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Required Industry Reports

The following list of Life and Health required industry reports is provided by the Department of Business and Industry, Division of Insurance. The list is not all inclusive. It is the responsibility of each insurance company and applicable entity to know Nevada's laws, regulations and bulletins as they pertain to an individual company license. It is also the responsibility of each insurer and applicable entity to adhere to reporting laws, regulations and bulletins that become effective after this list has been distributed. Please note: Reports must be filed through the SERFF Life and Health Section and have the correct TOI/Sub-TOI or they will be disapproved. Property and Casualty companies with a health and/or life line of insurance are not required to submit any of the required industry reports for the Life and Health Section. For more information, please contact Jack Childress at (775) 687-0731, or at jchildress@doi.nv.gov.

All financial statements and reports from the NAIC checklist are to be sent directly to the Corporate and Finance section and not through SERFF.

Credit Insurance

NAC 690A.175 - Credit Insurance
Report Name: Annual report of Experience Data
Due Date: June 30
Special Instructions: Applies to all carriers licensed to provide credit life, credit disability and credit Involuntary unemployment insurance in the state of Nevada

Health Insurance

NAC 689B.260 - Group & Blanket Health Insurance
Report Name: Annual Complaint Report
Due Date: June 1
Special Instructions: Applies to all carriers licensed to market health insurance


NAC 695C.200 - Health Maintenance Organizations
Report Name: Quarterly Provider Report
Due Date: See Special Instructions*
Special Instructions: Fourteenth day after end of each quarter for all Health Maintenance Organizations (HMO's)


NAC 695C.235 - Health Maintenance Organizations
Report Name: Annual Complaint Report
Due Date: June 1
Special Instructions: Applies to all Health Maintenance Organizations (HMO's)


NAC 695F.320 - Prepaid Limited Health Service Organizations
Report Name: Quarterly Provider Report
Due Date: See Special Instructions*
Special Instructions: The end of each quarter of the calendar year for all Prepaid Limited Health Service Organizations


NAC 695F.640 - Prepaid Limited Health Service Organizations
Report NameAnnual Complaint Report
Due Date: June 1
Special Instructions: Applies to all Prepaid Limited Health Service Organizations


NAC 689A.270(2)(3) - Individual Health Insurance
Report Name: Advertisement Certification
Due Date: March 1
Special Instructions: Applies to carriers licensed to market health insurance


NAC 689A.615 - Individual Health Insurance
Report Name: Annual Complaint Report
Due Date: June 1
Special Instructions: Applies to all carriers licensed to market health insurance


NRS 695G.220 - Managed Care
Report Name: Annual Complaint Report
Due Date: June 1
Special Instructions: Applies to all carriers offering managed care health insurance


NRS 695G.130 - Managed Care
Report Name: Filing Requirements for Annual Reports
Due Date: March 1
Special Instructions: Applies to all Managed Care Health Insurance Carriers


NAC 695B.210 - Non-profit Medical Corporation
Report Name: Annual Complaint Report
Due Date: June 1
Special Instructions: Applies to all Non-profit Medical Corporations


NAC 695D.200 - Plan for Dental Care
Report Name: List of Provider Changes
Due Date: See Special Instructions*
Special Instructions: Fourteenth day after end of each quarter for all dental carriers


NAC 695D.530 - Plan for Dental Care
Report Name: Annual Complaint Report
Due Date: June 1
Special Instructions: Applies to all carriers licensed to market dental insurance 

Life Insurance

NAC 686A.4775 - Trade Practices and Frauds
Report Name: Illustration Actuary to Certify Illustration
Due Date: March 1
Special Instructions: Applies to all carriers licensed to market life insurance


NAC 686A.478 - Trade Practices and Frauds
Report Name: Annual Certification by Officer of Insurer that Sells Policies Required
Due Date: March 1
Special Instructions: Applies to all carriers licensed to market life insurance

Long Term Care Insurance

NAC 687B.069 - Contracts of Insurance
Report Name: Rescission Reporting Form – NDOI-929
Due Date: March 1
Special Instructions: Applies to all carriers approved to market Long Term Care insurance


NAC 687B.058(5)(a) - Contracts of Insurance
Report Name: Nevada Issuer Certification Form – NDOI-951
Due Date: Due upon submitting any Long Term Care insurance contract for certification as a partnership contract
Special Instructions: Applies to all carriers approved to market Long Term Care insurance


NAC 687B.058(5)(b) - Contracts of Insurance
Report Name: Nevada Partnership Certification Form – NDOI-952
Due Date: Due upon submitting any Long Term Care insurance contract for certification as a partnership contract
Special Instructions: Applies to all carriers approved to market Long Term Care insurance


Welfare Services - Welfare and Supportive Services
Report Name: Insurance Policy Information Form – 2015N
Due Date: Due when necessary to determine the value and availability of a person's resources for public assistance
Special Instructions: Supportive Services to determine the value and availability of a person's resources for public assistance


NAC 687B.052(7)(a) - Contracts of Insurance
Report Name: Replacement and Lapse Reporting Form – NDOI-946
Due Date: June 30
Special Instructions: Applies to all carriers approved to market Long Term Care insurance


NAC 687B.057 - Contracts of Insurance
Report Name: Suitability Reporting Form – NDOI-947
Due Date: March 1
Special Instructions: Applies to all carriers approved to market Long Term Care insurance


NAC 687B.052(7)(b) - Contracts of Insurance
Report Name: Denied Claims Reporting Form – NDOI-948
Due Date: June 30
Special Instructions: Applies to all carriers approved to market Long Term Care insurance


NAC 687B.056(9) - Contracts of Insurance
Report Name: Personal Worksheet – NDOI-949
Due Date: Due at or before the time of application
Special Instructions: Applies to all carriers approved to market Long Term Care insurance


NAC 687B.0565 - Contracts of Insurance
Report Name: Suitability Letter – NDOI-950
Due Date: Due if suitability standards aren't met or applicant declines to provide information
Special Instructions: Applies to all carriers approved to market Long Term Care insurance


NAC 687B.0585(6) - Contracts of Insurance
Report Name: Potential Rate Increase Disclosure Form – NDOI-953
Due Date: Due at or before the time of application or no later than time of delivery of the policy or certificate
Special Instructions: Applies to all carriers approved to market Long Term Care insurance


NAC 687B.130 - Contracts of Insurance
Report Name: Replacement notice from insurer not using direct-response solicitation – NDOI-954
Due Date: Due upon determining that a sale will involve the replacement of a Long Term Care insurance contract when not using a direct response solicitation
Special Instructions: Applies to all carriers approved to market Long Term Care insurance


NAC 687B.135 - Contracts of Insurance
Report Name: Replacement notice from insurer using direct-response solicitation – NDOI-955
Due Date: Due upon determining that a sale will involve the replacement of a Long Term Care insurance contract when using a direct-response solicitation
Special Instructions: Applies to all carriers approved to market Long Term Care insurance


NAC 687B.051(7) - Contracts of Insurance
Report Name: Partnership Producer Training Reporting Form – NDOI-962
Due Date: March 1
Special Instructions: Applies to all carriers approved to market Long Term Care insurance that have been Partnership-certified

Medicare Supplement

NAC 687B.230(3) - Contracts of Insurance
Report Name: Rates: Standard Loss Ratio
Due Date: March 1
Special Instructions: Applies to all carriers approved to market Medicare Supplement insurance


NAC 687B.235 - Contracts of Insurance
Report Name: Calculation and Payment of Refunds and Credits
Due Date: May 31
Special Instructions: Applies to all carriers approved to market Medicare Supplement insurance


NAC 687B.283 - Contracts of Insurance
Report Name: Reporting of Multiple Policies
Due Date: March 1
Special Instructions: Applies to all carriers approved to market Medicare Supplement insurance


NAC 687B.370(1)(7) - Contracts of Insurance
Report Name: Medicare Grievance Report
Due Date: March 31
Special Instructions: Applies to all Medicare Select issuers

Viatical Settlements

NAC 688C.230 - Viatical Settlements
Report Name: Annual Report by Brokers
Due Date: March 1
Special Instructions: All Brokers of Viatical Settlements


NAC 688C.220 - Viatical Settlements
Report Name: Annual Report by Providers
Due Date: March 1
Special Instructions: All Providers of Viatical Settlements