Vegas Law



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Nevada Injury Law

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Las Vegas Inury Lawyer
Las Vegas Injury Lawyer





Vegas Law

t union; (c) Insurance offered as guarantee to the performance of goods and designed to protect the purchasers or users of such goods; (d) Title insurance; (e) Life or health insurance written in connection with an indebtedness for the purpose of paying the balance of the indebtedness on death or disability of the individual insured; or (f) Services provided by motor clubs. (Added to NRS by 1971, 1696) NRS 686A.260 Revocation or suspension of license for violation of laws of other state. The Commissioner may revoke or suspend the license of any person domiciled or resident in Nevada and licensed to transact insurance in Nevada as insurer, agent, broker or otherwise, upon a hearing and proof that such person, as the result of a hearing before the commissioner, director or superintendent of insurance or insurance department of another state, or in a judicial proceeding in another state, has been found to have violated the insurance laws of that state relating to unfair methods of competition or unfair or deceptive acts or practices in the conduct of the business of insurance, and as a result thereof either has had his license revoked or suspended in that state or has been found guilty of failing to comply with any order, decree or judgment issued pursuant to such hearing or judicial proceeding in that state. (Added to NRS by 1971, 1697) NRS 686A.270 Knowledge of insurer of prohibited acts. No insurer shall be held guilty of having committed any of the acts prohibited by NRS 686A.010 to 686A.310, inclusive, by reason of the act of any agent, solicitor or employee not an officer, director or department head thereof, unless an officer, director or department head of the insurer has knowingly permitted such act or has had prior knowledge thereof. (Added to NRS by 1971, 1697) NRS 686A.280 Use of name deceptively implying person is insurer prohibited. No person who is not an insurer shall assume or use any name which deceptively implies or suggests that it is an insurer. (Added to NRS by 1971, 1697) INSURANCE FRAUD NRS 686A.281 Definitions. As used in NRS 686A.281 to 686A.295, inclusive, unless the context otherwise requires, the words and terms defined in NRS 686A.2815, 686A.282 and 686A.2825 have the meanings ascribed to them in those sections. (Added to NRS by 1983, 1387; A 1997, 1541; 2001, 1096) NRS 686A.2815 “Insurance fraud” defined. “Insurance fraud” means knowingly and willfully: 1. 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 pursuant to this title. 2. 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 issued pursuant to this title, 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. 3. 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 pursuant to this title or a claim for payment or other benefits under such a policy. 4. 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 pursuant to this title or any proceeds or other benefits under such a policy. 5. 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. 6. Accepting any proceeds or other benefits under a policy of insurance issued pursuant to this title, 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. 7. Employing a person to procure clients, patients or other persons who obtain services or benefits under a policy of insurance issued pursuant to this title 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 his agent or representative 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. 8. 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. (Added to NRS by 2001, 1095) NRS 686A.282 “Investigative or law enforcement agency” defined. “Investigative or law enforcement agency” includes: 1. The State Fire Marshal; 2. The chief or other officer of the fire department in whose jurisdiction a fire has occurred; 3. The district attorney of the county where any fraudulent activity has occurred or where a fraudulent claim has been made; and 4. Any other officer of an agency in this state who has the authority to investigate the fraudulent activity or claim. (Added to NRS by 2001, 1096) NRS 686A.2825 “Practitioner” defined. “Practitioner” means: 1. A physician, dentist, nurse, dispensing optician, optometrist, physical therapist, podiatric physician, psychologist, chiropractor, doctor of Oriental medicine in any form, director or technician of a medical laboratory, pharmacist or other provider of health services who is authorized to engage in his occupation by the laws of this state or another state; and 2. An attorney admitted to practice law in this state or any other state. (Added to NRS by 2001, 1096) NRS 686A.283 Reporting requirements; duties of Commissioner and Attorney General; prosecution by district attorney. 1. Any person, governmental entity, insurer or authorized representative of an insurer shall report any information concerning insurance fraud to the Commissioner and Attorney General on a form prescribed by the Commissioner and Attorney General. 2. The Commissioner and Attorney General shall each independently: (a) Review each report of insurance fraud; and (b) Determine whether an investigation should be made of the facts in the report. 3. During their respective investigations, the Commissioner and Attorney General shall independently determine whether there is probable cause to believe that insurance fraud has occurred. 4. A district attorney of any county where fraudulent activity has occurred or is occurring or where a fraudulent claim that would constitute insurance fraud has been made may, with the permission of the Attorney General or at the request of the Attorney General, institute proceedings in the name of the State of Nevada. (Added to NRS by 1983, 1387; A 2001, 1097) NRS 686A.285 Report by insurer of suspicion that loss to insured was caused by other than accidental or natural occurrence. 1. If an insurer has a reasonable suspicion that a loss to an insured may have been caused by other than an accidental or a natural o

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