Nevada Revised Statutes
Chapter 689C - Health Insurance for Small Employers

NRS 689C.109 - Certain plan, fund or program established or maintained by partnership required to be treated as employee welfare benefit plan which is group health plan; partnership deemed employer of each partner. - For the purposes of this chapter: 1. Any plan, fund...

NRS 689C.111 - Professional employer organization deemed large employer in certain circumstances. - A professional employer organization which has more than 50 employees,...

NRS 689C.113 - 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 689C.115 - Mandatory and optional coverage. - 1. A health benefit plan offered by a carrier pursuant...

NRS 689C.125 - Rating factors for determining premiums; rating periods. - 1. A carrier serving small employers shall apply rating factors...

NRS 689C.131 - Contracts between carrier and providers of health care: Prohibiting carrier from charging provider of health care fee for inclusion on list of providers given to insureds; carrier required to use form to obtain information on provider... - 1. A carrier serving small employers and a carrier that...

NRS 689C.135 - Effect of provision in health benefit plan for restricted network on determination of rates. - 1. For the purposes of determining rates charged for health...

NRS 689C.143 - Offering of policy of health insurance for purposes of establishing health savings account. - A carrier may, subject to regulation by the Commissioner, offer...

NRS 689C.155 - Regulations. - The Commissioner may adopt regulations to carry out the provisions...

NRS 689C.156 - Each health benefit plan marketed in this State required to be offered to small employers; issuance; carrier required to provide system for resolving complaints of employees if services provided or paid for through managed care. - 1. As a condition of transacting business in this State...

NRS 689C.1565 - Coverage to small employers not required under certain circumstances; notice required to Commissioner of and prohibition on writing new business after election not to offer new coverage required. - 1. A carrier is not required to provide coverage to...

NRS 689C.158 - Producer authorized only to market to or sign up small employers and eligible employees in bona fide associations if employers and employees are actively engaged in or directly related to bona fide association. - For the purposes of providing coverage under a health benefit...

NRS 689C.159 - Certain provisions inapplicable to plan that carrier makes available only through bona fide association. - The provisions of NRS 689C.156 do not apply to health...

NRS 689C.160 - Carrier must uniformly apply requirements to determine whether to provide coverage. - The requirements used by a carrier serving small employers to...

NRS 689C.165 - Carrier prohibited from modifying plan to restrict or exclude coverage or benefits for specific diseases, medical conditions or services otherwise covered by plan; exceptions. - Except as otherwise provided in NRS 689C.170 and 689C.180, a...

NRS 689C.1655 - Coverage for autism spectrum disorders for certain persons required; prohibited acts. - 1. A health benefit plan must provide coverage for screening...

NRS 689C.166 - Coverage for alcohol or substance use disorder: Required in group health insurance policy. - Each group health insurance policy must contain in substance a...

NRS 689C.167 - Coverage for alcohol or substance use disorders: Benefits provided by group health insurance policy. - 1. The benefits provided by a group policy for health...

NRS 689C.1671 - Coverage for drugs, laboratory testing and certain services related to human immunodeficiency virus required; reimbursement of pharmacist for certain services. - 1. A carrier that offers or issues a health benefit...

NRS 689C.1672 - Coverage for certain tests and vaccines relating to human papillomavirus required; prohibited acts. - 1. A health benefit plan must provide coverage for benefits...

NRS 689C.1673 - Coverage for screening, genetic counseling and testing related to BRCA gene required in certain circumstances. [Effective January 1, 2022.] - 1. A carrier that issues a health benefit plan shall...

NRS 689C.1674 - Coverage for mammograms for certain women required; prohibited acts. - 1. A health benefit plan must provide coverage for benefits...

NRS 689C.1675 - Coverage for examination of person who is pregnant for certain diseases required. - 1. A carrier that issues a health benefit plan shall...

NRS 689C.1676 - 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, a carrier...

NRS 689C.1678 - Coverage for certain services, screenings and tests relating to wellness required; prohibited acts. - 1. A carrier that offers or issues a health benefit...

NRS 689C.1679 - Plan covering prescription drugs: Required actions by carrier 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 689C.168 - Plan 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 health...

NRS 689C.1683 - Coverage for prescription drugs irregularly dispensed for purpose of synchronization of chronic medications required in plan covering prescription drugs; prohibited acts; exception. - 1. A carrier who offers or issues a health benefit...

NRS 689C.1684 - Plan covering prescription drug for treatment of cancer or cancer symptom that is part of step therapy protocol: Carrier required to allow insured or attending practitioner to apply for exemption from step therapy protocol in certain... - 1. A carrier that offers or issues a health benefit...

NRS 689C.1685 - Plan covering prescription drugs: Denial of coverage prohibited for early refills of otherwise covered topical ophthalmic products. - 1. A carrier who offers or issues a health benefit...

NRS 689C.1687 - 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 in plan covering prescription drugs. - 1. A carrier that issues a health benefit plan shall...

NRS 689C.169 - Coverage for severe mental illness required under group health insurance policy. - 1. A policy of group health insurance delivered or issued...

NRS 689C.170 - Authorized variation of minimum participation and contributions; denial of coverage based on industry prohibited. - 1. A carrier serving small employers may vary the application...

NRS 689C.180 - Carrier to offer same coverage to all eligible employees; denial of coverage to otherwise eligible employee. - 1. If a carrier serving small employers offers coverage to...

NRS 689C.183 - Plan and carrier required to permit employee or dependent of employee to enroll for coverage under certain circumstances. - A health benefit plan and a carrier offering such a...

NRS 689C.187 - Manner and period for enrolling dependent of covered employee; period of special enrollment. - 1. A health benefit plan and a carrier of such...

NRS 689C.190 - Carrier required to offer and issue plan regardless of health status of employees; prohibited acts; authority to include wellness program in plan that offers discounts based on health status under certain circumstances. - 1. A carrier that issues a health benefit plan shall...

NRS 689C.191 - Determination of applicable creditable coverage of person; determining period of creditable coverage of person; required statement for certain election by carrier; applicability. - 1. In determining the applicable creditable coverage of a person,...

NRS 689C.192 - Written certification of coverage required for purpose of determining period of creditable coverage accumulated by person. - 1. For the purposes of determining the period of creditable...

NRS 689C.193 - Carrier prohibited from imposing restriction on being participant of or beneficiary of plan inconsistent with certain provisions; restrictions on rules of eligibility that may be established. - 1. A carrier shall not place any restriction on a...

NRS 689C.194 - Plan covering maternity and pediatric care: Required to allow minimum stay in hospital in connection with childbirth; exceptions; prohibited acts. - 1. Except as otherwise provided in this subsection, a health...

NRS 689C.1945 - Plan covering maternity care: Prohibited acts by carrier if insured is acting as gestational carrier; child deemed child of intended parent for purposes of plan. - 1. A carrier that offers or issues a health benefit...

NRS 689C.1947 - Plan covering anatomical gifts, organ transplants or treatments or services related to organ transplants: Prohibited acts by carrier if insured is person with disability. - 1. A carrier that offers or issues a health benefit...

NRS 689C.195 - 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 ter... - 1. A health benefit plan must include coverage for services...

NRS 689C.196 - 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 689C.197 - Carrier prohibited from denying coverage because applicant or insured was intoxicated or under influence of controlled substance; exceptions. - 1. Except as otherwise provided in subsection 2, a carrier...

NRS 689C.198 - Insurer prohibited from requiring or using information concerning genetic testing; exceptions. - 1. Except as otherwise provided in subsection 2, a carrier...

NRS 689C.200 - Circumstances in which carrier is not required to offer coverage. - A carrier serving small employers is not required to accept...

NRS 689C.203 - Requirement for denial of application for coverage from small employer; regulations setting standards for fair marketing and broad availability of plans. - 1. A denial by a carrier of an application for...

NRS 689C.207 - Regulations concerning reissuance of health benefit plan. - The Commissioner may adopt regulations to require a carrier, as...

NRS 689C.220 - Adjustment in rates required to be applied uniformly. - A carrier serving small employers shall not charge adjustments in...

NRS 689C.265 - Carrier authorized to modify coverage for insurance product under certain circumstances. - A carrier may modify the health insurance coverage for a...

NRS 689C.281 - Plan covering prescription drugs: Provision of notice and information regarding use of formulary. - 1. A carrier that offers or issues a health benefit...

NRS 689C.310 - Renewal of plan; discontinuance of issuance or renewal of coverage or of plan offered only through bona fide association; discontinuance of product; applicability. - 1. Except as otherwise provided in subsections 2 and 3,...

NRS 689C.320 - Required notification when carrier discontinues transacting insurance in this State or particular geographic service area of state; restrictions on carrier that discontinues transacting insurance. - 1. A carrier that discontinues transacting insurance in this State...

NRS 689C.325 - Coverage offered through network plan not required to be offered to eligible employee who does not reside or work in geographic service area or if carrier lacks capacity to deliver adequate service to additional employers and employees... - A carrier that offers coverage through a network plan is...

NRS 689C.335 - 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 689C.350 - Health benefit plan which offers difference of payment between preferred providers of health care and providers who are not preferred: Limitations on deductibles and copayments; circumstances in which service is deemed to be provided b... - A health benefit plan which offers a difference of payment...

NRS 689C.355 - Prohibited acts of carrier or producer related to encouraging or directing small employer to take certain actions; exceptions; prohibited acts by carrier related to contract or agreement with producer; violation may constitute unfair t... - 1. Except as otherwise provided in this section, a carrier...

NRS 689C.360 - Definitions. - As used in NRS 689C.360 to 689C.600, inclusive, unless the...

NRS 689C.380 - "Contract" defined. - "Contract" means a policy or certificate for hospital or medical...

NRS 689C.390 - "Dependent" defined. - "Dependent" means a spouse, a domestic partner as defined in...

NRS 689C.420 - "Voluntary purchasing group" defined. - [Replaced in revision by NRS 689C.104.]

NRS 689C.425 - Applicability of other provisions. - A voluntary purchasing group and any contract issued to such...

NRS 689C.430 - Entities which are authorized to offer contracts to voluntary purchasing groups; compliance with provisions required. - Every insurer, fraternal benefit society, corporation providing hospital or medical...

NRS 689C.435 - Contracts between carrier and providers of health care: Prohibiting carrier from charging provider of health care fee for inclusion on list of providers given to insureds; form to obtain information on provider of health care; modifica... - [Replaced in revision by NRS 689C.131.]

NRS 689C.455 - Coverage for prescription drugs: Provision of notice and information regarding use of formulary. - 1. A carrier that offers or issues a contract which...

NRS 689C.460 - Carrier to offer same coverage to all eligible employees; denial of coverage to otherwise eligible employee. - 1. If a carrier offers a contract to a voluntary...

NRS 689C.470 - Renewal of contract; discontinuance of product or issuance or renewal of plan offered only through bona fide association. - 1. Except as otherwise provided in NRS 689C.360 to 689C.600,...

NRS 689C.480 - Required notification when carrier ceases to renew all contracts; restrictions on carrier that ceases to renew all contracts. - 1. A carrier may cease to renew all contracts covering...

NRS 689C.485 - 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... - [Replaced in revision by NRS 689C.335.]

NRS 689C.490 - Formation of voluntary purchasing group by small employers; requirements when affiliate of group ceases to qualify as small employer. - 1. A small employer may, in accordance with the provisions...

NRS 689C.500 - Registration: Requirements; application. - 1. An organization seeking to be registered as a voluntary...

NRS 689C.510 - Registration: Fee for application; response to application; regulations. - 1. The application must be accompanied by a fee in...

NRS 689C.520 - Registration: Additional requirements. - 1. Before the issuance of a certificate of registration, each...

NRS 689C.530 - Filing reports; annual renewal fee; regulations. - A voluntary purchasing group shall: 1. File any reports required...

NRS 689C.540 - Duties. - A voluntary purchasing group shall: 1. Establish administrative and accounting...

NRS 689C.550 - Collection of premiums; trust account for deposit of premiums. - A voluntary purchasing group shall offer to collect premiums for...

NRS 689C.560 - Regulations governing bond or other security to be maintained by voluntary purchasing group. - A voluntary purchasing group shall post a bond for the...

NRS 689C.570 - Organizer prohibited from acquiring financial interest in group’s business for specified period. - No person who organizes a voluntary purchasing group may acquire...

NRS 689C.580 - Prohibited acts. - A voluntary purchasing group shall not perform any activity included...

NRS 689C.590 - Disciplinary or other action for violation of provisions. - The Commissioner may deny, revoke or suspend a certificate of...

NRS 689C.600 - Regulations. - The Commissioner shall adopt such regulations as are needed to...

NRS 689C.610 - Definitions. - As used in NRS 689C.610 to 689C.940, inclusive, unless the...

NRS 689C.630 - "Church plan" defined. - "Church plan" has the meaning ascribed to it in section...

NRS 689C.660 - "Individual carrier" defined. - "Individual carrier" means any entity subject to the provisions of...

NRS 689C.670 - "Individual health benefit plan" defined. - "Individual health benefit plan" means: 1. A health benefit plan,...

NRS 689C.940 - Regulations concerning determination of status of stop-loss policy. - The Commissioner may, by regulation, prescribe standards for determining whether...

<< Previous

Next >>

Nevada Revised Statutes Chapter 689C - Health Insurance for Small Employers

Nevada Revised Statutes
Chapter 689C - Health Insurance for Small Employers