1. An organization for dental care shall:
(a) Hold a meeting for all prospective members to review fully the policy being offered and describe the coverage under the plan for dental care before any contract is executed between the parties.
(b) Provide to each member a copy of the policy describing his or her coverage under the plan for dental care.
2. The Commissioner must approve every policy and amendment to it before they are distributed to the members or any other person. If the Commissioner does not disapprove the policy within 30 days after it is filed with the Commissioner, it shall be deemed to be approved. If the Commissioner disapproves a policy, the Commissioner shall notify the organization of the reasons for disapproval. The Commissioner shall grant a hearing on any disapproval of a policy or amendment within 15 days after the organization requests, in writing, a hearing on the matter.
3. A policy must contain a clear and complete statement of the contract between the parties or a summary of the contract which describes:
(a) The dental care and other benefits to which the member is entitled;
(b) Any limitations on the care to be provided, including any deductibles or copayments to be paid by a member;
(c) Where information is available and how dental care may be obtained; and
(d) The member’s obligations for payment under the plan for dental care.
4. The organization must give notice to the Commissioner and every member 30 days before any change is made in the member’s policy.
(Added to NRS by 1983, 2025)
Structure Nevada Revised Statutes
Chapter 695D - Plans for Dental Care
NRS 695D.012 - "Administrator" defined.
NRS 695D.020 - "Commissioner" defined.
NRS 695D.030 - "Dental care" defined.
NRS 695D.040 - "Dentist" defined.
NRS 695D.050 - "Member" defined.
NRS 695D.060 - "Organization for dental care" defined.
NRS 695D.070 - "Plan for dental care" defined.
NRS 695D.080 - "Policy" defined.
NRS 695D.090 - Applicability of title to organizations for dental care; applicability of chapter.
NRS 695D.102 - Summary of coverage: Contents of disclosure; approval by Commissioner; regulations.
NRS 695D.120 - Certificate of authority: Application.
NRS 695D.130 - Certificate of authority: Issuance; fees.
NRS 695D.150 - Certificate of authority: Expiration; renewal; fees.
NRS 695D.153 - Capital account: Minimum amount; requirements.
NRS 695D.157 - Hazardous financial condition: Regulations; determination; powers of Commissioner.
NRS 695D.180 - Requirements concerning bond.
NRS 695D.205 - Copayments and deductibles: Reasonableness; approval of Commissioner; regulations.
NRS 695D.220 - Licensing of agents.
NRS 695D.270 - Examination by Commissioner.
NRS 695D.280 - Rehabilitation, liquidation or conservation: Conduct.
NRS 695D.300 - Disciplinary action: Grounds; penalties.
NRS 695D.310 - Disciplinary or other action: Notice; hearing; order.