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NRS 695B.010 - Short title. - This chapter may be cited as the Nonprofit Hospital, Medical...
NRS 695B.020 - Scope. - 1. This chapter does not: (a) Apply to or govern...
NRS 695B.030 - Definitions. - As used in this chapter: 1. "Dental services" means general...
NRS 695B.035 - Contract between corporation and provider of health care: Prohibiting corporation from charging provider of health care fee for inclusion on list of providers given to insureds; corporation required to use form to obtain information on... - 1. A corporation subject to the provisions of this chapter...
NRS 695B.040 - Corporations authorized to undertake and operate plans. - Any corporation which is organized under the laws of the...
NRS 695B.050 - Manner of incorporation. - Persons desiring to form a nonprofit hospital, medical or dental...
NRS 695B.060 - Directors: Qualifications. - 1. A majority of the board of directors of a...
NRS 695B.070 - Merger and consolidation: Procedure. - Any corporation operating under this chapter may merge and consolidate...
NRS 695B.080 - Merger and consolidation: Continuance of contracts and contribution certificates. - In the event of any merger and consolidation as provided...
NRS 695B.090 - Merger and consolidation: Withdrawal of prior deposit of securities. - Upon approval by the Commissioner of any such merger and...
NRS 695B.110 - Certificate of authority: Required; fees. - A corporation shall not establish, maintain or operate a nonprofit...
NRS 695B.120 - Certificate of authority: Qualifications. - The Commissioner shall not issue or renew a certificate of...
NRS 695B.130 - Certificate of authority: Application; issuance. - 1. An application for a certificate of authority must be...
NRS 695B.135 - Certificate of authority: Expiration; renewal. - 1. A certificate of authority issued pursuant to this chapter...
NRS 695B.140 - Reserve fund: Minimum amounts; computation; contracts with hospitals; participation of physicians or dentists. - 1. No corporation subject to the provisions of this chapter...
NRS 695B.150 - Insolvency; determination of financial condition; actions by Commissioner; review; regulations. - 1. A corporation organized under this chapter shall be deemed...
NRS 695B.160 - Annual statement of condition and affairs; annual financial statement; quarterly statement; fees; examination by Commissioner. - 1. Every corporation subject to the provisions of this chapter...
NRS 695B.165 - Annual statement required to include report of net worth. - A corporation which has been issued a certificate of authority...
NRS 695B.170 - Acquisition costs and administrative expenses; effect of finding of excess costs. - All acquisition costs in connection with the solicitation of subscribers...
NRS 695B.176 - Contract covering prescription drugs: Provision of notice and information regarding use of formulary. - 1. An insurer that offers or issues a contract for...
NRS 695B.180 - Required provisions. - A contract for hospital, medical or dental services must not...
NRS 695B.181 - Provision in contract requiring binding arbitration authorized; procedures for arbitration; declaratory relief. - 1. Except as otherwise provided in NRS 695B.182 and subject...
NRS 695B.182 - 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 contract for hospital or medical services must include...
NRS 695B.183 - Insurer required to offer and issue plan regardless of health status of persons; prohibited acts; authority to include wellness program in plan that offers discounts based on health status under certain circumstances. - 1. An insurer shall offer and issue a health benefit...
NRS 695B.185 - Group contract 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 by pre... - A group contract for hospital, medical or dental services which...
NRS 695B.187 - Group contract issued to replace discontinued policy or coverage: Requirements; notice of reduction of benefits; statement of benefits; applicability to self-insured employer. - Except as otherwise provided by the provisions of NRS 689B.340...
NRS 695B.189 - Group contract: Required provision permitting continuation of coverage. - A group contract issued by a corporation under the provisions...
NRS 695B.190 - Family contracts. - Family hospital or family medical or dental service contracts may...
NRS 695B.1901 - Required provision in certain policies concerning coverage for continued medical treatment; exceptions; regulations. - 1. The provisions of this section apply to a policy...
NRS 695B.1903 - Required provision concerning coverage for certain treatment as part of clinical trial or study for treatment of cancer or chronic fatigue syndrome; authority of corporation to require certain information; immunity from liability. - 1. A policy of health insurance issued by a medical...
NRS 695B.1904 - 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 contract for hospital, medical or dental services subject...
NRS 695B.19045 - Policy covering prescription drugs: Required actions by corporation 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 695B.1905 - Contract 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 contract...
NRS 695B.1906 - Required provision in policy covering prescription drugs concerning coverage for prescription drugs irregularly dispensed for purpose of synchronization of chronic medications; prohibited acts; exception. - 1. A hospital or medical services corporation who offers or...
NRS 695B.1907 - Required provision in policy covering treatment of colorectal cancer concerning coverage for colorectal cancer screening. - 1. A policy of health insurance issued by a hospital...
NRS 695B.1908 - Required provision in certain contracts concerning coverage for certain drugs and related services for treatment of cancer. - Except as otherwise provided in NRS 695B.1903: 1. No contract...
NRS 695B.19085 - Policy covering prescription drug for treatment of cancer or cancer symptom that is part of step therapy protocol: Corporation required to allow insured or attending practitioner to apply exemption from step therapy protocol in certa... - 1. A hospital or medical services corporation that offers or...
NRS 695B.1909 - Contract covering treatment of cancer through use of chemotherapy: Prohibited acts related to orally administered chemotherapy. - 1. An insurer that offers or issues a contract for...
NRS 695B.191 - Required provision in policy covering mastectomies concerning coverage relating to mastectomy; prohibited acts. - 1. A policy of health insurance, issued by a medical...
NRS 695B.1911 - Required provision concerning coverage for screening, genetic counseling and testing related to BRCA gene in certain circumstances. [Effective January 1, 2022.] - 1. A hospital or medical services corporation that issues a...
NRS 695B.1912 - Required provision concerning coverage for mammograms for certain women; prohibited acts. - 1. An insurer that offers or issues a contract for...
NRS 695B.1913 - Required provision concerning coverage for examination of person who is pregnant for certain diseases. - 1. A hospital or medical services corporation that issues a...
NRS 695B.1914 - Required provision concerning coverage of certain gynecological and obstetrical services without authorization or referral from primary care physician. - 1. A contract for hospital or medical service must include...
NRS 695B.1916 - Required provision in contract 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 contract for...
NRS 695B.1918 - Required provision in contract covering outpatient care concerning coverage of health care services related to hormone replacement therapy; prohibited acts. - 1. An insurer that offers or issues a contract for...
NRS 695B.1919 - 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 695B.19195 - Required provision concerning coverage for certain services, screenings and tests relating to wellness; prohibited acts. - 1. An insurer that offers or issues a contract for...
NRS 695B.192 - Contract containing exclusion, reduction or limitation of coverage relating to complications of pregnancy prohibited; exception. - 1. No hospital, medical or dental service contract issued by...
NRS 695B.1923 - Required provision concerning coverage for treatment of certain inherited metabolic diseases. - 1. A contract for hospital or medical service must provide...
NRS 695B.1924 - Required provision concerning coverage for drugs, laboratory testing and certain services related to human immunodeficiency virus; reimbursement of pharmacist for certain services. - 1. A hospital or medical services corporation that offers or...
NRS 695B.1925 - Required provision concerning coverage for certain tests and vaccines relating to human papillomavirus; prohibited acts. - 1. An insurer that offers or issues a contract for...
NRS 695B.1927 - Required provision in contract covering hospital, medical or surgical expenses concerning coverage for management and treatment of diabetes. - 1. No contract for hospital or medical service that provides...
NRS 695B.1929 - Required provision of coverage for management and treatment of sickle cell disease and its variants; policy covering prescription drugs required to provide coverage for medically necessary prescription drugs to treat sickle cell disea... - 1. A hospital or medical service corporation that issues a...
NRS 695B.193 - Contract covering family member of subscriber required to include certain coverage for subscriber’s newly born and adopted children and children placed with subscriber for adoption. - 1. All individual and group service or indemnity-type contracts issued...
NRS 695B.1931 - Contract prohibited from excluding coverage relating to treatment of temporomandibular joint; exception. - 1. Except as otherwise provided in this section, no contract...
NRS 695B.1932 - Policy covering prescription drugs: Denial of coverage prohibited for early refills of otherwise covered topical ophthalmic products. - 1. A hospital or medical service corporation which offers or...
NRS 695B.1942 - Required provision in contract covering treatment of prostate cancer concerning coverage for prostate cancer screening; prohibited act. - 1. A policy of health insurance issued by a hospital...
NRS 695B.1944 - Required provision in certain group contracts 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 695B.1948 - Contract covering maternity care: Prohibited acts by insurer if insured is acting as gestational carrier; child deemed child of intended parent for purposes of contract. - 1. An insurer that offers or issues a contract for...
NRS 695B.1949 - Contract 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 contract for...
NRS 695B.1951 - Reimbursement for treatment by podiatrist. - 1. If any contract for hospital or medical services provides...
NRS 695B.1955 - Reimbursement for treatment by licensed clinical alcohol and drug counselor. - If any contract for hospital or medical service provides coverage...
NRS 695B.196 - Reimbursement for acupuncture. - If any contract for hospital or medical services provides coverage...
NRS 695B.197 - Reimbursement for treatment by licensed psychologist. - If any contract for hospital or medical service provides coverage...
NRS 695B.1973 - Reimbursement for treatment by licensed marriage and family therapist or licensed clinical professional counselor. - If any contract for hospital or medical service provides coverage...
NRS 695B.1975 - Reimbursement for treatment by licensed associate in social work, social worker, master social worker, independent social worker or clinical social worker. - If any contract for hospital or medical service provides coverage...
NRS 695B.198 - Reimbursement for treatment by chiropractor. [Effective through December 31, 2021.] Reimbursement for treatment by chiropractic physician. [Effective January 1, 2022.] - 1. If any contract for hospital or medical service provides...
NRS 695B.199 - Reimbursement for services provided by certain nurses. - 1. If any contract for medical service provides coverage for...
NRS 695B.1995 - Reimbursement to provider of medical transportation. - 1. Except as otherwise provided in subsection 3, every contract...
NRS 695B.200 - Group contracts written under master contract: Conditions required for issuance. - Group hospital or group medical or dental service contracts written...
NRS 695B.210 - Group master service contract: Required provisions. - Every group master hospital or group medical or dental service...
NRS 695B.220 - Blanket service contracts: Issuance to college, school or school personnel; pupils not to be compelled to accept service. - Blanket hospital or blanket medical or dental service contracts may...
NRS 695B.225 - Policies of group insurance: Order of benefits. - A policy of group insurance determines its order of benefits...
NRS 695B.227 - Required contract with insurance company for provision of insurance, indemnity or reimbursement against cost of hospital, medical and dental services; required provisions. - Repealed. (See chapter 201, Statutes of Nevada 2019, at page...
NRS 695B.230 - Filing and approval of forms and schedules of premium rates. - If more than one class of risk is included: 1....
NRS 695B.240 - Provision of group service coverage before approval of forms. - 1. A corporation subject to the provisions of this chapter...
NRS 695B.250 - Extensions of time; automatic approval. - 1. Upon written request from the corporation subject to the...
NRS 695B.2505 - 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 cert... - 1. Except as otherwise provided in subsection 2 and NRS...
NRS 695B.251 - Group subscriber contracts required to contain provision for conversion to individual contracts; exceptions. - 1. Except as otherwise provided in the provisions of this...
NRS 695B.252 - Conversion privilege available to spouse and children; conditions. - Subject to the conditions set forth in NRS 695B.251 to...
NRS 695B.253 - Denial of converted contract because of overinsurance; notice concerning cancellation of other coverage. - 1. The medical service corporation is not required to issue...
NRS 695B.254 - Choice of types of contracts required to be offered. - 1. A person who is entitled to a converted contract...
NRS 695B.255 - Benefits exceeding those provided under group contract not required; exclusions and limitations. - A medical service corporation is not required to issue a...
NRS 695B.2555 - Benefits payable under converted contract authorized to be reduced by amount payable under group contract; limitation. - A converted contract may provide that any hospital, surgical or...
NRS 695B.256 - Issuance and effective date of converted contract; premiums; persons covered. - The medical service corporation shall: 1. Issue the converted contract...
NRS 695B.2565 - Renewal of converted contract: Request for information on sources of other benefits; grounds for refusal to renew; notice concerning cancellation of other coverage. - 1. A converted contract issued under NRS 695B.251 may include...
NRS 695B.257 - Notice of conversion privilege. - A notification of the conversion privilege must be included in...
NRS 695B.2575 - Converted contract delivered outside Nevada: Form. - A converted contract which is to be delivered outside this...
NRS 695B.258 - Extension of coverage under existing group contract. - The medical service corporation may elect to extend coverage of...
NRS 695B.2585 - Provision of group coverage in lieu of converted individual contract. - The medical service corporation may elect to provide group coverage...
NRS 695B.259 - Continuation of identical coverage in lieu of converted contract. - The medical service corporation may continue coverage identical to that...
NRS 695B.260 - Suspension or revocation of permission to provide coverage before approval of forms. - The Commissioner may suspend or revoke the permission granted by...
NRS 695B.270 - Disapproval of forms; issuance unlawful. - If the Commissioner notifies the corporation, in writing, that the...
NRS 695B.280 - Regulations; limitations. - The Commissioner may adopt such reasonable regulations, not inconsistent with...
NRS 695B.285 - Use of Uniform Billing and Claims Forms authorized. - Every nonprofit hospital or medical or dental service corporation may...
NRS 695B.290 - Agent’s license required. - Any agent of a nonprofit hospital or medical or dental...
NRS 695B.300 - Contracts with agencies or political subdivisions of United States or State of Nevada; acceptance of money; subcontracts. - Any nonprofit hospital or medical or dental service corporation organized...
NRS 695B.310 - Corporation subject to same taxes, licenses, fees and supervision as domestic mutual insurer. - Any nonprofit hospital or medical or dental service corporation subject...
NRS 695B.315 - Provision of information regarding claims by policyholder for renewal of insurance policy required upon request; fee; regulations. - 1. If a policyholder requests information for the renewal of...
NRS 695B.316 - Corporation prohibited from denying coverage solely because claim involves act that constitutes domestic violence or applicant or insured was victim of domestic violence. - A corporation shall not deny a claim, refuse to issue...
NRS 695B.3165 - Corporation prohibited from denying coverage solely because applicant or insured was intoxicated or under the influence of controlled substance; exceptions. - 1. Except as otherwise provided in subsection 2, a medical...
NRS 695B.317 - Corporation that provides health insurance prohibited from requiring or using information concerning genetic testing; exceptions. - 1. Except as otherwise provided in subsection 2, a corporation...
NRS 695B.318 - Applicability of certain provisions concerning portability and availability of health insurance. - 1. Nonprofit hospital, medical or dental service corporations are subject...
NRS 695B.319 - Offering policy of health insurance for purposes of establishing health savings account. - A corporation may, subject to regulation by the Commissioner, offer...
NRS 695B.320 - Applicability of other provisions. - 1. Nonprofit hospital and medical or dental service corporations are...
NRS 695B.330 - Definitions. - As used in NRS 695B.330 to 695B.370, inclusive, unless the...
NRS 695B.340 - Effect of eligibility for medical assistance under Medicaid; assignment of rights to state agency. - 1. A corporation shall not, when considering eligibility for coverage...
NRS 695B.350 - Corporation prohibited from asserting certain grounds to deny enrollment of child of insured pursuant to order. - A corporation shall not deny the enrollment of a child...
NRS 695B.360 - Certain accommodations required to be made when child is covered under policy of noncustodial parent. - If a child has coverage under a contract pursuant to...
NRS 695B.370 - Corporation required to authorize enrollment of child of parent who is required by order to provide medical coverage under certain circumstances; termination of coverage of child. - If a parent is required by an order for medical...
NRS 695B.380 - Establishment; approval; requirements; examination. - 1. Except as otherwise provided in subsection 4, each insurer...
NRS 695B.390 - Annual report; insurer required to maintain records of complaints concerning something other than health care services. - 1. Each insurer that issues a contract for hospital or...
NRS 695B.400 - Written notice to insured required to be provided by insurer 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...