Nevada Revised Statutes
Chapter 695F - Prepaid Limited Health Service Organizations

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

NRS 695F.020 - "Enrollee" defined. - "Enrollee" means a person, including the dependents of the person,...

NRS 695F.030 - "Evidence of coverage" defined. - "Evidence of coverage" means any certificate, agreement or contract issued...

NRS 695F.040 - "Limited health service" defined. - "Limited health service" means: 1. Chiropractic, dental, hospital, medical, optometric,...

NRS 695F.043 - "Medicaid" defined. - "Medicaid" means a program established in any state pursuant to...

NRS 695F.047 - "Order for medical coverage" defined. - "Order for medical coverage" means an order of a court...

NRS 695F.050 - "Prepaid limited health service organization" defined. - 1. "Prepaid limited health service organization" means any person who,...

NRS 695F.060 - "Provider" defined. - "Provider" means any physician, dentist or any other person who...

NRS 695F.070 - "Subscriber" defined. - "Subscriber" means a person whose employment or other status, except...

NRS 695F.080 - General applicability of title 57 of NRS. - Except as otherwise provided in this chapter or in specific...

NRS 695F.090 - Applicability of chapter and other provisions. - 1. Prepaid limited health service organizations are subject to the...

NRS 695F.100 - Certificate required. - A person shall not operate a prepaid limited health service...

NRS 695F.110 - Application; fee. - An application for a certificate of authority to operate a...

NRS 695F.120 - Review of application; issuance of certificate. - 1. The Commissioner shall review each application and notify the...

NRS 695F.130 - Application of person who is licensed as insurer or holds another certificate of authority. - Any person who is licensed as an insurer pursuant to...

NRS 695F.140 - Denial of application; hearing. - 1. If the Commissioner denies an application for a certificate...

NRS 695F.150 - Evidence of coverage: Issuance; contents; amendment. - 1. A prepaid limited health service organization shall issue evidence...

NRS 695F.151 - Organization 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. A prepaid limited health service organization shall offer and...

NRS 695F.153 - Evidence of coverage covering prescription drugs: Provision of notice and information regarding use of formulary. - 1. A prepaid limited health service organization that offers or...

NRS 695F.156 - Evidence of coverage covering prescription drugs prohibited from limiting or excluding coverage for certain prescription drugs previously approved for medical condition of enrollee; exceptions. - 1. Except as otherwise provided in this section, evidence of...

NRS 695F.158 - Evidence of coverage covering prescription drugs: Required actions by organization 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 695F.160 - Rates and charges: Reasonableness. - The rates and charges for a limited health service must...

NRS 695F.170 - Procedure for modification of rates, charges, benefits, organization, operations, documents or services. - 1. A prepaid limited health service organization shall file with...

NRS 695F.180 - Investments. - Repealed. (See chapter 478, Statutes of Nevada 2021, at page...

NRS 695F.190 - Requirements for reserve. - 1. A prepaid limited health service organization shall set aside...

NRS 695F.200 - Maintenance of capital account, surety bond or deposit and risk-based capital; determination of amount of increase by Commissioner. - 1. Except as otherwise provided in this section, each prepaid...

NRS 695F.210 - Maintenance of fidelity bond or deposit in lieu of bond. - 1. A prepaid limited health service organization shall maintain in...

NRS 695F.212 - Hazardous financial condition: Regulations; determination; powers of Commissioner. - 1. The Commissioner may adopt regulations to define when a...

NRS 695F.220 - Contract between organization and provider or subcontractor for provision of services to enrollees: Required terms and conditions. - Each contract between a prepaid limited health service organization and...

NRS 695F.230 - Establishment of system for resolution of complaints. - 1. Each prepaid limited health service organization shall establish a...

NRS 695F.300 - Regulations. - The Commissioner shall adopt regulations to carry out the provisions...

NRS 695F.310 - Examinations and investigations. - 1. The Commissioner may examine the affairs of any prepaid...

NRS 695F.320 - Annual report and financial statement; quarterly statement; additional reports; penalties for failure to file report or statement. - 1. Each prepaid limited health service organization shall file with...

NRS 695F.330 - Payment of premium tax. - At the time of filing the annual report pursuant to...

NRS 695F.340 - Fees. - Each prepaid limited health service organization shall pay to the...

NRS 695F.350 - Suspension or revocation of certificate of authority: Grounds; notice; hearing; effect. - 1. The Commissioner may suspend or revoke the certificate of...

NRS 695F.360 - Violations of chapter: Order to cease and desist; fine. - If the Commissioner, after a hearing held pursuant to NRS...

NRS 695F.400 - License required to apply, procure, negotiate or place for another any policy or contract of organization. - A person shall not apply, procure, negotiate or place for...

NRS 695F.410 - Confidentiality and disclosure of information. - 1. Any information relating to the diagnosis, treatment or health...

NRS 695F.420 - Certain insurers and organizations authorized to exclude coverage duplicated pursuant to this chapter. - Notwithstanding any other provision of this title, any person who...

NRS 695F.430 - Provision of services excluded from practice of any healing arts; solicitation excluded from provisions regarding solicitation or advertising by practitioner of healing art. - 1. The provision of limited health services by a prepaid...

NRS 695F.440 - Effect of eligibility for medical assistance under Medicaid; assignment of rights to state agency. - 1. An organization shall not, when considering eligibility for coverage...

NRS 695F.450 - Organization prohibited from asserting certain grounds to deny enrollment of child pursuant to order if parent is insured. - A prepaid limited health service organization shall not deny the...

NRS 695F.460 - Certain accommodations required to be made when child is covered under evidence of coverage of noncustodial parent. - If a child has coverage under any evidence of coverage...

NRS 695F.470 - Organization 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 695F.480 - Organization prohibited from restricting coverage of child based on preexisting condition if person who is eligible for group coverage adopts or assumes legal obligation for child. - Repealed. (See chapter 61, Statutes of Nevada 2019, at page...