Nevada Revised Statutes 616C.490 – Permanent partial disability: Compensation; selection of and evaluation by rating physician or chiropractic physician; required commencement of installment payments for portion of award not in dispute; Administrator…
1. Except as otherwise provided in NRS 616C.175, every employee, in the employ of an employer within the provisions of chapters 616A to 616D, inclusive, of NRS, who is injured by an accident arising out of and in the course of employment is entitled to receive the compensation provided for permanent partial disability. As used in this section, ‘disability’ and ‘impairment of the whole person‘ are equivalent terms.
Terms Used In Nevada Revised Statutes 616C.490
- Amendment: A proposal to alter the text of a pending bill or other measure by striking out some of it, by inserting new language, or both. Before an amendment becomes part of the measure, thelegislature must agree to it.
- Entitlement: A Federal program or provision of law that requires payments to any person or unit of government that meets the eligibility criteria established by law. Entitlements constitute a binding obligation on the part of the Federal Government, and eligible recipients have legal recourse if the obligation is not fulfilled. Social Security and veterans' compensation and pensions are examples of entitlement programs.
- person: means a natural person, any form of business or social organization and any other nongovernmental legal entity including, but not limited to, a corporation, partnership, association, trust or unincorporated organization. See Nevada Revised Statutes 0.039
- physician: means a person who engages in the practice of medicine, including osteopathy and homeopathy. See Nevada Revised Statutes 0.040
2. Except as otherwise provided in subsection 3:
(a) Within 30 days after receiving from a physician or chiropractic physician a report indicating that the injured employee may have suffered a permanent disability and is stable and ratable, the insurer shall schedule an appointment with the rating physician or chiropractic physician selected pursuant to this subsection to determine the extent of the employee’s disability.
(b) Unless the insurer and the injured employee otherwise agree to a rating physician or chiropractic physician:
(1) The insurer shall select the rating physician or chiropractic physician from the list of qualified rating physicians and chiropractic physicians designated by the Administrator, to determine the percentage of disability in accordance with the American Medical Association’s Guides to the Evaluation of Permanent Impairment as adopted and supplemented by the Division pursuant to NRS 616C.110.
(2) Rating physicians and chiropractic physicians must be selected at random from the list of qualified physicians and chiropractic physicians designated by the Administrator unless the physician or chiropractic physician who is selected is currently an employee of the insurer making the selection, in which case another random selection must be made until a physician or chiropractic physician who is not currently an employee of the insurer is selected.
(3) A rating physician or chiropractic physician selected pursuant to subparagraph (1) or (2) may decline the selection if he or she believes he or she does not have the ability to rate the disability at issue.
3. Notwithstanding any other provision of law, an injured employee or the legal representative of an injured employee may, at any time, without limitation, request that the Administrator select a rating physician or chiropractic physician from the list of qualified physicians and chiropractic physicians designated by the Administrator. The Administrator, upon receipt of the request, shall immediately select for the injured employee the rating physician or chiropractic physician at random from the list.
4. If an insurer contacts a treating physician or chiropractic physician to determine whether an injured employee has suffered a permanent disability, the insurer shall deliver to the treating physician or chiropractic physician that portion or a summary of that portion of the American Medical Association’s Guides to the Evaluation of Permanent Impairment as adopted by the Division pursuant to NRS 616C.110 that is relevant to the type of injury incurred by the employee.
5. At the request of the insurer, the injured employee shall, before an evaluation by a rating physician or chiropractic physician is performed, notify the insurer of:
(a) Any previous evaluations performed to determine the extent of any of the employee’s disabilities; and
(b) Any previous injury, disease or condition sustained by the employee which is relevant to the evaluation performed pursuant to this section. The notice must be on a form approved by the Administrator and provided to the injured employee by the insurer at the time of the insurer’s request.
6. Unless the regulations adopted pursuant to NRS 616C.110 provide otherwise, a rating evaluation must include an evaluation of the loss of motion, sensation and strength of an injured employee if the injury is of a type that might have caused such a loss. Except in the case of claims accepted pursuant to NRS 616C.180, no factors other than the degree of physical impairment of the whole person may be considered in calculating the entitlement to compensation for a permanent partial disability.
7. The rating physician or chiropractic physician shall provide the insurer with his or her evaluation of the injured employee. After receiving the evaluation, the insurer shall, within 14 days, provide the employee with a copy of the evaluation and notify the employee:
(a) Of the compensation to which the employee is entitled pursuant to this section; or
(b) That the employee is not entitled to benefits for permanent partial disability.
8. Each 1 percent of impairment of the whole person must be compensated by a monthly payment:
(a) Of 0.5 percent of the claimant’s average monthly wage for injuries sustained before July 1, 1981;
(b) Of 0.6 percent of the claimant’s average monthly wage for injuries sustained on or after July 1, 1981, and before June 18, 1993;
(c) Of 0.54 percent of the claimant’s average monthly wage for injuries sustained on or after June 18, 1993, and before January 1, 2000; and
(d) Of 0.6 percent of the claimant’s average monthly wage for injuries sustained on or after January 1, 2000. Compensation must commence on the date of the injury or the day following the termination of temporary disability compensation, if any, whichever is later, and must continue on a monthly basis for 5 years or until the claimant is 70 years of age, whichever is later.
9. Compensation benefits may be paid annually to claimants who will be receiving less than $100 a month.
10. If there is a previous disability, the percentage of disability for a subsequent injury must be determined pursuant to NRS 616C.099.
11. In the event of a dispute over an award of compensation for permanent partial disability, the insurer shall commence making installment payments to the injured employee for that portion of the award that is not in dispute:
(a) Not later than the date by which such payment is required pursuant to subsection 8 or 9, as applicable; and
(b) Without requiring the injured employee to make an election whether to receive his or her compensation in installment payments or in a lump sum.
12. The Division may adopt schedules for rating permanent disabilities resulting from injuries sustained before July 1, 1973, and reasonable regulations to carry out the provisions of this section.
13. The increase in compensation and benefits effected by the amendment of this section is not retroactive for accidents which occurred before July 1, 1973.
14. This section does not entitle any person to double payments for the death of an employee and a continuation of payments for a permanent partial disability, or to a greater sum in the aggregate than if the injury had been fatal.
15. The Administrator shall prepare and publish on the Internet website of the Division an annual report which contains:
(a) The name of each rating physician or chiropractic physician who was selected in the immediately preceding year to conduct an evaluation to determine the extent of an employee’s disability pursuant to this section; and
(b) For each rating physician or chiropractic physician identified pursuant to paragraph (a):
(1) The number of times the rating physician or chiropractic physician was selected to conduct an evaluation to determine the extent of an employee’s disability; and
(2) The number of evaluations that the rating physician or chiropractic physician completed.