There is a newer version of the Nevada Revised Statutes
2010 Nevada Code
TITLE 57 INSURANCE
Chapter 695B Nonprofit Corporations for Hospital, Medical and Dental Service
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GENERAL PROVISIONS
- NRS 695B.010 Short title.
- NRS 695B.020 Scope.
- NRS 695B.030 Definitions.
- NRS 695B.035 Contract between corporation and provider of health care: Prohibiting corporation from charging provider of health care fee for inclusion on list of providers given to insureds; form for obtaining information on provider of health care; modification; schedule of fees. ORGANIZATION
- NRS 695B.040 Corporations authorized to undertake and operate plans.
- NRS 695B.050 Manner of incorporation.
- NRS 695B.060 Directors: Qualifications.
- NRS 695B.070 Merger and consolidation: Procedure.
- NRS 695B.080 Merger and consolidation: Continuance of contracts and contribution certificates.
- NRS 695B.090 Merger and consolidation: Withdrawal of prior deposit of securities. LICENSING; REGULATION
- NRS 695B.110 Certificate of authority required; fees.
- NRS 695B.120 Certificate of authority: Qualifications.
- NRS 695B.130 Certificate of authority: Application; issuance.
- NRS 695B.135 Certificate of authority: Expiration; renewal.
- NRS 695B.140 Reserve fund: Minimum amounts; computation; contracts with hospitals; participation of physicians.
- NRS 695B.150 Insolvency; determination of financial condition.
- NRS 695B.160 Annual statement of condition and affairs; fees; examination by Commissioner.
- NRS 695B.170 Acquisition costs and administrative expenses; effect of finding of excess costs.
- NRS 695B.172 Summary of coverage: Contents of disclosure; approval by Commissioner.
- NRS 695B.174 Summary of coverage: Copy to be provided before policy issued; policy not to be offered unless summary approved by Commissioner.
- NRS 695B.176 Coverage for prescription drugs: Provision of notice and information regarding use of formulary. CONTRACTS General Provisions
- NRS 695B.180 Required provisions.
- NRS 695B.181 Provision in contract requiring binding arbitration authorized; procedures for arbitration; declaratory relief.
- NRS 695B.182 Required procedure for arbitration of disputes concerning independent medical evaluations.
- NRS 695B.185 Limitations on deductibles and copayments charged under group contract which offers difference of payment between preferred providers of health care and providers who are not preferred.
- NRS 695B.187 Group contract issued to replace discontinued policy or coverage: Requirements; notice of reduction of benefits; statement of benefits; applicability to self-insured employer.
- NRS 695B.189 Continuation of coverage under group contract: Required provision.
- NRS 695B.190 Family contracts. Coverage
- NRS 695B.1901 Required provision concerning coverage for continued medical treatment.
- NRS 695B.1903 Required provision concerning coverage for treatment as part of clinical trial or study.
- NRS 695B.1905 Required provision concerning coverage for prescription drug previously approved for medical condition of insured.
- NRS 695B.1907 Required provision concerning coverage for screening for colorectal cancer.
- NRS 695B.1908 Required provision concerning coverage for certain drugs for treatment of cancer.
- NRS 695B.191 Required provision concerning coverage relating to mastectomy.
- NRS 695B.1912 Required provision concerning coverage for cytologic screening tests and mammograms for certain women.
- NRS 695B.1914 Required provision concerning coverage of certain gynecological and obstetrical services without authorization or referral from primary care physician.
- NRS 695B.1916 Required provision concerning coverage of drug or device for contraception and of hormone replacement therapy in certain circumstances; prohibited actions by insurer; exceptions.
- NRS 695B.1918 Required provision concerning coverage of health care services related to contraceptives and hormone replacement therapy in certain circumstances; prohibited actions by insurer; exceptions.
- NRS 695B.192 Required provision concerning coverage relating to complications of pregnancy.
- NRS 695B.1923 Required provision concerning coverage for treatment of certain inherited metabolic diseases.
- NRS 695B.1925 Required provision concerning coverage for human papillomavirus vaccine.
- NRS 695B.1927 Required provision concerning coverage for management and treatment of diabetes.
- NRS 695B.193 Required provision concerning coverage for newly born and adopted children and children placed for adoption.
- NRS 695B.1931 Required provision concerning coverage relating to treatment of temporomandibular joint.
- NRS 695B.1938 Required provision concerning coverage for treatment of conditions relating to severe mental illness. [Repealed.]
- NRS 695B.194 Required provision concerning benefits for treatment of abuse of alcohol or drugs. [Repealed.]
- NRS 695B.1942 Required provision concerning coverage for prostate cancer screening.
- NRS 695B.1944 Required provision concerning coverage for employee or member on leave without pay as result of total disability. Reimbursement
- NRS 695B.1951 Reimbursement for treatment by podiatrist.
- NRS 695B.1955 Reimbursement for treatment by licensed clinical alcohol and drug abuse counselor.
- NRS 695B.196 Reimbursement for acupuncture.
- NRS 695B.197 Reimbursement for treatment by licensed psychologist.
- NRS 695B.1973 Reimbursement for treatment by licensed marriage and family therapist or licensed clinical professional counselor.
- NRS 695B.1975 Reimbursement for treatment by licensed associate in social work, social worker, independent social worker or clinical social worker.
- NRS 695B.198 Reimbursement for treatment by chiropractor.
- NRS 695B.199 Reimbursement for services provided by certain nurses; prohibited limitations; exception.
- NRS 695B.1995 Reimbursement to provider of medical transportation. Miscellaneous Provisions
- NRS 695B.200 Group contracts written under master contract: Conditions required for issuance.
- NRS 695B.210 Group master service contract: Required provisions.
- NRS 695B.220 Blanket service contracts: Issuance to college, school or school personnel; pupils not to be compelled to accept service.
- NRS 695B.225 Policies of group insurance: Order of benefits.
- NRS 695B.230 Filing and approval of forms and schedules of premium rates.
- NRS 695B.240 Provision of group service coverage before approval of forms.
- NRS 695B.250 Extensions of time; automatic approval.
- NRS 695B.2505 Approval or denial of claims; payment of claims and interest; requests for additional information; award of costs and attorney's fees; compliance with requirements. CONVERSION OF GROUP CONTRACTS TO INDIVIDUAL CONTRACTS
- NRS 695B.251 Group subscriber contracts to contain provision for conversion to individual contracts; exceptions.
- NRS 695B.252 Conversion privilege available to spouse and children; conditions.
- NRS 695B.253 Denial of converted contract because of overinsurance; notice concerning cancellation of other coverage.
- NRS 695B.254 Choice of types of contracts must be offered.
- NRS 695B.255 Benefits exceeding those provided under group contract not required; exclusions and limitations.
- NRS 695B.2555 Benefits payable under converted contract may be reduced by amount payable under group contract.
- NRS 695B.256 Issuance and effective date of converted contract; premiums; persons covered.
- NRS 695B.2565 Renewal of converted contract: Request for information on sources of other benefits; grounds for refusal to renew; notice concerning cancellation of other coverage.
- NRS 695B.257 Notice of conversion privilege.
- NRS 695B.2575 Converted contract delivered outside Nevada: Form.
- NRS 695B.258 Extension of coverage under existing group contract.
- NRS 695B.2585 Group coverage may be provided in lieu of converted individual contract.
- NRS 695B.259 Medical service corporation may continue identical coverage in lieu of converting contract. MISCELLANEOUS PROVISIONS
- NRS 695B.260 Suspension or revocation of permission to provide coverage before approval of forms.
- NRS 695B.270 Disapproval of forms; issuance unlawful.
- NRS 695B.280 Regulations; limitations.
- NRS 695B.285 Use of Uniform Billing and Claims Forms authorized.
- NRS 695B.290 Agent's license required.
- NRS 695B.300 Contracts with agencies or political subdivisions of United States or State of Nevada; acceptance of money; subcontracts.
- NRS 695B.310 Corporation subject to same fees, licenses and supervision as domestic mutual insurer.
- NRS 695B.315 Insurer to provide certain information regarding renewal of insurance policy upon request; fee.
- NRS 695B.316 Corporation prohibited from denying coverage solely because person was victim of domestic violence.
- NRS 695B.3165 Corporation prohibited from denying coverage solely because insured was intoxicated or under the influence of controlled substance; exceptions.
- NRS 695B.317 Corporation that provides health insurance prohibited from requiring or using information concerning genetic testing; exceptions.
- NRS 695B.318 Corporations are subject to certain provisions concerning portability and availability of health insurance.
- NRS 695B.319 Offering policy of health insurance for purposes of establishing health savings account.
- NRS 695B.320 Applicability of other provisions. ELIGIBILITY FOR COVERAGE
- NRS 695B.330 Definitions.
- NRS 695B.340 Effect of eligibility for medical assistance under Medicaid; assignment of rights to state agency.
- NRS 695B.350 Corporation prohibited from asserting certain grounds to deny enrollment of child of insured pursuant to order.
- NRS 695B.360 Certain accommodations to be made when child is covered under policy of noncustodial parent.
- NRS 695B.370 Corporation to authorize enrollment of child of parent who is required by order to provide medical coverage under certain circumstances; termination of coverage of child. SYSTEM FOR RESOLVING COMPLAINTS OF INSUREDS
- NRS 695B.380 Approval; requirements; examination.
- NRS 695B.390 Annual report; insurer to maintain records of complaints concerning something other than health care services.
- NRS 695B.400 Written notice to insured explaining right to file complaint; notice to insured required when insurer denies coverage of health care service.
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