Nevada Revised Statutes
Chapter 695F - Prepaid Limited Health Service Organizations
NRS 695F.050 - "Prepaid limited health service organization" defined.

1. "Prepaid limited health service organization" means any person who, in return for a prepayment, agrees to provide or arrange for the provision of one or more limited health services to enrollees.
2. The term does not include:
(a) A person otherwise authorized pursuant to the laws of this state to provide a limited health service on a prepayment basis or any other basis or to indemnify for any limited health service;
(b) A person who complies with the requirements of NRS 695F.130; or
(c) A provider who provides or arranges for the provision of a limited health service pursuant to a contract with a prepaid limited health service organization or person described in paragraph (a) or (b).
(Added to NRS by 1991, 1113)

Structure Nevada Revised Statutes

Nevada Revised Statutes

Chapter 695F - Prepaid Limited Health Service Organizations

NRS 695F.010 - Definitions.

NRS 695F.020 - "Enrollee" defined.

NRS 695F.030 - "Evidence of coverage" defined.

NRS 695F.040 - "Limited health service" defined.

NRS 695F.043 - "Medicaid" defined.

NRS 695F.047 - "Order for medical coverage" defined.

NRS 695F.050 - "Prepaid limited health service organization" defined.

NRS 695F.060 - "Provider" defined.

NRS 695F.070 - "Subscriber" defined.

NRS 695F.080 - General applicability of title 57 of NRS.

NRS 695F.090 - Applicability of chapter and other provisions.

NRS 695F.100 - Certificate required.

NRS 695F.110 - Application; fee.

NRS 695F.120 - Review of application; issuance of certificate.

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

NRS 695F.140 - Denial of application; hearing.

NRS 695F.150 - Evidence of coverage: Issuance; contents; amendment.

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.

NRS 695F.153 - Evidence of coverage covering prescription drugs: Provision of notice and information regarding use of formulary.

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.

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.

NRS 695F.160 - Rates and charges: Reasonableness.

NRS 695F.170 - Procedure for modification of rates, charges, benefits, organization, operations, documents or services.

NRS 695F.180 - Investments.

NRS 695F.190 - Requirements for reserve.

NRS 695F.200 - Maintenance of capital account, surety bond or deposit and risk-based capital; determination of amount of increase by Commissioner.

NRS 695F.210 - Maintenance of fidelity bond or deposit in lieu of bond.

NRS 695F.212 - Hazardous financial condition: Regulations; determination; powers of Commissioner.

NRS 695F.220 - Contract between organization and provider or subcontractor for provision of services to enrollees: Required terms and conditions.

NRS 695F.230 - Establishment of system for resolution of complaints.

NRS 695F.300 - Regulations.

NRS 695F.310 - Examinations and investigations.

NRS 695F.320 - Annual report and financial statement; quarterly statement; additional reports; penalties for failure to file report or statement.

NRS 695F.330 - Payment of premium tax.

NRS 695F.340 - Fees.

NRS 695F.350 - Suspension or revocation of certificate of authority: Grounds; notice; hearing; effect.

NRS 695F.360 - Violations of chapter: Order to cease and desist; fine.

NRS 695F.400 - License required to apply, procure, negotiate or place for another any policy or contract of organization.

NRS 695F.410 - Confidentiality and disclosure of information.

NRS 695F.420 - Certain insurers and organizations authorized to exclude coverage duplicated pursuant to this chapter.

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.

NRS 695F.440 - Effect of eligibility for medical assistance under Medicaid; assignment of rights to state agency.

NRS 695F.450 - Organization prohibited from asserting certain grounds to deny enrollment of child pursuant to order if parent is insured.

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

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.

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.