Nevada Revised Statutes
Chapter 695D - Plans for Dental Care
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 organization for dental care to replace any discontinued policy or coverage for dental care must:
(a) Provide coverage for all persons who were covered under the previous policy or coverage on the date it was discontinued; and
(b) Except as otherwise provided in subsection 2, provide benefits which are at least as extensive as the benefits provided by the previous policy or coverage, except that benefits may be reduced or excluded to the extent that such a reduction or exclusion was permissible under the terms of the previous policy or coverage,
if that plan is issued within 60 days after the date on which the previous policy or coverage was discontinued.
2. If an employer obtains a replacement plan pursuant to subsection 1 to cover the employees of the employer, any benefits provided by the previous policy or coverage may be reduced if notice of the reduction is given to the employees pursuant to NRS 608.1577.
3. Any organization for dental care which issues a replacement plan pursuant to subsection 1 may submit a written request to the insurer which provided the previous policy or coverage for a statement of benefits which were provided under that policy or coverage. Upon receiving such a request, the insurer shall give a written statement to the organization indicating what benefits were provided and what exclusions or reductions were in effect under the previous policy or coverage.
4. The provisions of this section apply to a self-insured employer who provides benefits to the employees of the self-insured employer for dental care and replaces those benefits with a group plan for dental care.
(Added to NRS by 1987, 851)

Structure Nevada Revised Statutes

Nevada Revised Statutes

Chapter 695D - Plans for Dental Care

NRS 695D.010 - Definitions.

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.095 - Applicability of chapter and certain other provisions to organizations for dental care.

NRS 695D.100 - Regulations.

NRS 695D.102 - Summary of coverage: Contents of disclosure; approval by Commissioner; regulations.

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.

NRS 695D.110 - Certificate of authority: Required for establishing, operating, acting as administrator of, selling or offering to sell plan for dental care.

NRS 695D.120 - Certificate of authority: Application.

NRS 695D.130 - Certificate of authority: Issuance; fees.

NRS 695D.140 - Certificate of authority: Notice of change of information; application for amendment; fee; approval.

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.160 - Composition of board of directors for organization for dental care that is corporation.

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.

NRS 695D.180 - Requirements concerning bond.

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.

NRS 695D.200 - Policy: Review by prospective members at meeting; provision of copy to members; approval by Commissioner; form and contents; notice of change.

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.

NRS 695D.205 - Copayments and deductibles: Reasonableness; approval of Commissioner; regulations.

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.

NRS 695D.215 - Claims: Approval or denial; request for additional information; payment; interest on unpaid claim.

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

NRS 695D.2157 - Recovery of overpayments: Notice; procedures for challenging attempted recovery; limitation of period for recovery; exception.

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...

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.

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.

NRS 695D.220 - Licensing of agents.

NRS 695D.225 - Contracts between organization for dental care and dentist: Modification; submission of schedule of payments upon request; exceptions.

NRS 695D.227 - Prohibitions related to setting of fees by plan or organization for dental care other than covered services to members.

NRS 695D.230 - Advertising or materials used to enroll or solicit members: Approval of Commissioner; penalties.

NRS 695D.240 - Limitation on use of charges or premiums for marketing and administrative expenses; regulations.

NRS 695D.250 - Reserves: Maintenance; exception; held in fiduciary capacity; deposit; penalty for diversion or appropriation; regulations.

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.

NRS 695D.270 - Examination by Commissioner.

NRS 695D.280 - Rehabilitation, liquidation or conservation: Conduct.

NRS 695D.290 - Trade practices and frauds: Applicability of provisions to organizations for dental care.

NRS 695D.300 - Disciplinary action: Grounds; penalties.

NRS 695D.310 - Disciplinary or other action: Notice; hearing; order.