210 Neb. Admin. Code, ch. 60, § 006

Current through September 17, 2024
Section 210-60-006 - Failure to acknowledge pertinent communications
006.01 Every insurer, upon receiving notification of a claim shall, within fifteen (15) days, acknowledge the receipt of such notice unless payment is made within that period of time. If an acknowledgement is made by means other than writing, an appropriate dated notation of the acknowledgement shall be made in the claim file of the insurer. Notification given to an agent of an insurer shall be notification to the insurer. If notification is given to an agent of an insurer, such agent may acknowledge receipt of such notice. Notice to an agent of an insurer shall not be notice to the insurer if such agent notifies the claimant that the agent is not authorized to receive notices of claim.
006.02 Every insurer, upon receipt of any inquiry from the Director respecting a claim shall furnish the Department, in duplicate, an adequate response to the inquiry or request additional reasonable time to respond within fifteen (15) days of receipt of such inquiry.
006.03 An appropriate reply shall be made within fifteen (15) days on all other pertinent communications from a claimant which reasonably suggest that a response is expected.
006.04 Every insurer, upon receiving notification of claim, shall provide, within fifteen (15) days, the necessary claim forms, instructions and reasonable assistance so that claimants can comply with the insurer's reasonable requirements and policy conditions. Compliance with this paragraph shall constitute compliance with Subsection 006.01.

210 Neb. Admin. Code, ch. 60, § 006