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Chapter 689C - Health Insurance for Small Emplo...
Chapter 689C - Health Insurance for Small Employers
NRS 689C.015 - Definitions.
NRS 689C.017 - “Affiliated” defined.
NRS 689C.019 - “Affiliation period” defined.
NRS 689C.023 - “Bona fide association” defined.
NRS 689C.025 - “Carrier” defined.
NRS 689C.045 - “Class of business” defined.
NRS 689C.047 - “Control” defined.
NRS 689C.053 - “Creditable coverage” defined.
NRS 689C.055 - “Dependent” defined.
NRS 689C.065 - “Eligible employee” defined.
NRS 689C.066 - “Employee leasing company” defined.
NRS 689C.071 - “Geographic rating area” defined.
NRS 689C.072 - “Geographic service area” defined.
NRS 689C.073 - “Group health plan” defined.
NRS 689C.075 - “Health benefit plan” defined.
NRS 689C.077 - “Network plan” defined.
NRS 689C.078 - “Open enrollment” defined.
NRS 689C.079 - “Plan for coverage of a bona fide association” defined.
NRS 689C.081 - “Plan sponsor” defined.
NRS 689C.082 - “Preexisting condition” defined. [Effective through December 31, 2019.]
NRS 689C.083 - “Producer” defined.
NRS 689C.085 - “Rating period” defined.
NRS 689C.095 - “Small employer” defined.
NRS 689C.106 - “Waiting period” defined.
NRS 689C.1065 - Applicability.
NRS 689C.109 - 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 689C.111 - Employee leasing company deemed large employer in certain circumstances.
NRS 689C.113 - Requirements for employee welfare benefit plan for providing benefits for employees of more than one employer.
NRS 689C.115 - Mandatory and optional coverage.
NRS 689C.125 - Rating factors for determining premiums.
NRS 689C.135 - Effect of provision in health benefit plan for restricted network on determination of rates.
NRS 689C.143 - Offering of policy of health insurance for purposes of establishing health savings account.
NRS 689C.155 - Regulations.
NRS 689C.156 - Each health benefit plan marketed in this State required to be offered to small employers.
NRS 689C.1565 - Coverage to small employers not required under certain circumstances; notice to Commissioner of and prohibition on writing new business after election not to offer new coverage required.
NRS 689C.158 - Producer may only sign up small employers and eligible employees in bona fide associations if employers and employees are actively engaged in or related to bona fide association.
NRS 689C.159 - Certain provisions inapplicable to plan that carrier makes available only through bona fide association. [Effective through December 31, 2019.]
NRS 689C.159 - Certain provisions inapplicable to plan that carrier makes available only through bona fide association. [Effective January 1, 2020.]
NRS 689C.160 - Carrier must uniformly apply requirements to determine whether to provide coverage.
NRS 689C.165 - Carrier prohibited from modifying plan to restrict or exclude coverage for certain services.
NRS 689C.1655 - Coverage for autism spectrum disorders.
NRS 689C.166 - Coverage for alcohol or substance use disorder: Required.
NRS 689C.167 - Coverage for alcohol or substance use disorders: Benefits.
NRS 689C.1672 - Coverage for certain tests and vaccines relating to human papillomavirus; prohibited acts.
NRS 689C.1674 - Coverage for mammograms for certain women; prohibited acts.
NRS 689C.1676 - Coverage for drug or device for contraception and related health services; prohibited acts; exceptions.
NRS 689C.1678 - Coverage for certain services, screenings and tests relating to wellness; prohibited acts.
NRS 689C.168 - Coverage for prescription drug previously approved for medical condition of insured.
NRS 689C.1683 - Coverage for prescription drugs irregularly dispensed for purpose of synchronization of chronic medications.
NRS 689C.1685 - Coverage for early refills of topical ophthalmic products.
NRS 689C.1687 - Coverage for management and treatment of sickle cell disease.
NRS 689C.169 - Coverage for severe mental illness.
NRS 689C.170 - Authorized variation of minimum participation and contributions; denial of coverage based on industry prohibited.
NRS 689C.180 - Carrier to offer same coverage to all eligible employees; denial of coverage to otherwise eligible employee.
NRS 689C.183 - Plan and carrier required to permit employee or dependent of employee to enroll for coverage under certain circumstances.
NRS 689C.187 - Manner and period for enrolling dependent of covered employee; period of special enrollment.
NRS 689C.190 - Coverage of preexisting conditions. [Effective through December 31, 2019.]
NRS 689C.190 - Requirements regarding issuance of health benefit plans and adjustment of costs. [Effective January 1, 2020.]
NRS 689C.191 - Determination of applicable creditable coverage of person; determining period of creditable coverage of person; required statement; applicability.
NRS 689C.192 - Written certification of coverage required for purpose of determining period of creditable coverage accumulated by person.
NRS 689C.193 - Carrier prohibited from imposing restriction on participation inconsistent with certain sections; restrictions on rules of eligibility that may be established; premiums to be equitable. [Effective through December 31, 2019.]
NRS 689C.193 - Carrier prohibited from imposing restriction on participation inconsistent with certain sections; restrictions on rules of eligibility that may be established. [Effective January 1, 2020.]
NRS 689C.194 - Plan that includes coverage for maternity and pediatric care: Required to allow minimum stay in hospital in connection with childbirth; prohibited acts.
NRS 689C.1945 - Plan that includes coverage for maternity care must not deny coverage to gestational carrier; status of child in relation to intended parent. [Effective January 1, 2020.]
NRS 689C.195 - Coverage for services provided through telehealth.
NRS 689C.196 - Insurer prohibited from denying coverage solely because person was victim of domestic violence.
NRS 689C.197 - Carrier prohibited from denying coverage because insured was intoxicated or under influence of controlled substance; exceptions.
NRS 689C.198 - Insurer prohibited from requiring or using information concerning genetic testing; exceptions. [Effective through December 31, 2019.]
NRS 689C.198 - Insurer prohibited from requiring or using information concerning genetic testing; exceptions. [Effective January 1, 2020.]
NRS 689C.200 - When carrier is not required to offer coverage.
NRS 689C.203 - Denial of application for coverage from small employer; regulations.
NRS 689C.207 - Regulations concerning reissuance of health benefit plan.
NRS 689C.220 - Adjustment in rates to be applied uniformly. [Effective through December 31, 2019.]
NRS 689C.220 - Adjustment in rates to be applied uniformly. [Effective January 1, 2020.]
NRS 689C.265 - Carrier authorized to modify coverage for insurance product under certain circumstances.
NRS 689C.281 - Coverage for prescription drugs: Provision of notice and information regarding use of formulary.
NRS 689C.310 - Renewal of health benefit plan; discontinuing product.
NRS 689C.320 - Required notification when carrier discontinues transacting insurance in this State; restrictions on carrier that discontinues transacting insurance.
NRS 689C.325 - Coverage offered through network plan not required to be offered to eligible employee who does not reside or work in geographic service area or if carrier lacks capacity to deliver adequate service to additional employers and employees.
NRS 689C.350 - Health benefit plan with preferred providers of health care: Deductible; when service is deemed to be provided by preferred provider.
NRS 689C.355 - Prohibited acts of carrier or producer; denial of application for coverage; violation may constitute unfair trade practice; applicability of section.
NRS 689C.360 - Definitions.
NRS 689C.380 - “Contract” defined.
NRS 689C.390 - “Dependent” defined.
NRS 689C.420 - “Voluntary purchasing group” defined.
NRS 689C.425 - Applicability of other provisions.
NRS 689C.430 - Entities which are authorized to offer contracts to voluntary purchasing groups.
NRS 689C.435 - Contracts between carrier and providers of health care: Prohibiting carrier 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.
NRS 689C.455 - Coverage for prescription drugs: Provision of notice and information regarding use of formulary.
NRS 689C.460 - Carrier to offer same coverage to all eligible employees; denial of coverage to otherwise eligible employee.
NRS 689C.470 - Renewal of contract; discontinuing product.
NRS 689C.480 - Required notification when carrier ceases to renew all contracts; restrictions on carrier that ceases to renew all contracts.
NRS 689C.485 - 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 689C.485 - 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 689C.490 - Formation of voluntary purchasing group by small employers; requirements when affiliate of group ceases to qualify as small employer.
NRS 689C.500 - Requirements for registration as voluntary purchasing group; application.
NRS 689C.510 - Fee for application; response to application.
NRS 689C.520 - Additional requirements for registration.
NRS 689C.530 - Filing reports; annual renewal fee.
NRS 689C.540 - Duties.
NRS 689C.550 - Collection of premiums; trust account for deposit of premiums.
NRS 689C.560 - Regulations governing security to be maintained by voluntary purchasing group.
NRS 689C.570 - Organizer prohibited from acquiring financial interest in group’s business.
NRS 689C.580 - Prohibited acts.
NRS 689C.590 - Disciplinary action for violation of provisions.
NRS 689C.600 - Regulations.
NRS 689C.610 - Definitions.
NRS 689C.630 - “Church plan” defined.
NRS 689C.660 - “Individual carrier” defined.
NRS 689C.670 - “Individual health benefit plan” defined.
NRS 689C.940 - Regulations concerning determination of status of stop-loss policy.