider of health care will be

4-41  reimbursed for providing a health care service to the insured and the

4-42  amount of money for which the insured will be responsible for the health

4-43  care service; or

4-44    2.  If the society pays claims on the basis of fees for health care

4-45  services that are usual and customary, an estimate of the usual and

4-46  customary fee for providing a health care service to the insured and the

4-47  percentage of that fee for which the insured will be responsible,

4-48  including, without limitation, the percentage of the fee for which the

4-49  insured will be responsible if the health care service provided to the


5-1  insured is provided by a provider of health care who does not have a

5-2  contract for the provision of health care services with the society.

5-3    Sec. 12.  1.  If an insured requires health care services that may be

5-4  provided by a specialist and his society does not have a contract for the

5-5  provision of health care services with such a specialist whose place of

5-6  business is located within 50 miles from the residence of the insured, the

5-7  society shall reimburse:

5-8    (a) A specialist whose place of business is located within 50 miles

5-9  from the residence of the insured; or

5-10    (b) A specialist whose place of business is located more than 50 miles

5-11  from the residence of the insured if there is no specialist whose place of

5-12  business is located within 50 miles from the residence of the insured,

5-13  for specialized health care services that are provided to the insured by

5-14  that specialist.

5-15    2.  A society shall reimburse a specialist pursuant to the provisions of

5-16  this section in an amount that is not less than the amount the society

5-17  would be required to reimburse a specialist with whom it has a contract

5-18  for the provision of health care services.

5-19    Sec. 13.  Chapter 695B of NRS is hereby amended by adding thereto

5-20  the provisions set forth as sections 14 and 15 of this act.

5-21    Sec. 14.  A corporation that is subject to the provisions of this

5-22  chapter shall, at the request of an insured or provider of health care with

5-23  whom it has a contract for the provision of health care services, provide

5-24  as soon as practicable to the insured or provider of health care:

5-25    1.  An estimate of the rate at which the provider of health care will be

5-26  reimbursed for providing a health care service to the insured and the

5-27  amount of money for which the insured will be responsible for the health

5-28  care service; or

5-29    2.  If the corporation pays claims on the basis of fees for health care

5-30  services that are usual and customary, an estimate of the usual and

5-31  customary fee for providing a health care service to the insured and the

5-32  percentage of that fee for which the insured will be responsible,

5-33  including, without limitation, the percentage of the fee for which the

5-34  insured will be responsible if the health care service provided to the

5-35  insured is provided by a provider of health care who does not have a

5-36  contract for the provision of health care services with the corporation.

5-37    Sec. 15.  1.  If an insured requires health care services that may be

5-38  provided by a specialist and his corporation that is subject to the

5-39  provisions of this chapter, does not have a contract for the provision of

5-40  health care services with such a specialist whose place of business is

5-41  located within 50 miles from the residence of the insured, the corporation

5-42  shall reimburse:

5-43    (a) A specialist whose place of business is located within 50 miles

5-44  from the residence of the insured; or

5-45    (b) A specialist whose place of business is located more than 50 miles

5-46  from the residence of the insured if there is no specialist whose place of

5-47  business is located within 50 miles from the residence of the insured,


6-1  for specialized health care services that are provided to the insured by

6-2  that specialist.

6-3    2.  A corporation that is subject to the provisions of this chapter shall

6-4  reimburse a specialist pursuant to the provisions of this section in an

6-5  amount that is not less than the amount the corporation would be

6-6  required to reimburse a specialist with whom it has a contract for the

6-7  provision of health care services.

6-8    Sec. 16.  NRS 695B.1923 is hereby amended to read as follows:

6-9    695B.1923  1.  A contract for hospital or medical service must

6-10  provide coverage for:

6-11    (a) Enteral formulas for use at home that are prescribed or ordered by a

6-12  physician as medically necessary for the treatment of inherited metabolic

6-13  diseases characterized by deficient metabolism, or malabsorption

6-14  originating from congenital defects or defects arising shortly after birth, of

6-15  amino acid, organic acid, carbohydrate or fat; and

6-16    (b) [At least $2,500 per year for special] Special food products which

6-17  are prescribed or ordered by a physician as medically necessary for the

6-18  treatment of a person described in paragraph (a).

6-19    2.  The coverage required by subsection 1 must be [provided] :

6-20    (a) Provided whether or not the condition existed when the contract was

6-21  purchased[.] ; and

6-22    (b) Subject to the same deductible, copayment, coinsurance, waiting

6-23  period and any other conditions for coverage that are required under the

6-24  contract.

6-25    3.  A contract subject to the provisions of this chapter that is delivered,

6-26  issued for delivery or renewed on or after [January 1, 1998,] October 1,

6-27  2001, has the legal effect of including the coverage required by this

6-28  section, and any provision of the contract or the renewal which is in

6-29  conflict with this section is void.

6-30    4.  As used in this section:

6-31    (a) “Inherited metabolic disease” means a disease caused by an

6-32  inherited abnormality of the body chemistry of a person.

6-33    (b) “Special food product” means a food product that is specially

6-34  formulated to have less than one gram of protein per serving and is

6-35  intended to be consumed under the direction of a physician for the dietary

6-36  treatment of an inherited metabolic disease. The term does not include a

6-37  food that is naturally low in protein.

6-38    Sec. 17.  Chapter 695C of NRS is hereby amended by adding thereto

6-39  the provisions set forth as sections 18 and 19 of this act.

6-40    Sec. 18.  A health maintenance organization shall, at the request of

6-41  an enrollee or provider of health care with whom it has a contract for the

6-42  provision of health care services, provide as soon as practicable to the

6-43  enrollee or provider of health care:

6-44    1.  An estimate of the rate at which the provider of health care will be

6-45  reimbursed for providing a health care service to the enrollee and the

6-46  amount of money for which the enrollee will be responsible for the

6-47  health care service; or

6-48    2.  If the health maintenance organization pays claims on the basis of

6-49  fees for health care services that are usual and customary, an estimate of


7-1  the usual and customary fee for providing a health care service to the

7-2  enrollee and the percentage of that fee for which the enrollee will be

7-3  responsible, including, without limitation, the percentage of the fee for

7-4  which the enrollee will be responsible if the health care service provided

7-5  to the enrollee is provided by a provider of health care who does not have

7-6  a contract for the provision of health care services with the health

7-7  maintenance organization.

7-8    Sec. 19.  1.  If an enrollee requires health care services that may be

7-9  provided by a specialist and his health maintenance organization does

7-10  not have a contract for the provision of health care services with such a

7-11  specialist whose place of business is located within 50 miles from the

7-12  residence of the enrollee, the health maintenance organization shall

7-13  reimburse:

7-14    (a) A specialist whose place of business is located within 50 miles

7-15  from the residence of the enrollee; or

7-16    (b) A specialist whose place of business is located more than 50 miles

7-17  from the residence of the enrollee if there is no specialist whose place of

7-18  business is located within 50 miles from the residence of the enrollee,

7-19  for specialized health care services that are provided to the enrollee by

7-20  that specialist.

7-21    2.  A health maintenance organization shall reimburse a specialist

7-22  pursuant to the provisions of this section in an amount that is not less

7-23  than the amount the health maintenance organization would be required

7-24  to reimburse a specialist with whom it has a contract for the provision of

7-25  health care services.

7-26    Sec. 20.  NRS 695C.050 is hereby amended to read as follows:

7-27    695C.050  1.  Except as otherwise provided in this chapter or in

7-28  specific provisions of this Title, the provisions of this Title are not

7-29  applicable to any health maintenance organization granted a certificate of

7-30  authority under this chapter. This provision does not apply to an insurer

7-31  licensed and regulated pursuant to this Title except with respect to its

7-32  activities as a health maintenance organization authorized and regulated

7-33  pursuant to this chapter.

7-34    2.  Solicitation of enrollees by a health maintenance organization

7-35  granted a certificate of authority, or its representatives, must not be

7-36  construed to violate any provision of law relating to solicitation or

7-37  advertising by practitioners of a healing art.

7-38    3.  Any health maintenance organization authorized under this chapter

7-39  shall not be deemed to be practicing medicine and is exempt from the

7-40  provisions of chapter 630 of NRS.

7-41    4.  The provisions of NRS 695C.110, 695C.170 to 695C.200, inclusive,

7-42  695C.250 and 695C.265 and sections 18 and 19 of this act do not apply to

7-43  a health maintenance organization that provides health care services

7-44  through managed care to recipients of Medicaid under the state plan for

7-45  Medicaid or insurance pursuant to the children’s health insurance program

7-46  pursuant to a contract with the division of health care financing and policy

7-47  of the department of human resources. This subsection does not exempt a


8-1  health maintenance organization from any provision of this chapter for

8-2  services provided pursuant to any other contract.

8-3    5.  The provisions of NRS 695C.1694 and 695C.1695 apply to a health

8-4  maintenance organization that provides health care services through

8-5  managed care to recipients of Medicaid under the state plan for Medicaid.

8-6    Sec. 21.  NRS 695C.1723 is hereby amended to read as follows:

8-7    695C.1723  1.  A health maintenance plan must provide coverage for:

8-8    (a) Enteral formulas for use at home that are prescribed or ordered by a

8-9  physician as medically necessary for the treatment of inherited metabolic

8-10  diseases characterized by deficient metabolism, or malabsorption

8-11  originating from congenital defects or defects arising shortly after birth, of

8-12  amino acid, organic acid, carbohydrate or fat; and

8-13    (b) [At least $2,500 per year for special] Special food products which

8-14  are prescribed or ordered by a physician as medically necessary for the

8-15  treatment of a person described in paragraph (a).

8-16    2.  The coverage required by subsection 1 must be [provided] :

8-17    (a) Provided whether or not the condition existed when the health

8-18  maintenance plan was purchased[.] ; and

8-19    (b) Subject to the same deductible, copayment, coinsurance, waiting

8-20  period and any other conditions for coverage that are required under the

8-21  health maintenance plan.

8-22    3.  Any evidence of coverage subject to the provisions of this chapter

8-23  that is delivered, issued for delivery or renewed on or after [January 1,

8-24  1998,] October 1, 2001, has the legal effect of including the coverage

8-25  required by this section, and any provision of the evidence of coverage or

8-26  the renewal which is in conflict with this section is void.

8-27    4.  As used in this section:

8-28    (a) “Inherited metabolic disease” means a disease caused by an

8-29  inherited abnormality of the body chemistry of a person.

8-30    (b) “Special food product” means a food product that is specially

8-31  formulated to have less than one gram of protein per serving and is

8-32  intended to be consumed under the direction of a physician for the dietary

8-33  treatment of an inherited metabolic disease. The term does not include a

8-34  food that is naturally low in protein.

8-35    Sec. 22.  NRS 695F.090 is hereby amended to read as follows:

8-36    695F.090  Prepaid limited health service organizations are subject to

8-37  the provisions of this chapter and to the following provisions, to the extent

8-38  reasonably applicable:

8-39    1.  NRS 687B.310 to 687B.420, inclusive, concerning cancellation and

8-40  nonrenewal of policies.

8-41    2.  NRS 687B.122 to 687B.128, inclusive, concerning readability of

8-42  policies.

8-43    3.  The requirements of NRS 679B.152.

8-44    4.  The fees imposed pursuant to NRS 449.465.

8-45    5.  NRS 686A.010 to 686A.310, inclusive, concerning trade practices

8-46  and frauds.

8-47    6.  The assessment imposed pursuant to subsection 3 of NRS

8-48  679B.158.

8-49    7.  Chapter 683A of NRS.


9-1    8.  [To the extent applicable, the provisions of] NRS 689B.340 to

9-2  689B.600, inclusive, and chapter 689C of NRS relating to the portability

9-3  and availability of health insurance.

9-4    9.  NRS 689A.035, 689A.410 and 689A.413[.] and sections 3 and 4 of

9-5  this act.

9-6    10.  NRS 680B.025 to 680B.039, inclusive, concerning premium tax,

9-7  premium tax rate, annual report and estimated quarterly tax payments. For

9-8  the purposes of this subsection, unless the context otherwise requires that a

9-9  section apply only to insurers, any reference in those sections to “insurer”

9-10  must be replaced by a reference to “prepaid limited health service

9-11  organization.”

9-12    11.  Chapter 692C of NRS, concerning holding companies.

9-13    Sec. 23.  Chapter 287 of NRS is hereby amended by adding thereto a

9-14  new section to read as follows:

9-15    If the board provides health insurance through a plan of self-

9-16  insurance, it shall comply with the provisions of NRS 689B.255,

9-17  695G.150, 695G.160, 695G.170, 695G.200 to 695G.230, inclusive, and

9-18  sections 7 and 8 of this act in the same manner as an insurer that is

9-19  licensed pursuant to Title 57 of NRS is required to comply with those

9-20  provisions.

9-21    Sec. 24.  NRS 287.0402 is hereby amended to read as follows:

9-22    287.0402  As used in NRS 287.0402 to 287.049, inclusive, and section

9-23  23 of this act, unless the context otherwise requires, the words and terms

9-24  defined in NRS 287.0404 and 287.0406 have the meanings ascribed to

9-25  them in those sections.

9-26    Sec. 25.  NRS 287.043 is hereby amended to read as follows:

9-27    287.043  1.  The board shall:

9-28    (a) Establish and carry out a program to be known as the public

9-29  employees’ benefits program which:

9-30      (1) Must include a program relating to group life, accident or health

9-31  insurance, or any combination of these; and

9-32      (2) May include a program to reduce taxable compensation or other

9-33  forms of compensation other than deferred compensation,

9-34  for the benefit of all state officers and employees and other persons who

9-35  participate in the program.

9-36    (b) Ensure that the program is funded on an actuarially sound basis and

9-37  operated in accordance with sound insurance and business practices.

9-38    2.  In establishing and carrying out the program, the board shall:

9-39    (a) Except as otherwise provided in this paragraph, negotiate and

9-40  contract with the governing body of any public agency enumerated in NRS

9-41  287.010 [which is desirous of obtaining] that wishes to obtain group

9-42  insurance for its officers, employees and retired employees by participation

9-43  in the program. The board shall establish separate rates and coverage for

9-44  those officers, employees and retired employees based on actuarial reports.

9-45    (b) [Give] Except as otherwise provided in paragraph (c), provide

9-46  public notice in writing of any proposed changes in rates or coverage to

9-47  each participating public employer who may be affected by the changes.

9-48  Notice must be provided at least 30 days before the effective date of the

9-49  changes.


10-1    (c) If a proposed change is a change in the premium charged for or

10-2  coverage of health insurance, provide written notice of the proposed

10-3  change to all state officers, employees, retired employees and other

10-4  persons who participate in the program and may be affected by the

10-5  proposed change. The notice must be provided at least 60 days before the

10-6  date a state officer, employee, retired employee or other person is

10-7  required to select or change his policy of health insurance.

10-8    (d) Purchase policies of life, accident or health insurance, or any

10-9  combination of these, or, if applicable, a program to reduce the amount of

10-10  taxable compensation pursuant to 26 U.S.C. § 125, from any company

10-11  qualified to do business in this state or provide similar coverage through a

10-12  plan of self-insurance established pursuant to NRS 287.0433 for the benefit

10-13  of all eligible public officers, employees and retired employees who

10-14  participate in the program.

10-15  [(d)] (e) Except as otherwise provided in this Title, develop and

10-16  establish other employee benefits as necessary.

10-17  [(e)] (f) Investigate and approve or disapprove any contract proposed

10-18  pursuant to NRS 287.0479.

10-19  [(f)] (g) Adopt such regulations and perform such other duties as are

10-20  necessary to carry out the provisions of NRS 287.0402 to 287.049,

10-21  inclusive, and section 23 of this act, including, without limitation, the

10-22  establishment of:

10-23     (1) Fees for applications for participation in the program and for the

10-24  late payment of premiums or contributions;

10-25     (2) Conditions for entry and reentry into the program by public

10-26  agencies enumerated in NRS 287.010;

10-27     (3) The levels of participation in the program required for employees

10-28  of participating public agencies;

10-29     (4) Procedures by which a group of participants in the program may

10-30  leave the program pursuant to NRS 287.0479 and conditions and

10-31  procedures for reentry into the program by [such] those participants; and

10-32     (5) Specific procedures for the determination of contested claims.

10-33  [(g)] (h) Appoint an independent certified public accountant. The

10-34  accountant shall provide:

10-35     (1) An annual audit of the program; and

10-36     (2) A biennial audit of the program to determine whether the program

10-37  complies with federal and state laws relating to taxes and employee

10-38  benefits.

10-39  The accountant shall report to the board and the interim retirement and

10-40  benefits committee of the legislature created pursuant to NRS 218.5373.

10-41  3.  The board may use any services provided to state agencies and shall

10-42  use the services of the purchasing division of the department of

10-43  administration to establish and carry out the program.

10-44  4.  The board may make recommendations to the legislature concerning

10-45  legislation that it deems necessary and appropriate regarding the program.

10-46  5.  The state and any other public employers that participate in the

10-47  program are not liable for any obligation of the program other than

10-48  indemnification of the board and its employees against liability relating to


11-1  the administration of the program, subject to the limitations specified in

11-2  NRS 41.0349.

11-3    6.  As used in this section, “employee benefits” includes any form of

11-4  compensation provided to a state employee pursuant to this Title except

11-5  federal benefits, wages earned, legal holidays, deferred compensation and

11-6  benefits available pursuant to chapter 286 of NRS.

 

11-7  H