1. "Insurance fraud" means knowingly and willfully:
(a) Presenting or causing to be presented any statement to an insurer, a reinsurer, a producer, a broker or any agent thereof, if the person who presents or causes the presentation of the statement knows that the statement conceals or omits facts, or contains false or misleading information concerning any fact material to an application for the issuance of a policy of insurance.
(b) Presenting or causing to be presented any statement as a part of, or in support of, a claim for payment or other benefits under a policy of insurance, if the person who presents or causes the presentation of the statement knows that the statement conceals or omits facts, or contains false or misleading information concerning any fact material to that claim.
(c) Assisting, abetting, soliciting or conspiring with another person to present or cause to be presented any statement to an insurer, a reinsurer, a producer, a broker or any agent thereof, if the person who assists, abets, solicits or conspires knows that the statement conceals or omits facts, or contains false or misleading information concerning any fact material to an application for the issuance of a policy of insurance or a claim for payment or other benefits under such a policy.
(d) Acting or failing to act with the intent of defrauding or deceiving an insurer, a reinsurer, a producer, a broker or any agent thereof, to obtain a policy of insurance or any proceeds or other benefits under such a policy.
(e) As a practitioner, an insurer or any agent thereof, acting to assist, conspire with or urge another person to commit any act or omission specified in this section through deceit, misrepresentation or other fraudulent means.
(f) Accepting any proceeds or other benefits under a policy of insurance, if the person who accepts the proceeds or other benefits knows that the proceeds or other benefits are derived from any act or omission specified in this section.
(g) Employing a person to procure clients, patients or other persons who obtain services or benefits under a policy of insurance for the purpose of engaging in any act or omission specified in this section, except that such insurance fraud does not include contact or communication by an insurer or an agent or representative of the insurer with a client, patient or other person if the contact or communication is made for a lawful purpose, including, without limitation, communication by an insurer with a holder of a policy of insurance issued by the insurer or with a claimant concerning the settlement of any claims against the policy.
(h) Participating in, aiding, abetting, conspiring to commit, soliciting another person to commit, or permitting an employee or agent to commit any act or omission specified in this section.
2. As used in this section, "policy of insurance" means:
(a) Any policy issued in this State by an authorized insurer; and
(b) Any policy issued outside this State by an authorized insurer which relates to property that:
(1) Is located in this State when any act or omission specified in this section occurs; or
(2) Was located in this State when the incident that gave rise to the act or omission specified in this section occurred.
(Added to NRS by 2001, 1095; A 2015, 320)
Structure Nevada Revised Statutes
Chapter 686A - Trade Practices and Frauds; Financing of Premiums
NRS 686A.020 - Unfair methods of competition and unfair or deceptive acts or practices prohibited.
NRS 686A.030 - Misrepresentation and false or misleading advertising of policies prohibited.
NRS 686A.040 - False, deceptive or misleading information and advertising prohibited.
NRS 686A.050 - "Twisting" prohibited.
NRS 686A.060 - Replacement of life insurance: Statements required to be given to policyholder.
NRS 686A.100 - Life insurance, annuities and health insurance: Unfair discrimination prohibited.
NRS 686A.140 - Violations concerning rebates and inducements: Penalties; effect.
NRS 686A.160 - Enforcement: Prohibited methods, acts or practices.
NRS 686A.170 - Enforcement: Undefined practices.
NRS 686A.180 - Service of process upon unauthorized insurers.
NRS 686A.185 - Review and finality of Commissioner’s orders.
NRS 686A.187 - Penalties for violating cease and desist order.
NRS 686A.190 - Interlocking ownership or management; serving as director of competing insurers.
NRS 686A.200 - Plan or transaction involving favored agent or insurer prohibited; exception.
NRS 686A.210 - Service and processing charges prohibited.
NRS 686A.240 - Favoritism to groups prohibited; exceptions.
NRS 686A.260 - Revocation or suspension of license for violation of laws of other state.
NRS 686A.270 - Knowledge of insurer of prohibited acts required for violation.
NRS 686A.2815 - "Insurance fraud" defined.
NRS 686A.282 - "Investigative or law enforcement agency" defined.
NRS 686A.291 - Criminal penalty for insurance fraud.
NRS 686A.310 - Unfair practices in settling claims; liability of insurer for damages.
NRS 686A.335 - Applicability of chapter 696B of NRS.
NRS 686A.340 - Engaging in business of company without license prohibited; exception.
NRS 686A.350 - Exemptions from requirement of licensing.
NRS 686A.380 - Renewal of license.
NRS 686A.390 - Approval of forms.
NRS 686A.400 - Records: Maintenance; form of preservation; open to Commissioner.
NRS 686A.410 - Examination of company by Commissioner.
NRS 686A.420 - Contents of agreement.
NRS 686A.430 - Furnishing of completed copy of agreement to insured.
NRS 686A.440 - Interest; service charge; prepayment.
NRS 686A.470 - Return of unearned premium and commission.
NRS 686A.520 - Applicability of other provisions.
NRS 686A.610 - "Adverse action" defined.
NRS 686A.620 - "Affiliate" defined.
NRS 686A.630 - "Consumer credit report" defined.
NRS 686A.640 - "Consumer reporting agency" defined.
NRS 686A.650 - "Credit information" defined.
NRS 686A.660 - "Insurance score" defined.
NRS 686A.680 - Consumer credit reports: Uses; limitations.
NRS 686A.690 - Reunderwriting or rerating of insured; refund of premium.
NRS 686A.700 - Disclosure of use of credit information.
NRS 686A.710 - Notice requirements after taking adverse action.
NRS 686A.720 - Indemnification of agent by insurer.
NRS 686A.730 - Consumer reporting agencies: Prohibitions; exemptions.