1. All group health insurance policies providing coverage on an expense-incurred basis and all employee welfare plans providing medical, surgical or hospital care or benefits established or maintained for employees or their families or dependents, or for both, must as to the family members’ coverage provide that the health benefits applicable for children are payable with respect to:
(a) A newly born child of the insured from the moment of birth;
(b) An adopted child from the date the adoption becomes effective, if the child was not placed in the home before adoption; and
(c) A child placed with the insured for the purpose of adoption from the moment of placement as certified by the public or private agency making the placement. The coverage of such a child ceases if the adoption proceedings are terminated as certified by the public or private agency making the placement.
The policies must provide the coverage specified in subsection 3 and must not exclude premature births.
2. The policy or contract may require that notification of:
(a) The birth of a newly born child;
(b) The effective date of adoption of a child; or
(c) The date of placement of a child for adoption,
and payments of the required premium or fees, if any, must be furnished to the insurer or welfare plan within 31 days after the date of birth, adoption or placement for adoption in order to have the coverage continue beyond the 31-day period.
3. The coverage for newly born and adopted children and children placed for adoption consists of coverage of injury or sickness, including the necessary care and treatment of medically diagnosed congenital defects and birth abnormalities and, within the limits of the policy, necessary transportation costs from place of birth to the nearest specialized treatment center under major medical policies, and with respect to basic policies to the extent such costs are charged by the treatment center.
(Added to NRS by 1975, 1109; A 1989, 740; 1995, 2430; 1997, 2914; 2013, 3618)
Structure Nevada Revised Statutes
Chapter 689B - Group and Blanket Health Insurance
NRS 689B.010 - Short title; scope.
NRS 689B.0265 - Policy to guaranteed association.
NRS 689B.030 - Required provisions.
NRS 689B.038 - Reimbursement for treatments by licensed psychologist.
NRS 689B.0393 - Reimbursement for treatments by podiatrist.
NRS 689B.0397 - Reimbursement for treatment by licensed clinical alcohol and drug counselor.
NRS 689B.045 - Reimbursement for services provided by certain nurses.
NRS 689B.047 - Reimbursement to provider of medical transportation.
NRS 689B.049 - Reimbursement for acupuncture.
NRS 689B.050 - Extended disability benefit.
NRS 689B.060 - Readjustment of premiums; dividends.
NRS 689B.063 - Primary and secondary policies: Determination of benefits.
NRS 689B.064 - Primary and secondary policies: Order of benefits.
NRS 689B.070 - "Blanket accident and health insurance" defined.
NRS 689B.080 - Authority to issue; required provisions.
NRS 689B.090 - Application and certificates.
NRS 689B.100 - Payment of benefits.
NRS 689B.110 - Legal liability of policyholders for death of or injury to insured member unaffected.
NRS 689B.250 - Acceptance of uniform forms for billing and claims.
NRS 689B.280 - Disclosure of information concerning medication of insured prohibited.
NRS 689B.350 - "Affiliation period" defined.
NRS 689B.355 - "Blanket accident and health insurance" defined.
NRS 689B.360 - "Carrier" defined.
NRS 689B.370 - "Contribution" defined.
NRS 689B.380 - "Creditable coverage" defined.
NRS 689B.390 - "Group health plan" defined.
NRS 689B.400 - "Group participation" defined.
NRS 689B.430 - "Open enrollment" defined.
NRS 689B.440 - "Plan sponsor" defined.
NRS 689B.450 - "Preexisting condition" defined.