NRS: CHAPTER 683A - PERSONS INVOLVED IN SALE OR ADMINISTRATION OF INSURANCE

NRS 683A.0851 Health maintenance organization authorized to act as administrator of program of health insurance; approval or disapproval of contract by Commissioner; exemption from licensing and bonding.

NRS 683A.0852 Nonprofit corporation for hospital or medical services authorized to act as administrator of program of health insurance; notice to Commissioner; exemption from licensing and bonding.

NRS 683A.08522 Certificate of registration: Contents of application.

NRS 683A.08524 Certificate of registration: Issuance; grounds for refusal to issue certificate of registration; requirements if applicant seeks final approval by Division of Industrial Relations of the Department of Business and Industry.

NRS 683A.08526 Certificate of registration: Duration; expiration; renewal.

NRS 683A.08528 Annual report: Requirements; review by Commissioner.

NRS 683A.08529 Duty to notify Commissioner of certain changes; submission of affidavit required upon change in members, owners, directors or officers.

NRS 683A.0853 Waiver of requirements for administrator’s certificate.

NRS 683A.0857 Bond: Requirement; amount; conditions; replacement.

NRS 683A.086 Agreement with insurer required; contents of agreement; retention of copy of agreement; trust agreements; delegation of duties of administrator; regulations specifying permissible functions; termination of agreement.

NRS 683A.0863 Payments to administrator.

NRS 683A.0868 Prohibiting fee to include provider of health care on panel; penalty; costs and attorney’s fees; suspension of activities.

NRS 683A.087 Advertising.

NRS 683A.0873 Records of administrator: Maintenance and retention; examination by Commissioner and insurer; confidentiality.

NRS 683A.0877 Certain charges and premiums collected or received held in fiduciary capacity; remittance or deposit of money in fiduciary accounts; withdrawals from and records relating to fiduciary accounts.

NRS 683A.0879 Claims relating to health insurance coverage: Approval or denial; payment of claims and interest; requests for additional information; award of costs and attorney’s fees; compliance with requirements; imposition of administrative fine or suspension or revocation of certificate of registration for failure to comply.

NRS 683A.088 Payment of claims by check or draft.

NRS 683A.0883 Basis for compensation of administrator.

NRS 683A.0887 Duty to disclose information relating to identity and relationship among insurer, administrator and insured and amount of premium or charge to insured; duty to disclose to insurer charges, fees and commissions received for provision of administrative services.

NRS 683A.089 Delivery to insureds of communications of insurer.

NRS 683A.0891 Penalty for failure of administrator to comply with certain requirements for electronic maintenance, transmittal and exchange of health information. [Effective July 1, 2024.]

NRS 683A.0892 Suspension or revocation of certificate of registration: Grounds; additional penalties.

NRS 683A.0893 Penalty for acting without certificate of registration.

MANAGING GENERAL AGENTS

NRS 683A.090 License required; administrative fine.

NRS 683A.140 Licensing of firm or corporation; requirements for issuance or renewal of license of business entity.

NRS 683A.160 Application for license; fees; period of validity, renewal, failure to renew, contents and availability of license; change of address.

NRS 683A.165 Authority of Commissioner to require surety bond for license.

PHARMACY BENEFIT MANAGERS

NRS 683A.171 Definitions.

NRS 683A.172 “Covered person” defined.

NRS 683A.173 “Pharmacy” defined.

NRS 683A.174 “Pharmacy benefit manager” defined.

NRS 683A.175 “Pharmacy benefits plan” defined.

NRS 683A.176 “Third party” defined. [Effective through December 31, 2025.]

NRS 683A.176 “Third party” defined. [Effective January 1, 2026.]

NRS 683A.177 Applicability.

NRS 683A.178 Obligation of pharmacy benefit manager to third party or pharmacy; notice of conflicts of interest; compliance with provisions applicable to insurer.

NRS 683A.1785 Prohibited acts relating to 340B Program; applicability.

NRS 683A.179 Other prohibited acts; applicability.

PERSONAL PROPERTY STORAGE INSURANCE

NRS 683A.181 Definitions.

NRS 683A.1815 “Facility” defined.

NRS 683A.182 “Occupant” defined.

NRS 683A.1823 “Owner” defined.

NRS 683A.1826 “Personal property” defined.

NRS 683A.1828 “Personal property storage insurance” defined.

NRS 683A.183 “Rental agreement” defined.

NRS 683A.1835 “Storage space” defined.

NRS 683A.1837 “Supervising entity” defined.

NRS 683A.184 Commissioner: Forms for application for initial licensure and renewal; fees for initial licensure and renewal; regulations.

NRS 683A.1845 License to offer, sell, solicit or negotiate personal property storage insurance: Issuance by Commissioner; requirements for issuance and renewal; coverage; exception from licensure for owner displaying and making available marketing and promotional materials.

NRS 683A.185 Examination or education not required to receive or renew license.

NRS 683A.1855 Restrictions relating to sales and coverage; rates to be filed with Commissioner.

NRS 683A.186 Licensee required to make certain written or electronic materials available to occupant or prospective occupant.

NRS 683A.1865 Satisfaction of insurance requirement by occupant or prospective occupant as condition of rental agreement.

NRS 683A.187 Billing, collecting and remitting charges by licensee; compensation for licensee from supervising entity for sales, billing and collection services; money collected by licensee from enrolled customer held in trust.

NRS 683A.1875 Employee or authorized representative may act for licensee.

NRS 683A.188 Licensee required to provide training program for employees and authorized representatives.

NRS 683A.1885 Licensee prohibited from advertising, representing or holding itself out as licensed insurer.

NRS 683A.189 Responsibility and duties of supervising entity relating to licensee, employees and authorized representatives.

PRODUCERS OF INSURANCE

NRS 683A.191 Definitions. [Repealed.]

NRS 683A.193 “Offer and disseminate” defined. [Repealed.]

NRS 683A.195 “Producer of limited lines travel insurance” defined. [Repealed.]

NRS 683A.197 “Travel insurance” defined. [Repealed.]

NRS 683A.199 “Travel retailer” defined. [Repealed.]

NRS 683A.201 License required; exemption for insurers; administrative fine.

NRS 683A.211 Persons exempt from licensing.

NRS 683A.221 Employee of short-term lessor of vehicles exempt from licensing under certain circumstances.

NRS 683A.231 Licensing of bank.

NRS 683A.241 Examination for license: Requirement; contents; regulations; contracts for administration; fee; failure to appear.

NRS 683A.242 Exemption from written examination and certain educational requirements for producers of limited lines travel insurance and travel retailers. [Repealed.]

NRS 683A.251 Form and prerequisites for approval of application for license of natural person; licensing of business organization; certain applicants to submit fingerprints; report from Federal Bureau of Investigation; verification of information.

NRS 683A.261 Issuance, period of validity, renewal, failure to renew, contents and availability of license; lines of authority; change of address.

NRS 683A.265 Licensing of producer of limited lines travel insurance. [Repealed.]

NRS 683A.271 Licensing of nonresident persons; participation by Commissioner in centralized registry; required notifications.

NRS 683A.281 Nonresident licensees: Service of process; agreement to appear.

NRS 683A.291 Exemption from education and examination for producer previously licensed for same lines of authority in another state; exemption from examination for producer who confines activity to certain types of insurance.

NRS 683A.301 Use of true or fictitious name by applicant for license or licensee.

NRS 683A.311 Temporary licenses: Authority of Commissioner to issue, limit or revoke; expiration; renewal.

NRS 683A.321 Appointment of producer as agent of insurer; fees for agents; activities of producer as broker.

NRS 683A.325 Commissions and compensation.

NRS 683A.331 Termination of appointment, employment or other relationship of producer to insurer; civil immunity for provision of certain information regarding termination.

NRS 683A.341 Reports to Commissioner: Administrative action or criminal prosecution against producer.

NRS 683A.351 Records of transactions: Maintenance; examination by Commissioner; destruction.

NRS 683A.361 Payment, acceptance and assignment of commissions, brokerage, fees for service and other valuable considerations.

NRS 683A.365 Authorization by business organization of another producer to transact business on its behalf: Notification to Commissioner of authorization and termination of authorization.

NRS 683A.367 Restrictions concerning selling, soliciting and negotiating continuous care coverage; fine.

NRS 683A.368 Liability of producers of limited lines travel insurance for acts of travel retailers. [Repealed.]

NRS 683A.3683 Applicability of certain provisions to producers of limited lines travel insurance and travel retailers. [Repealed.]

NRS 683A.3685 Producer of limited lines travel insurance required to maintain register of travel retailers acting on behalf of producer; submission of register to Commissioner; certification. [Repealed.]

NRS 683A.3687 Compensation of travel retailer by producer of limited lines travel insurance; limitations. [Repealed.]

NRS 683A.369 Travel retailers: Authorized scope of activities. [Repealed.]

NRS 683A.3693 Travel retailers: Prohibited activities. [Repealed.]

NRS 683A.3695 Travel retailers: Required written disclosures. [Repealed.]

NRS 683A.370 Use and licensing of vending machines to solicit for and issue personal travel accident insurance policies.

INDEPENDENT REVIEW ORGANIZATIONS

NRS 683A.3715 Approval to conduct external reviews: Application; fee; period of validity; reapproval; termination of approval; list maintained by Commissioner; regulations.

NRS 683A.372 Approval to conduct external reviews: Minimum qualifications; conflicts of interest.

NRS 683A.373 Submission of annual list to Office for Consumer Health Assistance.

AGENTS WHO PERFORM UTILIZATION REVIEW

NRS 683A.375 Purposes.

NRS 683A.376 Definitions.

NRS 683A.377 Applicability.

NRS 683A.378 Prerequisites to conducting utilization review; registration of agent; plan for utilization review; agent to report material changes; renewal of registration.

NRS 683A.379 Penalty.

MISCELLANEOUS PROVISIONS

NRS 683A.383 Payment of child support: Statement by applicant for certificate of registration or license; grounds for denial of certificate of registration or license; duty of Commissioner. [Effective until the date of the repeal of 42 U.S.C. § 666, the federal law requiring each state to establish procedures for withholding, suspending and restricting the professional, occupational and recreational licenses for child support arrearages and for noncompliance with certain processes relating to paternity or child support proceedings.]

NRS 683A.385 Suspension of certificate of registration or license for failure to pay child support or comply with certain subpoenas or warrants; reinstatement of certificate of registration or license. [Effective until the date of the repeal of 42 U.S.C. § 666, the federal law requiring each state to establish procedures for withholding, suspending and restricting the professional, occupational and recreational licenses for child support arrearages and for noncompliance with certain processes relating to paternity or child support proceedings.]

NRS 683A.400 Money received and held in fiduciary capacity by producer of insurance, surplus lines broker, motor club agent or bail agent: Requirements; penalty for diversion or appropriation; commingling.

NRS 683A.405 Submission of schedule of payments to provider of health care by administrator, managing general agent, producer of insurance or certain entities acting as administrator.

DISCIPLINARY ACTION

NRS 683A.451 Authority of Commissioner; grounds for action.

NRS 683A.461 Denial, suspension or revocation of or refusal to renew license; administrative fines; authority of Commissioner after surrender or lapse of license or registration.

NRS 683A.490 Authority of Commissioner to inform district attorney of violation; penalty for violation of provision of chapter.

NRS 683A.500 Insurer prohibited from permitting person whose license has been revoked or suspended to transact insurance.

NRS 683A.520 Failure of producer of insurance or surplus lines broker to remit premiums: Report to Commissioner; suspension of license.

_________

GENERAL PROVISIONS

NRS 683A.020 Definitions. As used in this Code, unless the context otherwise requires, the words and terms defined in NRS 683A.025 to 683A.078, inclusive, have the meanings ascribed to them in those sections.

(Added to NRS by 1971, 1636; A 1977, 733; 2001, 2201)

NRS 683A.025 “Administrator” defined.

1. Except as limited by this section, “administrator” means a person who:

(a) Directly or indirectly underwrites or collects charges or premiums from or adjusts or settles claims of residents of this State or any other state from within this State in connection with workers’ compensation insurance, life or health insurance coverage or annuities, including coverage or annuities provided by an employer for his or her employees;

(b) Administers an internal service fund pursuant to NRS 287.010;

(d) Administers a program of self-insurance for an employer;

(e) Administers a program which is funded by an employer and which provides pensions, annuities, health benefits, death benefits or other similar benefits for his or her employees;

(f) Administers a program of pharmacy benefits for an employer, insurer, internal service fund or trust; or

(g) Is an insurance company that is licensed to do business in this State or is acting as an insurer with respect to a policy lawfully issued and delivered in a state where the insurer is authorized to do business, if the insurance company performs any act described in paragraphs (a) to (f), inclusive, for or on behalf of another insurer unless the insurers are affiliated and each insurer is licensed to do business in this State.

2. “Administrator” does not include:

(a) An employee authorized to act on behalf of an administrator who holds a certificate of registration from the Commissioner.

(b) An employer acting on behalf of his or her employees or the employees of a subsidiary or affiliated concern.

(d) Except as otherwise provided in paragraph (g) of subsection 1, an insurance company licensed to do business in this State or acting as an insurer with respect to a policy lawfully issued and delivered in a state in which the insurer was authorized to do business.

(e) A producer of life or health insurance licensed in this State, when his or her activities are limited to the sale of insurance.

(f) A creditor acting on behalf of his or her debtors with respect to insurance covering a debt between the creditor and debtor.

(g) A trust and its trustees, agents and employees acting for it, if the trust was established under the provisions of 29 U.S.C. § 186.

(h) Except as otherwise provided in paragraph (c) of subsection 1, a trust and its trustees, agents and employees acting for it, if the trust was established pursuant to NRS 287.015.

(i) A trust which is exempt from taxation under section 501(a) of the Internal Revenue Code, 26 U.S.C. § 501(a), its trustees and employees, and a custodian, his or her agents and employees acting under a custodial account which meets the requirements of section 401(f) of the Internal Revenue Code, 26 U.S.C. § 401(f).

(j) A bank, credit union or other financial institution which is subject to supervision by federal or state banking authorities.

(k) A company which issues credit cards, and which advances for and collects premiums or charges from credit card holders who have authorized it to do so, if the company does not adjust or settle claims.

(l) An attorney at law who adjusts or settles claims in the normal course of his or her practice or employment, but who does not collect charges or premiums in connection with life or health insurance coverage or with annuities.

3. As used in this section, “affiliated” means any insurer or other person that directly, or indirectly through one or more intermediaries, controls or is controlled by, or is under common control with, another insurer or other person.

(Added to NRS by 1977, 729; A 1979, 974; 1981, 1324; 1985, 479; 1999, 2792; 2001, 2201; 2003, 2741; 2011, 3356; 2023, 2626)

NRS 683A.031 “Business organization” defined. “Business organization” means a corporation, association, partnership, limited-liability company, limited-liability partnership or other legal form of organization.

(Added to NRS by 2001, 2191)

NRS 683A.041 “Home state” defined. “Home state” means the District of Columbia or any state or territory of the United States or Canada in which a producer of insurance maintains his or her principal place of residence or principal place of business and is licensed to act as a producer of insurance.

(Added to NRS by 2001, 2191)

NRS 683A.051 “License” defined. “License” means a document issued by the Commissioner authorizing a person to act as a producer of insurance for the lines of authority specified in the document.

(Added to NRS by 2001, 2191)

NRS 683A.060 “Managing general agent” defined.

1. A “managing general agent” is a person who:

(a) Negotiates and binds ceding reinsurance contracts on behalf of an insurer or manages all or part of the insurance business of an insurer, including the management of a separate division, department or underwriting office; and

(b) Acts as an agent for the insurer and with or without the authority, either separately or together with affiliates:

(1) Produces, directly or indirectly, and underwrites an amount of gross direct written premiums equal to or more than 5 percent of the policyholder surplus as reported in the last annual statement of the insurer in any one quarter or year; and

(2) Adjusts or pays claims in excess of an amount determined by the Commissioner or negotiates reinsurance on behalf of the insurer.

2. A managing general agent includes a person with authority to appoint and to terminate the appointment of an agent for an insurer.

3. For the purposes of this chapter, the following are not managing general agents:

(a) An employee of the insurer;

(b) A manager of the United States branch of an alien insurer;

(d) An underwriting manager who, pursuant to a contract, manages all or part of the insurance operations of the insurer, is under common control with the insurer, is subject to the provisions of chapter 692C of NRS and whose compensation is not based on the volume of premiums written or the profit of the business written.

(Added to NRS by 1971, 1637; A 1991, 2030; 2001, 2202; 2017, 2336)

NRS 683A.065 “Negotiate” defined. “Negotiate” means to confer directly with, or offer advice directly to, a purchaser or prospective purchaser of a particular contract of insurance concerning any of the substantive benefits, terms or conditions of the contract, if the person conferring or offering the advice sells insurance or obtains insurance from insurers or purchasers.

(Added to NRS by 2001, 2191)

NRS 683A.072 “Sell” defined. “Sell” means to exchange a contract of insurance, by any means, for money or its equivalent on behalf of an insurer.

(Added to NRS by 2001, 2191)

NRS 683A.074 “Solicit” defined. “Solicit” means to attempt to sell insurance or to ask or urge a person to apply for a particular kind of insurance from a particular insurer.

(Added to NRS by 2001, 2191)

NRS 683A.076 “Terminate” defined. “Terminate” means to cancel the relationship between a producer of insurance and the insurer or to terminate a producer’s authority to transact insurance.

(Added to NRS by 2001, 2191)

NRS 683A.078 “Uniform application” defined. “Uniform application” means the uniform application for licensing of producers of insurance prepared by the National Association of Insurance Commissioners and adopted by the Commissioner.

(Added to NRS by 2001, 2191)

ADMINISTRATORS

NRS 683A.0805 Definitions. As used in NRS 683A.0805 to 683A.0893, inclusive, unless the context otherwise requires, the words and terms defined in NRS 683A.081 to 683A.084, inclusive, have the meanings ascribed to them in those sections.

(Added to NRS by 1999, 2789; A 2007, 3318; 2023, 2627)

NRS 683A.081 “Affiliate” defined. “Affiliate” has the meaning ascribed to it in NRS 692C.030.

(Added to NRS by 1999, 2789)

NRS 683A.082 “Control” defined. “Control” has the meaning ascribed to it in NRS 692C.050.

(Added to NRS by 1999, 2789)

NRS 683A.083 “Insurer” defined. “Insurer” includes, without limitation:

1. An insurance company licensed pursuant to the provisions of this Code;

2. A prepaid limited health service organization that has been issued a certificate of authority pursuant to chapter 695F of NRS;

3. A health maintenance organization that has been issued a certificate of authority pursuant to chapter 695C of NRS;

4. A multiple employer welfare arrangement as defined in 29 U.S.C. § 1002;

5. An employer for whom a program of self-insurance is administered by an administrator; and

6. An organization for dental care that has been issued a certificate of authority pursuant to chapter 695D of NRS.

(Added to NRS by 1999, 2789)

NRS 683A.084 “Underwrite” defined. “Underwrite” includes, without limitation:

1. Accepting applications for insurance coverage in accordance with the written rules of an insurer;

2. Planning and coordinating a program of insurance; and

3. Procuring bonds and excess insurance.

(Added to NRS by 1999, 2790)

NRS 683A.085 Qualifications. Except as otherwise provided in NRS 683A.086, no person may act as, offer to act as or hold himself or herself out to the public as an administrator, unless:

1. The person has obtained a certificate of registration as an administrator from the Commissioner pursuant to NRS 683A.08524;

2. If the person is an individual and adjusts workers’ compensation claims in this State, the person is licensed pursuant to chapter 684A of NRS; and

3. If any employee of the person adjusts workers’ compensation claims in this State, each such employee who adjusts workers’ compensation claims in this State is licensed pursuant to chapter 684A of NRS.

(Added to NRS by 1977, 732; A 1981, 1324; 1999, 2793; 2017, 165; 2023, 2627)

1. A health maintenance organization licensed under chapter 695C of NRS may enter into a contract to act as an administrator of a program of health insurance.

2. Before entering into a contract pursuant to subsection 1, a health maintenance organization must file a copy of the contract with the Commissioner for approval. The Commissioner shall disapprove the contract if in his or her opinion it would have a substantial adverse effect on the financial soundness of the health maintenance organization and endanger its ability to meet its obligations. The Commissioner shall approve or disapprove the contract within 60 days after the filing.

3. A health maintenance organization that enters into a contract pursuant to this section is exempt from the provisions of this chapter relating to licensing and bonding of administrators, but is subject to all other provisions of this chapter.

(Added to NRS by 1987, 534)

NRS 683A.0852 Nonprofit corporation for hospital or medical services authorized to act as administrator of program of health insurance; notice to Commissioner; exemption from licensing and bonding.

1. A nonprofit corporation for hospital or medical services licensed pursuant to chapter 695B of NRS may enter into a contract to act as an administrator of a program of health insurance.

2. Before entering into a contract pursuant to subsection 1, the nonprofit corporation must notify the Commissioner in writing and provide the Commissioner with a copy of the contract and a summary of the corporation’s liabilities and costs under the contract.

3. A nonprofit corporation for hospital or medical services that enters into a contract pursuant to this section is exempt from the provisions of this chapter relating to licensing and bonding of administrators, but is subject to all other provisions of this chapter.

(Added to NRS by 1987, 534)

NRS 683A.08522 Certificate of registration: Contents of application. Each application for a certificate of registration as an administrator must include or be accompanied by:

1. A financial statement of the applicant that has been reviewed by an independent certified public accountant and which includes:

(a) A statement regarding the amount of money that the applicant expects to collect from or disburse to residents of this state during the next calendar year.

(b) Financial information for the 90 days immediately preceding the date the application was filed with the Commissioner.

(1) Prepared in accordance with generally accepted accounting principles; and

(2) Reviewed by an independent certified public accountant.

(d) A certification of the financial statement by an officer of the applicant.

2. The documents used to create the business association of the administrator, including articles of incorporation, articles of association, a partnership agreement, a trust agreement and a shareholders’ agreement.

3. The documents used to regulate the internal affairs of the administrator, including the bylaws, rules or regulations of the administrator.

4. A certificate of registration issued pursuant to NRS 600.350 for a trade name or trademark used by the administrator, if applicable.

5. An organizational chart that identifies each person who directly or indirectly controls the administrator and each affiliate of the administrator.

6. A notarized affidavit from each person who manages or controls the administrator, including each member of the board of directors or board of trustees, each officer, partner and member of the business association of the administrator, and each shareholder of the administrator who holds not less than 10 percent of the voting stock of the administrator. The affidavit must include:

(a) The personal history, business record and insurance experience of the affiant;

(b) Whether the affiant has been investigated by any regulatory authority or has had any license or certificate denied, suspended or revoked in any state; and

7. The complete name and address of each office of the administrator, including offices located outside this state.

8. A statement that sets forth whether the administrator has:

(a) Held a license or certificate to transact any kind of insurance in this state or any other state and whether that license or certificate has been refused, suspended or revoked;

(b) Been indebted to any person and, if so, the circumstances of that debt; and

9. A statement that describes the business plan of the administrator. The statement must include information:

(a) Concerning the number of persons on the staff of the administrator and the activities proposed in this state or in any other state.

(b) That demonstrates the capability of the administrator to provide a sufficient number of experienced and qualified persons for the processing of claims, the keeping of records and, if applicable, underwriting.

10. If the applicant intends to solicit new or renewal business, proof that the applicant employs or has contracted with a producer of insurance licensed in this state to solicit and take applications. An applicant who intends to solicit insurance contracts directly or to act as a producer must provide proof that the applicant is licensed as a producer in this state.

11. If the applicant is not an insurer and is not domiciled in this State, a copy of the license, certificate or other authorization issued by the state in which the applicant is domiciled which authorizes the applicant to act as an administrator in that state, if any.

12. Any other information required by the Commissioner.

(Added to NRS by 1999, 2790; A 2001, 2202; 2019, 1696; 2023, 2628)

1. Except as otherwise provided in subsection 2 or 3, the Commissioner shall issue a certificate of registration as an administrator to an applicant who:

(a) Submits an application on a form prescribed by the Commissioner;

(b) Has complied with the provisions of NRS 683A.08522; and

(c) Pays the fee for the issuance of a certificate of registration prescribed in NRS 680B.010 and, in addition to any other fee or charge, all applicable fees required pursuant to NRS 680C.110.

2. The Commissioner may refuse to issue a certificate of registration as an administrator to an applicant if the Commissioner determines that the applicant or any person who has completed an affidavit pursuant to subsection 6 of NRS 683A.08522:

(a) Is not competent to act as an administrator;

(b) Is not trustworthy or financially responsible;

(d) Has had a license or certificate to transact insurance denied for cause, suspended or revoked in this state or any other state;

(e) Has failed to comply with any provision of this chapter; or

(f) Is financially unsound.

3. If an applicant seeks final approval by the Division of Industrial Relations of the Department of Business and Industry in accordance with regulations adopted pursuant to subsection 8 of NRS 616A.400, the Commissioner shall submit to the Division the information supplied by the applicant pursuant to subsection 1. Unless the Division provides final approval for the applicant to the Commissioner, the Commissioner shall not issue a certificate of registration as an administrator to the applicant.

(Added to NRS by 1999, 2792; A 2003, 3289; 2009, 1771, 3045; 2019, 1697)

NRS 683A.08526 Certificate of registration: Duration; expiration; renewal.

1. A certificate of registration as an administrator is valid for 3 years after the date the Commissioner issues the certificate to the administrator or the administrator renews the certificate, as applicable. A certificate expires on the renewal date for the certificate if the administrator does not renew the certificate pursuant to subsection 2 on or before the renewal date.

2. An administrator may renew a certificate of registration if the administrator:

(a) Submits to the Commissioner:

(1) An application on a form prescribed by the Commissioner; and

(2) The fee for the renewal of the certificate of registration prescribed in NRS 680B.010 and, in addition to any other fee or charge, all applicable fees required pursuant to NRS 680C.110; and

(b) Is in compliance with all applicable provisions of this title and the regulations adopted pursuant thereto.

3. As used in this section, “renewal date” means:

(a) For the first renewal of the certificate of registration, the last day of the month which is 3 years after the month in which the Commissioner originally issued the certificate.

(b) For each renewal after the first renewal of the certificate of registration, the last day of the month which is 3 years after the month in which the certificate was last due to be renewed.

(Added to NRS by 1999, 2792; A 2009, 1771; 2019, 1698; 2021, 2959; 2023, 2629)

NRS 683A.08528 Annual report: Requirements; review by Commissioner.

1. Not later than 90 days after the expiration of the fiscal year of the administrator, or within such other period as the Commissioner may allow, each holder of a certificate of registration as an administrator shall file with the Commissioner an annual report for that fiscal year. Each annual report must be verified by at least two officers of the administrator.

2. Each annual report filed pursuant to this section must include all the following:

(a) A financial statement of the administrator that has been reviewed by an independent certified public accountant.

(b) The complete name and address of each person, if any, for whom the administrator agreed to act as an administrator during the fiscal year.

(c) A statement regarding the total money handled by the administrator on behalf of contracted entities in connection with his or her activities as an administrator. The statement must be on a form prescribed or approved by the Commissioner for the purpose of calculating the amount of the bond required by NRS 683A.0857.

(d) Any other information required by the Commissioner.

3. Except as otherwise provided in subsection 4, in addition to the information required pursuant to subsection 2, if an annual report is prepared on a consolidated basis, the annual report must include supplemental exhibits that:

(a) Have been reviewed by an independent certified public accountant; and

(b) Include a balance sheet and income statement for each holder of a certificate of registration as an administrator in this State.

4. In lieu of complying with the requirements set forth in paragraphs (a) and (b) of subsection 3, an administrator who is a wholly owned subsidiary of a parent company may submit to the Commissioner:

(a) The financial statement of the parent company that has been audited by an independent certified public accountant; and

(b) A parental guaranty that is signed by an officer of the parent company and which guarantees the financial solvency of the administrator.

5. The Commissioner shall, for each administrator, review the annual report that is most recently filed by the administrator. As soon as practicable after reviewing the report, the Commissioner shall issue a certificate to the administrator indicating that, based on the annual report and accompanying financial statement, the administrator is currently licensed and in good standing in this State.

(Added to NRS by 1999, 2792; A 2003, 3290; 2007, 3318; 2015, 3464; 2019, 1698)

NRS 683A.08529 Duty to notify Commissioner of certain changes; submission of affidavit required upon change in members, owners, directors or officers.

1. An administrator shall notify the Commissioner of any change in:

(a) The members, owners, directors or officers of the administrator within 30 days after the change.

(b) The physical location, mailing address or electronic mail address of an office of the administrator within 30 days after the change.

2. If there is a change in the members, owners, directors or officers of an administrator, the administrator shall submit to the Commissioner a notarized affidavit, as described in subsection 6 of NRS 683A.08522, for each new member, owner, director or officer within 30 days after the change.

(Added to NRS by 2023, 2626)

NRS 683A.0853 Waiver of requirements for administrator’s certificate. The Commissioner may waive any requirement which the Commissioner has promulgated for issue of an administrator’s certificate to any person or class of persons. In so doing the Commissioner shall consider, without limitation:

1. Whether the person acting as an administrator is primarily involved in a business other than that of administrator.

2. Whether the financial strength and history of the organization to which the applicant belongs, or which is the applicant, indicates stability in its continuity of doing business.

3. Whether the regular duties being performed by an administrator are such that the persons to be insured are not likely to be injured by a waiver of requirements.

(Added to NRS by 1977, 732)

NRS 683A.0857 Bond: Requirement; amount; conditions; replacement.

1. Each administrator shall file with the Commissioner a bond which complies with NRS 679B.175, continuous in form and in an amount determined by the Commissioner of not less than $100,000.

2. The Commissioner shall establish schedules for the amount of the bond required, based on the amount of money received and distributed by an administrator.

3. The bond must inure to the benefit of any person damaged by any fraudulent act or conduct of the administrator and must be conditioned upon faithful accounting and application of all money coming into the administrator’s possession in connection with his or her activities as an administrator.

4. A replacement bond must meet all requirements for the initial bond.

(Added to NRS by 1977, 732; A 1985, 480; 1999, 2794; 2021, 2959)

1. No person may act as an administrator unless the person has entered into a written agreement with an insurer, and the written agreement contains provisions to effectuate the requirements contained in NRS 683A.08522 to 683A.08528, inclusive, 683A.087 to 683A.0883, inclusive, and 683A.0892 which apply to the duties of the administrator.

2. The written agreement must set forth:

(a) The duties the administrator will be required to perform on behalf of the insurer; and

(b) The lines, classes or types of insurance that the administrator is authorized to administer on behalf of the insurer.

3. A copy of an agreement entered into under the provisions of this section must be retained in the records of the administrator and of the insurer for a period of 5 years after the termination of the agreement.

4. When a policy is issued to a trustee or trustees, a copy of the trust agreement and amendments must be obtained by the administrator and a copy forwarded to the insurer. Each agreement must be retained by the administrator and the insurer for a period of 5 years after the termination of the policy.

5. Except as otherwise provided in NRS 616B.500 and 616B.503, an administrator who has obtained a certificate of registration as an administrator from the Commissioner pursuant to NRS 683A.08524 may delegate any of the duties of the administrator to an administrator who has not obtained such a certificate of registration only if the delegating administrator has first obtained the written approval of the Commissioner.

6. The Commissioner may adopt regulations which specify the functions an administrator may perform on behalf of an insurer.

7. The insurer or administrator may, upon written notice to the other party to the agreement and to the Commissioner, terminate the written agreement for any cause specified in the agreement. The insurer may suspend the authority of the administrator while any dispute regarding the cause for termination is pending. The insurer shall perform any obligations with respect to the policies affected by the agreement regardless of any dispute with the administrator.

(Added to NRS by 1977, 730; A 1985, 480; 1999, 1646, 2794; 2023, 2629)

NRS 683A.0863 Payments to administrator.

1. Payment by or on behalf of an insured to an administrator shall be deemed to have been received by the insurer.

2. Payment to the administrator by the insurer of return premiums or claim settlements shall not be deemed to be payment to the insured or claimant until the money is received by the insured or claimant.

3. This section does not limit any right of the insurer against the administrator resulting from a failure to make payments to an insurer, insured or claimant.

(Added to NRS by 1977, 730)

NRS 683A.0868 Prohibiting fee to include provider of health care on panel; penalty; costs and attorney’s fees; suspension of activities.

1. If an administrator establishes a panel of providers of health care or contracts with an organization that establishes a panel of providers of health care, the administrator shall not charge a provider of health care or such an organization:

(a) Any fee to include the name of the provider of health care on the panel; or

(b) Any other fee related to establishing the provider of health care as a provider on the panel.

2. If an administrator violates the provisions of subsection 1, the administrator shall pay to the provider of health care or organization, as appropriate, an amount that is equal to twice the fee charged to the provider of health care or the organization.

3. A court shall award costs and reasonable attorney’s fees to the prevailing party in any action brought to enforce the provisions of this section.

4. In addition to any relief granted pursuant to this section, if an administrator violates the provisions of subsection 1, the Division shall require the administrator to suspend the prohibited activities until the administrator, as determined by the Division:

(a) Complies with the provisions of subsection 1; and

(b) Refunds to all providers of health care or organizations, as appropriate, all fees obtained by the administrator in violation of subsection 1.

(Added to NRS by 2007, 3318)

NRS 683A.087 Advertising. An administrator may advertise the insurance which he or she administers only after the administrator receives the approval of the insurer who underwrites the business involved.

(Added to NRS by 1977, 731; A 1999, 2795)

NRS 683A.0873 Records of administrator: Maintenance and retention; examination by Commissioner and insurer; confidentiality.

1. Each administrator shall maintain at his or her principal office adequate books and records of all transactions between the administrator, the insurer and the insured. The books and records must be maintained in accordance with prudent standards of recordkeeping for insurance and with regulations of the Commissioner for a period of 5 years after the transaction to which they respectively relate. After the 5-year period, the administrator may remove the books and records from the State, store their contents on microfilm or return them to the appropriate insurer.

2. The Commissioner may examine, audit and inspect books and records maintained by an administrator under the provisions of this section to carry out the provisions of NRS 679B.230 to 679B.300, inclusive.

3. The names and addresses of insured persons and any other material which is in the books and records of an administrator are confidential except as otherwise provided in NRS 239.0115 and except when used in proceedings against the administrator.

4. The insurer may inspect and examine all books and records to the extent necessary to fulfill all contractual obligations to insured persons, subject to restrictions in the written agreement between the insurer and administrator.

(Added to NRS by 1977, 730; A 1983, 462; 1999, 2795; 2007, 2157)

1. All insurance charges and premiums collected by an administrator on behalf of an insurer and return premiums received from an insurer are held by the administrator in a fiduciary capacity.

2. Money must be remitted within 15 days to the person or persons entitled to it, or be deposited within 15 days in one or more fiduciary accounts established and maintained by the administrator in a bank, credit union or other financial institution in this state. The fiduciary accounts must be separate from the personal or business accounts of the administrator.

3. If charges or premiums deposited in an account have been collected for or on behalf of more than one insurer, the administrator shall cause the bank, credit union or other financial institution where the fiduciary account is maintained to record clearly the deposits and withdrawals from the account on behalf of each insurer.

4. The administrator shall promptly obtain and keep copies of the records of each fiduciary account and shall furnish any insurer with copies of the records which pertain to him or her upon demand of the insurer.

5. The administrator shall not pay any claim by withdrawing money from his or her fiduciary account in which premiums or charges are deposited.

6. Withdrawals must be made as provided in the agreement between the insurer and the administrator for:

(a) Remittance to the insurer.

(b) Deposit in an account maintained in the name of the insurer.

(d) Payment to a group policyholder for remittance to the insurer entitled to the money.

(e) Payment to the administrator of the commission, fees or charges of the administrator.

(f) Remittance of return premiums to persons entitled to them.

7. The administrator shall maintain copies of all records relating to deposits or withdrawals and, upon the request of an insurer, provide the insurer with copies of those records.

(Added to NRS by 1977, 731; A 1999, 1549, 2795)

1. Except as otherwise provided in subsection 2 and NRS 439B.754, an administrator shall approve or deny a claim relating to health insurance coverage within 30 days after the administrator receives the claim. If the claim is approved, the administrator shall pay the claim within 30 days after it is approved. Except as otherwise provided in this section, if the approved claim is not paid within that period, the administrator shall pay interest on the claim at a rate of interest equal to the prime rate at the largest bank in Nevada, as ascertained by the Commissioner of Financial Institutions, on January 1 or July 1, as the case may be, immediately preceding the date on which the payment was due, plus 6 percent. The interest must be calculated from 30 days after the date on which the claim is approved until the date on which the claim is paid.

2. If the administrator requires additional information to determine whether to approve or deny the claim, the administrator shall notify the claimant of the administrator’s request for the additional information within 20 days after receiving the claim. The administrator shall notify the provider of health care of all the specific reasons for the delay in approving or denying the claim. The administrator shall approve or deny the claim within 30 days after receiving the additional information. If the claim is approved, the administrator shall pay the claim within 30 days after receiving the additional information. If the approved claim is not paid within that period, the administrator shall pay interest on the claim in the manner prescribed in subsection 1.

3. An administrator shall not request a claimant to resubmit information that the claimant has already provided to the administrator, unless the administrator provides a legitimate reason for the request and the purpose of the request is not to delay the payment of the claim, harass the claimant or discourage the filing of claims.

4. An administrator shall not pay only part of a claim that has been approved and is fully payable.

5. A court shall award costs and reasonable attorney’s fees to the prevailing party in an action brought pursuant to this section.

6. The payment of interest provided for in this section for the late payment of an approved claim may be waived only if the payment was delayed because of an act of God or another cause beyond the control of the administrator.

7. The Commissioner may require an administrator to provide evidence which demonstrates that the administrator has substantially complied with the requirements set forth in this section, including, without limitation, payment within 30 days of at least 95 percent of approved claims or at least 90 percent of the total dollar amount for approved claims.

8. If the Commissioner determines that an administrator is not in substantial compliance with the requirements set forth in this section, the Commissioner may require the administrator to pay an administrative fine in an amount to be determined by the Commissioner. Upon a second or subsequent determination that an administrator is not in substantial compliance with the requirements set forth in this section, the Commissioner may suspend or revoke the certificate of registration of the administrator.

(Added to NRS by 1999, 1646; A 2001, 2728; 2003, 3350; 2019, 328)

NRS 683A.088 Payment of claims by check or draft. Each claim paid by the administrator from money collected for or on behalf of an insurer must be paid by a check or draft upon and as authorized by the insurer.

(Added to NRS by 1977, 731; A 1999, 2796)

NRS 683A.0883 Basis for compensation of administrator.

1. The compensation paid to an administrator for his or her services may be based upon premiums or charges collected, on number of claims paid or processed or on any other basis agreed upon by the administrator and the insurer, except as provided in subsection 2.

2. Compensation paid to an administrator may not be based upon or contingent upon:

(a) The claim experience of the policies that he or she handles; or

(b) The savings realized by the administrator by adjusting, settling or paying the losses covered by an insurer.

(Added to NRS by 1977, 731; A 1999, 2796)

1. Each administrator shall advise each insured, by means of a written notice approved by the insurer, of the identity of and relationship among the insurer, administrator and insured.

2. An administrator who seeks to collect premiums or charges shall clearly set forth in writing to the insured the amount of premium or charge set by the insurer for the insurance coverage and the reason for the collection of the premium or charge. Each charge must be set forth separately from the premium.

3. The administrator shall disclose to an insurer, in writing, all charges, fees and commissions the administrator receives in connection with the provision of administrative services for the insurer, including, without limitation, the fees and commissions paid by insurers providing reinsurance or excess of loss insurance.

(Added to NRS by 1977, 732; A 1999, 2796)

NRS 683A.089 Delivery to insureds of communications of insurer. The administrator shall deliver or cause to be delivered to insured persons any written communications of an insurer which are given to the administrator for delivery.

(Added to NRS by 1977, 733)

NRS 683A.0891 Penalty for failure of administrator to comply with certain requirements for electronic maintenance, transmittal and exchange of health information. [Effective July 1, 2024.]

1. If the Commissioner receives notification from the Department of Health and Human Services pursuant to NRS 439.5895 that an administrator is not in compliance with the requirements of subsection 4 of NRS 439.589, the Commissioner may, after notice and the opportunity for a hearing in accordance with the provisions of this chapter, require corrective action or impose an administrative fine in the amount prescribed by NRS 683A.461.

2. The Commissioner shall not suspend or revoke the certificate of registration of an administrator for failure to comply with the requirements of subsection 4 of NRS 439.589.

(Added to NRS by 2023, 1856, effective July 1, 2024)

NRS 683A.0892 Suspension or revocation of certificate of registration: Grounds; additional penalties.

1. The Commissioner:

(a) Shall suspend or revoke the certificate of registration of an administrator if the Commissioner has determined, after notice and a hearing, that the administrator:

(1) Is in an unsound financial condition;

(2) Uses methods or practices in the conduct of business that are hazardous or injurious to insured persons or members of the general public; or

(3) Has failed to pay any judgment against the administrator in this State within 60 days after the judgment became final.

(b) May suspend or revoke the certificate of registration of an administrator if the Commissioner determines, after notice and a hearing, that the administrator:

(1) Has knowingly violated or failed to comply with any provision of this Code, any regulation adopted pursuant to this Code or any order of the Commissioner;

(2) Has refused to be examined by the Commissioner or has refused to produce accounts, records or files for examination upon the request of the Commissioner;

(3) Has, without just cause, refused to pay claims or perform services pursuant to the administrator’s contracts or has, without just cause, caused persons to accept less than the amount of money owed to them pursuant to the contracts, or has caused persons to employ an attorney or bring a civil action against the administrator to receive full payment or settlement of claims;

(4) Is affiliated with, managed by or owned by another administrator or an insurer who transacts insurance in this State without a certificate of authority or certificate of registration;

(5) Fails to comply with any of the requirements for a certificate of registration;

(6) Has been convicted of, or has entered a plea of guilty, guilty but mentally ill or nolo contendere to, a felony, whether or not adjudication was withheld;

(7) Has had his or her authority to act as an administrator in another state limited, suspended or revoked; or

(8) Has failed to file an annual report in accordance with NRS 683A.08528.

(c) May suspend or revoke the certificate of registration of an administrator if the Commissioner determines, after notice and a hearing, that a responsible person:

(1) Has refused to provide any information relating to the administrator’s affairs or refused to perform any other legal obligation relating to an examination upon request by the Commissioner; or

(2) Has been convicted of, or has entered a plea of guilty, guilty but mentally ill or nolo contendere to, a felony committed on or after October 1, 2003, whether or not adjudication was withheld.

(d) May, upon notice to the administrator, suspend the certificate of registration of the administrator pending a hearing if:

(1) The administrator is impaired or insolvent;

(2) A proceeding for receivership, conservatorship or rehabilitation has been commenced against the administrator in any state; or

(3) The financial condition or the business practices of the administrator represent an imminent threat to the public health, safety or welfare of the residents of this State.

(e) May, in addition to or in lieu of the suspension or revocation of the certificate of registration of the administrator, impose a fine of $2,000 for each act or violation.

2. As used in this section, “responsible person” means any person who is responsible for or controls or is authorized to control or advise the affairs of an administrator, including, without limitation:

(a) A member of the board of directors, board of trustees, executive committee or other governing board or committee of the administrator;

(b) The president, vice president, chief executive officer, chief operating officer or any other principal officer of an administrator, if the administrator is a corporation;

(c) A partner or member of the administrator, if the administrator is a partnership, association or limited-liability company; and

(d) Any shareholder or member of the administrator who directly or indirectly holds 10 percent or more of the voting stock, voting securities or voting interest of the administrator.

(Added to NRS by 1999, 2790; A 2003, 3291; 2007, 1479; 2017, 2337)

NRS 683A.0893 Penalty for acting without certificate of registration. Any person who acts as an administrator without having applied for and received from the Commissioner a certificate of registration as an administrator shall be fined not less than $300 nor more than $2,000.

(Added to NRS by 1977, 733)

MANAGING GENERAL AGENTS

NRS 683A.090 License required; administrative fine.

1. A managing general agent, whether or not located in this state, shall not be or act as such with respect to the business of an insurer in this state unless licensed as such under this Code.

2. A person who acts as a managing general agent in this state without a license may be assessed an administrative fine of not more than $1,000 for each violation.

(Added to NRS by 1971, 1637; A 1997, 3024; 2001, 2203)

NRS 683A.140 Licensing of firm or corporation; requirements for issuance or renewal of license of business entity.

1. A firm or corporation may be licensed as a managing general agent.

2. A resident firm or corporation which has more than one office in this state is a single licensee for the purposes of being appointed by insurers and the authority of natural persons to act for the firm or corporation. Such a firm or corporation must obtain a copy of its license for each location, but only must obtain one original license as a managing general agent.

3. For licensing as a managing general agent, each natural person designated pursuant to subsection 5 must obtain a separate license in his or her own name. The Commissioner shall charge appropriate fees for each person who is designated pursuant to subsection 5.

4. The licensee shall promptly notify the Commissioner of all changes among its members, directors and officers, and among other persons named in the license. The licensee shall provide to the Commissioner upon request information concerning officers or owners of the firm or corporation who are not named in the license.

5. Any business entity to whom a license is issued or renewed must:

(a) Be eligible to declare this state as its home state;

(b) Designate a natural person who is licensed as a managing general agent to be responsible for the compliance of the business entity with the insurance laws, rules and regulations of this State; and

(c) Never have committed any act that is a ground for refusal to issue, suspension of or revocation of a license pursuant to NRS 683A.451.

(Added to NRS by 1971, 1639; A 1981, 488; 1983, 915; 1985, 481; 2001, 2204; 2021, 2959)

NRS 683A.160 Application for license; fees; period of validity, renewal, failure to renew, contents and availability of license; change of address.

1. Each applicant for a license as a managing general agent must submit with his or her application:

(a) The appointment of the applicant as a managing general agent by each insurer or underwriter department to be so represented;

(b) The application and license fee specified in NRS 680B.010 and, in addition to any other fee or charge, all applicable fees required pursuant to NRS 680C.110;

(c) A copy of any contract entered into between the applicant and each insurer that the applicant will represent as a managing general agent, if required by the Commissioner; and

(d) Evidence of compliance with NRS 683A.165.

2. Each applicant must, as part of his or her application and at the applicant’s own expense:

(a) Arrange to have a complete set of his or her fingerprints taken by a law enforcement agency or other authorized entity acceptable to the Commissioner; and

(b) Submit to the Commissioner:

(1) A completed fingerprint card and written permission authorizing the Commissioner to submit the applicant’s fingerprints to the Central Repository for Nevada Records of Criminal History for submission to the Federal Bureau of Investigation for a report on the applicant’s background and to such other law enforcement agencies as the Commissioner deems necessary; or

(2) Written verification, on a form prescribed by the Commissioner, stating that the fingerprints of the applicant were taken and directly forwarded electronically or by another means to the Central Repository and that the applicant has given written permission to the law enforcement agency or other authorized entity taking the fingerprints to submit the fingerprints to the Central Repository for submission to the Federal Bureau of Investigation for a report on the applicant’s background and to such other law enforcement agencies as the Commissioner deems necessary.

3. The Commissioner may:

(a) Unless the applicant’s fingerprints are directly forwarded pursuant to subparagraph (2) of paragraph (b) of subsection 2, submit those fingerprints to the Central Repository for submission to the Federal Bureau of Investigation and to such other law enforcement agencies as the Commissioner deems necessary;

(b) Request from each such agency any information regarding the applicant’s background as the Commissioner deems necessary; and

4. A license as a managing general agent remains in effect unless revoked, suspended or otherwise terminated if, on or before the renewal date for the license:

(a) A request for renewal is submitted;

(b) All applicable fees for renewal are paid for the license and, if applicable, for each natural person who is designated pursuant to subsection 5 of NRS 683A.140;

(c) A copy of any contract entered into between the managing general agent and each insurer whom the managing general agent represents, if required by the Commissioner, is submitted;

(d) Evidence of compliance with NRS 683A.165 is submitted; and

(e) Any requirement for education and any other requirement to renew the license is satisfied.

5. A managing general agent may submit a request for renewal of his or her license within 30 days after the renewal date if the managing general agent otherwise complies with the provisions of subsection 4 and pays, in addition to any fee paid pursuant to subsection 4, a penalty of 50 percent of all applicable fees for renewal, except for any fee required pursuant to NRS 680C.110.

6. Except as otherwise provided in subsection 8, a license as a managing general agent expires if the Commissioner does not receive from the managing general agent a request for renewal of the license pursuant to subsection 4 or 5, as applicable, on or before the date which is 30 days after the renewal date.

7. A fee paid pursuant to subsection 4 or 5 is nonrefundable.

8. A managing general agent who is unable to renew his or her license because of military service, extended medical disability or other extenuating circumstance may request a waiver of the time limit and of any fine or sanction otherwise required or imposed because of the failure to renew.

9. A license must state the licensee’s name, address, personal identification number, the date of issuance, the lines of authority and the date of expiration and must contain any other information the Commissioner considers necessary. The license must be made available for public inspection upon request.

10. A licensee shall inform the Commissioner of each change of business, residence or electronic mail address, in writing or by other means acceptable to the Commissioner, within 30 days after the change.

11. As used in this section, “renewal date” means:

(a) For the first renewal of the license, the last day of the month which is 3 years after the month in which the Commissioner originally issued the license.

(b) For each renewal after the first renewal of the license, the last day of the month which is 3 years after the month in which the license was last due to be renewed.

(Added to NRS by 1971, 1641; A 2003, 2867; 2009, 1771; 2011, 3357; 2021, 2960; 2023, 2630)

NRS 683A.165 Authority of Commissioner to require surety bond for license. Before the issuance of a license as a managing general agent, the Commissioner may require the applicant to file with the Commissioner, and thereafter maintain in force while so licensed, a surety bond which complies with NRS 679B.175 in an amount determined by the Commissioner.

(Added to NRS by 2023, 2626)

PHARMACY BENEFIT MANAGERS

NRS 683A.171 Definitions. As used in NRS 683A.171 to 683A.179, inclusive, unless the context otherwise requires, the words and terms defined in NRS 683A.172 to 683A.176, inclusive, have the meanings ascribed to them in those sections.

(Added to NRS by 2017, 4307; A 2023, 2265)

NRS 683A.172 “Covered person” defined. “Covered person” means a person who is covered by a pharmacy benefits plan.

(Added to NRS by 2017, 4307)

NRS 683A.173 “Pharmacy” defined. “Pharmacy” has the meaning ascribed to it in NRS 639.012.

(Added to NRS by 2017, 4307)

NRS 683A.174 “Pharmacy benefit manager” defined. “Pharmacy benefit manager” means an entity that contracts with or is employed by a third party and manages the pharmacy benefits plan provided by the third party.

(Added to NRS by 2017, 4307)

NRS 683A.175 “Pharmacy benefits plan” defined. “Pharmacy benefits plan” means coverage of prescription drugs provided by a third party.

(Added to NRS by 2017, 4307)

NRS 683A.176 “Third party” defined. [Effective through December 31, 2025.] “Third party” means:

1. An insurer, as that term is defined in NRS 679B.540;

2. A health benefit plan, as that term is defined in NRS 687B.470, for employees which provides a pharmacy benefits plan;

3. A participating public agency, as that term is defined in NRS 287.04052, and any other local governmental agency of the State of Nevada which provides a system of health insurance for the benefit of its officers and employees, and the dependents of officers and employees, pursuant to chapter 287 of NRS; or

4. Any other insurer or organization that provides health coverage or benefits or coverage of prescription drugs as part of workers’ compensation insurance in accordance with state or federal law.

Ê The term does not include an insurer that provides coverage under a policy of casualty or property insurance.

(Added to NRS by 2017, 4307; A 2019, 1083)

NRS 683A.176 “Third party” defined. [Effective January 1, 2026.] “Third party” means:

1. An insurer, as that term is defined in NRS 679B.540;

2. A health benefit plan, as that term is defined in NRS 687B.470, for employees which provides a pharmacy benefits plan;

4. The Public Option established pursuant to NRS 695K.200; or

5. Any other insurer or organization that provides health coverage or benefits or coverage of prescription drugs as part of workers’ compensation insurance in accordance with state or federal law.

Ê The term does not include an insurer that provides coverage under a policy of casualty or property insurance.

(Added to NRS by 2017, 4307; A 2019, 1083; 2021, 3622, effective January 1, 2026)

NRS 683A.177 Applicability.

1. Except as otherwise provided in subsection 2, the requirements of NRS 683A.171 to 683A.179, inclusive, and any regulations adopted by the Commissioner pursuant thereto do not apply to the coverage of prescription drugs under a plan that is subject to the Employee Retirement Income Security Act of 1974 or any information relating to such coverage.

2. A plan described in subsection 1 may, by contract, require a pharmacy benefit manager that manages the coverage of prescription drugs under the plan to comply with the requirements of NRS 683A.171 to 683A.179, inclusive, and any regulations adopted by the Commissioner pursuant thereto.

(Added to NRS by 2017, 4308)

NRS 683A.178 Obligation of pharmacy benefit manager to third party or pharmacy; notice of conflicts of interest; compliance with provisions applicable to insurer.

1. A pharmacy benefit manager has an obligation of good faith and fair dealing toward a third party or pharmacy when performing duties pursuant to a contract to which the pharmacy benefit manager is a party. Any provision of a contract that waives or limits that obligation is against public policy, void and unenforceable.

2. A pharmacy benefit manager shall notify a third party with which it has entered into a contract in writing of any activity, policy or practice of the pharmacy benefit manager that presents a conflict of interest that interferes with the obligations imposed by subsection 1.

3. A pharmacy benefit manager that manages prescription drug benefits for an insurer licensed pursuant to this title shall comply with the provisions of this title which are applicable to the insurer when managing such benefits for the insurer.

(Added to NRS by 2017, 4308; A 2019, 4032; 2023, 2111)

NRS 683A.1785 Prohibited acts relating to 340B Program; applicability.

1. A pharmacy benefit manager shall not:

(a) Discriminate against a covered entity, a contract pharmacy or a 340B drug in the amount of reimbursement for any item or service or the procedures for obtaining such reimbursement;

(b) Assess any fee, chargeback, clawback or adjustment against a covered entity or contract pharmacy on the basis that the covered entity or contract pharmacy dispenses a 340B drug or otherwise limit the ability of a covered entity or contract pharmacy to receive the full benefit of purchasing the 340B drug at or below the ceiling price, as calculated pursuant to 42 U.S.C. § 256b(a)(1);

(c) Exclude a covered entity or contract pharmacy from any network because the covered entity or contract pharmacy dispenses a 340B drug;

(d) Restrict the ability of a person to receive a 340B drug, including, without limitation, by imposing a copayment, coinsurance, deductible or other cost-sharing obligation on the drug that is different from a similar drug on the basis that the drug is a 340B drug;

(e) Restrict the methods by which a covered entity or contract pharmacy may dispense or deliver a 340B drug or the entity through which a covered entity may dispense or deliver such a drug in a manner that does not apply to drugs that are not 340B drugs; or

(f) Prohibit a covered entity or contract pharmacy from purchasing a 340B drug or interfere with the ability of a covered entity or contract pharmacy to purchase a 340B drug.

2. This section does not:

(a) Apply to a pharmacy benefit manager that has entered into a contract with the Department of Health and Human Services pursuant to NRS 422.4053 when the pharmacy benefit manager is managing prescription drug benefits under Medicaid, including, without limitation, where such benefits are delivered through a Medicaid managed care organization.

(b) Prohibit the Department of Health and Human Services, the Division of Health Care Financing and Policy of the Department of Health and Human Services or a Medicaid managed care organization from taking such actions as are necessary to:

(1) Prevent duplicate discounts or rebates where prohibited by 42 U.S.C. § 256b(a)(5)(A); or

(2) Ensure the financial stability of the Medicaid program, including, without limitation, by including or enforcing provisions in any contract with a pharmacy benefit manager entered into pursuant to NRS 422.4053.

3. As used in this section:

(a) “340B drug” means a prescription drug that is purchased by a covered entity under the 340B Program.

(b) “340B Program” means the drug pricing program established by the United States Secretary of Health and Human Services pursuant to section 340B of the Public Health Service Act, 42 U.S.C. § 256b, as amended.

(c) “Contract pharmacy” means a pharmacy that enters into a contract with a covered entity to dispense 340B drugs and provide related pharmacy services to the patients of the covered entity.

(d) “Covered entity” has the meaning ascribed to it in 42 U.S.C. § 256b(a)(4).

(e) “Medicaid managed care organization” has the meaning ascribed to it in 42 U.S.C. § 1396b(m).

(f) “Network” means a defined set of providers of health care who are under contract with a pharmacy benefit manager or third party to provide health care services to covered persons.

(Added to NRS by 2023, 2264)

NRS 683A.179 Other prohibited acts; applicability.

1. A pharmacy benefit manager shall not:

(a) Prohibit a pharmacist or pharmacy from providing information to a covered person concerning:

(1) The amount of any copayment or coinsurance for a prescription drug; or

(2) The availability of a less expensive alternative or generic drug including, without limitation, information concerning clinical efficacy of such a drug;

(b) Penalize a pharmacist or pharmacy for providing the information described in paragraph (a) or selling a less expensive alternative or generic drug to a covered person;

(c) Prohibit a pharmacy from offering or providing delivery services directly to a covered person as an ancillary service of the pharmacy; or

(d) If the pharmacy benefit manager manages a pharmacy benefits plan that provides coverage through a network plan, charge a copayment or coinsurance for a prescription drug in an amount that is greater than the total amount paid to a pharmacy that is in the network of providers under contract with the third party.

2. The provisions of this section:

(a) Must not be construed to authorize a pharmacist to dispense a drug that has not been prescribed by a practitioner, as defined in NRS 639.0125, except to the extent authorized by a specific provision of law, including, without limitation, NRS 453C.120, 639.28078 and 639.28085.

(b) Do not apply to an institutional pharmacy, as defined in NRS 639.0085, or a pharmacist working in such a pharmacy as an employee or independent contractor.

3. As used in this section, “network plan” means a health benefit plan offered by a health carrier under which the financing and delivery of medical care is provided, in whole or in part, through a defined set of providers under contract with the carrier. The term does not include an arrangement for the financing of premiums.

(Added to NRS by 2017, 4308; A 2019, 1928; 2021, 3206, 3273)

PERSONAL PROPERTY STORAGE INSURANCE

NRS 683A.181 Definitions. As used in NRS 683A.181 to 683A.189, inclusive, unless the context otherwise requires, the words and terms defined in NRS 683A.1815 to 683A.1837, inclusive, have the meanings ascribed to them in those sections.

(Added to NRS by 2019, 1221)

NRS 683A.1815 “Facility” defined. “Facility” has the meaning ascribed to it in NRS 108.4733.

(Added to NRS by 2019, 1221)

NRS 683A.182 “Occupant” defined. “Occupant” has the meaning ascribed to it in NRS 108.4735.

(Added to NRS by 2019, 1221)

NRS 683A.1823 “Owner” defined. “Owner” has the meaning ascribed to it in NRS 108.474.

(Added to NRS by 2019, 1221)

NRS 683A.1826 “Personal property” defined. “Personal property” has the meaning ascribed to it in NRS 108.4743.

(Added to NRS by 2019, 1221)

NRS 683A.1828 “Personal property storage insurance” defined. “Personal property storage insurance” means insurance coverage described in paragraphs (a) and (b) of subsection 1 of NRS 683A.1855.

(Added to NRS by 2019, 1221)

NRS 683A.183 “Rental agreement” defined. “Rental agreement” has the meaning ascribed to it in NRS 108.4745.

(Added to NRS by 2019, 1221)

NRS 683A.1835 “Storage space” defined. “Storage space” has the meaning ascribed to it in NRS 108.4746.

(Added to NRS by 2019, 1221)

NRS 683A.1837 “Supervising entity” defined. “Supervising entity” means a business or entity that is an authorized insurer or producer of property and casualty insurance.

(Added to NRS by 2019, 1221)

NRS 683A.184 Commissioner: Forms for application for initial licensure and renewal; fees for initial licensure and renewal; regulations.

1. The Commissioner shall:

(a) Prescribe the forms for an owner to apply initially for a license and to renew a license; and

(b) Adopt such regulations as are necessary to carry out the provisions of NRS 683A.181 to 683A.189, inclusive.

2. The Commissioner may establish by regulation:

(a) An initial application fee to be paid by an applicant for the initial issuance of a license; and

(b) A renewal fee to be paid by a licensee for the renewal of the license.

(Added to NRS by 2019, 1223)

1. The Commissioner may issue to an owner who is in compliance with the requirements of NRS 683A.181 to 683A.189, inclusive, and any regulations adopted pursuant thereto, a license to offer, sell, solicit or negotiate personal property storage insurance pursuant to NRS 683A.181 to 683A.189, inclusive, to occupants who have entered into a rental agreement with the owner.

2. Notwithstanding the provisions of NRS 683A.185, a license for personal property storage insurance may be issued and renewed pursuant to NRS 683A.261.

3. A license issued pursuant to this section covers all facilities at which the owner conducts business. The Commissioner may renew the license if the licensee remains in compliance with the requirements of NRS 683A.181 to 683A.189, inclusive, and any regulations adopted pursuant thereto.

4. An owner is not required to be licensed under this chapter solely to display and make available marketing and promotional materials created by an authorized insurer offering a product pursuant to NRS 683A.181 to 683A.189, inclusive.

(Added to NRS by 2019, 1221)

NRS 683A.185 Examination or education not required to receive or renew license. An applicant for, or holder of, a license issued pursuant to NRS 683A.1845 is not required to pass a written examination or meet any prelicensing education or continuing education requirements to receive or renew the license.

(Added to NRS by 2019, 1222)

NRS 683A.1855 Restrictions relating to sales and coverage; rates to be filed with Commissioner.

1. A licensee may offer, sell, solicit or negotiate personal property storage insurance only in connection with a rental agreement only as individual coverage for an individual occupant or group coverage for one or more occupants of the facility. A licensee is only authorized to provide to such occupants personal property storage insurance coverage for the following:

(a) The loss of or damage to personal property stored in a storage space at the facility where the loss or damage occurs or while the personal property is in transit to or from the facility during the time period covered by the rental agreement of the occupant.

(b) Other loss directly related to the rental agreement of the occupant.

2. Notwithstanding the provisions of any law to the contrary, the rates for any personal property storage insurance sold by a licensee to one or more occupants of the facility of the licensee must be filed with the Commissioner pursuant to chapter 686B of NRS.

(Added to NRS by 2019, 1222)

NRS 683A.186 Licensee required to make certain written or electronic materials available to occupant or prospective occupant. A licensee shall not offer, sell, solicit or negotiate personal property storage insurance unless the licensee makes readily available to the occupant or prospective occupant written or electronic materials that contain:

1. The actual terms of the insurance coverage, or a summary of the terms of the insurance coverage, including, without limitation, the identity of the supervising entity.

2. A conspicuous disclosure that the insurance may provide a duplication of coverage already provided by an existing policy of insurance.

3. A description of the process for filing a claim in the event the occupant elects to purchase coverage and experiences a covered loss.

4. Information regarding the price, deductible, benefits, exclusions, conditions and any other limitations of the insurance.

5. A statement that the purchase by the occupant of personal property storage insurance from the licensee is not required to rent storage space.

6. A statement that the licensee is not authorized to evaluate the adequacy of any existing insurance coverage of the occupant, unless the licensee is otherwise licensed to perform such an evaluation.

7. A statement that the occupant may cancel the insurance at any time, and any unearned premium must be refunded in accordance with applicable law.

(Added to NRS by 2019, 1222)

NRS 683A.1865 Satisfaction of insurance requirement by occupant or prospective occupant as condition of rental agreement. If insurance covering the losses described in paragraphs (a) and (b) of subsection 1 of NRS 683A.1855 is required as a condition of a rental agreement, that requirement may be satisfied by an occupant or a prospective occupant:

1. Purchasing personal property storage insurance from the licensee; or

2. Presenting to the owner of the facility evidence of other applicable insurance coverage.

(Added to NRS by 2019, 1223)

1. If a customer purchases personal property storage insurance from the licensee, the licensee may bill and collect the charges for the personal property storage insurance.

2. A licensee which bills and collects charges for personal property storage insurance coverage on behalf of an insurer is not required to maintain such money in a segregated account if the licensee:

(a) Is authorized by the insurer to hold such money in an alternative manner; and

(b) Remits such amounts to the supervising entity within 60 days after receipt.

3. A licensee may receive compensation from a supervising entity for sales, billing and collection services. Such compensation may be dependent on the sale of the types of coverage described in NRS 683A.181 to 683A.189, inclusive.

Ê All money collected by a licensee from an enrolled customer for the sale of personal property storage insurance shall be deemed to be held in trust by the licensee in a fiduciary capacity for the benefit of the insurer, and the insurer shall be deemed to have received the premium from the enrolled customer upon payment of the premium by the enrolled customer to the licensee.

(Added to NRS by 2019, 1223)

NRS 683A.1875 Employee or authorized representative may act for licensee. A licensee may authorize an employee or other authorized representative of the licensee to act individually on behalf of or under the supervision of the licensee who offers or disseminates information with respect to personal property storage insurance specified in NRS 683A.1855 to 683A.189, inclusive.

(Added to NRS by 2019, 1223)

NRS 683A.188 Licensee required to provide training program for employees and authorized representatives. Each licensee shall provide a training program, which may be provided by a supervising entity, in which employees and authorized representatives of the licensee shall receive basic instruction about the requirements of NRS 683A.181 to 683A.189, inclusive, and the coverage to be offered for purchase by occupants or prospective occupants.

(Added to NRS by 2019, 1223)

NRS 683A.1885 Licensee prohibited from advertising, representing or holding itself out as licensed insurer. A licensee shall not advertise, represent or otherwise hold itself or any of its employees out as a licensed insurer.

(Added to NRS by 2019, 1223)

NRS 683A.189 Responsibility and duties of supervising entity relating to licensee, employees and authorized representatives. The supervising entity designated by the insurer is responsible for the acts of each licensee and shall use every reasonable means to ensure compliance by the licensee, or employee or authorized representative of the licensee, with the provisions of NRS 683A.1855 to 683A.189, inclusive, and any regulations adopted pursuant thereto.

(Added to NRS by 2019, 1224)

PRODUCERS OF INSURANCE

NRS 683A.191 Definitions. Repealed. (See chapter 508, Statutes of Nevada 2023, at page 3284.)

NRS 683A.193 “Offer and disseminate” defined. Repealed. (See chapter 508, Statutes of Nevada 2023, at page 3284.)

NRS 683A.195 “Producer of limited lines travel insurance” defined. Repealed. (See chapter 508, Statutes of Nevada 2023, at page 3284.)

NRS 683A.197 “Travel insurance” defined. Repealed. (See chapter 508, Statutes of Nevada 2023, at page 3284.)

NRS 683A.199 “Travel retailer” defined. Repealed. (See chapter 508, Statutes of Nevada 2023, at page 3284.)

NRS 683A.201 License required; exemption for insurers; administrative fine.

1. A person shall not sell, solicit or negotiate insurance in this state for any class of insurance unless the person is licensed for that class of insurance.

2. An insurer is exempt from the requirement for licensure as a producer of insurance, but this exemption does not extend to an insurer’s officers, directors, employees, subsidiaries or affiliates who sell, solicit or negotiate insurance.

3. A person required to be licensed in this state who transacts insurance without a license is subject to an administrative fine of not more than $1,000 for each violation.

(Added to NRS by 2001, 2191; A 2003, 3292)

NRS 683A.211 Persons exempt from licensing. The following persons need not be licensed as producers of insurance:

1. An officer, director or employee of an insurer or of a producer of insurance if the officer, director or employee does not receive any commission on policies written or sold to insure risks residing, located or to be performed in this state and:

(a) The officer, director or employee’s activities are executive, administrative, managerial or clerical, or a combination thereof, and are only indirectly related to the sale, solicitation or negotiation of insurance;

(b) The officer, director or employee’s function relates to underwriting, control of losses, inspection or the processing, adjusting, investigating or settling of claims on contracts of insurance; or

(c) The officer, director or employee is acting in the capacity of a special agent or supervisor of an agency assisting producers of insurance where his or her activities are limited to providing technical advice and assistance to licensed producers and do not include sale, solicitation or negotiation of insurance.

2. A person who secures and furnishes information for the purpose of group life insurance, group property and casualty insurance, group annuities, or group or blanket accident and health insurance, or for the purpose of enrolling natural persons under plans, issuing certificates under plans or otherwise assisting in administering plans, or who performs administrative services related to mass marketed property and casualty insurance, if no commission is paid to the person for the service and the person does not sell, solicit or negotiate insurance. As used in this subsection, “blanket accident and health insurance” has the meaning ascribed to it in NRS 689B.070.

3. An employer or association or its officers, directors or employees, or the trustees of an employees’ trust plan, to the extent that the employer, association, officers, directors, employees or trustees are engaged in the administration or operation of a program of employees’ benefits for the employer’s or association’s own employees or the employees of its subsidiaries or affiliates, if the program involves the use of insurance issued by an insurer and the employer, association, officers, directors, employees or trustees are not compensated by the insurer issuing the contracts.

4. Employees of insurers or organizations employed by insurers who are engaged in the inspection, rating or classification of risks or in the supervision of the training of producers of insurance and are not individually engaged in the sale, solicitation or negotiation of insurance.

5. A person whose activities in this state are limited to advertising, without the intent to solicit insurance in this state, through communications in printed publications or electronic mass media whose distribution is not limited to residents of this state, if the person does not sell, solicit or negotiate insurance of risks residing, located or to be performed in this state.

6. A salaried full-time employee who counsels or advises his or her employer concerning the interests of the employer, or of the subsidiaries or affiliates of the employer, in insurance, if the employee does not sell or solicit insurance or receive a commission.

7. An employee of a producer of insurance or an insurer who responds to requests from holders of policies previously issued, if the employee is not directly compensated according to the volume of premiums that may result from those services and does not solicit insurance or offer advice concerning terms or conditions of policies.

(Added to NRS by 2001, 2191; A 2003, 3292)

NRS 683A.221 Employee of short-term lessor of vehicles exempt from licensing under certain circumstances. If a short-term lessor of vehicles licensed pursuant to NRS 482.363 holds a limited license as a producer of insurance issued pursuant to NRS 683A.271, an employee of the short-term lessor may engage in the solicitation and sale of insurance requested by a lessee pursuant to NRS 482.3158 without a license issued pursuant to this chapter if the solicitation and sale of such insurance is done on behalf of, and under the supervision of, the short-term lessor.

(Added to NRS by 1999, 820; A 2001, 2204; 2015, 3358)

NRS 683A.231 Licensing of bank.

1. For the purposes of this section:

(a) “Affiliate” means a person that directly, or indirectly through one or more intermediaries, is controlled by, or is under common control with, a bank.

(b) “Bank” means any institution that accepts deposits that the depositor has a legal right to withdraw on demand.

(c) “Financial holding company” means a bank holding company as defined in section 4(l)(2) of the Bank Holding Company Act of 1956, 12 U.S.C. § 1841(l)(1).

(d) “Parent” means a person that owns or controls a bank, directly or indirectly, in whole or in part.

(e) “Subsidiary” means a person owned or controlled by a bank, directly or indirectly, in whole or in part.

2. A bank may be licensed as a producer of insurance in this state:

(a) To the extent permitted by Title V of Public Law 106-102, 15 U.S.C. §§ 6801 et seq.; and

(b) For credit insurance, as defined in NRS 690A.015, and credit property insurance.

3. A bank must not be licensed or admitted as an insurer.

4. The provisions of subsection 3 do not prohibit the licensing by the Commissioner of an affiliate, financial holding company, parent or subsidiary of a bank to sell insurance or be admitted as an insurer.

(Added to NRS by 1971, 1638; A 1987, 2285; 1993, 2281; 1995, 1614; 1997, 782; 2001, 2204)

NRS 683A.241 Examination for license: Requirement; contents; regulations; contracts for administration; fee; failure to appear.

1. A resident natural person applying for a license as a producer of insurance must pass a written examination unless exempt under NRS 683A.291. The examination must test knowledge concerning the lines of authority for which application is made, the duties and responsibilities of a producer and the laws and regulations of this state relating to insurance. The Commissioner shall adopt regulations for developing and conducting examinations required by this section.

2. The Commissioner may contract with a person outside the Division for administering examinations, processing applications, collecting fees and performing any other functions the Commissioner considers appropriate.

3. Each natural person applying for an examination shall pay a nonrefundable fee in an amount prescribed by the Commissioner to defray the cost of processing the application and administering the examination.

4. An applicant who fails to appear for the examination as scheduled or fails to pass the examination must reapply for examination and pay the required fee in order to be scheduled for another examination.

(Added to NRS by 2001, 2192)

NRS 683A.242 Exemption from written examination and certain educational requirements for producers of limited lines travel insurance and travel retailers. Repealed. (See chapter 508, Statutes of Nevada 2023, at page 3284.)

1. The Commissioner shall prescribe the form of application by a natural person for a license as a resident producer of insurance. The applicant must declare, under penalty of refusal to issue, or suspension or revocation of, the license, that the statements made in the application are true, correct and complete to the best of his or her knowledge and belief. Before approving the application, the Commissioner must find that the applicant has:

(a) Attained the age of 18 years;

(b) Not committed any act that is a ground for refusal to issue, or suspension or revocation of, a license;

(d) Successfully passed the examinations for the lines of authority for which application is made, unless the applicant is exempt from this requirement.

2. A business organization must be licensed as a producer of insurance in order to act as such. Application must be made on a form prescribed by the Commissioner. Before approving the application, the Commissioner must find that the applicant has:

(a) Paid all applicable fees prescribed for the license, which may not be refunded;

(b) Designated a natural person who is licensed as a producer of insurance and who is authorized to transact business on behalf of the business organization to be responsible for the organization’s compliance with the laws and regulations of this State relating to insurance; and

3. A natural person who is a resident of this State applying for a license must, as part of his or her application and at the applicant’s own expense:

(a) Arrange to have a complete set of his or her fingerprints taken by a law enforcement agency or other authorized entity acceptable to the Commissioner;

(b) Submit to the Commissioner:

4. The Commissioner may:

(a) Unless the applicant’s fingerprints are directly forwarded pursuant to subparagraph (2) of paragraph (b) of subsection 3, submit those fingerprints to the Central Repository for submission to the Federal Bureau of Investigation and to such other law enforcement agencies as the Commissioner deems necessary;

(b) Request from each such agency any information regarding the applicant’s background as the Commissioner deems necessary; and

5. The Commissioner may require any document reasonably necessary to verify information contained in an application.

(Added to NRS by 2001, 2193; A 2003, 3293; 2005, 2122; 2007, 3319; 2009, 1772; 2011, 3358; 2015, 2837, 3466; 2019, 3029)

NRS 683A.261 Issuance, period of validity, renewal, failure to renew, contents and availability of license; lines of authority; change of address.

1. Unless the Commissioner refuses to issue the license under NRS 683A.451, the Commissioner shall issue a license as a producer of insurance to a person who has satisfied the requirements of NRS 683A.241 and 683A.251. A producer of insurance may qualify for a license in one or more of the lines of authority permitted by statute or regulation, including:

(a) Life insurance on human lives, which includes benefits from endowments and annuities and may include additional benefits from death by accident and benefits for dismemberment by accident and for disability income.

(b) Accident and health insurance for sickness, bodily injury or accidental death, which may include benefits for disability income.

(d) Casualty insurance against legal liability, including liability for death, injury or disability and damage to real or personal property. For the purposes of a producer of insurance, this line of insurance includes surety indemnifying financial institutions or providing bonds for fidelity, performance of contracts or financial guaranty.

(e) Variable annuities and variable life insurance, including coverage reflecting the results of a separate investment account.

(f) Credit insurance, including credit life, credit accident and health, credit property, credit involuntary unemployment, guaranteed asset protection, and any other form of insurance offered in connection with an extension of credit that is limited to wholly or partially extinguishing the obligation which the Commissioner determines should be considered as limited-line credit insurance.

(g) Personal lines, consisting of automobile and motorcycle insurance and residential property insurance, including coverage for flood, of personal watercraft and of excess liability, written over one or more underlying policies of automobile or residential property insurance.

(h) Travel insurance, as defined in NRS 691E.160, as a limited line.

(i) Rental car as a limited line.

(j) Portable electronics as a limited line.

(k) Crop as a limited line.

(l) Personal property storage insurance, as defined in NRS 683A.1828, as a limited line.

2. A license as a producer of insurance remains in effect unless revoked, suspended or otherwise terminated if, on or before the renewal date for the license:

(a) A request for a renewal is submitted;

(b) All applicable fees for renewal are paid for each license; and

3. A producer of insurance may submit a request for a renewal of his or her license within 30 days after the renewal date if the producer of insurance otherwise complies with the provisions of subsection 2 and pays, in addition to any fee paid pursuant to subsection 2, a penalty of 50 percent of all applicable fees for renewal, except for any fee required pursuant to NRS 680C.110.

4. Except as otherwise provided in subsection 7, a license as a producer of insurance expires if the Commissioner does not receive from the producer of insurance a request for renewal of the license pursuant to subsection 2 or 3, as applicable, on or before the date which is 30 days after the renewal date.

5. A fee paid pursuant to subsection 2, 3 or 6 is nonrefundable.

6. A natural person who allows his or her license as a producer of insurance to expire pursuant to subsection 4 may, within 12 months after the renewal date, reinstate the license without passing a written examination if the natural person:

(a) Completes all applicable continuing education requirements; and

(b) Pays a penalty of twice all applicable fees for renewal, except for any fee required pursuant to NRS 680C.110.

7. A licensed producer of insurance who is unable to renew his or her license because of military service, extended medical disability or other extenuating circumstance may request a waiver of the time limit and of any fine or sanction otherwise required or imposed because of the failure to renew.

8. A license must state the licensee’s name, address, personal identification number, the date of issuance, the lines of authority and the date of expiration and must contain any other information the Commissioner considers necessary. The license must be made available for public inspection upon request.

9. A licensee shall inform the Commissioner of each change of business, residence or electronic mail address, in writing or by other means acceptable to the Commissioner, within 30 days after the change. If a licensee changes his or her business, residence or electronic mail address without giving written notice and the Commissioner is unable to locate the licensee after diligent effort, the Commissioner may revoke the license without a hearing. The mailing of a letter by certified mail, return receipt requested, addressed to the licensee at his or her last mailing address appearing on the records of the Division, and the return of the letter undelivered, constitutes a diligent effort by the Commissioner.

10. As used in this section, “renewal date” means:

(a) For the first renewal of the license, the last day of the month which is 3 years after the month in which the Commissioner originally issued the license.

(b) For each renewal after the first renewal of the license, the last day of the month which is 3 years after the month in which the license was last due to be renewed.

(Added to NRS by 2001, 2193; A 2003, 3294; 2005, 2122; 2007, 3320; 2009, 1772, 3045; 2011, 1832, 2028, 3359; 2015, 1201, 2838, 3467; 2019, 1224, 3030; 2021, 2962; 2023, 3279)

NRS 683A.265 Licensing of producer of limited lines travel insurance. Repealed. (See chapter 508, Statutes of Nevada 2023, at page 3284.)

NRS 683A.271 Licensing of nonresident persons; participation by Commissioner in centralized registry; required notifications.

1. Unless the Commissioner refuses to issue the license under NRS 683A.451, the Commissioner shall issue a license as a producer of insurance to a nonresident person if the nonresident person:

(a) Is currently licensed as a resident and in good standing in his or her home state;

(b) Has made the proper request for licensure and paid all applicable fees prescribed for the license;

(c) Has sent to the Commissioner the application for licensure that the nonresident person made in his or her home state, or a completed uniform application;

(d) Has a home state which issues nonresident licenses as producers of insurance to residents of this State pursuant to substantially the same procedure; and

(e) Establishes and maintains a valid electronic mail address at the applicant’s own expense.

2. The Commissioner may participate with the National Association of Insurance Commissioners or a subsidiary in a centralized registry in which licensing and appointment of producers of insurance may be effected for all states that require licensing and participate in the registry. If the Commissioner finds that participation is in the public interest, the Commissioner may adopt by regulation any uniform standards and procedures necessary for participation, including central collection of fees for licensing and appointment that are handled through the registry.

3. A nonresident producer who moves from one state to another state shall file a change of address and certification from the new state of residence within 30 days after the change of legal residence. No fee or application for license is required.

4. A nonresident licensed as a producer for surplus lines in his or her home state must be issued a nonresident license of that kind in this State pursuant to subsection 1, subject in all other respects to chapter 685A of NRS. A nonresident licensed as a producer for limited lines in his or her home state is entitled to a nonresident license of that kind in this State pursuant to subsection 1, granting the same scope of authority as the license issued in the home state. As used in this subsection, insurance for limited lines is authority granted by the home state which is restricted to less than the total authority prescribed for the associated major lines pursuant to NRS 683A.261.

5. A nonresident firm or corporation maintaining a physical business location in this State shall notify the Commissioner of each physical location in this State from which it transacts business. A nonresident firm or corporation shall maintain a list identifying the locations outside this State from which it transacts business and provide the list to the Commissioner upon request.

(Added to NRS by 2001, 2195; A 2005, 2124; 2009, 1774; 2015, 2840, 3469)

NRS 683A.281 Nonresident licensees: Service of process; agreement to appear.

1. Every nonresident licensed by this state as a producer of insurance shall appoint the Commissioner in writing as his or her attorney upon whom may be served all legal process issued in connection with any action or proceeding brought or pending in this state against or involving the licensee and relating to transactions under his or her Nevada license. The appointment is irrevocable and continues in force for so long as any such action or proceeding may arise or exist. Service of process against a nonresident producer for whom the Commissioner is attorney in fact must be made in accordance with NRS 680A.260.

2. Every such licensee shall likewise file with the Commissioner his or her written agreement to appear before the Commissioner pursuant to notice of hearing, show cause order or subpoena issued by the Commissioner and served upon the licensee at his or her address last of record in the Division, and that upon failure of the licensee so to appear the licensee thereby consents to any subsequent suspension, revocation or refusal of the Commissioner to continue the licensee’s license.

(Added to NRS by 1971, 1651; A 1987, 735; 1991, 1625; 1993, 1914; 2001, 2206; 2021, 2963)

1. An applicant for licensing in this state as a producer of insurance who was previously licensed for the same lines of authority in another state need not complete any education or examination if the applicant is currently licensed in that state or, if the application is received within 90 days after the cancellation of the license, the other state certifies that the applicant was in good standing at the time of cancellation. Alternatively, the exemption is available if the records of the National Association of Insurance Commissioners show that the applicant is or was licensed and in good standing for the lines of authority requested.

2. An examination is not required for a producer of insurance who confines his or her activity to insurance categorized as limited line, credit, travel, portable electronics or rental car.

3. A person licensed in another state who moves to this state and desires to become licensed as a resident producer of insurance with the benefit of the exemption provided in subsection 1 must apply for licensing within 90 days after establishing legal residence.

(Added to NRS by 2001, 2195; A 2011, 2030; 2019, 3031)

NRS 683A.301 Use of true or fictitious name by applicant for license or licensee.

1. An applicant for a license as a producer of insurance or a licensee who desires to use a name other than his or her true name as shown on the license shall submit a request for approval of the name and file with the Commissioner a certified copy of the certificate or any renewal certificate filed pursuant to chapter 602 of NRS. An incorporated applicant or licensee shall file with the Commissioner a document showing the corporation’s true name and all fictitious names under which it conducts or intends to conduct business. A licensee shall file promptly with the Commissioner a written notice of any change in or discontinuance of the use of a fictitious name.

2. The Commissioner may disapprove in writing the use of a true name, other than the true name of a natural person who is the applicant or licensee, or a fictitious name of any applicant or licensee, on any of the following grounds:

(a) The name interferes with or is deceptively similar to a name already filed and in use by another licensee.

(b) Use of the name may mislead the public in any respect.

(c) The name states or implies that the applicant or licensee is an insurer, motor club or hospital service plan or is entitled to engage in activities related to insurance not permitted under the license applied for or held.

(d) The name states or implies that the licensee is an underwriter, but:

(1) A natural person licensed as a producer of insurance for life insurance may describe himself or herself as an underwriter or “chartered life underwriter” if entitled to do so;

(2) A natural person licensed for property and casualty insurance may use the designation “chartered property and casualty underwriter” if entitled thereto; and

(3) A trade association for producers of insurance may use a name containing the word “underwriter.”

(e) The licensee submits a request to use more than one fictitious name at a single business location.

3. A licensee shall not use a name after written notice from the Commissioner indicates that its use violates the provisions of this section. If the Commissioner determines that the use is justified by mitigating circumstances, the Commissioner may permit, in writing, the use of the name to continue for a specified reasonable period upon conditions imposed by the Commissioner for the protection of the public consistent with this section.

4. Paragraphs (a), (c) and (d) of subsection 2 do not apply to the true name of an organization which on July 1, 1965, held under that name a type of license similar to those governed by this chapter, or to a fictitious name used on July 1, 1965, by a natural person or organization holding such a license, if the fictitious name was filed with the Commissioner on or before July 1, 1965.

(Added to NRS by 2001, 2196; A 2003, 156, 3296; 2017, 2338)

NRS 683A.311 Temporary licenses: Authority of Commissioner to issue, limit or revoke; expiration; renewal.

1. The Commissioner may issue a temporary license as a producer of insurance to any of the following for 180 days or less without requiring an examination if the Commissioner believes that the temporary license is necessary to carry on the business of insurance:

(a) The surviving spouse, personal representative or guardian of a licensed producer who dies or becomes incompetent or incapacitated, to allow adequate time for the sale of the business, the recovery or return of the producer, or the training and licensing of new personnel to operate the business;

(b) A member or employee of a business organization licensed as a producer, upon the death or disability of the natural person designated in its application or license;

(d) A person in any other circumstance where the Commissioner believes that the public interest will be best served by issuing the license.

2. The Commissioner may limit by order the authority of a temporary licensee as the Commissioner believes necessary to protect persons insured and the public. The Commissioner may require the temporary licensee to have a suitable sponsor who is licensed as a producer of insurance or authorized as an insurer and who assumes responsibility for all acts of the temporary licensee, and may impose similar requirements to protect persons insured and the public. The Commissioner may revoke a temporary license by order if the interests of persons insured or the public are endangered. A temporary license expires when the owner or the personal representative or guardian of the owner disposes of the business.

3. A temporary license issued pursuant to this section may be renewed for one additional period of 180 days if:

(a) The temporary licensee, on or before a date specified by the Commissioner as the last day on which the temporary license is renewable, submits to the Commissioner a written request which includes, without limitation, sufficient justification for the renewal; and

(b) The Commissioner approves the request.

(Added to NRS by 2001, 2196; A 2023, 2632)

NRS 683A.321 Appointment of producer as agent of insurer; fees for agents; activities of producer as broker.

1. Except as otherwise provided in NRS 691E.210, a producer of insurance shall not act as an agent unless he or she is appointed as an agent by the insurer. A producer who is not acting as an agent is a broker who does not need to be appointed.

2. To appoint a producer of insurance as its agent, an insurer must file, in a form approved by the Commissioner, a notice of appointment within 15 days after the contract is executed or the first application for insurance is submitted. An insurer may appoint a producer to act as agent for all or some insurers within its holding company or group by filing a single notice of appointment. A notice of appointment may include several agents.

3. Upon receipt of a notice of appointment, the Commissioner shall determine within 30 days whether the producer of insurance is eligible for appointment. If the producer of insurance is not, the Commissioner shall so notify the insurer within 5 days after the determination is made.

4. An insurer shall pay an appointment fee and remit an annual renewal fee for each producer of insurance appointed as its agent. A payment or remittance may include fees for several agents.

5. A broker shall not place insurance, other than life insurance, health insurance, annuity contracts or coverage written pursuant to the Nonadmitted Insurance Law set forth in chapter 685A of NRS, that covers property or risks within this state unless the broker does so with a licensed agent of an authorized insurer.

6. A producer who is acting as an agent may also act as and be a broker with regard to insurers for which he or she is not acting as an agent. The sole relationship between an insurer and a broker who is appointed as an agent by the insurer as to any transactions arising during the period in which the broker is appointed as an agent is that of insurer and agent, and not insurer and broker.

7. As used in this section:

(a) “Agent” means a producer of insurance who is compensated by the insurer and sells, solicits or negotiates insurance for the insurer.

(b) “Broker” means a producer of insurance who:

(1) Is not an agent of an insurer;

(2) Solicits, negotiates or procures insurance on behalf of an insured or prospective insured; and

(3) Does not have the power, by his or her own actions as a broker, to obligate an insurer upon any risk or with reference to any transaction of insurance.

(Added to NRS by 2001, 2199; A 2011, 2009; 2023, 3281)

NRS 683A.325 Commissions and compensation.

1. Except as otherwise provided in NRS 691D.220 or NRS 691E.270, a producer of insurance who is appointed as an agent may pay a commission or compensation for or on account of the selling, soliciting, procuring or negotiating of insurance in this State only to a licensed and appointed producer of insurance of the insurer with whom insurance was placed or to a licensed producer acting as a broker.

2. A licensee shall not accept any commission or compensation to which the licensee is not entitled pursuant to the provisions of this title.

(Added to NRS by 2005, 2121; A 2015, 1203; 2017, 4001; 2023, 3282)

NRS 683A.331 Termination of appointment, employment or other relationship of producer to insurer; civil immunity for provision of certain information regarding termination.

1. An insurer or its authorized representative who terminates the appointment, employment or other relationship of a producer of insurance to the insurer for any reason shall notify the Commissioner within 30 days after the effective date of the termination, in a form prescribed by the Commissioner. The insurer shall provide additional information or documents if so requested in writing by the Commissioner.

2. If the reason for termination is an activity described in NRS 683A.451 as a cause for disciplinary action or the insurer knows that the producer has been found to have engaged in such an activity by a court, governmental agency or self-regulatory organization authorized by law, the insurer or its authorized representative shall notify the Commissioner, in a form acceptable to the Commissioner, if upon further review or investigation the insurer discovers additional information that would have been reportable originally to the Commissioner if the insurer had then known it.

3. Within 15 days after notifying the Commissioner under subsection 1 or 2, the insurer shall mail a copy of the notification to the producer of insurance at his or her last known address. If the termination was for an activity described in subsection 2, the copy must be sent by certified mail, return receipt requested, or by overnight delivery using a nationally recognized carrier.

4. Within 30 days after the producer has received the original or additional notification, the producer may file written comments concerning the substance of the notification with the Commissioner. The producer shall send a copy of the comments, by the same means and at the same time, to the reporting insurer. The comments become a part of the Commissioner’s file and must accompany every copy of the underlying report that is distributed or disclosed by the Commissioner.

5. In the absence of actual malice, an insurer, its authorized representative, a producer of insurance, the Commissioner, and any organization of which the Commissioner is a member which compiles information and makes it available to other commissioners of insurance or to regulatory or law enforcement agencies are not subject to civil liability, and no cause of action arises against any of them or their respective agents or employees, as a result of any statement or information required by or provided pursuant to this section or any statement by a terminating insurer or a producer to another insurer or producer limited to whether a termination for a cause described in subsection 2 was reported to the Commissioner, if in the latter case the propriety of termination for that cause is certified in writing by an officer or authorized representative of the insurer or by the producer.

6. In an action brought against a person who may have immunity under subsection 5 for making a statement or providing information required by this section or requested by the Commissioner under this section, the plaintiff must plead specifically that subsection 5 does not apply because the person making the statement or providing the information did so with actual malice.

7. Subsections 5 and 6 do not abrogate or modify any other privilege or immunity under statute or the common law.

(Added to NRS by 2001, 2199)

NRS 683A.341 Reports to Commissioner: Administrative action or criminal prosecution against producer. A producer of insurance shall report to the Commissioner:

1. Any administrative action taken against the producer of insurance in another jurisdiction or by another governmental agency in this state, within 30 days after the final disposition of the matter. The report must include a copy of the complaint filed, the order issued and any other relevant legal documents.

2. Any criminal prosecution against the producer of insurance in any jurisdiction, within 30 days after the initial pretrial hearing. The report must include a copy of the complaint filed, the order as a result of the pretrial hearing and other relevant legal documents.

(Added to NRS by 2001, 2200)

NRS 683A.351 Records of transactions: Maintenance; examination by Commissioner; destruction.

1. Every producer of insurance shall keep complete records of transactions under his or her license. The records must show, for each insurance policy placed or countersigned by or through the licensee, not less than the names of the insurer and insured, the number and expiration date of, and premium payable as to, the policy or contract, the names of all other persons from whom business is accepted or to whom commissions are promised or paid, all premiums collected, and such additional information as the Commissioner may reasonably require.

2. The records must be open to examination of the Commissioner at all times, and the Commissioner may at any time require the licensee to furnish to the Commissioner, in such a manner or form as the Commissioner requires, any information kept or required to be kept in those records. The records may be kept in an electronic format if, using the electronic format, the records are retained in accordance with this section.

3. Records of a particular policy or contract may be destroyed 3 years after expiration of the policy or contract.

(Added to NRS by 1971, 1653; A 1977, 218; 1985, 484; 1993, 2388; 2001, 2208; 2003, 3297)

NRS 683A.361 Payment, acceptance and assignment of commissions, brokerage, fees for service and other valuable considerations.

1. An insurer or a producer of insurance shall not pay a commission, brokerage, fee for service or other valuable consideration to a person for selling, soliciting or negotiating insurance in this State if the activities of the person require the person to be licensed under this title and the person is not so licensed.

2. A person shall not accept a commission, brokerage, fee for service or other valuable consideration for selling, soliciting or negotiating insurance in this State if the activities of the person require the person to be licensed under this title and the person is not so licensed.

3. Commissions for renewal and other deferred commissions may be paid to a person whose activities required the person to be licensed under this title at the time of the sale, solicitation or negotiation and the person was so licensed at that time.

4. An insurer or producer of insurance may pay or assign commissions, brokerage, fees for service or other valuable considerations to a person who does not sell, solicit or negotiate insurance in this State unless the payment would violate the provisions of NRS 686A.110 or 686A.120.

5. An insurer shall not pay a commission, directly or indirectly, to a producer of insurance for selling, soliciting or negotiating insurance in this State unless the producer of insurance is appointed as an agent of the insurer as provided in NRS 683A.321. This subsection does not apply to a broker for reinsurance or to business placed pursuant to subsection 3, NRS 683A.325 or 685A.155, or contracts entered into pursuant to NRS 693A.110 which are approved by the Commissioner.

6. A producer of insurance shall not accept a commission from an insurer for selling, soliciting or negotiating insurance in this State unless the producer of insurance is appointed as an agent of the insurer as provided in NRS 683A.321. This subsection does not apply to a broker for reinsurance or to business placed pursuant to subsection 3, NRS 683A.325 or 685A.155, or contracts entered into pursuant to NRS 693A.110 which are approved by the Commissioner.

7. As used in this section, “broker for reinsurance” has the meaning ascribed to it in NRS 681A.280.

(Added to NRS by 2001, 2198; A 2005, 2125)

NRS 683A.365 Authorization by business organization of another producer to transact business on its behalf: Notification to Commissioner of authorization and termination of authorization.

1. A business organization which is licensed as a producer of insurance and which authorizes another producer of insurance to transact business on its behalf shall notify the Commissioner within 15 days after the effective date of the authorization in the manner prescribed by the Commissioner.

2. A business organization which is licensed as a producer of insurance and which terminates the authorization of a producer of insurance for any reason shall notify the Commissioner within 30 days after the effective date of the termination in the manner prescribed by the Commissioner. The business organization shall provide additional information or documents if so requested in writing by the Commissioner.

3. If the reason for termination is an activity described in NRS 683A.451 as a cause for disciplinary action or the business organization knows that the producer of insurance has been found to have engaged in such an activity by a court, governmental agency or self-regulatory organization authorized by law, the business organization shall notify the Commissioner, in the manner prescribed by the Commissioner, if the business organization discovers additional information that would have been reportable originally to the Commissioner if the business organization had then known it.

(Added to NRS by 2007, 3317)

NRS 683A.367 Restrictions concerning selling, soliciting and negotiating continuous care coverage; fine.

1. A person licensed as a producer of insurance shall not sell, solicit or negotiate continuous care coverage unless the person is licensed as a producer of:

(a) Accident and health insurance and casualty insurance; or

(b) Accident and health insurance and has received approval from the Commissioner to market continuous care coverage.

2. A person who violates the provisions of subsection 1 is subject to an administrative fine pursuant to subsection 3 of NRS 683A.201.

(Added to NRS by 2009, 3045; A 2011, 3361)

NRS 683A.368 Liability of producers of limited lines travel insurance for acts of travel retailers. Repealed. (See chapter 508, Statutes of Nevada 2023, at page 3284.)

NRS 683A.3683 Applicability of certain provisions to producers of limited lines travel insurance and travel retailers. Repealed. (See chapter 508, Statutes of Nevada 2023, at page 3284.)

NRS 683A.3687 Compensation of travel retailer by producer of limited lines travel insurance; limitations. Repealed. (See chapter 508, Statutes of Nevada 2023, at page 3284.)

NRS 683A.369 Travel retailers: Authorized scope of activities. Repealed. (See chapter 508, Statutes of Nevada 2023, at page 3284.)

NRS 683A.3693 Travel retailers: Prohibited activities. Repealed. (See chapter 508, Statutes of Nevada 2023, at page 3284.)

NRS 683A.3695 Travel retailers: Required written disclosures. Repealed. (See chapter 508, Statutes of Nevada 2023, at page 3284.)

NRS 683A.370 Use and licensing of vending machines to solicit for and issue personal travel accident insurance policies.

1. A licensed producer of insurance or insurer may solicit for and issue personal travel accident insurance policies by means of mechanical vending machines supervised by the producer and placed at airports and similar places of convenience to the traveling public, if the Commissioner finds that:

(a) The policy provides reasonable coverage and benefits, is suitable for sale and issuance by vending machine, and that use of such a machine in a proposed location would be of material convenience to the public;

(b) The type of machine proposed to be used is reasonably suitable for the purpose;

(d) Reasonable means are provided for the refund of money inserted in defective machines and for which insurance so paid for is not received; and

(e) The cost of maintaining such a machine at a particular location is reasonable in amount.

2. For each machine to be used, the Commissioner shall issue to the producer upon the producer’s application a special vending machine license. The license is subject to annual continuation, to expiration, suspension or revocation coincidentally with that of the producer. The Commissioner shall also revoke the license of any machine as to which the Commissioner finds that the license qualifications no longer exist. Proof of the existence of a subsisting license must be displayed on or about each machine in use in such manner as the Commissioner reasonably requires.

(Added to NRS by 1971, 1652; A 2001, 2206)

INDEPENDENT REVIEW ORGANIZATIONS

NRS 683A.3715 Approval to conduct external reviews: Application; fee; period of validity; reapproval; termination of approval; list maintained by Commissioner; regulations.

1. An independent review organization must be approved by the Commissioner to be eligible to be assigned to conduct external reviews.

2. In order to be eligible for approval or reapproval by the Commissioner to conduct external reviews, an independent review organization:

(a) Except as otherwise provided in this section, must be accredited by a nationally recognized private accrediting entity which the Commissioner has determined has standards for the accreditation of independent review organizations that are equivalent to or exceed the minimum qualifications for independent review organizations established under NRS 683A.372; and

(b) Must submit an application in accordance with subsection 4.

3. The Commissioner shall develop an application form for the initial approval and reapproval of an independent review organization to conduct external reviews.

4. An independent review organization wishing to be approved or reapproved to conduct external reviews must submit the application form and include with the form all documentation and information necessary for the Commissioner to determine if the independent review organization satisfies the minimum qualifications established under NRS 683A.372.

5. The Commissioner may approve an independent review organization that is not accredited by a nationally recognized private accrediting entity if there are no acceptable nationally recognized private accrediting entities providing accreditation of independent review organizations.

6. The Commissioner may charge any applicable fee which an independent review organization must submit to the Commissioner with its application for initial approval or reapproval.

7. An approval or reapproval is effective for 2 years unless the Commissioner determines before its expiration that the independent review organization does not satisfy the minimum qualifications established under NRS 683A.372.

8. Whenever the Commissioner determines that an independent review organization has lost its accreditation or no longer satisfies the minimum requirements established under NRS 683A.372, the Commissioner shall terminate the approval of the independent review organization and remove the independent review organization from the list of independent review organizations approved to conduct external reviews that is maintained by the Commissioner pursuant to subsection 9.

9. The Commissioner shall maintain and periodically update a list of approved independent review organizations.

10. The Commissioner may adopt regulations to carry out the provisions of this section.

11. As used in this section, “independent review organization” has the meaning ascribed to it in NRS 695G.026.

(Added to NRS by 2011, 3353)

NRS 683A.372 Approval to conduct external reviews: Minimum qualifications; conflicts of interest.

1. To be approved under NRS 683A.3715 to conduct external reviews, an independent review organization shall have and maintain written policies and procedures that govern all aspects of both the standard external review process and the expedited external review process which include, without limitation:

(a) A quality assurance mechanism which ensures:

(1) That an external review is conducted within the specified time frames and required notices are provided in a timely manner;

(2) The selection of qualified and impartial clinical reviewers to conduct external reviews on behalf of the independent review organization, suitable matching of reviewers to specific cases and that the independent review organization employs or contracts with an adequate number of clinical reviewers to meet this requirement;

(3) The confidentiality of medical and treatment records and clinical review criteria; and

(4) That a person employed by or under contract with the independent review organization adheres to the requirements of the external review process;

(b) A toll-free telephone service that is capable of accepting, recording or providing appropriate instruction relating to external reviews to incoming telephone callers 24 hours a day, 7 days a week; and

(c) An agreement to maintain and provide to the Office for Consumer Health Assistance the information required pursuant to NRS 695G.303.

2. A clinical reviewer assigned by an independent review organization to conduct an external review must be a physician or other appropriate health care provider who must:

(a) Be an expert in the treatment of the covered person’s medical condition that is the subject of the external review;

(b) Be knowledgeable about the recommended health care service or treatment through recent or current actual clinical experience treating patients with the same or similar medical condition as the covered person;

(c) Hold a nonrestricted license in a state or territory of the United States and, if a physician, hold a current certification by a specialty board of the American Board of Medical Specialties in the area or areas appropriate to the subject of the external review; and

(d) Have no history of disciplinary actions or sanctions, including loss of staff privileges or participation restrictions, that have been taken or are pending by any hospital, governmental agency or unit, or regulatory body that raise a substantial question as to the clinical reviewer’s physical, mental or professional competence or moral character.

3. In addition to the requirements set forth in subsection 1, an independent review organization may not own or control, be a subsidiary of or in any way be owned or controlled by, or exercise control with a health benefit plan, a national, state or local trade association of health benefit plans, or a national, state or local trade association of health care providers.

4. In addition to the requirements set forth in subsections 1, 2 and 3, to be approved pursuant to NRS 683A.3715 to conduct an external review of a specific case, neither the independent review organization selected to conduct the external review nor a clinical reviewer assigned by the independent review organization to conduct the external review may have a material professional, familial or financial conflict of interest with any of the following:

(a) The health carrier that is the subject of the external review;

(b) The covered person whose treatment is the subject of the external review or the covered person’s authorized representative;

(d) The health care provider, the health care provider’s medical group or independent practice association recommending the health care service or treatment that is the subject of the external review;

(e) The facility at which the recommended health care service or treatment would be provided; or

(f) The developer or manufacturer of the principal drug, device, procedure or other therapy being recommended for the covered person whose treatment is the subject of the external review.

5. In determining whether an independent review organization or a clinical reviewer of the independent review organization has a material professional, familial or financial conflict of interest for purposes of subsection 4, the Office for Consumer Health Assistance shall take into consideration situations where the independent review organization to be assigned to conduct an external review of a specific case or a clinical reviewer to be assigned by the independent review organization to conduct an external review of a specific case may have an apparent professional, familial or financial relationship or connection with a person described in subsection 4, but that the characteristics of that relationship or connection are such that they are not a material professional, familial or financial conflict of interest that results in the disapproval of the independent review organization or the clinical reviewer from conducting the external review.

6. The Commissioner shall initially review and periodically review the standards of a nationally recognized private accrediting entity for accreditation of independent review organizations to determine whether the entity’s standards are equivalent to or exceed the minimum qualifications established in this section. The Commissioner may accept a review conducted by the National Association of Insurance Commissioners for the purpose of the determination under this subsection and subsection 7.

7. Upon request, a nationally recognized private accrediting entity shall make its current standards for the accreditation of independent review organizations available to the Commissioner or to the National Association of Insurance Commissioners in order for the Commissioner to determine if the entity’s standards are equivalent to or exceed the minimum qualifications established in this section. The Commissioner may exclude any private accrediting entity that is not reviewed by the National Association of Insurance Commissioners.

8. An independent review organization must be unbiased. An independent review organization shall establish and maintain written procedures to ensure that it is unbiased in addition to any other procedures required under this section.

9. As used in this section, the words and terms defined in NRS 695G.012 to 695G.085, inclusive, have the meanings ascribed to them in those sections.

(Added to NRS by 2011, 3354)

NRS 683A.373 Submission of annual list to Office for Consumer Health Assistance. As soon as practicable after preparing an annual list of independent review organizations pursuant to subsection 9 of NRS 683A.3715, the Commissioner shall submit a copy of the list to the Office for Consumer Health Assistance. If a change occurs in the list, the Commissioner shall notify the Office for Consumer Health Assistance of the change.

(Added to NRS by 2003, 774; A 2011, 3362)

AGENTS WHO PERFORM UTILIZATION REVIEW

NRS 683A.375 Purposes. The purposes of NRS 683A.375 to 683A.379, inclusive, are to:

1. Promote the delivery of health care of high quality in a manner that limits the cost of such care; and

2. Foster greater cooperation between providers of health care and agents who perform utilization review.

(Added to NRS by 1991, 802)

NRS 683A.376 Definitions. As used in NRS 683A.375 to 683A.379, inclusive:

1. “Agent who performs utilization review” includes any person who performs such review except a person acting on behalf of the Federal Government, but only to the extent that the person provides the service for the Federal Government or an agency thereof.

2. “Insured” means a natural person who has contracted for or participates in coverage under a policy of insurance, a contract with a health maintenance organization, a plan for hospital, medical or dental services or any other program providing payment, reimbursement or indemnification for the costs of health care for the natural person, his or her dependents, or both.

3. “Utilization review” means a system that provides, at a minimum, for review of the necessity and appropriateness of the allocation of health care resources and services provided or proposed to be provided to an insured or to any person claiming benefits against a policy of the insured. The term does not include responding to requests made by an insured for clarification of his or her coverage.

(Added to NRS by 1991, 802; A 2001, 2207)

NRS 683A.377 Applicability. The provisions of NRS 683A.375 to 683A.379, inclusive, do not apply to:

1. An authorized insurer;

2. A fraternal benefit society that is certified pursuant to chapter 695A of NRS;

3. A nonprofit corporation for hospital, medical or dental services that is certified pursuant to chapter 695B of NRS;

4. A health maintenance organization that is certified pursuant to chapter 695C of NRS; or

5. An organization for dental care that is certified pursuant to chapter 695D of NRS,

Ê which performs its own utilization review. This section does not limit the applicability of NRS 683A.375 to 683A.379, inclusive, to affiliates and subsidiaries of such entities or to contracts between such entities and independent agents who perform utilization review.

(Added to NRS by 1991, 802)

NRS 683A.378 Prerequisites to conducting utilization review; registration of agent; plan for utilization review; agent to report material changes; renewal of registration.

1. A person shall not conduct utilization review unless the person is:

(a) Registered with the Commissioner as an agent who performs utilization review and has a medical director who is a physician or, in the case of an agent who reviews dental services, a dentist, licensed in any state; or

(b) Employed by a registered agent who performs utilization review.

2. A person may apply for registration by filing with the Commissioner the fee specified in NRS 680B.010 and, in addition to any other fee or charge, all applicable fees required pursuant to NRS 680C.110 and the following information on a form provided by the Commissioner:

(a) The applicant’s name, address, telephone number, valid electronic mail address and normal business hours;

(b) The name and telephone number of a person the Commissioner may contact for information concerning the applicant;

(c) The name of the medical director of the applicant and the state in which he or she is licensed to practice medicine or dentistry; and

(d) A summary of the plan for utilization review, including procedures for appealing determinations made through utilization review.

3. An agent who performs utilization review shall file with the Commissioner any material changes in the information provided pursuant to subsection 1 within 30 days after the change occurs.

4. The Commissioner shall not evaluate the plan submitted pursuant to paragraph (d) of subsection 2. The Commissioner shall make the plan available upon request and shall charge a reasonable fee for providing a copy of the plan.

5. Registration pursuant to this section must be renewed on or before March 1 of each year by providing the information specified in subsection 2 and paying the renewal fee specified in NRS 680B.010 and, in addition to any other fee or charge, all applicable fees required pursuant to NRS 680C.110.

(Added to NRS by 1991, 802; A 2009, 1776; 2015, 3469; 2021, 2964)

NRS 683A.379 Penalty. A person who violates any provision of NRS 683A.375 to 683A.378, inclusive, shall be punished by a fine of not more than $1,000.

(Added to NRS by 1991, 803)

MISCELLANEOUS PROVISIONS

1. A natural person who applies for the issuance or renewal of a certificate of registration as an administrator or a license as a producer of insurance or managing general agent shall submit to the Commissioner the statement prescribed by the Division of Welfare and Supportive Services of the Department of Health and Human Services pursuant to NRS 425.520. The statement must be completed and signed by the applicant.

2. The Commissioner shall include the statement required pursuant to subsection 1 in:

(a) The application or any other forms that must be submitted for the issuance or renewal of the certificate of registration or license; or

(b) A separate form prescribed by the Commissioner.

3. A certificate of registration as an administrator or a license as a producer of insurance or managing general agent may not be issued or renewed by the Commissioner if the applicant is a natural person who:

(a) Fails to submit the statement required pursuant to subsection 1; or

(b) Indicates on the statement submitted pursuant to subsection 1 that he or she is subject to a court order for the support of a child and is not in compliance with the order or a plan approved by the district attorney or other public agency enforcing the order for the repayment of the amount owed pursuant to the order.

4. If an applicant indicates on the statement submitted pursuant to subsection 1 that the applicant is subject to a court order for the support of a child and is not in compliance with the order or a plan approved by the district attorney or other public agency enforcing the order for the repayment of the amount owed pursuant to the order, the Commissioner shall advise the applicant to contact the district attorney or other public agency enforcing the order to determine the actions that the applicant may take to satisfy the arrearage.

(Added to NRS by 1997, 2186; A 2001, 2207)

1. If the Commissioner receives a copy of a court order issued pursuant to NRS 425.540 that provides for the suspension of all professional, occupational and recreational licenses, certificates and permits issued to a person who is the holder of a certificate of registration as an administrator or a license as a producer of insurance or managing general agent, the Commissioner shall suspend the certificate of registration or license issued to that person at the end of the 30th day after the date on which the court order was issued unless the Commissioner receives a letter issued to the holder of the certificate of registration or license by the district attorney or other public agency pursuant to NRS 425.550 stating that the holder of the certificate of registration or license has complied with the subpoena or warrant or has satisfied the arrearage pursuant to NRS 425.560.

2. The Commissioner shall reinstate a certificate of registration as an administrator or a license as a producer of insurance or managing general agent that has been suspended by a district court pursuant to NRS 425.540 if the Commissioner receives a letter issued by the district attorney or other public agency pursuant to NRS 425.550 to the person whose certificate of registration or license was suspended stating that the person whose certificate of registration or license was suspended has complied with the subpoena or warrant or has satisfied the arrearage pursuant to NRS 425.560.

(Added to NRS by 1997, 2187; A 2001, 2208)

NRS 683A.387 Application for certificate of registration or license to include social security number of applicant. [Effective until the date of the repeal of 42 U.S.C. § 666, the federal law requiring each state to establish procedures for withholding, suspending and restricting the professional, occupational and recreational licenses for child support arrearages and for noncompliance with certain processes relating to paternity or child support proceedings.] The application of a natural person who applies for the issuance of a certificate of registration as an administrator or a license as a producer of insurance or managing general agent must include the social security number of the applicant.

(Added to NRS by 1997, 2188; A 2001, 2208)

1. All money of others received by any person in any way licensed or acting as a producer of insurance, surplus lines broker, motor club agent or bail agent under any insurance policy or undertaking of bail is received and held by the person in a fiduciary capacity. Any such person who diverts or appropriates such fiduciary money to his or her own use is guilty of embezzlement.

2. Each such person who does not make immediate remittance of the money to the insurer or other person entitled thereto, shall elect and follow with respect to money received for the account of a particular insurer or person either of the following methods:

(a) Remit received premiums, less applicable commissions, if any, and return premiums to the insurer or other person entitled thereto within 15 days after receipt; or

(b) Establish and maintain in a commercial bank, credit union or other established financial institution depositary in this state one or more accounts, separate from accounts holding his or her general personal, firm or corporate money, and forthwith deposit and retain in the accounts pending transmittal to the insurer or other person entitled thereto, all such premiums, net of applicable commissions, if any, and return premiums. Money belonging to more than one principal may be so deposited and held in the same such account if the amount so held for each principal is readily ascertainable from the records of the depositor. The depositor may commingle with such fiduciary money in a particular account such additional money as the depositor may deem prudent to advance premiums, establish reserves for the payment of return commissions, or for other contingencies arising in his or her business of receiving and transmitting premiums or return premiums.

3. Such a person may commingle with his or her own money to an unlimited amount money of a particular principal if the principal in writing in advance has specifically waived the segregation requirements of subsection 2.

4. Any commingling of money with money of any such person permitted under this section does not alter the fiduciary capacity of that person with respect to the money of others.

(Added to NRS by 1971, 1653; A 1997, 3378; 1999, 1550; 2001, 2209)

NRS 683A.405 Submission of schedule of payments to provider of health care by administrator, managing general agent, producer of insurance or certain entities acting as administrator. If an administrator, managing general agent or producer of insurance, or a health maintenance organization when acting as an administrator pursuant to NRS 683A.0851 or a nonprofit corporation for hospital or medical services when acting as an administrator pursuant to NRS 683A.0852, contracts with a provider of health care to provide health care to an insured pursuant to this chapter, the administrator, managing general agent, producer of insurance, health maintenance organization or nonprofit corporation for hospital or medical services shall:

1. If requested by the provider of health care at the time the contract is made, submit to the provider of health care a copy of the schedule of payments applicable to the provider of health care; or

2. If requested by the provider of health care at any other time, submit to the provider of health care the schedule of payments specified in subsection 1 within 7 days after receiving the request.

(Added to NRS by 2003, 3350)

DISCIPLINARY ACTION

NRS 683A.451 Authority of Commissioner; grounds for action. The Commissioner may refuse to issue a license or certificate pursuant to this chapter or may place any person to whom a license or certificate is issued pursuant to this chapter on probation, suspend the person for not more than 12 months, or revoke or refuse to renew his or her license or certificate, or may impose an administrative fine or take any combination of the foregoing actions, for one or more of the following causes:

1. Providing incorrect, misleading, incomplete or partially untrue information in his or her application for a license.

2. Violating a law regulating insurance, or violating a regulation, order or subpoena of the Commissioner or an equivalent officer of another state.

3. Obtaining or attempting to obtain a license through misrepresentation or fraud.

4. Misappropriating, converting or improperly withholding money or property received in the course of the business of insurance.

5. Intentionally misrepresenting the terms of an actual or proposed contract of or application for insurance.

6. Conviction of a felony or a crime which involves theft, fraud, dishonesty or moral turpitude.

7. Admitting or being found to have committed an unfair trade practice or fraud.

8. Using fraudulent, coercive or dishonest practices, or demonstrated incompetence, untrustworthiness or financial irresponsibility in the conduct of business, or otherwise, in this State or elsewhere.

9. Denial, suspension or revocation of a license as a producer of insurance, or its equivalent, in any other state, territory or province.

10. Forging another’s name to an application for insurance or any other document relating to the transaction of insurance.

11. Improperly using notes or other reference material to complete an examination for a license related to insurance.

12. Knowingly accepting business related to insurance from an unlicensed person.

13. Failing to comply with an administrative or judicial order imposing an obligation of child support.

14. Failing to pay a tax as required by law.

(Added to NRS by 2001, 2197; A 2005, 1784; 2015, 2950, 3470)

NRS 683A.461 Denial, suspension or revocation of or refusal to renew license; administrative fines; authority of Commissioner after surrender or lapse of license or registration.

1. If the Commissioner denies an application for, or refuses to renew, a license, the Commissioner shall notify the applicant or licensee and state in writing the reason for the denial or refusal. The applicant or licensee may apply in writing, pursuant to NRS 679B.310, for a hearing before the Commissioner to determine the reasonableness of the denial or refusal. The hearing must be held within 30 days and conducted pursuant to NRS 679B.330. The applicant or licensee may waive the requirement to hold the hearing within 30 days, in writing, before a hearing is held.

2. The Commissioner may suspend, revoke or refuse to renew the license of a business organization if the Commissioner finds, after hearing, that a violation by a natural person was known or should have been known by one or more of the partners, officers or managers acting on behalf of the organization, the violation was not reported to the Commissioner and no corrective action was taken.

3. In addition to or in lieu of a denial, suspension or revocation of, or refusal to renew, a license, an administrative fine of not less than $25 nor more than $500 may be imposed for each violation or act. An order imposing a fine must specify the date, not less than 15 days nor more than 30 days after the date of the order, before which the fine must be paid. If the fine is not paid when due, the Commissioner shall immediately revoke the license of a licensee and the fine must be recovered in a civil action brought on behalf of the Commissioner by the Attorney General. The Commissioner shall immediately deposit all such fines collected with the State Treasurer for credit to the State General Fund.

4. The Commissioner retains the authority to enforce the provisions of, and impose any penalty or pursue any remedy authorized by, this title against any person who is under investigation for or charged with a violation of a provision of this title even if the license or registration of the person has been surrendered or has lapsed by operation of law.

5. A licensee must pay all applicable fees, including renewal fees, and maintain any required education during a period of suspension of his or her license.

(Added to NRS by 2001, 2198)

NRS 683A.490 Authority of Commissioner to inform district attorney of violation; penalty for violation of provision of chapter.

1. The Commissioner may inform the appropriate district attorney of any violation of any provision of this chapter.

2. In addition to any other penalty provided in this chapter any person violating any provision of this chapter is guilty of a misdemeanor.

(Added to NRS by 1971, 1658)

NRS 683A.500 Insurer prohibited from permitting person whose license has been revoked or suspended to transact insurance. A person licensed to transact insurance in this state shall not knowingly permit any other person whose license to transact insurance in this state has been revoked or suspended to transact insurance or in any manner participate in the transaction of insurance in this state.

(Added to NRS by 1997, 3024)

NRS 683A.510 Failure of insurer or its authorized representative to report certain information regarding producer of insurance or report such information with actual malice: Suspension or revocation of license; fine. An insurer or its authorized representative who fails to report as required by NRS 683A.331 or is found by a court of competent jurisdiction to have reported with actual malice is subject to the suspension or revocation of its license, after notice and hearing, and may be further punished by a fine under NRS 679A.180.

(Added to NRS by 2001, 2200)

NRS 683A.520 Failure of producer of insurance or surplus lines broker to remit premiums: Report to Commissioner; suspension of license.

1. If within 30 days after the contractual due date of any premium received by a producer of insurance or a surplus lines broker, the producer of insurance or surplus lines broker fails to remit the premium to the insurer or agency to whom it is owing, the insurer or agency, as the case may be, shall promptly report the failure to the Commissioner in writing.

2. The Commissioner may suspend the licenses of the producer or surplus lines broker so failing to remit, until the remittance has been made or the insurer or agency has filed with the Commissioner a release of the indebtedness satisfactory to the Commissioner.

3. The applicable procedures provided for in NRS 683A.461 apply to suspensions of a license under this section.

4. If the Commissioner, by the admission of the producer or surplus lines broker, or by examination of the records of the producer or surplus lines broker, determines that the charged failure to remit is true, the Commissioner may suspend the license without hearing.

(Added to NRS by 1971, 1654; A 2001, 2209)