Deadlines/ Important Announcement for Members

Question #1: Is FHP-NV still in business?

On June 12, 2023, Friday Health Plans of Nevada (“FHP-NV” or “Friday Health Plans”) was placed into receivership. On July 25, 2023, the receivership court entered an order approving the liquidation of FHP-NV effective September 1, 2023. 

Question #2: What does “receivership” mean? 

A receivership is a court proceeding similar to a bankruptcy proceeding.  The company will continue to operate in receivership.  A company can come out of receivership, or it can be shut down.  In a receivership, the Commissioner is appointed as the Receiver of the insurance company. The Receiver takes over the troubled insurance company to conserve, rehabilitate or liquidate it for the protection of its members, providers, and the public. Under the Receiver, a Special Deputy Receiver is appointed to handle the day-to-day administration of the company.  

A conservation receivership allows the Receiver to analyze the company’s operations and financial situation to determine the best option for policyholders and creditors—either by rehabilitating the company, liquidating the company, or returning the company to private management.  

A rehabilitation receivership results in a plan to adjust company operations that led to the receivership.  If it is determined that there is no way to correct the deficient operations, the court can order liquidation.  In liquidation, the company’s assets are sold, debts are paid, and the company is closed. 

Question #3: Why was it necessary to place FHP-NV in receivership? 

FHP-NV grew very fast and needed additional capital in order to sustain its growth.  It was unable to secure the additional capital.  A receivership allows the Receiver to protect the capital and assets to ensure funds are paid out by priority—in Nevada, policyholder claims are one of those priorities.  

Question #4: What is the Nevada Life and Health Insurance Guaranty Association?

The Nevada Life & Health Insurance Guaranty Association was created by the Nevada legislature to protect state residents who are policyholders and beneficiaries of policies issued by an insolvent insurance company, subject to exclusions and specified limits. All insurance companies and health maintenance organizations (with limited exceptions) licensed to write life and health insurance or annuities in Nevada are required, as a condition of doing business in the state, to be members of the Guaranty Association. If a member company becomes insolvent, money to continue coverage and pay claims is obtained from the insolvent estate and through assessments of the Guaranty Association's other member insurance companies writing the same line or lines of insurance as the insolvent company. All 50 states, the District of Columbia, and Puerto Rico have life and health insurance guaranty associations.

Question #5: Will my claims be paid? 

The Nevada Life and Health Insurance Guaranty Association will address claims for services performed on or before August 31, 2023, in accordance with the policy and Nevada law. 

Question #6: Who should I contact for problems with an Existing claim? 

Members should contact the Nevada Life and Health Insurance Guaranty Association to inquire about the status of their claim or to file an appeal. Please visit the forms tab at the top of this page for links to the Guaranty Association.   

Question #7: I received a bill from the doctor, what should I do?

The provider should have submitted the claim to FHP-NV in the ordinary course of business.  In network providers are prohibited from balance billing the insured. 

Question #8: I have moved since submitting my claim; how do I update my address? 

Please email the Special Deputy Receiver at the email address at the bottom of this page. 

Question #9: What should I do if I have been sent to collection for a claim? 

Please contact the Special Deputy Receiver at the email address at the bottom of this page.

Question #10: How do I keep up with what is going on in the receivership?

This website will be updated periodically with all of the information related to the receivership. 

Question #11: Do I need to file a proof of claim form?

You do not need to submit a proof of claim form unless your claims paid post liquidation exceed the Nevada Life & Health Insurance Guaranty association statutory limit of $500,000.  All other claims should be submitted in the ordinary course of business.  

Question #12: What happens after I submit my proof of claim form?

The Receiver will notify you via U.S. mail of the Receiver's determination of your proof of claim submission.  Claimants will have sixty (60) after the mailing of the Receiver's determination to file an objection using the Appeals form located on the Proof of Claim Forms tab.  Should you disagree with the Receiver's final determination you will have the opportunity to request a hearing on the matter.  

Question #1: Will I be paid for my outstanding commissions?

Agent commissions will be addressed during the proof of claim process.  

Question #2:  Do I need to submit a proof of claim form for outstanding commissions?

No.  The Receiver does not anticipate having funds available to pay this statutory class of creditor.  Should that change, you will receive further communications from the Receiver.

Question #1: Will I be paid for services rendered to patients with an FHP-NV policy?

The Nevada Life and Health Insurance Guaranty Association will address provider claims for services performed on or before August 31, 2023, in accordance with the policy and Nevada law.  

Question #2: How should I file claims?

You should continue to file claims in the same way as before. Do not resubmit claims as this will slow down the claims paying process. 

Question #3: How do I check on the status of a claim.

Please click on the forms tab at the top of this page for a link to the Nevada Life and Health Insurance Guaranty Association.

Question #4: Do I need to submit a proof of claim form?

You do not need to submit a proof of claim form unless the member's claims paid post liquidation exceed the Nevada Life & Health Insurance Guaranty association statutory limit of $500,000.  All other claims should be submitted in the ordinary course of business.  

Question #5: What happens after I submit my proof of claim form?

The Receiver will notify you via U.S. mail of the Receiver's determination of your proof of claim submission.  Claimants will have sixty (60) after the mailing of the Receiver's determination to file an objection using the appeals form located on the Proof of Claim Forms tab.  Should you disagree with the Receiver's final determination you will have the opportunity to request a hearing on the matter.