Nevada Revised Statutes
Chapter 689A - Individual Health Insurance

NRS 689A.032 - Insurer required to offer and issue plan regardless of health status of persons; prohibited acts. - 1. An insurer shall offer and issue a health benefit...

NRS 689A.035 - Contracts between insurer and provider of health care: Prohibiting insurer from charging provider of health care fee for inclusion on list of providers given to insureds; insurer required to use form to obtain information on provider o... - 1. An insurer shall not charge a provider of health...

NRS 689A.040 - Contents of policy; substitution of provisions; captions; omission or modification of provisions. - 1. Except as otherwise provided in subsection 2, each such...

NRS 689A.0403 - Procedure for arbitration of disputes concerning independent medical, dental or chiropractic evaluations. [Effective through December 31, 2021.] Procedure for arbitration of disputes concerning independent medical, dental or chiroprac... - 1. Each policy of health insurance must include a procedure...

NRS 689A.04033 - Coverage for certain treatment received as part of clinical trial or study for treatment of cancer or chronic fatigue syndrome required; authority of insurer to require certain information; immunity from liability. - 1. A policy of health insurance must provide coverage for...

NRS 689A.04036 - Coverage for continued medical treatment required in certain policies; exceptions; regulations. - 1. The provisions of this section apply to a policy...

NRS 689A.0404 - Coverage for use of certain drugs and related services for treatment of cancer required in certain policies. - Except as otherwise provided in NRS 689A.04033: 1. No policy...

NRS 689A.04041 - Policy covering prescription drug for treatment of cancer or cancer symptom that is part of step therapy protocol: Insurer required to allow insured or attending practitioner to apply for exemption from step therapy protocol in certa... - 1. An insurer that offers or issues a policy of...

NRS 689A.04042 - Coverage for colorectal cancer screening required in policy covering treatment of colorectal cancer. - 1. A policy of health insurance that provides coverage for...

NRS 689A.04044 - Policy covering prescription drugs: Required actions by insurer related to acquisition of prescription drugs for certain insureds residing in area for which emergency or disaster has been declared. - 1. If the Governor or the Legislature proclaims the existence...

NRS 689A.04045 - Policy covering prescription drugs prohibited from limiting or excluding coverage for prescription drug previously approved for medical condition of insured; exception. - 1. Except as otherwise provided in this section, a policy...

NRS 689A.04046 - Coverage for prescription drugs irregularly dispensed for purpose of synchronization of chronic medications required in policy covering prescription drugs; prohibited acts; exception. - 1. An insurer who offers or issues a policy of...

NRS 689A.04047 - Policy covering prescription drugs: Denial of coverage prohibited for early refills of otherwise covered topical ophthalmic products. - 1. An insurer who offers or issues a policy of...

NRS 689A.04049 - Coverage for screening, genetic counseling and testing related to BRCA gene required in certain circumstances. [Effective January 1, 2022.] - 1. An insurer that issues a policy of health insurance...

NRS 689A.0405 - Coverage for mammograms for certain women required; prohibited acts. - 1. A policy of health insurance must provide coverage for...

NRS 689A.041 - Coverage relating to mastectomy required in policy covering mastectomies; prohibited acts. - 1. A policy of health insurance which provides coverage for...

NRS 689A.0412 - Coverage for examination of person who is pregnant for certain diseases required. - 1. An insurer that issues a policy of health insurance...

NRS 689A.0413 - Coverage for certain gynecological or obstetrical services without authorization or referral from primary care physician required. - 1. A policy of health insurance must include a provision...

NRS 689A.0415 - Coverage for hormone replacement therapy in certain circumstances required in policy covering prescription drugs or devices; prohibited acts; exception. - 1. An insurer that offers or issues a policy of...

NRS 689A.0417 - Coverage for health care services related to hormone replacement therapy required in policy covering outpatient care; prohibited acts. - 1. An insurer that offers or issues a policy of...

NRS 689A.0418 - Coverage for drug or device for contraception and related health services required; prohibited acts; exceptions. [Effective through December 31, 2021.] Coverage for drug or device for contraception and related health services required... - 1. Except as otherwise provided in subsection 7, an insurer...

NRS 689A.0419 - Coverage for certain services, screenings and tests relating to wellness required; prohibited acts. - 1. An insurer that offers or issues a policy of...

NRS 689A.042 - Policy containing exclusion, reduction or limitation of coverage relating to complications of pregnancy prohibited; exception. - 1. No health insurance policy may be delivered or issued...

NRS 689A.0423 - Coverage for treatment of certain inherited metabolic diseases required. - 1. A policy of health insurance must provide coverage for:...

NRS 689A.0424 - Policy covering maternity care: Prohibited acts by insurer if insured is acting as gestational carrier; child deemed child of intended parent for purposes of policy. - 1. An insurer that offers or issues a policy of...

NRS 689A.0425 - Individual health benefit plan that includes coverage for maternity care and pediatric care: Requirement to allow minimum stay in hospital in connection with childbirth; prohibited acts. - [Replaced in revision by NRS 689A.717.]

NRS 689A.0427 - Coverage for management and treatment of diabetes required in policy covering hospital, medical or surgical expenses. - 1. No policy of health insurance that provides coverage for...

NRS 689A.0428 - Coverage for management and treatment of sickle cell disease and its variants required; coverage for medically necessary prescription drugs to treat sickle cell disease and its variants required by plan covering prescription drugs. - 1. An insurer that issues a policy of health insurance...

NRS 689A.043 - Policy covering family on expense-incurred basis required to include certain coverage for insured’s newly born and adopted children and children placed with insured for adoption. - 1. All individual health insurance policies providing family coverage on...

NRS 689A.0435 - Option of coverage for autism spectrum disorders for certain persons required; prohibited acts. - 1. A health benefit plan must provide an option of...

NRS 689A.0437 - Coverage for drugs, laboratory testing and certain services related to human immunodeficiency virus required; reimbursement of pharmacist for certain services. - 1. An insurer that offers or issues a policy of...

NRS 689A.044 - Coverage for certain tests and vaccines relating to human papillomavirus required; prohibited acts. - 1. A policy of health insurance must provide coverage for...

NRS 689A.0445 - Coverage for prostate cancer screening. - 1. A policy of health insurance that provides coverage for...

NRS 689A.0447 - Policy covering treatment of cancer through use of chemotherapy: Prohibited acts related to orally administered chemotherapy. - 1. An insurer that offers or issues a policy of...

NRS 689A.0455 - Coverage for treatment of conditions relating to severe mental illness required. - 1. A policy of health insurance delivered or issued for...

NRS 689A.046 - Benefits for treatment of alcohol or substance use disorder required. - 1. The benefits provided by a policy for health insurance...

NRS 689A.0463 - Coverage for services provided through telehealth required to same extent and in same amount as though provided in person or by other means; exception; prohibited acts. [Effective through 1 year after the date on which the Governor te... - 1. A policy of health insurance must include coverage for...

NRS 689A.0464 - Policy covering anatomical gifts, organ transplants or treatments or services related to organ transplants: Prohibited acts by insurer if insured is person with disability. - 1. An insurer that offers or issues a policy of...

NRS 689A.0465 - Policy prohibited from excluding coverage of treatment of temporomandibular joint; exception. - 1. Except as otherwise provided in this section, no policy...

NRS 689A.0475 - Acupuncture. - If any policy of health insurance provides coverage for acupuncture...

NRS 689A.048 - Treatment by licensed psychologist. - If any policy of health insurance provides coverage for treatment...

NRS 689A.0483 - Treatment by licensed marriage and family therapist or licensed clinical professional counselor. - If any policy of health insurance provides coverage for treatment...

NRS 689A.0485 - Treatment by licensed associate in social work, social worker, master social worker, independent social worker or clinical social worker. - If any policy of health insurance provides coverage for treatment...

NRS 689A.0487 - Treatment by licensed podiatrist. - 1. If any policy of health insurance provides coverage for...

NRS 689A.049 - Treatment by licensed chiropractor; restriction on policy limitations. [Effective through December 31, 2021.] Treatment by licensed chiropractic physician; restriction on policy limitations. [Effective January 1, 2022.] - 1. If any policy of health insurance provides coverage for...

NRS 689A.0493 - Treatment by licensed clinical alcohol and drug counselor. - If any policy of health insurance provides coverage for treatment...

NRS 689A.0495 - Services provided by certain registered nurses. - 1. If any policy of health insurance provides coverage for...

NRS 689A.0497 - Provider of medical transportation. - 1. Except as otherwise provided in subsection 3, every policy...

NRS 689A.050 - Entire contract; changes. - There shall be a provision as follows: Entire Contract; Changes:...

NRS 689A.060 - Time limit on certain defenses. - There shall be a provision as follows: Time Limit on...

NRS 689A.070 - Grace period. - There shall be a provision as follows: Grace Period: A...

NRS 689A.075 - Cancellation and rescission of short-term limited duration medical plan. - 1. A short-term limited duration medical plan shall not be...

NRS 689A.080 - Reinstatement. - 1. There shall be a provision as follows: Reinstatement: If...

NRS 689A.090 - Notice of claim. - 1. There shall be a provision as follows: Notice of...

NRS 689A.100 - Claim forms: Required provision. - There shall be a provision as follows: Claim Forms: The...

NRS 689A.105 - Claim forms: Uniform billing and claims forms. - Every insurer under a health insurance contract and every state...

NRS 689A.110 - Claim forms: Proofs of loss. - There shall be a provision as follows: Proofs of Loss:...

NRS 689A.120 - Time of payment of claims. - There shall be a provision as follows: Time of Payment...

NRS 689A.130 - Payment of claims. - 1. There shall be a provision as follows: Payment of...

NRS 689A.135 - Assignment of benefits by insured to provider of health care. - 1. A person insured under a policy of health insurance...

NRS 689A.140 - Physical examination and autopsy. - There shall be a provision as follows: Physical Examinations and...

NRS 689A.150 - Legal actions. - There shall be a provision as follows: Legal Actions: No...

NRS 689A.160 - Change of beneficiary. - 1. There shall be a provision as follows: Change of...

NRS 689A.170 - Right to examine and return policy. - 1. Except as to nonrenewable accident policies and individual credit...

NRS 689A.180 - Optional provisions: Requirements; substitution of provisions; captions. - Except as otherwise provided in NRS 689A.040, no such policy...

NRS 689A.190 - Extended disability benefit. - Any health insurance policy may contain a provision for payment...

NRS 689A.200 - Change of occupation. - There may be a provision as follows: Change of Occupation:...

NRS 689A.210 - Misstatement of age. - There may be a provision as follows: Misstatement of Age:...

NRS 689A.220 - Coordination of benefits: Same insurer. - There may be a provision as follows: If an accident...

NRS 689A.230 - Coordination of benefits: All coverages. - 1. There may be a provision as follows: Coordination of...

NRS 689A.240 - Relation of earnings to insurance. - 1. There may be a provision as follows: Relation of...

NRS 689A.250 - Unpaid premiums. - There may be a provision as follows: Unpaid Premium: Upon...

NRS 689A.260 - Conformity with state statutes. - There may be a provision as follows: Conformity with State...

NRS 689A.270 - Illegal occupation. - There may be a provision as follows: Illegal Occupation: The...

NRS 689A.290 - Renewability. - Health insurance policies, other than accident insurance only policies, in...

NRS 689A.300 - Order of certain provisions. - The provisions which are the subject of NRS 689A.050 to...

NRS 689A.310 - Ownership of policy by person other than insured. - The word "insured," as used in this chapter, shall not...

NRS 689A.320 - Requirements of other jurisdictions. - 1. Any policy of a foreign or alien insurer, when...

NRS 689A.330 - Policies issued for delivery in another state. - If any policy is issued by a domestic insurer for...

NRS 689A.340 - Limitation on provisions not subject to chapter; effect of violation of chapter; conflict among provisions. - 1. No policy provision which is not subject to this...

NRS 689A.350 - Age limit. - If any such policy contains a provision establishing, as an...

NRS 689A.380 - Definitions of terms used in policies. - As used in any policy of health insurance delivered, issued...

NRS 689A.405 - Policy covering prescription drugs: Provision of notice and information regarding use of formulary. - 1. An insurer that offers or issues a policy of...

NRS 689A.410 - Approval or denial of claims; payment of claims and interest; requests for additional information; award of costs and attorney’s fees; compliance with requirements; imposition of administrative fine or suspension or revocation of certi... - 1. Except as otherwise provided in subsection 2 and NRS...

NRS 689A.413 - Insurer prohibited from denying coverage solely because claim involves act that constitutes domestic violence or applicant or insured was victim of domestic violence. - An insurer shall not deny a claim, refuse to issue...

NRS 689A.415 - Insurer prohibited from denying coverage solely because applicant or insured was intoxicated or under influence of controlled substance; exceptions. - 1. Except as otherwise provided in subsection 2, an insurer...

NRS 689A.417 - Insurer prohibited from requiring or using information concerning genetic testing; exceptions. - 1. Except as otherwise provided in subsection 2, an insurer...

NRS 689A.419 - Offering policy of health insurance for purposes of establishing health savings account. - An insurer may, subject to regulation by the Commissioner, offer...

NRS 689A.420 - Definitions. - As used in NRS 689A.420 to 689A.460, inclusive, unless the...

NRS 689A.430 - Effect of eligibility for medical assistance under Medicaid; assignment of rights to state agency. - 1. An insurer shall not, when considering eligibility for coverage...

NRS 689A.440 - Insurer prohibited from asserting certain grounds to deny enrollment of child of insured pursuant to order. - An insurer shall not deny the enrollment of a child...

NRS 689A.450 - Certain accommodations required to be made when child is covered under policy of noncustodial parent. - If a child has coverage under a policy of health...

NRS 689A.460 - Insurer required to authorize enrollment of child of parent who is required by order to provide medical coverage under certain circumstances; termination of coverage of child. - If a parent is required by an order for medical...

NRS 689A.470 - Definitions. - As used in NRS 689A.470 to 689A.740, inclusive, unless the...

NRS 689A.475 - "Affiliated" defined. - "Affiliated" means any entity or person who directly, or indirectly...

NRS 689A.485 - "Bona fide association" defined. - "Bona fide association" means, with respect to health insurance coverage...

NRS 689A.490 - "Church plan" defined. - "Church plan" has the meaning ascribed to it in section...

NRS 689A.495 - "Control" defined. - "Control" has the meaning ascribed to it in NRS 692C.050....

NRS 689A.505 - "Creditable coverage" defined. - "Creditable coverage" means, with respect to a person, health benefits...

NRS 689A.510 - "Dependent" defined. - "Dependent" has the meaning ascribed to it in NRS 689C.055....

NRS 689A.523 - "Exclusion for a preexisting condition" defined. - Repealed. (See chapter 61, Statutes of Nevada 2019, at page...

NRS 689A.525 - "Geographic rating area" defined. - "Geographic rating area" means an area established by the Commissioner...

NRS 689A.527 - "Geographic service area" defined. - "Geographic service area" means a geographic area, as approved by...

NRS 689A.530 - "Governmental plan" defined. - "Governmental plan" has the meaning ascribed to it in section...

NRS 689A.535 - "Group health plan" defined. - 1. "Group health plan" means an employee welfare benefit plan,...

NRS 689A.540 - "Health benefit plan" defined. - "Health benefit plan" has the meaning ascribed to it in...

NRS 689A.550 - "Individual carrier" defined. - "Individual carrier" means any entity subject to the provisions of...

NRS 689A.555 - "Individual health benefit plan" defined. - "Individual health benefit plan" means: 1. A health benefit plan...

NRS 689A.570 - "Plan for coverage of a bona fide association" defined. - "Plan for coverage of a bona fide association" means a...

NRS 689A.580 - "Plan sponsor" defined. - "Plan sponsor" has the meaning ascribed to it in section...

NRS 689A.585 - "Preexisting condition" defined. - Repealed. (See chapter 61, Statutes of Nevada 2019, at page...

NRS 689A.590 - "Producer" defined. - "Producer" means an agent or broker licensed pursuant to this...

NRS 689A.600 - "Provision for a restricted network" defined. - "Provision for a restricted network" means any provision of a...

NRS 689A.615 - Certain plan, fund or program to be treated as employee welfare benefit plan which is group health plan; partnership deemed employer of each partner. - For the purposes of NRS 689A.470 to 689A.740, inclusive: 1....

NRS 689A.630 - Requirement to renew coverage at option of individual; exceptions; discontinuation of product; discontinuation of health benefit plan available through bona fide association. - 1. Except as otherwise provided in this section, coverage under...

NRS 689A.635 - Coverage offered through network plan not required to be offered to person who does not reside or work in geographic service area or geographic rating area. - 1. An individual carrier that offers coverage through a network...

NRS 689A.637 - Coverage offered through plan that provides for restricted network: Contracts with certain federally qualified health centers. - 1. An individual carrier that offers a health benefit plan...

NRS 689A.696 - Information and documents required to be made available to Commissioner; proprietary information. - 1. An individual carrier shall make the unified rate review...

NRS 689A.700 - Regulations regarding rates. - The Commissioner may adopt regulations to carry out the provisions...

NRS 689A.705 - Regulations concerning reissuance of health benefit plan. - The Commissioner may adopt regulations to require an individual carrier,...

NRS 689A.710 - Prohibited acts; denial of application for coverage; regulations; violation may constitute unfair trade practice; applicability of section. - 1. Except as otherwise provided in this section, an individual...

NRS 689A.715 - Requirements for employee welfare benefit plan for providing benefits for employees of more than one employer. - 1. An employee welfare benefit plan for providing benefits for...

NRS 689A.717 - Individual health benefit plan covering maternity care and pediatric care: Requirement to allow minimum stay in hospital in connection with childbirth; prohibited acts. - 1. Except as otherwise provided in this subsection, an individual...

NRS 689A.720 - Written certification of coverage required for determining period of creditable coverage accumulated by person; provision of certificate to insured. - 1. To determine the period of creditable coverage of a...

NRS 689A.725 - Requirements for plan for coverage. - For the purposes of NRS 689A.470 to 689A.740, inclusive, a...

NRS 689A.740 - Regulations. - The Commissioner shall adopt regulations as necessary to carry out...

NRS 689A.745 - Establishment; approval; requirements; examination; exception. - 1. Except as otherwise provided in subsection 4, each insurer...

NRS 689A.750 - Annual report; insurer required to maintain records of and report complaints concerning something other than health care services. - 1. Each insurer that issues a policy of health insurance...

NRS 689A.755 - Written notice required to be provided by insurer to insured explaining right to file complaint; written notice to insured required when insurer denies coverage of health care service. - 1. Following approval by the Commissioner, each insurer that issues...

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Nevada Revised Statutes Chapter 689A - Individual Health Insurance

Nevada Revised Statutes
Chapter 689A - Individual Health Insurance