There is a newer version of the Nevada Revised Statutes
2010 Nevada Code
TITLE 57 INSURANCE
Chapter 689B Group and Blanket Health Insurance
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GENERAL PROVISIONS
- NRS 689B.010 Short title; scope.
- NRS 689B.015 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; schedule of fees. GROUP POLICIES General Provisions
- NRS 689B.020 "Group health insurance" defined; eligible groups and benefits.
- NRS 689B.026 Delivery of policy to group formed to purchase health insurance prohibited; exception.
- NRS 689B.0265 Policy to guaranteed association.
- NRS 689B.027 Summary of coverage: Contents of disclosure; approval by Commissioner; copy to be made available to employer or producer acting on behalf of employer.
- NRS 689B.028 Summary of coverage: Copy to be provided before policy issued; policy may not be offered unless summary approved by Commissioner.
- NRS 689B.0283 Coverage for prescription drugs: Provision of notice and information regarding use of formulary.
- NRS 689B.0285 System for resolving complaints: Approval; requirements; examination.
- NRS 689B.029 Annual report regarding system for resolving complaints; insurer to maintain records of complaints concerning something other than health care services.
- NRS 689B.0295 Written notice to insured explaining right to file complaint; notice to insured required when insurer denies coverage of health care service. Coverage
- NRS 689B.030 Required provisions.
- NRS 689B.0303 Required provision concerning coverage for continued medical treatment.
- NRS 689B.0306 Required provision concerning coverage for treatment received as part of clinical trial or study.
- NRS 689B.031 Required provision concerning coverage of certain gynecological or obstetrical services without authorization or referral from primary care physician.
- NRS 689B.0313 Required provision concerning coverage for human papillomavirus vaccine.
- NRS 689B.0317 Required provision concerning coverage for prostate cancer screening.
- NRS 689B.033 Required provision concerning coverage for newly born and adopted children and children placed for adoption.
- NRS 689B.0335 Required provision concerning coverage for autism spectrum disorders. [Effective January 1, 2011.]
- NRS 689B.034 Required provision concerning effect of benefits under other valid group coverage; subrogation.
- NRS 689B.0345 Required provision concerning coverage for employee or member on leave without pay as result of total disability.
- NRS 689B.035 Required provision concerning termination of coverage on dependent child.
- NRS 689B.0353 Required provision concerning coverage for treatment of certain inherited metabolic diseases.
- NRS 689B.0357 Required provision concerning coverage for management and treatment of diabetes.
- NRS 689B.0359 Required provision concerning coverage for treatment of conditions relating to severe mental illness. [Repealed.]
- NRS 689B.036 Required provision concerning benefits for treatment of abuse of alcohol or drugs. [Repealed.]
- NRS 689B.0365 Required provision concerning coverage for use of certain drugs for treatment of cancer.
- NRS 689B.0367 Required provision concerning coverage for screening for colorectal cancer.
- NRS 689B.0368 Required provision concerning coverage for prescription drug previously approved for medical condition of insured.
- NRS 689B.0374 Required provision concerning coverage for cytologic screening tests and mammograms for certain women.
- NRS 689B.0375 Required provision concerning coverage relating to mastectomy.
- NRS 689B.0376 Policy covering prescription drugs or devices to provide coverage for drug or device for contraception and of hormone replacement therapy in certain circumstances; prohibited actions by insurer; exceptions.
- NRS 689B.0377 Policy covering outpatient care to provide coverage for health care services related to contraceptives and hormone replacement therapy; prohibited actions by insurer; exceptions.
- NRS 689B.0379 Required provision concerning coverage for treatment of temporomandibular joint. Reimbursement and Payment
- NRS 689B.038 Reimbursement for treatments by licensed psychologist.
- NRS 689B.0383 Reimbursement for treatments by licensed marriage and family therapist or licensed clinical professional counselor.
- NRS 689B.0385 Reimbursement for treatments by licensed associate in social work, social worker, independent social worker or clinical social worker.
- NRS 689B.039 Reimbursement for treatments by chiropractor.
- NRS 689B.0393 Reimbursement for treatments by podiatrist.
- NRS 689B.0397 Reimbursement for treatment by licensed clinical alcohol and drug abuse counselor.
- NRS 689B.040 Direct payment for hospital and medical services and home health care; payment to assignee.
- NRS 689B.045 Reimbursement for services provided by certain nurses; prohibited limitations; exception.
- NRS 689B.047 Reimbursement to provider of medical transportation.
- NRS 689B.049 Reimbursement for acupuncture. Miscellaneous Provisions
- NRS 689B.050 Extended disability benefit.
- NRS 689B.060 Readjustment of premiums; dividends.
- NRS 689B.061 Limitations on deductibles and copayments charged under policy which offers difference of payment between preferred providers of health care and providers who are not preferred.
- NRS 689B.063 Primary and secondary policies: Determination of benefits.
- NRS 689B.064 Primary and secondary policies: Order of benefits.
- NRS 689B.065 Policy issued to replace discontinued policy or coverage: Requirements; notice of reduction of benefits; statement of benefits; applicability of section.
- NRS 689B.067 Provision in policy requiring binding arbitration for disputes with insurer authorized; procedure for arbitration; declaratory relief.
- NRS 689B.068 Insurer prohibited from denying coverage solely because person was victim of domestic violence.
- NRS 689B.069 Insurer prohibited from requiring or using information concerning genetic testing; exceptions. BLANKET POLICIES
- NRS 689B.070 "Blanket accident and health insurance" defined.
- NRS 689B.080 Authority to issue; required provisions.
- NRS 689B.090 Application and certificates.
- NRS 689B.100 Payment of benefits.
- NRS 689B.110 Legal liability of policyholders for death of or injury to insured member unaffected.
- NRS 689B.115 Access by Commissioner to information concerning rates; confidentiality of information. CONVERSION OF GROUP POLICIES TO INDIVIDUAL POLICIES
- NRS 689B.120 Policies of group health insurance to contain provision for conversion; exceptions; conditions.
- NRS 689B.130 Conversion privilege available to spouse and children; conditions.
- NRS 689B.140 Denial of converted policy because of overinsurance; notice concerning cancellation of other coverage.
- NRS 689B.150 Choice of plans for converted policy.
- NRS 689B.170 Benefits payable under converted policy may be reduced by amount payable under group policy.
- NRS 689B.180 Issuance and effective date of converted policy; premiums; persons covered.
- NRS 689B.200 Notice of conversion privilege.
- NRS 689B.210 Converted policy delivered outside Nevada: Form. CONTINUATION OF COVERAGE UNDER CERTAIN GROUP POLICIES
- NRS 689B.245 Required provision concerning continuation of coverage.
- NRS 689B.246 Notice of eligibility or election to continue coverage.
- NRS 689B.247 Payment of premium for continued coverage.
- NRS 689B.248 New insurer to provide continued coverage.
- NRS 689B.249 Termination of continued coverage before end of period. MISCELLANEOUS PROVISIONS
- NRS 689B.250 Acceptance of uniform forms for billing and claims.
- NRS 689B.255 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 689B.260 Required provision concerning coverage relating to complications of pregnancy.
- NRS 689B.270 Required procedure for arbitration of disputes concerning independent medical evaluations.
- NRS 689B.275 Contents, approval and provision of summary of coverage; provision of information about guaranteed availability of certain plans for benefits.
- NRS 689B.280 Disclosure of information concerning medication of insured prohibited.
- NRS 689B.283 Mandatory renewal of coverage under conversion health benefit plan.
- NRS 689B.285 Offering policy of health insurance for purposes of establishing health savings account.
- NRS 689B.287 Insurer prohibited from denying coverage solely because insured was intoxicated or under influence of controlled substance; exceptions. ELIGIBILITY FOR COVERAGE UNDER GROUP POLICY
- NRS 689B.290 Definitions.
- NRS 689B.300 Effect of eligibility for medical assistance under Medicaid; assignment of rights to state agency.
- NRS 689B.310 Insurer prohibited from asserting certain grounds to deny enrollment of child of insured pursuant to order.
- NRS 689B.320 Certain accommodations to be made when child is covered under policy of noncustodial parent.
- NRS 689B.330 Insurer to authorize enrollment of child of parent who is required by order to provide medical coverage for child. PORTABILITY AND ACCOUNTABILITY
- NRS 689B.340 Definitions.
- NRS 689B.350 "Affiliation period" defined.
- NRS 689B.355 "Blanket accident and health insurance" defined.
- NRS 689B.360 "Carrier" defined.
- NRS 689B.370 "Contribution" defined.
- NRS 689B.380 "Creditable coverage" defined.
- NRS 689B.390 "Group health plan" defined.
- NRS 689B.400 "Group participation" defined.
- NRS 689B.410 "Health benefit plan" defined.
- NRS 689B.420 "Health status-related factor" defined.
- NRS 689B.430 "Open enrollment" defined.
- NRS 689B.440 "Plan sponsor" defined.
- NRS 689B.450 "Preexisting condition" defined.
- NRS 689B.460 "Waiting period" defined.
- NRS 689B.470 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 689B.480 Determination of applicable creditable coverage of person; determination of period of creditable coverage of person; required statement.
- NRS 689B.490 Written certification of coverage required for purpose of determining period of creditable coverage accumulated by person.
- NRS 689B.500 Coverage of preexisting conditions; when health maintenance organization may require affiliation period.
- NRS 689B.510 Carrier authorized to modify coverage for insurance product under certain circumstances.
- NRS 689B.520 Group plan or coverage that includes coverage for maternity care and pediatric care: Required to allow minimum stay in hospital in connection with childbirth; prohibited acts.
- NRS 689B.530 Carrier required to permit eligible employee or dependent of employee to enroll for coverage under certain circumstances.
- NRS 689B.540 Manner and period for enrollment of dependent of covered employee; period of special enrollment.
- NRS 689B.550 Carrier prohibited from imposing restriction on participation inconsistent with chapter; restrictions on rules of eligibility that may be established; premiums to be equitable.
- NRS 689B.560 Carrier required to renew coverage at option of plan sponsor; exceptions; discontinuation of form of product of group health insurance; discontinuation of group health insurance through bona fide association.
- NRS 689B.570 Carrier that offers coverage through network plan not required to offer coverage to employer that does not employ enrollees who reside or work in geographic area for which carrier is authorized to transact insurance.
- NRS 689B.575 Carrier that offers coverage through network plan: Contracts with certain federally qualified health centers.
- NRS 689B.580 Plan sponsor of governmental plan authorized to elect to exclude governmental plan from compliance with certain statutes; duties of plan sponsor.
- NRS 689B.590 Converted policies: Carrier may only offer choice of basic and standard plans; election of basic or standard plan; premium; rates must be same for persons with similar case characteristics; losses must be spread across book.
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