Workers' Compensation Insurer and TPA Reporting


The Data Management Unit of the Workers’ Compensation Section collects workers’ compensation claims data required by statute and regulation through data calls issued via email notification. The Data Management Unit functions to support the agency in its regulation of workers’ compensation insurers, third party administrators (TPAs), medical providers, and employers; as well as acting as a resource for internal agency investigators and auditors as they research claims information on behalf of injured workers.

 Direct Inquiries to: wcsra@dir.nv.gov


    Important Announcements

    Important Sign
     

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        Claims Indexing - D-38 Submission (NRS 616B.018)

        All claims - accepted and denied - are required to be reported to Workers’ Compensation Section pursuant to NRS 616B.018. CARDS offers an easy-to-use web form (D-38) to comply with this requirement. A flat file format is also an option for insurers. Once a claim is submitted and WCS staff process it, required updates are as easy as retrieving the claim in the system and entering new/updated information.

        Reporting Triggers:    

        Initial Reports: 

        Within 30 days of  

        • Claim Determination (Acceptance or Denial of Claim) 

        Updates: 

        Within 30 days of any of the following

        • Benefit Start Date, End Date or Type Change (TTD, TPD, PPD, Rehab, PTD)
        • Change in Claim Determination (Denial to Acceptance or vice versa)
        • Claim Type Change (Med Only to Lost Time/Indemnity)
        • Change to/from Catastrophic Claim status
        • Finalized PPD rating and award offer
        • Claim Closure
        • Claim Reopening
        • Injured Employee Death
        • Any correction to or update of the Injured Employee’s Information including name, gender, birthdate, SSN, employer, etc.
        • Any correction to or update of the Claim Information including claim number, date of injury, nature of injury, cause of injury, type of loss, body parts involved, etc.

        D-38 Claims Indexing Brochure

        Claims Indexing Manual (6/2/2025)

        Direct inquiries to our Claims Indexing Team at indexing@dir.nv.gov. 

        Visit our CARDS page for more information.

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            Insurer/TPA Data Call Notifications

            Data calls are sent via email to the appropriate contacts identified on the Insurer and TPA Information Forms.

            If you are affiliated with an insurer and listed on the Insurer Information Form in CARDS as the 

            • Corporate Contact
            • Compliance Manager Contact
            • Statutory Reporting Contact
            • WC Safety Fund Assessment Contact

            or if you are affiliated with a TPA and listed on the TPA Information Form in CARDS as the

            • Compliance Manager Contact

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                Data Call and Reporting Resources

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                  Notify WCS of Updates - All Insurers and TPAs

                  Insurer Information Form and the TPA Information Form are required to be completed within the CARDS portal:   https://cards.nv.gov.  

                  Insurer Information Form- This form is available only in our CARDS system and must be completed online using the CARDS web form.  You must be be registered in CARDS, affiliated with an insurer and given rights to access the Insurer Information Form.  WCS requires this form to be updated within 30 days of any changes and reviewed and submitted at least once per year. We will send a reminder with a due date for the annual submission. The Insurer Information Form in CARDS is how insurers "link" to their Nevada TPAs, allowing them to submit claims data (D-38) and perform other task on their behalf.

                   
                  TPA Information Form - This form is available only in our CARDS system and must to be completed online using the CARDS web form. You must be registered in CARDS, affiliated with a TPA and given rights to access the TPA Information Form.  WCS requires this form to be updated within 30 days of any changes. Additionally, the form is required to be reviewed and submitted annually between January 15 and March 1 as requested by the "TPA Insurer Information Form and Claims Handled/List of Accounts" data call. NOTE: FY Claims Handled Data and List of Accounts information may only be submitted via the webform during the annual reporting window. 

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                      FY WCS Workers' Compensation Claims Activity Report (NRS 616B.006 and 616B.009)

                      The annual WCS Workers' Compensation Claims Activity Report data call requests claims activity for a specified fiscal year (July 1 - June 30). WCS requires submission of the Activity Report/Statement of Inactivity webform in the CARDS portal.

                        The FY25 WCS Workers' Compensation Claims Activity Report/Statement of Inactivity webform is now available in the CARDS portal.  

                        Due: September 1, 2025

                        Request forms for prior years here:  wcsra@dir.nv.gov

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                            Occupational Disease Claims Reporting (OD-8 Form) - All Insurers

                            OD-8 REPORTING UPDATE:

                            WCS is delaying implementation of submission of OD-8s in the CARDS portal until further notice.  

                            Insurers and TPAs should continue to report OD-8 submissions using the current OD-8 form and email them to wcsra@dir.nv.gov OD-8 submissions will not be accepted if the claim has not been indexed in CARDS via the D-38 form.

                            Ongoing Reporting:

                            Per NRS 617.357, insurers are only required to report occupational disease claims of firefighters, police officers, arson investigators, and emergency medical attendants that encompass diseases of the heart or lungs or diseases that are infectious or relate to cancer pursuant to NRS 617.453, 617.455, 617.457, 617.481, 617.485 or 617.487.

                            Year-End Reporting:

                            Within 5 days of the end of the calendar year, insurers with zero occupational disease claims during the calendar year pursuant to the above listed statutes are required to submit certification of inactivity.

                            Annual Reports:

                            NRS 617.357(3) requires the Division of Industrial Relations to make available to the public on or before February 1 each year a report containing the OD-8 information submitted by insurers during the preceding calendar year.

                            Please visit the WCS Reports page to view these reports. 

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                                WC Safety Fund Assessment Reporting

                                Semi-Annual Claims Expenditure and Premium Data reporting is now submitted through the CARDS portal. 

                                Please visit the WC Safety Fund Assessment page for more information.

                                 

                                Direct assessment inquiries to WCAssessment@business.nv.gov.

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                                    Proof of Coverage Ongoing Reporting - Private Carriers

                                    Per NRS 616B.461 and NAC 616B.100-148, private carriers writing Nevada workers' compensation policies must report proof of coverage data to National Council on Compensation Insurance (NCCI). Self-insured employers and associations of self-insured public and private employers are not required to report proof of coverage data.

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                                      Miscellaneous Information

                                      Annual PTD Claims Data Call - Important Update - July 2019: 

                                      SB 377 (2019) - Notice of Suspension of Annual PT Data Call

                                      Per NRS 616C.453, the Administrator is required to make annual payments to injured employees (or their dependents) who are permanently and totally disabled (PT) and who are NOT entitled to the annual payment pursuant to NRS 616C.473. See "Annual Permanent Total Disability Reporting - Requirements & Instructions" for more details.  NRS 616C.453 was repealed effective 7/1/2019.

                                      Nevada Death Benefits Claims Report: This report is not required annually.  This is a special data call upon request of the 2007, 2015 and 2019 Nevada Legislatures.

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