616B.503 - Certification by Commissioner required; duties of third-party administrator. - Nevada Statutes

616B.503  Certification by Commissioner required; duties of third-party administrator.

      1.  A person shall not act as a third-party administrator for an insurer without a certificate issued by the Commissioner pursuant to NRS 683A.08524.

      2.  A person who acts as a third-party administrator pursuant to chapters 616A to 616D, inclusive, or chapter 617 of NRS shall:

      (a) Administer from one or more offices located in this State all of the claims arising under each plan of insurance that the person administers and maintain in those offices all of the records concerning those claims;

      (b) Administer each plan of insurance directly, without subcontracting with another third-party administrator; and

      (c) Upon the termination of the person’s contract with an insurer, transfer forthwith to a certified third-party administrator chosen by the insurer all of the records in the person’s possession concerning claims arising under the plan of insurance.

      3.  The Commissioner may, under exceptional circumstances, waive the requirements of subsection 2.

      (Added to NRS by 1991, 2392; A 1993, 711; 1999, 217, 2821)