Nevada Revised Statutes
Chapter 686B - Rates and Essential Insurance
NRS 686B.170 - Examination of service organizations by Commissioner.


1. Whenever the Commissioner deems it necessary in order to inform himself or herself about any matter related to the enforcement of the insurance laws, the Commissioner may examine the affairs and condition of any rate service organization under subsection 1 of NRS 686B.130. So far as reasonably necessary for an examination pursuant to this subsection, the Commissioner may examine the accounts, records, documents or evidences of transactions, so far as they relate to the examinee, of any officer, manager, general agent, employee, person who has executive authority over or is in charge of any segment of the examinee’s affairs, person controlling or having a contract under which the person has the right to control the examinee whether exclusively or with others, person who is under the control of the examinee, or any person who is under the control of a person who controls or has a right to control the examinee whether exclusively or with others. On demand every examinee under this subsection shall make available to the Commissioner for examination any of its own accounts, records, documents or evidences of transactions and any of those of the persons listed in this subsection.
2. The Commissioner shall examine every licensed rate service organization at intervals to be established by rule.
3. In lieu of all or part of an examination conducted pursuant to subsections 1 and 2, or in addition to it, the Commissioner may order an independent audit by certified public accountants or actuarial evaluation by actuaries approved by the Commissioner of any person subject to the examination requirement. Any accountant or actuary selected is subject to rules respecting conflicts of interest promulgated by the Commissioner. Any audit or evaluation conducted pursuant to this subsection is subject to subsections 6 to 15, inclusive, so far as appropriate.
4. In lieu of all or part of an examination conducted pursuant to this section, the Commissioner may accept the report of an audit already made by certified public accountants or actuarial evaluation by actuaries approved by the Commissioner, or the report of an examination made by the insurance department of another state.
5. An examination may cover comprehensively all aspects of the examinee’s affairs and condition. The Commissioner shall determine the exact nature and scope of each examination, and in doing so shall take into account all relevant factors, including but not limited to the length of time the examinee has been operating, the length of time the examinee has been licensed in this state, the nature of the services provided, the nature of the accounting records available and the nature of examinations performed elsewhere.
6. For each examination conducted pursuant to this section, the Commissioner shall issue an order stating the scope of the examination and designating the examiner in charge. Upon demand a copy of the order must be exhibited to the examinee.
7. Any examiner authorized by the Commissioner shall, so far as necessary to the purposes of the examination, have access at all reasonable hours to the premises and to any books, records, files, securities, documents or property of the examinee and to those of persons listed in subsection 1 so far as they relate to the affairs of the examinee.
8. The officer, employees and agents of the examinee and of persons listed in subsection 1 shall comply with every reasonable request of the examiners for assistance in any matter relating to the examination. A person shall not obstruct or interfere with the examination in any way other than by legal process.
9. If the Commissioner finds the accounts or records to be inadequate for proper examination of the condition and affairs of the examinee or improperly kept or posted, the Commissioner may employ experts to rewrite, post or balance them at the expense of the examinee.
10. The examiner in charge of an examination shall make a proposed report of the examination which must include such information and analysis as is ordered in subsection 6, together with the examiner’s recommendations. Preparation of the proposed report may include conferences with the examinee or the representatives of the examinee at the option of the examiner in charge. The proposed report is confidential until filed in accordance with subsection 11.
11. The Commissioner shall serve a copy of the proposed report upon the examinee. Within 20 days after service, the examinee may serve upon the Commissioner a written demand for a hearing on the contents of the report. If a hearing is demanded, the Commissioner shall give notice and hold a hearing pursuant to NRS 679B.310 to 679B.370, inclusive, except that on demand by the examinee the hearing must be private. Within 60 days after the hearing or if no hearing is demanded then within 60 days after the last day on which the examinee might have demanded a hearing, the Commissioner shall adopt the report with any necessary modifications and file it for public inspection, or the Commissioner shall order a new examination.
12. The Commissioner shall forward a copy of the examination report to the examinee immediately upon adoption, except that if the proposed report is adopted without change, the Commissioner need only so notify the examinee.
13. The examinee shall forthwith furnish copies of the adopted report to each member of its board of directors or other governing board.
14. The Commissioner may furnish, without cost or at a price to be determined by the Commissioner, a copy of the adopted report to the insurance commissioner of each state in the United States and of each foreign jurisdiction in which the examinee is licensed and to any other interested person in this state or elsewhere.
15. In any proceeding by or against the examinee or any officer or agent thereof the examination report as adopted by the Commissioner is admissible as evidence of the facts stated therein. In any proceeding by or against the examinee, the facts asserted in any report properly admitted in evidence are presumed to be true in the absence of contrary evidence.
16. The reasonable costs of an examination conducted pursuant to this section must be paid by the examinee except as otherwise provided in subsection 19. These costs include the salary and expenses of each examiner and any other expenses which are directly apportioned to the examination.
17. The amount payable pursuant to subsection 16 is due 10 days after the examinee has been served a detailed account of the costs.
18. The Commissioner may require any examinee, before or from time to time during an examination to deposit with the State Treasurer such deposits as the Commissioner deems necessary to pay the costs of the examination. Any deposit and any payment made pursuant to subsections 16 and 17 must be deposited in the Fund for Insurance Administration and Enforcement.
19. On the examinee’s request or on the motion of the Commissioner, the Commissioner may pay all or part of the costs of an examination whenever the Commissioner finds that, because of the frequency of examinations or other factors, imposition of the costs would place an unreasonable burden on the examinee. The Commissioner shall include in his or her annual report information about any instance in which the Commissioner applied this subsection.
20. Deposits and payments made pursuant to subsections 16 to 19, inclusive, shall not be deemed to be a tax or license fee within the meaning of any statute. If any other state charges a per diem fee for examination of examinees domiciled in this state, any examinee domiciled in that other state shall pay the same fee when examined by the Commissioner of Insurance of this state.
(Added to NRS by 1971, 1704; A 1977, 811; 1991, 1820)

Structure Nevada Revised Statutes

Nevada Revised Statutes

Chapter 686B - Rates and Essential Insurance

NRS 686B.010 - Construction and purposes.

NRS 686B.020 - Definitions.

NRS 686B.030 - Applicability.

NRS 686B.040 - Exemptions.

NRS 686B.045 - Waiver for state innovation of applicable provisions of Patient Protection and Affordable Care Act; implementation of state plan.

NRS 686B.050 - Standards.

NRS 686B.060 - Determination of whether rates comply with standards.

NRS 686B.070 - Filing of rates, forms of related policies and supplementary information and any changes and amendments thereof with Commissioner.

NRS 686B.080 - Filing and supporting information open to public inspection; copies; exceptions.

NRS 686B.090 - Rates and supplementary information: Established based on factors or through modified use of rate service organization in certain circumstances.

NRS 686B.100 - Filing of supporting data.

NRS 686B.110 - Approval or disapproval of rate proposals for kind or line of insurance other than health plans: Procedure; regulations.

NRS 686B.112 - Approval or disapproval of rate filing for health plan: Procedure; regulations; assessment of costs.

NRS 686B.115 - Hearing on rates open to public; cost for transcripts; public testimony.

NRS 686B.117 - Intervention in hearing on rates.

NRS 686B.119 - Notice to policyholders by insurer of material change in premiums based upon change in zip code of policyholder by United States Postal Service; regulations.

NRS 686B.125 - Limitation on rates for coverage for dental care; exception.

NRS 686B.130 - Licensing of rate service organization and advisory organization: Required to provide services relating to rates of certain insurance; services of rate service organization and advisory organization required to be offered to any insure...

NRS 686B.140 - Licensing of rate service organization and advisory organization: Application; issuance, expiration and renewal of license. [Effective until the date of the repeal of 42 U.S.C. § 666, the federal law requiring each state to establish p...

NRS 686B.143 - Payment of child support: Statement by applicant for license; grounds for denial of license; duty of Commissioner. [Effective until the date of the repeal of 42 U.S.C. § 666, the federal law requiring each state to establish procedures...

NRS 686B.147 - Suspension of license for failure to pay child support or comply with certain subpoenas or warrants; reinstatement of license. [Effective until the date of the repeal of 42 U.S.C. § 666, the federal law requiring each state to establis...

NRS 686B.150 - Binding agreements by insurers relating to rates and rules.

NRS 686B.160 - Rules providing statistical plans for use by insurers in recording and reporting of experience; authorized designation of rate service organization to assist Commissioner in gathering and compiling experience for availability to public...

NRS 686B.170 - Examination of service organizations by Commissioner.

NRS 686B.175 - Commissioner authorized to assess insurers for state contribution for federally reinsured losses.

NRS 686B.1751 - Definitions.

NRS 686B.1752 - "Advisory Organization" defined.

NRS 686B.1753 - "Basic premium rate" defined.

NRS 686B.1754 - "Classification of risks" defined.

NRS 686B.1755 - "Expenses" defined.

NRS 686B.1757 - "Industrial insurance" defined.

NRS 686B.1759 - "Insurer" defined.

NRS 686B.17595 - "Large-deductible agreement" defined.

NRS 686B.176 - "Plan for rating experience" defined.

NRS 686B.17605 - "Prospective loss cost" defined.

NRS 686B.1761 - "Rate" defined.

NRS 686B.1762 - "Willful" defined.

NRS 686B.1763 - Applicability of provisions; Commissioner required to administer provisions.

NRS 686B.1764 - Designation as statistical agent; duties.

NRS 686B.17645 - Duty to file with Commissioner formula to assess insurers for certain costs; approval of formula.

NRS 686B.1765 - Powers.

NRS 686B.1767 - Prohibited acts by advisory organization.

NRS 686B.1769 - Uniform Plan for Rating Experience: Requirements; use.

NRS 686B.177 - Rating information to be filed with Commissioner; approval of rates.

NRS 686B.1771 - Insurer not required to issue policy of industrial insurance to any particular employer; plan for apportionment among insurers of persons entitled to insurance who have not been accepted by an insurer; approval of rates for plan by Co...

NRS 686B.1772 - Insurers required to adhere to Uniform System of Classifications of Risks and Uniform Plan for Rating Experience; filing with and approval by Commissioner of subclassifications for Uniform System of Classification.

NRS 686B.1773 - Insurers required to record and report certain information and adhere to manual of rules and Uniform Plan for Rating Experience.

NRS 686B.1774 - Commissioner required to determine whether interaction among insurers and employers for buying and selling industrial insurance is competitive.

NRS 686B.1775 - Filing of rates, supplementary rate information and supporting data by insurer with Commissioner; findings of Commissioner.

NRS 686B.1777 - Circumstances under which Commissioner authorized to require supporting information regarding rates and required to hold hearing related to disapproval of rates.

NRS 686B.1779 - Disapproval of rates: Authority of Commissioner; required grounds.

NRS 686B.178 - Disapproval of rates: Commissioner required to issue written order stating reasons for disapproval and date by which insurer must discontinue use of rate.

NRS 686B.1781 - Payment of dividends: Prohibition against discrimination among policyholders; submission of plan for payments and other requirements related to industrial insurance.

NRS 686B.1782 - Agreements to lessen competition among insurers prohibited; insurers prohibited from agreeing to rates established in manner that conflicts with provisions.

NRS 686B.1783 - Maintenance of records by insurer, advisory organization or plan for apportioned risks; examination of records by Commissioner.

NRS 686B.1784 - Examination of insurer, advisory organization or plan for apportioned risks by Commissioner; exception; cost of examination.

NRS 686B.1785 - Request for reconsideration of rates by Advisory Organization or insurer; appeal.

NRS 686B.1786 - Large-deductible agreements: Applicability.

NRS 686B.17863 - Large-deductible agreements: Full collateralization required; size of obligations limited.

NRS 686B.17867 - Large-deductible agreements: Insurer in hazardous financial condition prohibited from issuing or renewing policy containing large-deductible agreement; exception.

NRS 686B.1787 - Insurer or advisory organization authorized to request hearing before Commissioner related to order made or action taken by Commissioner without hearing.

NRS 686B.1789 - Provisions governing hearing.

NRS 686B.179 - Revocation or suspension of license.

NRS 686B.1793 - Penalties.

NRS 686B.1797 - Insurer prohibited from withholding or giving false or misleading information to Commissioner or Advisory Organization.

NRS 686B.1799 - Limitation on liability of insurer or rating organization acting within scope of employment.

NRS 686B.180 - Unavailability of essential coverage; plans for providing coverage; regulations.

NRS 686B.185 - Immunity of Commissioner and association.

NRS 686B.200 - Voluntary plan for sharing risks: Submission to and approval by Commissioner.

NRS 686B.210 - Nevada Essential Insurance Association: Establishment; membership; plan of operation; regulations.

NRS 686B.220 - Nevada Essential Insurance Association: Membership and reimbursement of Board of Directors; submission to and approval or adoption of plan of operation by Commissioner.

NRS 686B.230 - Nevada Essential Insurance Association: General powers.

NRS 686B.240 - Nevada Essential Insurance Association: Powers of Commissioner and Association.

NRS 686B.250 - Nevada Essential Insurance Association: Immunity from liability.

NRS 686B.260 - Conversion into domestic stock insurer: "Insured" defined.

NRS 686B.270 - Conversion into domestic stock insurer: Applicability of certain provisions governing nonprofit cooperative corporations.

NRS 686B.280 - Conversion into domestic stock insurer: Filing and contents of notice of intent to qualify.

NRS 686B.290 - Conversion into domestic stock insurer: Notice to insurers and insureds; hearing.

NRS 686B.300 - Conversion into domestic stock insurer: Determination of percentage of stock for each insured.

NRS 686B.310 - Conversion into domestic stock insurer: Capitalization.

NRS 686B.320 - Conversion into domestic stock insurer: Issuance of certificate of authority.

NRS 686B.330 - Conversion into domestic mutual insurer or domestic reciprocal insurer: "Insured" defined.

NRS 686B.340 - Conversion into domestic mutual insurer or domestic reciprocal insurer: Exemption from applicability of NRS 81.130 and 81.510.

NRS 686B.350 - Conversion into domestic mutual insurer or domestic reciprocal insurer: Filing and contents of notice of intent to qualify.

NRS 686B.360 - Conversion into domestic mutual insurer or domestic reciprocal insurer: Notice to insurers and insured; hearing; compliance with certain provisions for qualification.

NRS 686B.370 - Conversion into domestic mutual insurer or domestic reciprocal insurer: Issuance of certificate of authority.