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18 Cards in this Set

  • Front
  • Back
  • 3rd side (hint)

Commissioner's powers and duties

Execute the duties imposed upon him by the code


Enforce the provisions of the code Exercise all powers granted by the code


Conduct any examinations or investigations expressly authorized by the code


Additionally the Commissioner may adopt reasonable regulations for the administration of the code

Fine for unauthorized transactions

Commissioner may impose an administrative fine of up to $10,000 for each violation

Examinations

Commissioner may examine the records and affairs as often as he sees fit determining its financial condition and compliance with the law he must do so at least every 5 years

Notice and hearings

Commissioner may hold a hearing to determine whether an insurer has engaged in unsuitable conduct.


Hearing must be held within 30 days after the application is filed. A report must be made within 60 days after the person knew or reasonably should have known of the act or order

Order on hearing

The Commissioner is required to decide a course of action and deliver an order on the hearing within 30 days after termination of a hearing

Denial suspension or revocation of license

If the Commissioner denies an application he must notify the applicant. The applicant may then apply for a hearing. The hearing must be held within 30 days.

Administrative fines

In addition to or in lieu of denial, suspension or revocation of or refusal to renew a license an administrative fine of not less than $25 nor more than $500 may be imposed for each violation

If the Commissioner believes that an insurer is engaging in an unauthorized conduct he may

Seek injunctive relief from the district court and an administrative fine issue a statement of charges and notice of hearing or issue a cease and desist order

Guaranty associations

Exist to detect and prevent insurer insolvencies and promptly pay claims arising out of policies issued by member insurers that are insolvent and unable to pay claims

NLHIGA Nevada Life and Health Guaranty Association

Nevada Life & Health Insurance Guaranty Association

NLHIGA may guarantee assume or reinsure any or all of the insurance covered policies. May provide such money to accomplish the contractual obligations of the impaired insurer

Insolvent insurer

An insurer authorized to transact insurance in Nevada but is subject to a court's final order of liquidation or involved in judicial proceeding and the court has issued an order prohibiting it from paying claims for more than 30 days

Nevada Insurance Guaranty Association

Pays covered claims under property and casualty insurance policies

NIGA

Claims not covered

Any claim filed more than 18 months after the date of the order of liquidation first or third party claim brought by or against an insured if the insured aggregate net worth is more than 25 million dollars on December 31st

Obligations of NIGA

Must pay covered claims but its obligation is limited to the payment of the entire amount of the claim if claim is for workers compensation 300,000 per policy if claim is for return of unearned premiums or limit specified in a policy or 300,000 whichever is less

NIGA members assessments

assessment is capped at 2% of net direct written premiums

An impaired insurer

is an insurer that is not insolvent but is placed under an order of rehabilitation or conservation by a court.

If an unauthorized insurer fails to pay any claim within the provisions of an insurance contract, any person who assisted in the procurement of the contract is liable to the insured for

the full amount of the claim.

Special Investigative Account

Find the program established by commissioner to investigate insurance fraud.