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2017 Nevada Revised Statutes
Chapter 689C - Health Insurance for Small Employers
NRS 689C.135 - Effect of provision in health benefit plan for restricted network on determination of rates.
Universal Citation: NV Rev Stat § 689C.135 (2017)
1. For the purposes of determining rates charged for health benefit plans, a health benefit plan that contains a provision for a restricted network is not similar coverage to a health benefit plan that does not contain such a provision if the restriction of benefits results in material differences in cost of claims.
2. As used in this section, “provision for a restricted network” means any provision of a group health benefit plan that conditions the payment of benefits, in whole or in part, on the use of providers of health care who have entered into a contractual arrangement with the carrier to provide health care to persons covered by the plan.
(Added to NRS by 1995, 980)
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