Nev. Admin. Code § 616B.7702

Current through October 11, 2024
Section 616B.7702 - Submission of claim
1. The Board will approve or disapprove, in whole or in part:
(a) Each claim made for reimbursement from the Subsequent Injury Account for Self-Insured Employers established pursuant to NRS 616B.554 by a self-insured employer, if the claim is completed by the employer pursuant to the requirements set forth in this section; and
(b) Any expenses of the self-insured employer related to each such claim that the Administrator has verified pursuant to the provisions of NAC 616B.707.
2. To submit a claim to the Board, a self-insured employer must:
(a) Serve the claim, in writing, on the Administrator;
(b) Include with the claim a completed copy of the form entitled "D-37, Insurer's Subsequent Injury Checklist" that is prescribed by the Administrator;
(c) Organize the claim in the manner prescribed in Form D-37; and
(d) Include with the claim all information which is necessary to establish that the claim should be paid from the Subsequent Injury Account for Self-Insured Employers. Such information must include, without limitation, the pertinent medical records of the injured employee who is the subject of the claim.
3. A self-insured employer who submits a claim pursuant to subsection 2 shall, upon the request of the Administrator:
(a) Allow the Administrator to inspect the records maintained by the self-insured employer concerning the claim; or
(b) Provide copies of those records to the Administrator.
4. This section does not prohibit or limit the Administrator from requiring or obtaining from the self-insured employer or any other person any additional information relating to a claim submitted pursuant to subsection 2.

Nev. Admin. Code § 616B.7702

Added to NAC by Div. of Industrial Relations, eff. 2-18-97; A by R025-18A, eff. 2/20/2020; A by R028-23A, eff. 2/20/2024

NRS 616A.400