2019 Nevada Revised Statutes
Chapter 695C - Health Maintenance Organizations
NRS 695C.319 - Power of Commissioner to order corrective action for hazardous operation or violation of law; regulations.
1. If the Commissioner determines that, because of the financial condition of a health maintenance organization, the continued operation of the health maintenance organization is or may be hazardous to its enrollees or creditors or to the general public, or that the health maintenance organization has violated any law of this State to which the health maintenance organization is subject, the Commissioner may, after notice and a hearing, order the health maintenance organization to take any action the Commissioner deems reasonably necessary to correct, eliminate or remedy the condition or violation, including, without limitation:
(a) Reducing the total amount of the present and potential liability of the health maintenance organization for benefits by reinsurance or any other method acceptable to the Commissioner;
(b) Suspending, limiting or reducing the volume of new business being written or accepted by the health maintenance organization for any period of time specified by the Commissioner;
(c) Reducing the expenses of the health maintenance organization by any method acceptable to the Commissioner; and
(d) Increasing the capital and surplus of the health maintenance organization by contribution.
2. The Commissioner may adopt regulations to:
(a) Set standards and criteria for early warning that the continued operation of a health maintenance organization may be hazardous to its enrollees or creditors or to the general public; and
(b) For the purposes of subsection 1, set standards for evaluating the financial condition of a health maintenance organization.
3. The authority conferred upon the Commissioner pursuant to this section is in addition to the authority of the Commissioner pursuant to chapter 696B of NRS. Any order issued by the Commissioner pursuant to this section may, at the discretion of the Commissioner, be in addition to any order issued by the Commissioner pursuant to chapter 696B of NRS.
(Added to NRS by 2017, 2393)
