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NRS 689B.010 - Short title; scope. - 1. This chapter may be cited as the Group or...
NRS 689B.015 - 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 that issues a policy of group health...
NRS 689B.020 - "Group health insurance" defined; authority to provide in certain policies for continuation of certain benefit provisions after death of person in insured group; authority of Commissioner to require filing of form of certificate propos... - 1. "Group health insurance" is hereby declared to be that...
NRS 689B.026 - Delivery of policy to group formed to purchase health insurance prohibited; exception; applicable provisions for review of marketed insurance products by Commissioner; applicability to policy issued in another state. - 1. Except as otherwise provided in this section, no policy...
NRS 689B.0265 - Policy to guaranteed association. - 1. An insurer may offer a policy of group health...
NRS 689B.0283 - Policy covering prescription drugs: Provision of notice and information regarding use of formulary. - 1. An insurer that offers or issues a policy of...
NRS 689B.0285 - System for resolving complaints of insureds: Establishment; approval; requirements; examination; exception. - 1. Except as otherwise provided in subsection 4, each insurer...
NRS 689B.029 - Annual report regarding system for resolving complaints of insureds; insurer required to maintain records of and report complaints concerning something other than health care services. - 1. Each insurer that issues a policy of group health...
NRS 689B.0295 - 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...
NRS 689B.030 - Required provisions. - Each group health insurance policy must contain in substance the...
NRS 689B.0303 - Required provision in certain policies concerning coverage for continued medical treatment; exceptions; regulations. - 1. The provisions of this section apply to a policy...
NRS 689B.0304 - 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 689B.0305 - 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 physician to apply for exemption from step therapy protocol in certain c... - 1. An insurer that offers or issues a policy of...
NRS 689B.0306 - Required provision concerning coverage for certain treatment received as part of clinical trial or study for treatment of cancer or chronic fatigue syndrome; authority of insurer to require certain information; immunity from liability... - 1. A policy of group health insurance must provide coverage...
NRS 689B.031 - Required provision concerning coverage of certain gynecological or obstetrical services without authorization or referral from primary care physician. - 1. A policy of group health insurance must include a...
NRS 689B.0312 - Required provision concerning coverage for drugs, laboratory testing and certain services related to human immunodeficiency virus; reimbursement of pharmacist for certain services. - 1. An insurer that offers or issues a policy of...
NRS 689B.0313 - Required coverage for certain tests and vaccines relating to human papillomavirus; prohibited acts. - 1. A policy of group health insurance must provide coverage...
NRS 689B.0314 - Required provision concerning coverage for screening, genetic counseling and testing related to BRCA gene in certain circumstances. [Effective January 1, 2022.] - 1. An insurer that issues a policy of group health...
NRS 689B.0315 - Required provision concerning coverage for examination of person who is pregnant for certain diseases. - 1. An insurer that issues a policy of group health...
NRS 689B.0317 - Required provision in policy covering treatment of prostate cancer concerning coverage for prostate cancer screening; prohibited act. - 1. A policy of group health insurance that provides coverage...
NRS 689B.033 - Certain policies covering family members required to include certain coverage for insured’s newly born and adopted children and children placed with insured for adoption. - 1. All group health insurance policies providing coverage on an...
NRS 689B.0335 - Required provision concerning coverage for autism spectrum disorders for certain persons; prohibited acts. - 1. A health benefit plan must provide coverage for screening...
NRS 689B.034 - Required provision concerning effect of benefits under other valid group coverage; subrogation; prohibited act. - 1. Every policy of group health insurance must contain a...
NRS 689B.0345 - Required provision concerning continuing coverage for employee or member on leave without pay as result of total disability. - 1. As used in this section, "total disability" and "totally...
NRS 689B.035 - Required provision in certain policies concerning termination of coverage on dependent child. - 1. A group health insurance policy delivered or issued for...
NRS 689B.0353 - Required provision concerning coverage for treatment of certain inherited metabolic diseases. - 1. A policy of group health insurance must provide coverage...
NRS 689B.0357 - Required provision in policy covering hospital, medical or surgical expenses concerning coverage for management and treatment of diabetes. - 1. No group policy of health insurance that provides coverage...
NRS 689B.0358 - Required provision concerning coverage for management and treatment of sickle cell disease and its variants; required provision in policy covering prescription drugs concerning coverage for medically necessary prescription drugs to tr... - 1. An insurer that issues a policy of group health...
NRS 689B.0362 - 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 689B.0365 - Required provision in certain policies concerning coverage for use of certain drugs and related services for treatment of cancer. - Except as otherwise provided in NRS 689B.0306: 1. No group...
NRS 689B.0367 - Required provision in policy covering treatment of colorectal cancer concerning coverage for colorectal cancer screening. - 1. A policy of group health insurance that provides coverage...
NRS 689B.0368 - Policy covering prescription drugs prohibited from limiting or excluding coverage for certain prescription drugs previously approved for medical condition of insured; exceptions. - 1. Except as otherwise provided in this section, a policy...
NRS 689B.0369 - Required provision concerning coverage for services provided through telehealth 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... - 1. A policy of group or blanket health insurance must...
NRS 689B.0374 - Required provision concerning coverage for mammograms for certain women; prohibited acts. - 1. A policy of group health insurance must provide coverage...
NRS 689B.0375 - Required provision in policy covering mastectomies concerning coverage relating to mastectomy; prohibited acts. - 1. A policy of group health insurance which provides coverage...
NRS 689B.0376 - Required provision in policy covering prescription drugs or devices concerning coverage of hormone replacement therapy in certain circumstances; prohibited acts; exception. - 1. An insurer that offers or issues a policy of...
NRS 689B.03762 - Required provision in policy covering prescription drugs concerning coverage for drugs irregularly dispensed for purpose of synchronization of chronic medications; prohibited acts; exception. - 1. An insurer who offers or issues a policy of...
NRS 689B.03764 - Policy covering prescription drugs: Denial of coverage for early refills of otherwise covered topical ophthalmic products prohibited. - 1. An insurer who offers or issues a policy of...
NRS 689B.03766 - 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 689B.0377 - Required provision in policy covering outpatient care concerning coverage for health care services related to hormone replacement therapy; prohibited acts. - 1. An insurer that offers or issues a policy of...
NRS 689B.0378 - Required provision concerning coverage for drug or device for contraception and related health services; prohibited acts; exceptions. [Effective through December 31, 2021.] Required provision concerning coverage for drug or device for... - 1. Except as otherwise provided in subsection 7, an insurer...
NRS 689B.03785 - Required provisions concerning coverage for certain services, screenings and tests relating to wellness; prohibited acts. - 1. An insurer that offers or issues a policy of...
NRS 689B.0379 - Policy prohibited from excluding coverage for treatment of temporomandibular joint; exception. - 1. Except as otherwise provided in this section, no policy...
NRS 689B.038 - Reimbursement for treatments by licensed psychologist. - If any policy of group health insurance provides coverage for...
NRS 689B.0383 - Reimbursement for treatments by licensed marriage and family therapist or licensed clinical professional counselor. - If any policy of group health insurance provides coverage for...
NRS 689B.0385 - Reimbursement for treatments by licensed associate in social work, social worker, master social worker, independent social worker or clinical social worker. - If any policy of group health insurance provides coverage for...
NRS 689B.039 - Reimbursement for treatments by chiropractor. [Effective through December 31, 2021.] Reimbursement for treatments by chiropractic physician. [Effective January 1, 2022.] - 1. If any group policy of health insurance provides coverage...
NRS 689B.0393 - Reimbursement for treatments by podiatrist. - 1. If any group policy of health insurance provides coverage...
NRS 689B.0397 - Reimbursement for treatment by licensed clinical alcohol and drug counselor. - If any policy of group health insurance provides coverage for...
NRS 689B.040 - Direct payment for hospital and medical services and home health care; payment to assignee. - 1. Any group health policy may provide that all or...
NRS 689B.045 - Reimbursement for services provided by certain nurses. - 1. If any group policy of health insurance provides coverage...
NRS 689B.047 - Reimbursement to provider of medical transportation. - 1. Except as otherwise provided in subsection 3, every policy...
NRS 689B.049 - Reimbursement for acupuncture. - If any policy of group health insurance provides coverage for...
NRS 689B.050 - Extended disability benefit. - Any group health policy may provide for payment not exceeding...
NRS 689B.060 - Readjustment of premiums; dividends. - 1. Any contract of group health insurance may provide for...
NRS 689B.061 - Limitations on deductibles and copayments charged under policy which offers difference of payment between preferred providers of health care and providers who are not preferred. - A policy of group health insurance which offers a difference...
NRS 689B.063 - Primary and secondary policies: Determination of benefits. - 1. When a policy of group insurance is primary, its...
NRS 689B.064 - Primary and secondary policies: Order of benefits. - A policy of group insurance determines its order of benefits...
NRS 689B.065 - Policy issued to replace discontinued policy or coverage: Requirements; notice of reduction of benefits; statement of benefits; applicability of section. - 1. A policy of group health insurance issued to replace...
NRS 689B.067 - Provision in policy requiring binding arbitration for disputes with insurer authorized; procedure for arbitration; declaratory relief. - 1. Except as otherwise provided in NRS 689B.270 and subject...
NRS 689B.068 - 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 689B.069 - Insurer prohibited from requiring or using information concerning genetic testing; exceptions. - 1. Except as otherwise provided in subsection 2, an insurer...
NRS 689B.070 - "Blanket accident and health insurance" defined. - "Blanket accident and health insurance" is that form of accident...
NRS 689B.080 - Authority to issue; required provisions. - Any insurer authorized to write health insurance in this state,...
NRS 689B.090 - Application and certificates. - 1. An individual application need not be required from a...
NRS 689B.100 - Payment of benefits. - 1. Except as provided in subsection 2, all benefits under...
NRS 689B.110 - Legal liability of policyholders for death of or injury to insured member unaffected. - Nothing contained in NRS 689B.070 to 689B.100, inclusive, shall be...
NRS 689B.250 - Acceptance of uniform forms for billing and claims. - Every insurer under a group health insurance contract or a...
NRS 689B.255 - 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 689B.260 - Group health or blanket health policy containing exclusion, reduction or limitation of coverage relating to complications of pregnancy prohibited; exception. - 1. No group health or blanket health policy may be...
NRS 689B.265 - 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 689B.270 - Required procedure for arbitration of disputes concerning independent medical, dental or chiropractic evaluations. [Effective through December 31, 2021.] Required procedure for arbitration of disputes concerning independent medical, de... - 1. Each policy of group or blanket health insurance must...
NRS 689B.275 - Contents, approval and provision of summary of coverage; provision of information about guaranteed availability of certain plans for benefits. - 1. An insurer shall provide to each policyholder, or producer...
NRS 689B.280 - Disclosure of information concerning medication of insured prohibited. - 1. Except as otherwise provided in subsection 2, an insurer...
NRS 689B.285 - Offering policy of health insurance for purposes of establishing health savings account. - An insurer may, subject to regulation by the Commissioner, offer...
NRS 689B.287 - 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 689B.290 - Definitions. - As used in NRS 689B.290 to 689B.330, inclusive, unless the...
NRS 689B.300 - 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 689B.310 - 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 689B.320 - Certain accommodations required to be made when child is covered under policy of noncustodial parent. - If a child has coverage under a group health policy...
NRS 689B.330 - Insurer required to authorize enrollment of child of parent who is required by order to provide medical coverage for child in certain circumstances. - If a parent is required by an order for medical...
NRS 689B.340 - Definitions. - As used in NRS 689B.340 to 689B.580, inclusive, unless the...
NRS 689B.350 - "Affiliation period" defined. - "Affiliation period" means a period not to exceed 60 days...
NRS 689B.355 - "Blanket accident and health insurance" defined. - "Blanket accident and health insurance" has the meaning ascribed to...
NRS 689B.360 - "Carrier" defined. - "Carrier" means any person who provides health insurance in this...
NRS 689B.370 - "Contribution" defined. - "Contribution" means the minimum employer contribution toward the premium for...
NRS 689B.380 - "Creditable coverage" defined. - "Creditable coverage" means health benefits or coverage provided to a...
NRS 689B.390 - "Group health plan" defined. - 1. "Group health plan" means an employee welfare benefit plan,...
NRS 689B.400 - "Group participation" defined. - "Group participation" means the minimum number of participants or beneficiaries...
NRS 689B.430 - "Open enrollment" defined. - "Open enrollment" means the period designated for enrollment in a...
NRS 689B.440 - "Plan sponsor" defined. - "Plan sponsor" has the meaning ascribed to it in section...
NRS 689B.450 - "Preexisting condition" defined. - Repealed. (See chapter 61, Statutes of Nevada 2019, at page...
NRS 689B.460 - "Waiting period" defined. - "Waiting period" means the period established by a plan of...
NRS 689B.480 - Determination of applicable creditable coverage of person; determination of period of creditable coverage of person; required statement. - 1. In determining the applicable creditable coverage of a person...
NRS 689B.490 - Written certification of coverage required for purpose of determining period of creditable coverage accumulated by person. - 1. For the purpose of determining the period of creditable...
NRS 689B.500 - Carrier required to offer and issue plan regardless of health status of members; prohibited acts; authority to include wellness program in plan that offers discounts based on health status under certain circumstances. - 1. A carrier shall offer and issue a health benefit...
NRS 689B.510 - Carrier authorized to modify coverage for insurance product under certain circumstances. - A carrier may modify the health insurance coverage for a...
NRS 689B.520 - Group plan or coverage covering maternity care and pediatric care: Required to allow minimum stay in hospital in connection with childbirth; exception; prohibited acts. - 1. Except as otherwise provided in this subsection, a group...
NRS 689B.530 - Carrier required to permit eligible employee or dependent of employee to enroll for coverage under certain circumstances. - A carrier offering group health insurance shall permit an employee...
NRS 689B.540 - Manner and period for enrollment of dependent of covered employee; period of special enrollment. - 1. A carrier that offers group health insurance which makes...
NRS 689B.550 - Carrier prohibited from imposing restriction on participation inconsistent with chapter; restrictions on rules of eligibility that may be established. - 1. A carrier shall not place any restriction on a...
NRS 689B.560 - Carrier required to renew coverage at option of plan sponsor; exceptions; discontinuation of product; discontinuation of group health insurance through bona fide association. - 1. Except as otherwise provided in this section, coverage under...
NRS 689B.570 - Carrier that offers coverage through network plan not required to offer coverage to employer that does not employ enrollees who reside or work in geographic service area for which carrier is authorized to transact insurance. - 1. A carrier that offers coverage through a network plan...
NRS 689B.580 - Plan sponsor of governmental plan authorized to elect to exclude governmental plan from compliance with certain statutes; duties of plan sponsor. - 1. A plan sponsor of a governmental plan that is...