There is a newer version of the Nevada Revised Statutes
2010 Nevada Code
TITLE 57 INSURANCE
Chapter 689A Individual Health Insurance
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GENERAL PROVISIONS
- NRS 689A.010 Short title.
- NRS 689A.020 Scope.
- NRS 689A.030 General requirements.
- NRS 689A.035 Contracts between insurer and provider of health care: Prohibiting insurer from charging provider of health care fee for inclusion on list of providers given to insureds; form to obtain information on provider of health care; modification; providing schedule of fees. REQUIRED PROVISIONS
- NRS 689A.040 Contents of policy; substitution of provisions; captions; omission or modification of provisions.
- NRS 689A.0403 Procedure for arbitration of disputes concerning independent medical evaluations.
- NRS 689A.04033 Coverage for treatment received as part of clinical trial or study.
- NRS 689A.04036 Coverage for continued medical treatment.
- NRS 689A.0404 Coverage for use of certain drugs for treatment of cancer.
- NRS 689A.04042 Coverage for screening for colorectal cancer.
- NRS 689A.04045 Coverage for prescription drug previously approved for medical condition of insured.
- NRS 689A.0405 Coverage for cytologic screening test and mammograms for certain women.
- NRS 689A.041 Coverage relating to mastectomy.
- NRS 689A.0413 Coverage for certain gynecological or obstetrical services without authorization or referral from primary care physician.
- NRS 689A.0415 Coverage for drug or device for contraception and for hormone replacement therapy in certain circumstances; prohibited actions by insurer; exceptions.
- NRS 689A.0417 Coverage for health care services related to contraceptives and hormone replacement therapy in certain circumstances; prohibited actions by insurer; exceptions.
- NRS 689A.042 Coverage relating to complications of pregnancy.
- NRS 689A.0423 Coverage for treatment of certain inherited metabolic diseases.
- NRS 689A.0425 Individual health benefit plan that includes coverage for maternity care and pediatric care: Requirement to allow minimum stay in hospital in connection with childbirth; prohibited acts.
- NRS 689A.0427 Coverage for management and treatment of diabetes.
- NRS 689A.043 Coverage of newly born and adopted children and children placed for adoption.
- NRS 689A.0435 Coverage for autism spectrum disorders. [Effective January 1, 2011.]
- NRS 689A.044 Coverage for human papillomavirus vaccine.
- NRS 689A.0445 Coverage for prostate cancer screening.
- NRS 689A.045 Termination of coverage on dependent child.
- NRS 689A.0455 Coverage for treatment of conditions relating to severe mental illness.
- NRS 689A.046 Benefits for treatment of abuse of alcohol or drugs.
- NRS 689A.0465 Coverage of treatment of temporomandibular joint. REIMBURSEMENT FOR CERTAIN MEDICALLY RELATED TREATMENT AND SERVICES
- NRS 689A.0475 Acupuncture.
- NRS 689A.048 Treatment by licensed psychologist.
- NRS 689A.0483 Treatment by licensed marriage and family therapist or licensed clinical professional counselor.
- NRS 689A.0485 Treatment by licensed associate in social work, social worker, independent social worker or clinical social worker.
- NRS 689A.0487 Treatment by licensed podiatrist.
- NRS 689A.049 Treatment by licensed chiropractor; restriction on policy limitations.
- NRS 689A.0493 Treatment by licensed clinical alcohol and drug abuse counselor.
- NRS 689A.0495 Services provided by certain registered nurses; restriction on policy limitations; exception.
- NRS 689A.0497 Provider of medical transportation. MISCELLANEOUS PROVISIONS
- NRS 689A.050 Entire contract; changes.
- NRS 689A.060 Time limit on certain defenses.
- NRS 689A.070 Grace period.
- NRS 689A.080 Reinstatement.
- NRS 689A.090 Notice of claim.
- NRS 689A.100 Claim forms: Required provision.
- NRS 689A.105 Claim forms: Uniform billing, claims forms.
- NRS 689A.110 Claim forms: Acceptance of uniform forms.
- NRS 689A.120 Time of payment of claims.
- NRS 689A.130 Payment of claims.
- NRS 689A.135 Assignment of benefits to provider of health care.
- NRS 689A.140 Physical examination and autopsy.
- NRS 689A.150 Legal actions.
- NRS 689A.160 Change of beneficiary.
- NRS 689A.170 Right to examine and return policy.
- NRS 689A.180 Optional provisions.
- NRS 689A.190 Extended disability benefit.
- NRS 689A.200 Change of occupation.
- NRS 689A.210 Misstatement of age.
- NRS 689A.220 Coordination of benefits: Same insurer.
- NRS 689A.230 Coordination of benefits: All coverages.
- NRS 689A.240 Relation of earnings to insurance.
- NRS 689A.250 Unpaid premiums.
- NRS 689A.260 Conformity with state statutes.
- NRS 689A.270 Illegal occupation.
- NRS 689A.290 Renewability.
- NRS 689A.300 Order of certain provisions.
- NRS 689A.310 Ownership of policy by person other than insured.
- NRS 689A.320 Requirements of other jurisdictions.
- NRS 689A.330 Policies issued for delivery in another state.
- NRS 689A.340 Limitation on provisions not subject to chapter; effect of violation.
- NRS 689A.350 Age limit.
- NRS 689A.360 Filing of rates.
- NRS 689A.370 Health insurance on franchise plan.
- NRS 689A.380 Definitions of terms used in policies.
- NRS 689A.390 Summary of coverage: Contents of disclosure; approval by Commissioner.
- NRS 689A.400 Summary of coverage: Copy to be provided before policy issued; policy may not be offered unless summary approved by Commissioner.
- NRS 689A.405 Coverage for prescription drugs: Provision of notice and information regarding use of formulary.
- NRS 689A.410 Approval or denial of claims; payment of claims and interest; requests for additional information; award of costs and attorney's fees; compliance with requirements.
- NRS 689A.413 Insurer prohibited from denying coverage solely because person was victim of domestic violence.
- NRS 689A.415 Insurer prohibited from denying coverage solely because insured was intoxicated or under influence of controlled substance; exceptions.
- NRS 689A.417 Insurer prohibited from requiring or using information concerning genetic testing; exceptions.
- NRS 689A.419 Offering policy of health insurance for purposes of establishing health savings account. ELIGIBILITY FOR COVERAGE
- NRS 689A.420 Definitions.
- NRS 689A.430 Effect of eligibility for medical assistance under Medicaid; assignment of rights to state agency.
- NRS 689A.440 Insurer prohibited from asserting certain grounds to deny enrollment of child of insured pursuant to order.
- NRS 689A.450 Certain accommodations to be made when child is covered under policy of noncustodial parent.
- NRS 689A.460 Insurer to authorize enrollment of child of parent who is required by order to provide medical coverage under certain circumstances; termination of coverage of child. PORTABILITY AND ACCOUNTABILITY General Provisions
- NRS 689A.470 Definitions.
- NRS 689A.475 "Affiliated" defined.
- NRS 689A.480 "Basic health benefit plan" defined.
- NRS 689A.485 "Bona fide association" defined.
- NRS 689A.490 "Church plan" defined.
- NRS 689A.495 "Control" defined.
- NRS 689A.500 "Converted policy" defined.
- NRS 689A.505 "Creditable coverage" defined.
- NRS 689A.510 "Dependent" defined.
- NRS 689A.515 "Eligible person" defined.
- NRS 689A.520 "Established geographic service area" defined.
- NRS 689A.523 "Exclusion for a preexisting condition" defined.
- NRS 689A.525 "Geographic area" defined.
- NRS 689A.530 "Governmental plan" defined.
- NRS 689A.535 "Group health plan" defined.
- NRS 689A.540 "Health benefit plan" defined.
- NRS 689A.545 "Health status-related factor" defined.
- NRS 689A.550 "Individual carrier" defined.
- NRS 689A.555 "Individual health benefit plan" defined.
- NRS 689A.560 "Individual reinsuring carrier" defined.
- NRS 689A.565 "Individual risk-assuming carrier" defined.
- NRS 689A.570 "Plan for coverage of a bona fide association" defined.
- NRS 689A.575 "Plan of operation" defined.
- NRS 689A.580 "Plan sponsor" defined.
- NRS 689A.585 "Preexisting condition" defined.
- NRS 689A.590 "Producer" defined.
- NRS 689A.595 "Program of Reinsurance" defined.
- NRS 689A.600 "Provision for a restricted network" defined.
- NRS 689A.605 "Standard health benefit plan" defined.
- NRS 689A.610 Applicability; ceding arrangement prohibited in certain circumstances.
- NRS 689A.615 Certain plan, fund or program to be treated as employee welfare benefit plan which is group health plan; partnership deemed employer of each partner.
- NRS 689A.620 Certain person with break in coverage deemed eligible person.
- NRS 689A.625 Supplemental coverage not health benefit plan if individual carrier files annual certification with Commissioner. Individual Carriers
- NRS 689A.630 Requirement to renew coverage at option of individual; exceptions; discontinuation of form of product of health benefit plan; discontinuation of health benefit plan available through bona fide association.
- NRS 689A.635 Coverage offered through network plan not required to be offered to eligible person who does not reside or work in established geographic service area.
- NRS 689A.637 Coverage offered through plan that provides for restricted network: Contracts with certain federally qualified health centers.
- NRS 689A.640 Each health benefit plan marketed in this State required to be offered to eligible persons.
- NRS 689A.645 Coverage to eligible person who does not reside in established geographic service area not required; coverage within certain areas not required.
- NRS 689A.650 Coverage to eligible persons not required under certain circumstances; notice to Commissioner of and prohibition on writing new business after election not to offer new coverage required.
- NRS 689A.655 Requirement to file basic and standard health benefit plans with Commissioner; disapproval of plan.
- NRS 689A.660 Prohibited acts concerning preexisting conditions and modification of health benefit plan.
- NRS 689A.665 Certain health carriers not required to offer health benefit insurance coverage to individuals.
- NRS 689A.670 Election to operate as individual risk-assuming carrier or individual reinsuring carrier: Notice to Commissioner; effective date; change in status.
- NRS 689A.675 Election to act as individual risk-assuming carrier: Suspension by Commissioner; applicable statutes.
- NRS 689A.680 Rates for individual health benefit plans to be developed based on rating characteristics: Prohibited characteristics; health status as rating factor.
- NRS 689A.685 Amount of change in rate of single block of business; plan with provision for restricted network; involuntary transfer of individual or dependent prohibited; premiums adjusted for block of business.
- NRS 689A.690 Information required to be disclosed as part of solicitation and sales materials; information required to be maintained at place of business; actuarial certification required to be filed with Commissioner.
- NRS 689A.695 Information and documents to be made available to Commissioner; proprietary information.
- NRS 689A.700 Regulations regarding rates.
- NRS 689A.705 Regulations concerning reissuance of health benefit plan.
- NRS 689A.710 Prohibited acts; denial of application for coverage; regulations; violation may constitute unfair trade practice; applicability of section. Individual Health Insurance Coverage
- NRS 689A.715 Requirements for employee welfare benefit plan for providing benefits for employees of more than one employer.
- NRS 689A.720 Written certification of coverage required for determining period of creditable coverage accumulated by person; provision of certificate to insured. Bona Fide Associations
- NRS 689A.725 Requirements for plan for coverage.
- NRS 689A.730 Producer may only sign up eligible persons if eligible persons are actively engaged in or related to association. Miscellaneous Provisions
- NRS 689A.740 Regulations. SYSTEM FOR RESOLVING COMPLAINTS OF INSUREDS
- NRS 689A.745 Approval; requirements; examination.
- NRS 689A.750 Annual report; insurer to maintain records of complaints concerning something other than health care services.
- NRS 689A.755 Written notice to insured explaining right to file complaint; notice to insured required when insurer denies coverage of health care service.
Disclaimer: These codes may not be the most recent version. Nevada may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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