Nevada Revised Statutes
Chapter 695D - Plans for Dental Care

NRS 695D.010 - Definitions. - As used in this chapter, unless the context otherwise requires,...

NRS 695D.012 - "Administrator" defined. - "Administrator" has the meaning ascribed to it in NRS 683A.025....

NRS 695D.020 - "Commissioner" defined. - "Commissioner" means the Commissioner of Insurance. (Added to NRS by...

NRS 695D.030 - "Dental care" defined. - "Dental care" means the services ordinarily provided by dentists and...

NRS 695D.040 - "Dentist" defined. - "Dentist" includes a dental hygienist. (Added to NRS by 1983,...

NRS 695D.050 - "Member" defined. - "Member" includes the person enrolled in a plan for dental...

NRS 695D.060 - "Organization for dental care" defined. - "Organization for dental care" means any person who agrees to...

NRS 695D.070 - "Plan for dental care" defined. - "Plan for dental care" means any agreement in which a...

NRS 695D.080 - "Policy" defined. - "Policy" means the document given to a member which describes...

NRS 695D.090 - Applicability of title to organizations for dental care; applicability of chapter. - 1. Except as otherwise specifically provided in this chapter or...

NRS 695D.095 - Applicability of chapter and certain other provisions to organizations for dental care. - 1. An organization for dental care is subject to the...

NRS 695D.100 - Regulations. - The Commissioner may adopt any regulations necessary to carry out...

NRS 695D.102 - Summary of coverage: Contents of disclosure; approval by Commissioner; regulations. - 1. The Commissioner shall adopt regulations which require an organization...

NRS 695D.104 - Summary of coverage: Copy required to be provided to group policyholder before issuance of policy; organization prohibited from offering plan unless disclosure approved by Commissioner. - An organization for dental care shall provide to the group...

NRS 695D.110 - Certificate of authority: Required for establishing, operating, acting as administrator of, selling or offering to sell plan for dental care. - No person may establish or operate a plan for dental...

NRS 695D.120 - Certificate of authority: Application. - Each application for a certificate of authority must be filed...

NRS 695D.130 - Certificate of authority: Issuance; fees. - The Commissioner shall issue a certificate of authority to an...

NRS 695D.140 - Certificate of authority: Notice of change of information; application for amendment; fee; approval. - 1. Except as otherwise provided in subsection 2, every organization...

NRS 695D.150 - Certificate of authority: Expiration; renewal; fees. - A certificate of authority expires at midnight on March 1...

NRS 695D.153 - Capital account: Minimum amount; requirements. - 1. Each organization for dental care which receives a certificate...

NRS 695D.157 - Hazardous financial condition: Regulations; determination; powers of Commissioner. - 1. The Commissioner may adopt regulations to define when an...

NRS 695D.160 - Composition of board of directors for organization for dental care that is corporation. - If an organization for dental care is a corporation, its...

NRS 695D.170 - Bond or deposit: Required; amount; creation of Fund for Bonds of Organizations for Dental Care; judgment as lien; disposition upon dissolution, liquidation or other termination of organization. - 1. Except as otherwise provided in this section, before a...

NRS 695D.180 - Requirements concerning bond. - An organization for dental care or its officers under this...

NRS 695D.190 - Certain persons in organization for dental care in fiduciary relationship to members; dentist subject to disciplinary action for breaches of fiduciary or contractual obligations. - Any director, officer, partner or employee of an organization for...

NRS 695D.200 - Policy: Review by prospective members at meeting; provision of copy to members; approval by Commissioner; form and contents; notice of change. - 1. An organization for dental care shall: (a) Hold a...

NRS 695D.203 - Group plan issued to replace discontinued policy or coverage: Requirements; notice of reduction of benefits; statement of benefits; applicability to self-insured employer. - 1. A group plan for dental care issued by an...

NRS 695D.205 - Copayments and deductibles: Reasonableness; approval of Commissioner; regulations. - 1. Each copayment and deductible required to be paid by...

NRS 695D.210 - Policy covering dependent of member required to include coverage for member’s newly born and adopted children and children placed with member for adoption to same extent as other dependents. - 1. Any policy which provides coverage for a dependent of...

NRS 695D.215 - Claims: Approval or denial; request for additional information; payment; interest on unpaid claim. - 1. Except as otherwise provided in subsection 2, an organization...

NRS 695D.2153 - Claims: Organization for dental care or administrator prohibited from denying claim for which prior authorization has been granted; exceptions. - 1. An organization for dental care or an administrator of...

NRS 695D.2157 - Recovery of overpayments: Notice; procedures for challenging attempted recovery; limitation of period for recovery; exception. - 1. An organization for dental care or an administrator who...

NRS 695D.216 - 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 the earlier of 1 year afte... - 1. A plan for dental care must include coverage for...

NRS 695D.217 - Organization for dental care prohibited from denying coverage solely because claim involves act that constitutes domestic violence or applicant or insured was victim of domestic violence. - An organization for dental care shall not deny a claim,...

NRS 695D.219 - Organization for dental care prohibited from denying coverage solely because applicant or member was intoxicated or under the influence of controlled substance; exceptions. - 1. Except as otherwise provided in subsection 2, an organization...

NRS 695D.220 - Licensing of agents. - 1. The provisions of chapter 683A of NRS apply to...

NRS 695D.225 - Contracts between organization for dental care and dentist: Modification; submission of schedule of payments upon request; exceptions. - 1. Except as otherwise provided in NRS 695D.227, a contract...

NRS 695D.227 - Prohibitions related to setting of fees by plan or organization for dental care other than covered services to members. - 1. No plan for dental care and no contract between...

NRS 695D.230 - Advertising or materials used to enroll or solicit members: Approval of Commissioner; penalties. - 1. Every organization for dental care must submit any advertising,...

NRS 695D.240 - Limitation on use of charges or premiums for marketing and administrative expenses; regulations. - 1. The organization for dental care shall use not more...

NRS 695D.250 - Reserves: Maintenance; exception; held in fiduciary capacity; deposit; penalty for diversion or appropriation; regulations. - 1. An organization for dental care shall set aside a...

NRS 695D.260 - Annual report; financial statement; quarterly statement; administrative penalty for failure to file timely report or statement; extension of time; payment of premium tax and filing fee. - 1. Every organization for dental care shall file with the...

NRS 695D.270 - Examination by Commissioner. - 1. The Commissioner shall, not less frequently than once every...

NRS 695D.280 - Rehabilitation, liquidation or conservation: Conduct. - Any rehabilitation, liquidation or conservation of an organization for dental...

NRS 695D.290 - Trade practices and frauds: Applicability of provisions to organizations for dental care. - The provisions of NRS 686A.010 to 686A.310, inclusive, relating to...

NRS 695D.300 - Disciplinary action: Grounds; penalties. - 1. The Commissioner may suspend or revoke any certificate of...

NRS 695D.310 - Disciplinary or other action: Notice; hearing; order. - 1. If the Commissioner believes that grounds for denying a...