1. The Commissioner shall review each application and notify the applicant of any deficiency contained in the application.
2. The Commissioner shall issue a certificate of authority to an applicant if:
(a) The applicant has complied with the requirements set forth in NRS 695F.110;
(b) The persons responsible for conducting the applicant’s affairs are competent, trustworthy and possess good reputations, and have the appropriate experience, training or education;
(c) The applicant is financially responsible and may reasonably be expected to carry out its obligations to enrollees and prospective enrollees; and
(d) The agreements with providers for the limited health service include the provisions required by NRS 695F.220.
3. The Commissioner may, when determining whether an applicant complies with the requirements of paragraph (c) of subsection 2, consider:
(a) The financial soundness of the applicant’s arrangements for the provision of a limited health service and the schedule of rates, deductibles, copayments and other charges used in connection therewith;
(b) The adequacy of working capital, any other sources of funding and any provisions for contingencies;
(c) Any agreement for paying the cost of a limited health service or for alternative coverage if the prepaid limited health service organization becomes insolvent; and
(d) The applicant’s manner of compliance with the requirements of NRS 695F.200.
(Added to NRS by 1991, 1115)
Structure Nevada Revised Statutes
Chapter 695F - Prepaid Limited Health Service Organizations
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.140 - Denial of application; hearing.
NRS 695F.150 - Evidence of coverage: Issuance; contents; amendment.
NRS 695F.160 - Rates and charges: Reasonableness.
NRS 695F.190 - Requirements for reserve.
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.230 - Establishment of system for resolution of complaints.
NRS 695F.310 - Examinations and investigations.
NRS 695F.330 - Payment of premium tax.
NRS 695F.360 - Violations of chapter: Order to cease and desist; fine.
NRS 695F.410 - Confidentiality and disclosure of information.