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2020 Nevada Revised Statutes
Chapter 689A - Individual Health Insurance
GENERAL PROVISIONS
General Provisions
- NRS 689A.010 - Short title.
- NRS 689A.020 - Scope.
- NRS 689A.030 - General requirements.
- NRS 689A.032 - Requirements regarding issuance of health benefit plans and adjustment of costs. [Effective January 1, 2020.]
- 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.
- 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, dental or chiropractic 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.04046 - Coverage for prescription drugs irregularly dispensed for purpose of synchronization of chronic medications.
- NRS 689A.04047 - Coverage for early refills of topical ophthalmic products.
- NRS 689A.0405 - Coverage for mammograms for certain women; prohibited acts.
- 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 hormone replacement therapy in certain circumstances; prohibited actions by insurer; exception.
- NRS 689A.0417 - Coverage for health care services related to hormone replacement therapy in certain circumstances; prohibited actions by insurer.
- NRS 689A.0418 - Coverage for drug or device for contraception and related health services; prohibited acts; exceptions.
- NRS 689A.0419 - Coverage for certain services, screenings and tests relating to wellness; prohibited acts.
- NRS 689A.042 - Coverage relating to complications of pregnancy.
- NRS 689A.0423 - Coverage for treatment of certain inherited metabolic diseases.
- NRS 689A.0424 - Policy that includes coverage for maternity care must not deny coverage for gestational carrier; status of child in relation to intended parent. [Effective January 1, 2020.]
- 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.0428 - Coverage for management and treatment of sickle cell disease.
- NRS 689A.043 - Coverage of newly born and adopted children and children placed for adoption.
- NRS 689A.0435 - Coverage for autism spectrum disorders.
- NRS 689A.044 - Required coverage for certain tests and vaccines relating to human papillomavirus; prohibited acts.
- NRS 689A.0445 - Coverage for prostate cancer screening.
- NRS 689A.0447 - Coverage for orally administered chemotherapy.
- NRS 689A.0455 - Coverage for treatment of conditions relating to severe mental illness.
- NRS 689A.046 - Benefits for treatment of alcohol or substance use disorder.
- NRS 689A.0463 - Coverage for services provided through telehealth; prohibited actions by insurer; exclusions.
- NRS 689A.0465 - Coverage of treatment of temporomandibular joint.
- 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.
- NRS 689A.050 - Entire contract; changes.
- NRS 689A.060 - Time limit on certain defenses.
- NRS 689A.070 - Grace period.
- NRS 689A.075 - Cancellation and rescission of short-term limited duration medical plan. [Effective January 1, 2020.]
- 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.380 - Definitions of terms used in policies.
- 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. [Effective through December 31, 2019.]
- 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; imposition of administrative fine or suspension or revocation of certificate of authority for failure to comply. [Effective January 1, 2020.]
- 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. [Effective through December 31, 2019.]
- NRS 689A.417 - Insurer prohibited from requiring or using information concerning genetic testing; exceptions. [Effective January 1, 2020.]
- NRS 689A.419 - Offering policy of health insurance for purposes of establishing health savings account.
- 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.
General Provisions
- NRS 689A.470 - Definitions.
- NRS 689A.475 - "Affiliated" defined.
- NRS 689A.485 - "Bona fide association" defined.
- NRS 689A.490 - "Church plan" defined.
- NRS 689A.495 - "Control" defined.
- NRS 689A.505 - "Creditable coverage" defined.
- NRS 689A.510 - "Dependent" defined.
- NRS 689A.523 - "Exclusion for a preexisting condition" defined. [Effective through December 31, 2019.]
- NRS 689A.525 - "Geographic rating area" defined.
- NRS 689A.527 - "Geographic service area" defined.
- NRS 689A.530 - "Governmental plan" defined.
- NRS 689A.535 - "Group health plan" defined.
- NRS 689A.540 - "Health benefit plan" defined. [Effective through December 31, 2019.]
- NRS 689A.540 - "Health benefit plan" defined. [Effective January 1, 2020.]
- NRS 689A.550 - "Individual carrier" defined.
- NRS 689A.555 - "Individual health benefit plan" defined.
- NRS 689A.570 - "Plan for coverage of a bona fide association" defined.
- NRS 689A.580 - "Plan sponsor" defined.
- NRS 689A.585 - "Preexisting condition" defined. [Effective through December 31, 2019.]
- NRS 689A.590 - "Producer" defined.
- NRS 689A.600 - "Provision for a restricted network" defined.
- 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.630 - Requirement to renew coverage at option of individual; exceptions; discontinuation of product; discontinuation of health benefit plan available through bona fide association.
- NRS 689A.635 - Coverage offered through network plan not required to be offered to person who does not reside or work in geographic service area or geographic rating area.
- NRS 689A.637 - Coverage offered through plan that provides for restricted network: Contracts with certain federally qualified health centers.
- NRS 689A.696 - 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.
- NRS 689A.715 - Requirements for employee welfare benefit plan for providing benefits for employees of more than one employer.
- NRS 689A.717 - 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.720 - Written certification of coverage required for determining period of creditable coverage accumulated by person; provision of certificate to insured.
- 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.
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