A policy of health insurance must not be delivered or issued for delivery to any person in this State unless it otherwise complies with this Code, and complies with the following:
1. The entire money and other considerations for the policy must be expressed therein.
2. The time when the insurance takes effect and terminates must be expressed therein.
3. It must purport to insure only one person, except that a policy may insure, originally or by subsequent amendment, upon the application of an adult member of a family, who shall be deemed the policyholder, any two or more eligible members of that family, including the husband, wife, domestic partner as defined in NRS 122A.030, dependent children, from the time of birth, adoption or placement for the purpose of adoption as provided in NRS 689A.043, or any child on or before the last day of the month in which the child attains 26 years of age, and any other person dependent upon the policyholder.
4. The style, arrangement and overall appearance of the policy must not give undue prominence to any portion of the text, and every printed portion of the text of the policy and of any endorsements or attached papers must be plainly printed in light-faced type of a style in general use, the size of which must be uniform and not less than 10 points with a lowercase unspaced alphabet length not less than 120 points. "Text" includes all printed matter except the name and address of the insurer, the name or the title of the policy, the brief description, if any, and captions and subcaptions.
5. The exceptions and reductions of indemnity must be set forth in the policy and, other than those contained in NRS 689A.050 to 689A.290, inclusive, must be printed, at the insurer’s option, with the benefit provision to which they apply or under an appropriate caption such as "Exceptions" or "Exceptions and Reductions," except that if an exception or reduction specifically applies only to a particular benefit of the policy, a statement of that exception or reduction must be included with the benefit provision to which it applies.
6. Each such form, including riders and endorsements, must be identified by a number in the lower left-hand corner of the first page thereof.
7. The policy must not contain any provision purporting to make any portion of the charter, rules, constitution or bylaws of the insurer a part of the policy unless that portion is set forth in full in the policy, except in the case of the incorporation of or reference to a statement of rates or classification of risks, or short-rate table filed with the Commissioner.
8. The policy must provide benefits for expense arising from care at home or health supportive services if that care or service was prescribed by a physician and would have been covered by the policy if performed in a medical facility or facility for the dependent as defined in chapter 449 of NRS.
9. The policy must provide, at the option of the applicant, benefits for expenses incurred for the treatment of alcohol or substance use disorder, unless the policy provides coverage only for a specified disease or provides for the payment of a specific amount of money if the insured is hospitalized or receiving health care in his or her home.
10. The policy must provide benefits for expense arising from hospice care.
(Added to NRS by 1971, 1752; A 1973, 546; 1975, 446, 1108, 1848; 1979, 1176; 1983, 1933, 2035; 1985, 1568, 1772; 1989, 738, 1031; 2013, 3609)
Structure Nevada Revised Statutes
Chapter 689A - Individual Health Insurance
NRS 689A.030 - General requirements.
NRS 689A.0405 - Coverage for mammograms for certain women required; prohibited acts.
NRS 689A.0412 - Coverage for examination of person who is pregnant for certain diseases required.
NRS 689A.0423 - Coverage for treatment of certain inherited metabolic diseases required.
NRS 689A.0445 - Coverage for prostate cancer screening.
NRS 689A.0455 - Coverage for treatment of conditions relating to severe mental illness required.
NRS 689A.046 - Benefits for treatment of alcohol or substance use disorder required.
NRS 689A.048 - Treatment by licensed psychologist.
NRS 689A.0487 - Treatment by licensed podiatrist.
NRS 689A.0493 - Treatment by licensed clinical alcohol and drug counselor.
NRS 689A.0495 - Services provided by certain registered nurses.
NRS 689A.0497 - Provider of medical transportation.
NRS 689A.050 - Entire contract; changes.
NRS 689A.060 - Time limit on certain defenses.
NRS 689A.075 - Cancellation and rescission of short-term limited duration medical plan.
NRS 689A.090 - Notice of claim.
NRS 689A.100 - Claim forms: Required provision.
NRS 689A.105 - Claim forms: Uniform billing and claims forms.
NRS 689A.110 - Claim forms: Proofs of loss.
NRS 689A.120 - Time of payment of claims.
NRS 689A.130 - Payment of claims.
NRS 689A.135 - Assignment of benefits by insured to provider of health care.
NRS 689A.140 - Physical examination and autopsy.
NRS 689A.160 - Change of beneficiary.
NRS 689A.170 - Right to examine and return policy.
NRS 689A.180 - Optional provisions: Requirements; substitution of provisions; captions.
NRS 689A.190 - Extended disability benefit.
NRS 689A.200 - Change of occupation.
NRS 689A.210 - Misstatement of age.
NRS 689A.220 - Coordination of benefits: Same insurer.
NRS 689A.230 - Coordination of benefits: All coverages.
NRS 689A.240 - Relation of earnings to insurance.
NRS 689A.250 - Unpaid premiums.
NRS 689A.260 - Conformity with state statutes.
NRS 689A.270 - Illegal occupation.
NRS 689A.300 - Order of certain provisions.
NRS 689A.310 - Ownership of policy by person other than insured.
NRS 689A.320 - Requirements of other jurisdictions.
NRS 689A.330 - Policies issued for delivery in another state.
NRS 689A.380 - Definitions of terms used in policies.
NRS 689A.475 - "Affiliated" defined.
NRS 689A.485 - "Bona fide association" defined.
NRS 689A.490 - "Church plan" defined.
NRS 689A.495 - "Control" defined.
NRS 689A.505 - "Creditable coverage" defined.
NRS 689A.510 - "Dependent" defined.
NRS 689A.523 - "Exclusion for a preexisting condition" defined.
NRS 689A.525 - "Geographic rating area" defined.
NRS 689A.527 - "Geographic service area" defined.
NRS 689A.530 - "Governmental plan" defined.
NRS 689A.535 - "Group health plan" defined.
NRS 689A.540 - "Health benefit plan" defined.
NRS 689A.550 - "Individual carrier" defined.
NRS 689A.555 - "Individual health benefit plan" defined.
NRS 689A.570 - "Plan for coverage of a bona fide association" defined.
NRS 689A.580 - "Plan sponsor" defined.
NRS 689A.585 - "Preexisting condition" defined.
NRS 689A.590 - "Producer" defined.
NRS 689A.600 - "Provision for a restricted network" defined.
NRS 689A.700 - Regulations regarding rates.
NRS 689A.705 - Regulations concerning reissuance of health benefit plan.
NRS 689A.725 - Requirements for plan for coverage.
NRS 689A.745 - Establishment; approval; requirements; examination; exception.