{"data":{"id":"us-nv/nrs-695b.380","jurisdiction":"us-nv","citation":"NRS 695B.380","heading":"Establishment; approval; requirements; examination.","body":"1. Except as otherwise provided in subsection 4, each insurer that issues a contract for hospital or medical services in this State shall establish a system for resolving any complaints of an insured concerning health care services covered under the policy. The system must be approved by the Commissioner.\n2. A system for resolving complaints established pursuant to subsection 1 must include an initial investigation, a review of the complaint by a review board and a procedure for appealing a determination regarding the complaint. The majority of the members on a review board must be insureds who receive health care services pursuant to a contract for hospital or medical services issued by the insurer.\n3. The Commissioner may examine the system for resolving complaints established pursuant to subsection 1 at such times as the Commissioner deems necessary or appropriate.\n4. Each insurer that issues a contract specified in subsection 1 shall, if the contract provides, delivers, arranges for, pays for or reimburses any cost of health care services through managed care, provide a system for resolving any complaints of an insured concerning those health care services that complies with the provisions of NRS 695G.200 to 695G.310, inclusive.","path":["TITLE 57 — INSURANCE","CHAPTER 695B - NONPROFIT CORPORATIONS FOR HOSPITAL, MEDICAL AND DENTAL SERVICE","SYSTEM FOR RESOLVING COMPLAINTS OF INSUREDS"],"source_url":"https://www.leg.state.nv.us/NRS/NRS-695B.html#NRS695BSec380","current_through":"2025 session (NRS as revised 2026-08-25)","vintage":"","retrieved_at":"2026-09-03T05:51:46Z","sha256":"140a775cb3ee40ab401f73cc4d7c5ac63757229c08a83f5a764ec1487727aa47","source_id":"us-nv","stale":true,"prev":"us-nv/nrs-695b.370","next":"us-nv/nrs-695b.390"},"notice":"GroundRules: Original legal text. Not legal advice."}