Industrial Insurance: Benefits for Injuries or Death

  1. Law
  2. Nevada Revised Statutes
  3. Industrial Insurance: Benefits for Injuries or Death

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Section
616C.005

Forms for reporting injuries: Insurer to distribute revised forms to employers periodically; Administrator to make revised forms available to physicians and chiropractors.

Section
616C.010

Employee to report accident and injury to employer; examination of employee; employee leasing company to provide to leased employees instructions regarding reporting of injuries.

Section
616C.015

Notice of injury or death: Requirements; availability of form; retention; notice by leased employee.

Section
616C.020

Claim for compensation: Requirements for injured employee, dependent or representative to file claim; form.

Section
616C.025

Recovery of compensation barred if notice of injury or claim for compensation is not filed; exceptions.

Section
616C.030

Dependent of injured employee barred from filing claim for compensation if untimely or previously denied.

Section
616C.035

Application for death benefit.

Section
616C.040

Claim for compensation: Duty of treating physician or chiropractor to file or delegate duty to medical facility; electronic filing; form and contents; maintenance of forms; penalty.

Section
616C.045

Report of industrial injury or occupational disease: Duty of employer to file; electronic filing; form and contents; penalty.

Section
616C.050

Information required to be provided by insurer to claimant. [Effective through December 31, 2019.]

Section
616C.050

Information required to be provided by insurer to claimant. [Effective January 1, 2020.]

Section
616C.052

Exposure of police officer, firefighter or arson investigator to contagious disease: Reporting and testing requirements; eligibility for compensation.

Section
616C.055

Use of fee schedules which unfairly discriminate among physicians and chiropractors prohibited; payment for services rendered by physician or chiropractor after removal from panel prohibited. [Effective through December 31, 2019.]

Section
616C.055

Use of fee schedules which unfairly discriminate among physicians and chiropractors prohibited; payment for services rendered by physician or chiropractor after removal from panel prohibited. [Effective January 1, 2020.]

Section
616C.065

Duty of insurer to accept or deny claim; new determination; penalty; failure of insurer to indicate acceptance or denial of claim; written determination.

Section
616C.070

Persons who are conclusively presumed to be totally dependent on injured or deceased employee; exception.

Section
616C.075

Effect of employee’s refusal to submit to physical examination after accident.

Section
616C.085

Duties of employer when employee injured: First aid; reimbursement.

Section
616C.087

Selection of physician or chiropractor: Legislative declaration regarding rights of injured employee; requirements for lists maintained and updated by Administrator and insurer; duties of Administrator; removal of physician or chiropractor from list; continuation of treatment with same physician or chiropractor under certain circumstances. [Effective January 1, 2020.]

Section
616C.090

Selection of physician or chiropractor: Powers and duties of Administrator; selection and alternate selection from established panel or pursuant to contract; responsibility for charges. [Effective through December 31, 2019.]

Section
616C.090

Selection of physician or chiropractor: Establishment, maintenance and update of panel of physicians and chiropractors; powers and duties of Administrator; selection and alternate selection from established panel or pursuant to contract; responsibility for charges not in compliance with provisions or related to improper treatments. [Effective January 1, 2020.]

Section
616C.095

Duty of physician or chiropractor to advise injured employee of rights.

Section
616C.098

Use by physician or chiropractor of certain phrases relating to causation of industrial injury or occupational disease.

Section
616C.100

Additional determination of percentage of disability permitted if cost paid by injured employee; authority of injured employee to seek reimbursement of cost; results of determination may be offered at hearing or conference.

Section
616C.105

Requirements for designation of chiropractor to rate permanent partial disabilities.

Section
616C.110

American Medical Association’s Guides to the Evaluation of Permanent Impairment: Duty of Division to adopt Guides by regulation.

Section
616C.115

Prescription of generic drugs required; exceptions.

Section
616C.117

Prescription of drugs dispensed directly to injured employee; limitations.

Section
616C.120

Employee may elect treatment through prayer in lieu of medical treatment.

Section
616C.125

Insurer may contract with suppliers for provision of services and goods to injured employees.

Section
616C.130

Insurer’s payment to physician or chiropractor attending injured employee conditioned upon receipt of itemized statement and certificate.

Section
616C.135

Liability of insurer for payment of charges for treatment related to industrial injury or occupational disease; acceptance of payment by provider of health care from injured employee or health or casualty insurer for treatment that was erroneously denied.

Section
616C.136

Action by insurer on bill from provider of health care; payment of interest; request for additional information; compliance with requirements.

Section
616C.137

Denial of payment for unrelated services: Requirements for notification; liability of injured employee; appeal.

Section
616C.138

Payment of provider of health care upon insurer’s denial of authorization or responsibility for treatment or other services provided; reimbursement of injured employee or health or casualty insurer; reimbursement from health or casualty insurer; recovery of excess amount paid to provider of health care.

Section
616C.140

Medical examination of claimant; effect of refusal to submit to examination; communications not privileged.

Section
616C.145

Independent medical examination of claimant; limitations; payment by insurer; applicability.

Section
616C.150

Compensation prohibited unless preponderance of evidence establishes that injury arose out of and in course of employment; rebuttable presumption if notice of injury is filed after termination of employment.

Section
616C.155

Payment of compensation by insurer prohibited before required; recovery of overpayment by insurer.

Section
616C.157

Request for prior authorization: Time to respond; effect of failure to respond in timely manner.

Section
616C.160

Newly developed injury or disease: Inclusion in original claim for compensation; limitation.

Section
616C.165

Determination of responsibility of insurer for undisputed claim for compensation; reimbursement of insurer initially providing compensation to injured employee.

Section
616C.170

Resolution of disputes between insurers if benefits are claimed against more than one insurer; adoption of regulations by Administrator; appeal of decision of Administrator; payment of benefits until determination of responsibility by Administrator.

Section
616C.175

Employment-related aggravation of preexisting condition which is not employment related; aggravation of employment-related injury by incident which is not employment related.

Section
616C.177

Medical records concerning preexisting condition: Authority of insurer to request records; injured employee required to release records under certain circumstances.

Section
616C.180

Injury or disease caused by stress; agency which employs first responder required to provide training related to mental health issues.

Section
616C.185

Compensation for mastectomy and reconstructive surgery.

Section
616C.190

Compensation of employee injured out of State.

Section
616C.195

Acceptance of compensation or benefits by employee injured out of State constitutes release of employer and waiver of remedy at common law or statutory remedy provided in another state.

Section
616C.200

Commencement of action in another state to recover damages or compensation by employee injured out of State constitutes irrevocable waiver of compensation due under Nevada law; satisfaction of foreign judgment against Nevada employer.

Section
616C.205

Compensation not assignable; exempt from attachment, garnishment and execution; accrued compensation payable to dependents.

Section
616C.210

Compensation of nonresident alien dependents; notification of dependent required.

Section
616C.215

Actions and proceedings to recover damages in tort or from proceeds of vehicle insurance: Reduction of compensation by amount of recovery; rights of injured employee or dependents and of insurer or Administrator; notification and payment of insurer or Administrator; instructions to jury; calculation of employer’s premium.

Section
616C.220

Compensation from Uninsured Employers’ Claim Account: Administration and payment of claims; eligibility of employee; liability of employer; powers and duties of Division; appeals; collection.

Section
616C.223

Application for entry of summary judgment: Conditions; notice to employer; filing requirements; entry of judgment; service of judgment; recordation of judgment; lien upon property of employer; extension of lien.

Section
616C.225

Misrepresentation or concealment of fact to obtain benefits: Insurer entitled to reimbursement or deduction from benefits; appeal of determination; alternative remedies.

Section
616C.230

Grounds for denial, reduction or suspension of compensation; evidence of and examination for use of alcohol or controlled substance.

Section
616C.232

Denial of compensation for temporary total disability because of discharge for misconduct.

Section
616C.235

Closure of claim by insurer: Procedure; notice; special procedure if medical benefits less than $800.

Section
616C.245

Injured employee entitled to accident benefits; limitation on receipt of modified motor vehicle as accident benefit; regulations establishing maximum benefit.

Section
616C.250

Establishment, revision and compliance with standards of care for provision of accident benefits.

Section
616C.255

Premium for accident benefits paid by employer; accident benefits provided by private carrier; separate account for accident benefits.

Section
616C.260

Fees and charges for accident benefits: Restrictions; establishment and revision of schedule; powers and duties of Administrator; penalty for refusal to provide information; regulations. [Effective through December 31, 2019.]

Section
616C.260

Fees and charges for accident benefits: Restrictions; establishment and revision of schedule; powers and duties of Administrator; administrative penalty for refusal to provide information; regulations. [Effective January 1, 2020.]

Section
616C.265

Election by employer to provide accident benefits; reporting requirements; payment of assessments.

Section
616C.266

Insurer entitled to reimbursement for payment of annual increase in compensation for permanent total disability; required proof of payment; reimbursement from income from Uninsured Employers’ Claim Account; reimbursement may be applied towards current or future assessment.

Section
616C.268

Insurer entitled to reimbursement for payment of increase in death benefits; required proof of payment; reimbursement may be applied towards current or future assessment.

Section
616C.270

Employers to notify Administrator when injured employee receives medical services.

Section
616C.275

Change of physicians, chiropractors or other requirements; cost of change borne by insurer; cause of action of injured employee assigned to private carrier.

Section
616C.280

Withdrawal of approval for employer to provide accident benefits: Grounds supporting withdrawal.

Section
616C.285

Withdrawal of approval for employer to provide accident benefits: Request for hearing; notice of decision.

Section
616C.295

Duties of Chief of Hearings Division: Adoption of regulations establishing codes of conduct for hearing officers and appeals officers, standards for initial training and continuing education and qualifications for hearing officers; expediting of certain cases; annual report.

Section
616C.300

Hearing officers: Appointment; salary; disqualification from particular case.

Section
616C.305

Procedure for appeal of final determination of organization for managed care which has contracted with insurer.

Section
616C.310

Contested cases: Procedures; format; redaction of personal identifying information; representation of insurer or employer by legal counsel or other agent.

Section
616C.315

Request for hearing; forms for request to be provided by insurer; prerequisites to scheduling of hearing; expeditious and informal hearing required; direct submission to appeals officer.

Section
616C.320

Resolution of disputed decision of self-insured employer or employer who is member of association of self-insured public or private employers or insured by private carrier.

Section
616C.325

Representation of employee and employer before hearings officer or appeals officer or in negotiations with insurer; licensure of employer’s representative; employer liable for representative’s violations; compensation of employer’s representative must not be contingent on outcome.

Section
616C.330

Date, time and place for hearing; evaluation of injured employee; powers and duties of hearing officer; issuance of decision; procedure for obtaining stay of decision.

Section
616C.335

Award of interest.

Section
616C.340

Appointment, term, qualifications and salary of appeals officers and special appeals officers; deemed civil officers of this State; conflicts of interest; removal; finality of decision by appeals officer.

Section
616C.345

Notice of appeal; notice of contested claim; prerequisites to scheduling of hearing on appeal; effect of appeal on enforcement of decision of hearing officer; setting of date, time and place for hearing on appeal; continuances.

Section
616C.350

Testimony of physician or chiropractor before appeals officer; privileged communications.

Section
616C.355

Use of affidavits or declarations as evidence at hearing; notice to opposing party; waiver of right to cross-examine affiant or declarant; effect of waiver.

Section
616C.360

Record of hearing before appeals officer; rules of evidence; evaluation of injured employee; submission to independent review organization; powers and duties of appeals officer; transcripts; issuance of decision.

Section
616C.363

External review: Duties of independent review organization; contents and submission of decision by organization; costs; regulations.

Section
616C.365

Reimbursement of employee’s expenses incurred and wages lost as result of hearing requested by employer or insurer; regulations.

Section
616C.370

Judicial review.

Section
616C.375

Stay of decision of appeals officer.

Section
616C.380

Payment pending appeal when decision not stayed; effect of final resolution of claim.

Section
616C.385

Costs and attorney’s fees for frivolous petitions for judicial review.

Section
616C.390

Reopening claim: General requirements and procedure; limitations; applicability.

Section
616C.392

Reopening claim: Circumstances under which insurer is required to reopen claim for permanent partial disability.

Section
616C.400

Minimum duration of incapacity; exceptions.

Section
616C.405

Limitations on benefits received by employee.

Section
616C.408

Restrictive endorsements on checks issued by insurers.

Section
616C.409

Direct deposit of compensation.

Section
616C.410

Prohibition of settlements paid in lump sum; exceptions.

Section
616C.412

Purchase of annuity by insurer to ensure payment of claim; adoption of regulations by Commissioner.

Section
616C.415

Written explanation of alternative settlements to be given to employee or dependents.

Section
616C.420

Method of determining average monthly wage.

Section
616C.425

Date of determination of amount of compensation and benefits.

Section
616C.427

Challenge to determination of average monthly wage; remedy for incorrect average monthly wage.

Section
616C.435

Injuries deemed total and permanent.

Section
616C.440

Amount and duration of compensation; limitations; effect of previous award of compensation.

Section
616C.445

Recipient of compensation to report annual earnings; payments suspended if report not made.

Section
616C.447

Insurer required to make certain accountings to injured employee who is entitled to compensation for permanent total disability; additional accountings may be requested by injured employee.

Section
616C.450

Compensation to injured employee or dependents of injured employee for permanent total disability or death benefit if injury or occupational disease occurred before July 1, 1980.

Section
616C.453

Additional annual payment to certain claimants and dependents of claimants who are entitled to receive compensation for permanent total disability; adoption of regulations to determine amount of payment.

Section
616C.455

Increase in benefits for permanent total disability incurred before April 9, 1971.

Section
616C.460

Additional increase in benefits for permanent total disability incurred before July 1, 1973.

Section
616C.465

Increase in benefits for permanent total disability incurred on or after April 9, 1971, or for claimant or dependent not entitled to benefits for disability from federal social security system.

Section
616C.470

Increase in benefits for permanent total disability if claimant is entitled to benefits for disability from federal social security system.

Section
616C.473

Annual increase in benefits for permanent total disability.

Section
616C.475

Amount and duration of compensation; limitations; requirements for certification of disability; offer of light-duty employment. [Effective through December 31, 2019.]

Section
616C.475

Amount and duration of compensation; limitations; cessation of payments; requirements for certification of disability; offer of light-duty employment. [Effective January 1, 2020.]

Section
616C.477

Compensation for lost wages incurred by employee who receives medical treatment after returning to work; prohibition against employer requiring employee to use personal leave for such treatment.

Section
616C.480

Reduction of benefits for previous injury causing permanent partial disability prohibited.

Section
616C.485

Permanent partial disability: Loss of or permanent damage to teeth.

Section
616C.490

Permanent partial disability: Compensation. [Effective through December 31, 2019.]

Section
616C.490

Permanent partial disability: Compensation; selection of and evaluation by rating physician or chiropractor. [Effective January 1, 2020.]

Section
616C.495

Permanent partial disability: Payments in lump sum. [Effective through December 31, 2019.]

Section
616C.495

Permanent partial disability: Payments in lump sum. [Effective January 1, 2020.]

Section
616C.500

Temporary partial disability: Compensation.

Section
616C.505

Amount and duration of compensation.

Section
616C.508

Annual increase in death benefits.

Section
616C.510

Increased death benefits if injury or disablement occurred before July 1, 1973.

Section
616C.515

Additional increase in death benefits if injury or disablement occurred before July 1, 1973.

Section
616C.520

Increased death benefits if injury or disablement occurred on or after July 1, 1973.

Section
616C.530

Priorities for returning injured employee to work.

Section
616C.540

Supervision, ratio and review of uncertified counselors; knowledge of labor market required.

Section
616C.541

Appointment of vocational rehabilitation counselor.

Section
616C.542

Prohibiting vocational rehabilitation counselor employed by entity administering injured employee’s case from providing services to injured employee without provision of certain written disclosures; right of injured employee to be assigned alternate counselor.

Section
616C.543

Prohibited acts of vocational rehabilitation counselor.

Section
616C.545

Duty of insurer to determine physical limitations on injured employee’s ability to work.

Section
616C.547

General duties of vocational rehabilitation counselor.

Section
616C.550

Written assessment of injured employee.

Section
616C.555

Plan for program of vocational rehabilitation; regulations.

Section
616C.560

Extension of program for vocational rehabilitation.

Section
616C.570

On-the-job training as component of plan for program of vocational rehabilitation.

Section
616C.575

Payment of vocational rehabilitation maintenance.

Section
616C.580

Provision of services outside of State; limited lump-sum payment in lieu of services.

Section
616C.585

Limit on goods and services which may be provided; exceptions.

Section
616C.590

Eligibility for services; effect of incarceration; effect of refusing services offered by insurer; effect of inability of insurer to locate injured employee.

Section
616C.595

Agreements for payment of compensation in lump sum in lieu of provision of vocational rehabilitation services.

Section
616C.597

Response to request for payment of compensation in lump sum in lieu of provision of vocational rehabilitation services.

Section
616C.600

Orders for self-employment or payment of compensation in lump sum for vocational rehabilitation prohibited; agreements concerning self-employment authorized.

Section
616C.700

Duties of insurer who accepts a claim for catastrophic injury; life care plan.

Section
616C.703

Injured employee may request insurer to administer claim as for catastrophic injury; insurer to issue determination.

Section
616C.707

Insurer to designate claim as for catastrophic injury if injury later satisfies requirements for catastrophic injury.

Section
616C.710

Rescission or revision of determination of catastrophic injury.

Section
616C.720

Requirements for adjuster who administers claim for catastrophic injury.

Section
616C.730

Policy of insurance required to include coverage for services provided through telehealth; limitations.