2006 Nebraska Revised Statutes - § 71-1,200 — Insurer; report to department; when required.

Section 71-1,200
Insurer; report to department; when required.

Any insurer shall report to the department, on a form and in the manner specified by the department by rule and regulation, any facts known to the insurer, including, but not limited to, the identity of the practitioner and patient, when the insurer:

(1) Has reasonable grounds to believe that a practitioner has committed a violation of the regulatory provisions governing the profession of such practitioner;

(2) Has made payment due to an adverse judgment, settlement, or award resulting from a professional liability claim against the insurer, a health care facility or health care service as defined in the Health Care Facility Licensure Act, or a practitioner, including settlements made prior to suit, arising out of the acts or omissions of the practitioner;

(3) Takes an adverse action affecting the coverage provided by the insurer to a practitioner due to alleged incompetence, negligence, unethical or unprofessional conduct, or physical, mental, or chemical impairment. For purposes of this section, adverse action shall not include raising a practitioner's rates for professional liability coverage unless it is based upon grounds that would be reportable and no prior report has been made to the department; or

(4) Has been requested by the department to provide information.

The report shall be made within thirty days after the date of the action, event, or request. Nothing in this section or section 71-1,199 shall be construed to require an insurer to report based on information gained due to the filing by a practitioner or on behalf of a practitioner of a claim for payment under his or her health insurance policy.

Source:

Laws 1982, LB 421, § 3

Laws 1991, LB 456, § 30

Laws 1994, LB 1223, § 21

Laws 1999, LB 828, § 134

Laws 2000, LB 819, § 93

Cross References:

Health Care Facility Licensure Act,see section 71-401.

~Reissue Revised Statutes of Nebraska