Nevada Revised Statutes
Chapter 683A - Persons Involved in Sale or Administration of Insurance
NRS 683A.376 - Definitions.

As used in NRS 683A.375 to 683A.379, inclusive:
1. "Agent who performs utilization review" includes any person who performs such review except a person acting on behalf of the Federal Government, but only to the extent that the person provides the service for the Federal Government or an agency thereof.
2. "Insured" means a natural person who has contracted for or participates in coverage under a policy of insurance, a contract with a health maintenance organization, a plan for hospital, medical or dental services or any other program providing payment, reimbursement or indemnification for the costs of health care for the natural person, his or her dependents, or both.
3. "Utilization review" means a system that provides, at a minimum, for review of the necessity and appropriateness of the allocation of health care resources and services provided or proposed to be provided to an insured or to any person claiming benefits against a policy of the insured. The term does not include responding to requests made by an insured for clarification of his or her coverage.
(Added to NRS by 1991, 802; A 2001, 2207)

Structure Nevada Revised Statutes

Nevada Revised Statutes

Chapter 683A - Persons Involved in Sale or Administration of Insurance

NRS 683A.020 - Definitions.

NRS 683A.025 - "Administrator" defined.

NRS 683A.031 - "Business organization" defined.

NRS 683A.041 - "Home state" defined.

NRS 683A.051 - "License" defined.

NRS 683A.060 - "Managing general agent" defined.

NRS 683A.065 - "Negotiate" defined.

NRS 683A.072 - "Sell" defined.

NRS 683A.074 - "Solicit" defined.

NRS 683A.076 - "Terminate" defined.

NRS 683A.078 - "Uniform application" defined.

NRS 683A.0805 - Definitions.

NRS 683A.081 - "Affiliate" defined.

NRS 683A.082 - "Control" defined.

NRS 683A.083 - "Insurer" defined.

NRS 683A.084 - "Underwrite" defined.

NRS 683A.085 - Qualifications.

NRS 683A.0851 - Health maintenance organization authorized to act as administrator of program of health insurance; approval or disapproval of contract by Commissioner; exemption from licensing and bonding.

NRS 683A.0852 - Nonprofit corporation for hospital or medical services authorized to act as administrator of program of health insurance; notice to Commissioner; exemption from licensing and bonding.

NRS 683A.08522 - Certificate of registration: Contents of application.

NRS 683A.08524 - Certificate of registration: Issuance; grounds for refusal to issue certificate of registration; requirements if applicant seeks final approval by Division of Industrial Relations of the Department of Business and Industry.

NRS 683A.08526 - Certificate of registration: Duration; expiration; renewal.

NRS 683A.08528 - Annual report: Requirements; review by Commissioner.

NRS 683A.0853 - Waiver of requirements for administrator’s certificate.

NRS 683A.0857 - Bond: Requirement; amount; conditions; replacement.

NRS 683A.086 - Agreement with insurer required; contents of agreement; retention of copy of agreement; trust agreements; regulations specifying permissible functions; termination of agreement.

NRS 683A.0863 - Payments to administrator.

NRS 683A.0868 - Prohibiting fee to include provider of health care on panel; penalty; costs and attorney’s fees; suspension of activities.

NRS 683A.087 - Advertising.

NRS 683A.0873 - Records of administrator: Maintenance and retention; examination by Commissioner and insurer; confidentiality.

NRS 683A.0877 - Certain charges and premiums collected or received held in fiduciary capacity; remittance or deposit of money in fiduciary accounts; withdrawals from and records relating to fiduciary accounts.

NRS 683A.0879 - Claims relating to health insurance coverage: Approval or denial; payment of claims and interest; requests for additional information; award of costs and attorney’s fees; compliance with requirements; imposition of administrative fine...

NRS 683A.088 - Payment of claims by check or draft.

NRS 683A.0883 - Basis for compensation of administrator.

NRS 683A.0887 - Duty to disclose information relating to identity and relationship among insurer, administrator and insured and amount of premium or charge to insured; duty to disclose to insurer charges, fees and commissions received for provision o...

NRS 683A.089 - Delivery to insureds of communications of insurer.

NRS 683A.0892 - Suspension or revocation of certificate of registration: Grounds; additional penalties.

NRS 683A.0893 - Penalty for acting without certificate of registration.

NRS 683A.090 - License required; administrative fine.

NRS 683A.140 - Licensing of firm or corporation; requirements for issuance or renewal of license of business entity.

NRS 683A.160 - Application for license; fees; period of validity, renewal, failure to renew, contents and availability of license; change of address.

NRS 683A.171 - Definitions.

NRS 683A.172 - "Covered person" defined.

NRS 683A.173 - "Pharmacy" defined.

NRS 683A.174 - "Pharmacy benefit manager" defined.

NRS 683A.175 - "Pharmacy benefits plan" defined.

NRS 683A.176 - "Third party" defined. [Effective through December 31, 2025.] "Third party" defined. [Effective January 1, 2026.]

NRS 683A.177 - Applicability.

NRS 683A.178 - Obligation of pharmacy benefit manager to third party or pharmacy; notice of conflicts of interest.

NRS 683A.179 - Prohibited acts; applicability. [Effective through December 31, 2021.] Prohibited acts; applicability. [Effective January 1, 2022.]

NRS 683A.181 - Definitions.

NRS 683A.1815 - "Facility" defined.

NRS 683A.182 - "Occupant" defined.

NRS 683A.1823 - "Owner" defined.

NRS 683A.1826 - "Personal property" defined.

NRS 683A.1828 - "Personal property storage insurance" defined.

NRS 683A.183 - "Rental agreement" defined.

NRS 683A.1835 - "Storage space" defined.

NRS 683A.1837 - "Supervising entity" defined.

NRS 683A.184 - Commissioner: Forms for application for initial licensure and renewal; fees for initial licensure and renewal; regulations.

NRS 683A.1845 - License to offer, sell, solicit or negotiate personal property storage insurance: Issuance by Commissioner; requirements for issuance and renewal; coverage; exception from licensure for owner displaying and making available marketing...

NRS 683A.185 - Examination or education not required to receive or renew license.

NRS 683A.1855 - Restrictions relating to sales and coverage; rates to be filed with Commissioner.

NRS 683A.186 - Licensee required to make certain written or electronic materials available to occupant or prospective occupant.

NRS 683A.1865 - Satisfaction of insurance requirement by occupant or prospective occupant as condition of rental agreement.

NRS 683A.187 - Billing, collecting and remitting charges by licensee; compensation for licensee from supervising entity for sales, billing and collection services; money collected by licensee from enrolled customer held in trust.

NRS 683A.1875 - Employee or authorized representative may act for licensee.

NRS 683A.188 - Licensee required to provide training program for employees and authorized representatives.

NRS 683A.1885 - Licensee prohibited from advertising, representing or holding itself out as licensed insurer.

NRS 683A.189 - Responsibility and duties of supervising entity relating to licensee, employees and authorized representatives.

NRS 683A.191 - Definitions.

NRS 683A.193 - "Offer and disseminate" defined.

NRS 683A.195 - "Producer of limited lines travel insurance" defined.

NRS 683A.197 - "Travel insurance" defined.

NRS 683A.199 - "Travel retailer" defined.

NRS 683A.201 - License required; exemption for insurers; administrative fine.

NRS 683A.211 - Persons exempt from licensing.

NRS 683A.221 - Employee of short-term lessor of vehicles exempt from licensing under certain circumstances.

NRS 683A.231 - Licensing of bank.

NRS 683A.241 - Examination for license: Requirement; contents; regulations; contracts for administration; fee; failure to appear.

NRS 683A.242 - Exemption from written examination and certain educational requirements for producers of limited lines travel insurance and travel retailers.

NRS 683A.251 - Form and prerequisites for approval of application for license of natural person; licensing of business organization; certain applicants to submit fingerprints; report from Federal Bureau of Investigation; verification of information.

NRS 683A.261 - Issuance, period of validity, renewal, failure to renew, contents and availability of license; lines of authority; change of address.

NRS 683A.265 - Licensing of producer of limited lines travel insurance.

NRS 683A.271 - Licensing of nonresident persons; participation by Commissioner in centralized registry; required notifications.

NRS 683A.281 - Nonresident licensees: Service of process; agreement to appear.

NRS 683A.291 - Exemption from education and examination for producer previously licensed for same lines of authority in another state; exemption from examination for producer who confines activity to certain types of insurance.

NRS 683A.301 - Use of true or fictitious name by applicant for license or licensee.

NRS 683A.311 - Temporary licenses: Authority of Commissioner to issue, limit or revoke; expiration.

NRS 683A.321 - Appointment of producer as agent of insurer; fees for agents; activities of producer as broker.

NRS 683A.325 - Commissions and compensation.

NRS 683A.331 - Termination of appointment, employment or other relationship of producer to insurer; civil immunity for provision of certain information regarding termination.

NRS 683A.341 - Reports to Commissioner: Administrative action or criminal prosecution against producer.

NRS 683A.351 - Records of transactions: Maintenance; examination by Commissioner; destruction.

NRS 683A.361 - Payment, acceptance and assignment of commissions, brokerage, fees for service and other valuable considerations.

NRS 683A.365 - Authorization by business organization of another producer to transact business on its behalf: Notification to Commissioner of authorization and termination of authorization.

NRS 683A.367 - Restrictions concerning selling, soliciting and negotiating continuous care coverage; fine.

NRS 683A.368 - Liability of producers of limited lines travel insurance for acts of travel retailers.

NRS 683A.3683 - Applicability of certain provisions to producers of limited lines travel insurance and travel retailers.

NRS 683A.3685 - Producer of limited lines travel insurance required to maintain register of travel retailers acting on behalf of producer; submission of register to Commissioner; certification.

NRS 683A.3687 - Compensation of travel retailer by producer of limited lines travel insurance; limitations.

NRS 683A.369 - Travel retailers: Authorized scope of activities.

NRS 683A.3693 - Travel retailers: Prohibited activities.

NRS 683A.3695 - Travel retailers: Required written disclosures.

NRS 683A.370 - Use and licensing of vending machines to solicit for and issue personal travel accident insurance policies.

NRS 683A.3715 - Approval to conduct external reviews: Application; fee; period of validity; reapproval; termination of approval; list maintained by Commissioner; regulations.

NRS 683A.372 - Approval to conduct external reviews: Minimum qualifications; conflicts of interest.

NRS 683A.373 - Submission of annual list to Office for Consumer Health Assistance.

NRS 683A.375 - Purposes.

NRS 683A.376 - Definitions.

NRS 683A.377 - Applicability.

NRS 683A.378 - Prerequisites to conducting utilization review; registration of agent; plan for utilization review; agent to report material changes; renewal of registration.

NRS 683A.379 - Penalty.

NRS 683A.383 - Payment of child support: Statement by applicant for certificate of registration or license; grounds for denial of certificate of registration or license; duty of Commissioner. [Effective until the date of the repeal of 42 U.S.C. § 666...

NRS 683A.385 - Suspension of certificate of registration or license for failure to pay child support or comply with certain subpoenas or warrants; reinstatement of certificate of registration or license. [Effective until the date of the repeal of 42...

NRS 683A.387 - Application for certificate of registration or license to include social security number of applicant. [Effective until the date of the repeal of 42 U.S.C. § 666, the federal law requiring each state to establish procedures for withhol...

NRS 683A.400 - Money received and held in fiduciary capacity by producer of insurance, surplus lines broker, motor club agent or bail agent: Requirements; penalty for diversion or appropriation; commingling.

NRS 683A.405 - Submission of schedule of payments to provider of health care by administrator, managing general agent, producer of insurance or certain entities acting as administrator.

NRS 683A.451 - Authority of Commissioner; grounds for action.

NRS 683A.461 - Denial, suspension or revocation of or refusal to renew license; administrative fines; authority of Commissioner after surrender or lapse of license or registration.

NRS 683A.490 - Authority of Commissioner to inform district attorney of violation; penalty for violation of provision of chapter.

NRS 683A.500 - Insurer prohibited from permitting person whose license has been revoked or suspended to transact insurance.

NRS 683A.510 - Failure of insurer or its authorized representative to report certain information regarding producer of insurance or report such information with actual malice: Suspension or revocation of license; fine.

NRS 683A.520 - Failure of producer of insurance or surplus lines broker to remit premiums: Report to Commissioner; suspension of license.