1. A short-term limited duration medical plan shall not be cancelled by the carrier during the coverage period except for the following:
(a) Nonpayment of premium;
(b) Violation of published policies of the carrier approved by the Commissioner;
(c) Failure of a member to pay any deductible or copayment amount owed to the carrier and not the provider of health care services;
(d) Members committing fraudulent acts as to the carrier;
(e) A member’s material breach of the medical plan; or
(f) Change or implementation of federal or state laws that no longer permit the continued offering of such coverage.
2. Except as otherwise provided in subsections 3 and 4, a short-term limited duration medical plan must not be rescinded by the carrier during the coverage period except for nonpayment of premium.
3. Except as provided in subsection 4 of this section, no oral or written misrepresentation or warranty made by the person applying for coverage or on his or her behalf in the process of applying for a short-term limited duration medical plan shall be deemed material or allow the carrier to rescind the medical plan, unless the misrepresentation or warranty is made to deceive.
4. In any application for a short-term limited duration medical plan made in writing by a person, all statements in the application by the person shall, in the absence of fraud, be deemed representations and not warranties. The falsity of any such statement shall not bar the right to recovery under the contract unless such false statement was made with actual intent to deceive or unless it materially affected either the acceptance of the risk or the hazard assumed by the carrier.
5. When cancellation or rescission is for nonpayment of premium, the carrier must notify the member in writing 10 days prior to the cancellation or rescission that his or her short-term limited duration medical plan will be cancelled, unless payment is made prior to the cancellation date. When cancellation is for any other reason allowed under subsection 1, the carrier must notify the member in writing 20 days prior to the cancellation date. The notice must specifically state the reason or reasons for the cancellation. The written communications required by this subsection must be phrased in simple language that is readily understood.
(Added to NRS by 2019, 1429)
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.