INDUSTRIAL INSURANCE: BENEFITS FOR INJURIES OR DEATH
Nev. Rev. Stat. 616C
in effectContents
section616C.005. Forms for reporting injuries: Insurer to distribute revised forms to employers periodically; Administrator to make revised forms available to physicians, chiropractic physicians, physician assistants and advanced practice registered nurses.section616C.010. Employee to report accident and injury to employer; examination of employee; professional employer organization to provide to leased employees instructions regarding reporting of injuries.section616C.015. Notice of injury or death: Requirements; availability of form; retention; notice by leased employee.section616C.020. Claim for compensation: Requirements for injured employee, dependent or representative to file claim; form.section616C.025. Recovery of compensation barred if notice of injury or claim for compensation is not filed; exceptions.section616C.030. Dependent of injured employee barred from filing claim for compensation if untimely or previously denied.section616C.035. Application for death benefit.section616C.040. Claim for compensation: Duty of treating physician, chiropractic physician, physician assistant or advanced practice registered nurse to file or delegate duty; electronic filing; form and contents; provision of completed form to injured employee; maintenance of forms; penalty.section616C.045. Report of industrial injury or occupational disease: Duty of employer to file; electronic filing; form and contents; penalty.section616C.050. Information required to be provided by insurer to claimant.section616C.052. Exposure of police officer, firefighter or arson investigator to contagious disease: Reporting and testing requirements; eligibility for compensation.section616C.055. Use of fee schedules which unfairly discriminate among physicians and chiropractic physicians prohibited; payment for services rendered by physician or chiropractic physician after removal from panel prohibited.section616C.065. Duty of insurer to accept or deny claim; new determination; penalty; failure of insurer to indicate acceptance or denial of claim; written determination.section616C.070. Persons who are conclusively presumed to be totally dependent on injured or deceased employee; exception.section616C.075. Effect of employees refusal to submit to physical examination after accident.section616C.085. Duties of employer when employee injured: First aid; reimbursement.section616C.087. Selection of physician or chiropractic physician: Legislative declaration regarding rights of injured employee; requirements for lists maintained and updated by Administrator and insurer; duties of Administrator; removal of physician or chiropractic physician from insurers list; continuation of treatment with same physician or chiropractic physician under certain circumstances; regulations prescribing form for employers list of physicians and chiropractic physicians.section616C.090. Selection of physician or chiropractic physician: Establishment, maintenance and update of panel of physicians and chiropractic physicians; 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; procedure for removing from panel physicians and chiropractic physicians who do not treat injured employees.section616C.091. Selection of physician or chiropractic physician: Injured employee choice of physician to treat certain occupational diseases under certain circumstances; payment for treatment; reimbursement of payment; penalty for failure to reimburse within required time.section616C.092. Administrator to publish quarterly report of rating physicians and chiropractic physicians who conduct certain examinations or evaluations of injured employees; retention of archive of reports.section616C.095. Duty of physician, chiropractic physician, physician assistant or advanced practice registered nurse to advise injured employee of rights.section616C.098. Use by physician, chiropractic physician, physician assistant or advanced practice registered nurse of certain phrases relating to causation of industrial injury or occupational disease.section616C.099. Rating of disability for subsequent injury; required proof to reduce percentage of present disability; required forms of evidence; lack of documentary evidence.section616C.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.section616C.105. Requirements for designation of chiropractic physician to rate permanent partial disabilities.section616C.110. American Medical Associations Guides to the Evaluation of Permanent Impairment : Duty of Division to adopt Guides by regulation.section616C.115. Prescription of generic drugs required; exceptions. [Effective through June 30, 2027.]section616C.117. Prescription of drugs dispensed directly to injured employee; limitations.section616C.118. MCG Healths Official Disability Guidelines Drug Formulary: Duty of Administrator to adopt; application to insurers; publication and update. [Effective July 1, 2027.]section616C.119. Reimbursement by insurer for drugs listed but not approved on or omitted from formulary. [Effective July 1, 2027.]section616C.120. Employee may elect treatment through prayer in lieu of medical treatment.section616C.122. Administrator authorized to adopt regulations authorizing treating physician or chiropractic physician to delegate routine follow-up care to physician assistant.section616C.125. Insurer may contract with suppliers for provision of services and goods to injured employees.section616C.130. Insurers payment to physician, chiropractic physician, physician assistant or advanced practice registered nurse attending injured employee conditioned upon receipt of itemized statement and certificate.section616C.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.section616C.136. Action by insurer on bill from provider of health care; payment of interest; request for additional information; compliance with requirements.section616C.137. Denial of payment for unrelated services: Requirements for notification; liability of injured employee; appeal.section616C.138. Payment of provider of health care upon insurers 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.section616C.140. Medical examination of claimant; effect of refusal to submit to examination; communications not privileged.section616C.145. Independent medical examination of claimant; limitations; payment by insurer; rates of reimbursement; recovery of cost by insurer; applicability.section616C.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.section616C.155. Payment of compensation by insurer prohibited before required; recovery of overpayment by insurer.section616C.157. Request for prior authorization: Time to respond; effect of failure to respond in timely manner.section616C.160. Newly developed injury or disease: Inclusion in original claim for compensation; limitation.section616C.165. Determination of responsibility of insurer for undisputed claim for compensation; reimbursement of insurer initially providing compensation to injured employee.section616C.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.section616C.175. Employment-related aggravation of preexisting condition which is not employment related; aggravation of employment-related injury by incident which is not employment related.section616C.177. Medical records concerning preexisting condition: Authority of insurer to request records; injured employee required to release records under certain circumstances.section616C.180. Injury or disease caused by stress; agency which employs first responder required to provide training related to mental health issues.section616C.185. Compensation for mastectomy and reconstructive surgery.section616C.190. Compensation of employee injured out of State.section616C.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.section616C.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.section616C.205. Compensation not assignable; exempt from attachment, garnishment and execution; accrued compensation payable to dependents.section616C.210. Compensation of nonresident alien dependents; notification of dependent required.section616C.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 employers premium.section616C.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.section616C.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.section616C.225. Misrepresentation or concealment of fact to obtain benefits: Insurer entitled to reimbursement or deduction from benefits; appeal of determination; alternative remedies.section616C.230. Grounds for denial, reduction or suspension of compensation; evidence of and examination for use of alcohol or controlled substance.section616C.232. Denial of compensation for temporary total disability because of discharge for misconduct.section616C.235. Closure of claim by insurer: Procedure; notice; special procedure if medical benefits less than $800.section616C.245. Injured employee entitled to accident benefits; limitation on receipt of modified motor vehicle as accident benefit; regulations establishing maximum benefit.section616C.250. Establishment, revision and compliance with standards of care for provision of accident benefits.section616C.255. Premium for accident benefits paid by employer; accident benefits provided by private carrier; separate account for accident benefits.section616C.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.section616C.265. Election by employer to provide accident benefits; reporting requirements; payment of assessments.section616C.266. Insurer entitled to reimbursement for payment of annual increase in compensation for permanent total disability; required proof of payment; duties of Administrator; appeal; assessments to reimburse insurers; reimbursement may be applied towards current or future assessment.section616C.268. Insurer entitled to reimbursement for payment of increase in death benefits; required proof of payment; duties of Administrator; appeal; assessments to reimburse insurers; reimbursement may be applied towards current or future assessment.section616C.270. Employers to notify Administrator when injured employee receives medical services.section616C.275. Change of physicians, chiropractic physicians or other requirements; cost of change borne by insurer; cause of action of injured employee assigned to private carrier.section616C.280. Withdrawal of approval for employer to provide accident benefits: Grounds supporting withdrawal.section616C.285. Withdrawal of approval for employer to provide accident benefits: Request for hearing; notice of decision.section616C.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; publication of calendar of matters before hearing officers and appeals officers; annual report.section616C.300. Hearing officers: Appointment; salary; disqualification from particular case.section616C.305. Procedure for appeal of final determination of organization for managed care which has contracted with insurer.section616C.310. Contested cases: Procedures; format; redaction of personal identifying information; representation of insurer or employer by legal counsel or other agent.section616C.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.section616C.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.section616C.325. Representation of employee and employer before hearing officer or appeals officer or in negotiations with insurer; licensure of employers representative; employer liable for representatives violations; compensation of employers representative must not be contingent on outcome.section616C.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.section616C.335. Award of interest and costs; limitation; claimants memorandum of costs; insurers determination letter regarding requested costs; payment of allowed costs; request for appeal by aggrieved party.section616C.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.section616C.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.section616C.350. Testimony of physician, chiropractic physician, physician assistant or advanced practice registered nurse before appeals officer; privileged communications.section616C.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.section616C.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.section616C.363. External review: Duties of independent review organization; contents and submission of decision by organization; costs; regulations.section616C.365. Reimbursement of employees expenses incurred and wages lost as result of hearing requested by employer or insurer; regulations.section616C.370. Judicial review; requirements that are jurisdictional; service and filing of final decision issued by court.section616C.375. Stay of decision of appeals officer; grounds for stay of decision.section616C.380. Payment pending appeal when decision not stayed; effect of final resolution of claim.section616C.385. Costs and attorneys fees for frivolous petitions for judicial review.section616C.390. Reopening claim: General requirements and procedure; limitations; applicability.section616C.392. Reopening claim: Circumstances under which insurer is required to reopen claim for permanent partial disability.section616C.400. Minimum duration of incapacity; exceptions.section616C.405. Limitations on benefits received by employee.section616C.408. Restrictive endorsements on checks issued by insurers.section616C.409. Direct deposit of compensation.section616C.410. Prohibition of settlements paid in lump sum; exceptions.section616C.412. Purchase of annuity by insurer to ensure payment of claim; adoption of regulations by Commissioner.section616C.415. Written explanation of alternative settlements to be given to employee or dependents.section616C.420. Method of determining average monthly wage.section616C.425. Date of determination of amount of compensation and benefits.section616C.427. Challenge to determination of average monthly wage; remedy for incorrect average monthly wage.section616C.435. Injuries deemed total and permanent.section616C.440. Amount and duration of compensation; limitations; effect of income earned by injured employee on payment for claim for certain occupational diseases; effect of previous award of compensation.section616C.445. Recipient of compensation to report annual earnings; payments suspended if report not made.section616C.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.section616C.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.section616C.455. Increase in benefits for permanent total disability incurred before April 9, 1971.section616C.460. Additional increase in benefits for permanent total disability incurred before July 1, 1973.section616C.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.section616C.470. Increase in benefits for permanent total disability if claimant is entitled to benefits for disability from federal social security system.section616C.473. Annual increase in benefits for permanent total disability.section616C.475. Amount and duration of compensation; limitations; cessation of payments; requirements for certification of disability; offer of light-duty employment.section616C.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.section616C.480. Reduction of benefits for previous injury causing permanent partial disability prohibited.section616C.485. Permanent partial disability: Loss of or permanent damage to teeth.section616C.490. Permanent partial disability: Compensation; selection of and evaluation by rating physician or chiropractic physician; required commencement of installment payments for portion of award not in dispute; Administrator to publish annual report of rating physicians and chiropractic physicians selected to conduct evaluations to determine disabilities.section616C.495. Permanent partial disability: Payments in lump sum.section616C.500. Temporary partial disability: Compensation; time for making first payment or determination regarding payment.section616C.505. Amount and duration of compensation.section616C.508. Annual increase in death benefits.section616C.510. Increased death benefits if injury or disablement occurred before July 1, 1973.section616C.515. Additional increase in death benefits if injury or disablement occurred before July 1, 1973.section616C.520. Increased death benefits if injury or disablement occurred on or after July 1, 1973.section616C.530. Priorities for returning injured employee to work.section616C.540. Supervision, ratio and review of uncertified counselors; knowledge of labor market required.section616C.541. Appointment of vocational rehabilitation counselor.section616C.542. Prohibiting vocational rehabilitation counselor employed by entity administering injured employees case from providing services to injured employee without provision of certain written disclosures; right of injured employee to be assigned alternate counselor.section616C.543. Prohibited acts of vocational rehabilitation counselor.section616C.545. Duty of insurer to determine physical limitations on injured employees ability to work.section616C.547. General duties of vocational rehabilitation counselor.section616C.550. Written assessment of injured employee.section616C.555. Plan for program of vocational rehabilitation; regulations.section616C.560. Extension of program for vocational rehabilitation.section616C.570. On-the-job training as component of plan for program of vocational rehabilitation.section616C.575. Payment of vocational rehabilitation maintenance.section616C.580. Provision of services outside of State; limited lump-sum payment in lieu of services.section616C.585. Limit on goods and services which may be provided; exceptions.section616C.590. Eligibility for services; effect of incarceration; effect of refusing services offered by insurer; effect of inability of insurer to locate injured employee.section616C.595. Agreements for payment of compensation in lump sum in lieu of provision of vocational rehabilitation services.section616C.597. Response to request for payment of compensation in lump sum in lieu of provision of vocational rehabilitation services.section616C.600. Orders for self-employment or payment of compensation in lump sum for vocational rehabilitation prohibited; agreements concerning self-employment authorized.section616C.700. Duties of insurer who accepts a claim for catastrophic injury; life care plan.section616C.703. Injured employee may request insurer to administer claim as for catastrophic injury; insurer to issue determination.section616C.707. Insurer to designate claim as for catastrophic injury if injury later satisfies requirements for catastrophic injury.section616C.710. Rescission or revision of determination of catastrophic injury.section616C.720. Requirements for adjuster who administers claim for catastrophic injury.section616C.730. Policy of insurance required to include coverage for services provided through telehealth; limitations.
Source: NV Statutes (Official Site)URL: https://www.leg.state.nv.us/nrs/NRS-616C.htmlFetched: 10/4/2026