A carrier that offers coverage through a network plan is not required to offer coverage to or accept any applications for coverage from the eligible employees of a small employer pursuant to NRS 689C.310 and 689C.320 if:
1. The eligible employees do not reside or work in the geographic service area of the network plan.
2. For a small employer whose eligible employees reside or work in the geographic service area of the network plan, the carrier demonstrates to the satisfaction of the Commissioner that the carrier does not have the capacity to deliver adequate service to additional small employers and eligible employees because of the existing obligations of the carrier. If a carrier is authorized by the Commissioner not to offer coverage pursuant to this subsection, the carrier shall not thereafter offer coverage to additional small employers and eligible employees within that geographic service area until the carrier demonstrates to the satisfaction of the Commissioner that it has regained the capacity to deliver adequate service to additional small employers and eligible employees within that service area.
(Added to NRS by 1997, 2921; A 2013, 3633)
Structure Nevada Revised Statutes
Chapter 689C - Health Insurance for Small Employers
NRS 689C.017 - "Affiliated" defined.
NRS 689C.019 - "Affiliation period" defined.
NRS 689C.023 - "Bona fide association" defined.
NRS 689C.025 - "Carrier" defined.
NRS 689C.045 - "Class of business" defined.
NRS 689C.047 - "Control" defined.
NRS 689C.053 - "Creditable coverage" defined.
NRS 689C.055 - "Dependent" defined.
NRS 689C.065 - "Eligible employee" defined.
NRS 689C.066 - "Employee leasing company" defined.
NRS 689C.071 - "Geographic rating area" defined.
NRS 689C.072 - "Geographic service area" defined.
NRS 689C.073 - "Group health plan" defined.
NRS 689C.075 - "Health benefit plan" defined.
NRS 689C.077 - "Network plan" defined.
NRS 689C.078 - "Open enrollment" defined.
NRS 689C.079 - "Plan for coverage of a bona fide association" defined.
NRS 689C.081 - "Plan sponsor" defined.
NRS 689C.082 - "Preexisting condition" defined.
NRS 689C.083 - "Producer" defined.
NRS 689C.0835 - "Professional employer organization" defined.
NRS 689C.085 - "Rating period" defined.
NRS 689C.095 - "Small employer" defined.
NRS 689C.104 - "Voluntary purchasing group" defined.
NRS 689C.106 - "Waiting period" defined.
NRS 689C.1065 - Applicability.
NRS 689C.111 - Professional employer organization deemed large employer in certain circumstances.
NRS 689C.115 - Mandatory and optional coverage.
NRS 689C.125 - Rating factors for determining premiums; rating periods.
NRS 689C.160 - Carrier must uniformly apply requirements to determine whether to provide coverage.
NRS 689C.1674 - Coverage for mammograms for certain women required; prohibited acts.
NRS 689C.1675 - Coverage for examination of person who is pregnant for certain diseases required.
NRS 689C.169 - Coverage for severe mental illness required under group health insurance policy.
NRS 689C.200 - Circumstances in which carrier is not required to offer coverage.
NRS 689C.207 - Regulations concerning reissuance of health benefit plan.
NRS 689C.220 - Adjustment in rates required to be applied uniformly.
NRS 689C.380 - "Contract" defined.
NRS 689C.390 - "Dependent" defined.
NRS 689C.420 - "Voluntary purchasing group" defined.
NRS 689C.425 - Applicability of other provisions.
NRS 689C.500 - Registration: Requirements; application.
NRS 689C.510 - Registration: Fee for application; response to application; regulations.
NRS 689C.520 - Registration: Additional requirements.
NRS 689C.530 - Filing reports; annual renewal fee; regulations.
NRS 689C.550 - Collection of premiums; trust account for deposit of premiums.
NRS 689C.580 - Prohibited acts.
NRS 689C.590 - Disciplinary or other action for violation of provisions.
NRS 689C.630 - "Church plan" defined.
NRS 689C.660 - "Individual carrier" defined.
NRS 689C.670 - "Individual health benefit plan" defined.
NRS 689C.940 - Regulations concerning determination of status of stop-loss policy.