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 due the Life and Health Section must be filed through SERFF and have the correct TOI / Sub-TOI or they will be disapproved. For more information, please contact the Division's Product Compliance Section, Life and Health staff, at productcompliance@doi.nv.gov.
All annual and/or quarterly financial statements from the NAIC checklist are to be sent directly to the Corporate and Finance section and not through SERFF.
Annuity Contracts
R109-23 - Life Insurance and Annuity Contracts
Report Name: Appendix A- Disclosure for Annuities
Due Date: Prior to the recommendation or sale of an annuity
Special Instructions: Applies to all producers approved to market Annuity contracts
R109-23 - Life Insurance and Annuity Contracts
Report Name: Appendix B- Consumer Refusal to Provide Information
Due Date: Prior to the recommendation or sale of an annuity
Special Instructions: Applies to all producers approved to market Annuity contracts
R109-23 - Life Insurance and Annuity Contracts
Report Name: Appendix C – Consumer Decision to Purchase an Annuity NOT Based on a Recommendation
Due Date: Prior to the recommendation or sale of an annuity
Special Instructions: Applies to all producers approved to market Annuity contracts
Health Insurance
AB181 (2021) - Compliance with Mental Health Parity and Addiction Act
Report Name: MHPAEA Compliance Report
Due Date: October 1
Special Instructions: See Division guidance for information related to this report
NRS 679B.124 - Health Care Provider Applicant Denial
Form Name: Provider of Health Care Denial Pro Forma
Report Name: Nevada DOI Provider Applicant Denials Report
Special Instructions: See Bulletin 21-001 for additional guidance
Submissions may be quarterly or monthly and are cumulative for each calendar year
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.235 - Health Maintenance Organizations
Report Name: Annual Complaint Report
Due Date:
June 1
Special Instructions:
Applies to all Health Maintenance Organizations (HMO's)
NAC 695C.275 - Health Maintenance Organizations
Report Name: Annual Performance Indicators Report
Due Date: March 1
Special Instructions: Applies to all Health Maintenance Organizations (HMO's)
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: Annual Quality of Health Care Services Report
Due Date: June 1
Special Instructions: Applies to all carriers offering managed care health insurance to individuals and small employer groups
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.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: December 31
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: December 31
Special Instructions: Applies to all carriers licensed to market life insurance
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
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: April 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
All carriers that market Medicare Supplement insurance plans are encouraged to complete and submit the Medicare Supplement Required Report Spreadsheet to the Division no later than May 31 of each year. For more information, please contact Jack Childress at (775) 687-0731, or email to: jchildress@doi.nv.gov.
The following three reports apply to all carriers approved to market Medicare Supplement insurance:
NAC 687B.230(3) - Contracts of Insurance
Report Name: Rates: Standard Loss Ratio
Due Date: May 31
NAC 687B.235 - Contracts of Insurance
Report Name: Calculation and Payment of Refunds and Credits
Due Date: May 31
NAC 687B.283 - Contracts of Insurance
Report Name: Reporting of Multiple Policies
Due Date: May 31
The following report applies only to Medicare Select issuers:
NAC 687B.370(1)(7) - Contracts of Insurance
Report Name: Medicare Grievance Report
Due Date: May 31
Stop-Loss Insurance
NAC 689B.350, NAC 689C.250, NAC 695B.250 – Group and Blanket Health Insurance, Health Insurance for Small Employers, Nonprofit Corporations for Hospital, Medical and Dental Service
Report Name: Disclosure Form
Due Date: Due when a small employer is applying for a policy for stop-loss insurance
Special Instructions: Applies to all insurers who issue a policy for stop-loss insurance to small employers. See R186-22 for more information.
NAC 689B.350, NAC 689C.250, NAC 695B.250 - Group and Blanket Health Insurance, Health Insurance for Small Employers, Nonprofit Corporations for Hospital, Medical and Dental Service
Report Name: Stop-Loss Experience Template
Due Date: April 1, 2024, and by April 1 each year after
Special Instructions: Applies to all insurers who issue a policy for stop-loss insurance to small employers. See R186-22 for more information.
Viatical Settlements
NAC 688C.230 - Viatical Settlements
Report Name: Annual Report by Brokers
Due Date: March 1
Special Instructions: This report applies to all licensed viatical settlement brokers, whether or not any business has been conducted during the previous calendar year; however, this only applies to registered viatical settlement brokers if they have conducted business during the previous calendar year.
NAC 688C.220 - Viatical Settlements
Report Name: Annual Report by Providers
Due Date: March 1
Special Instructions: All Providers of Viatical Settlements