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Chapter 695B - Nonprofit Corporations for Hospi...
Chapter 695B - Nonprofit Corporations for Hospital, Medical and Dental Service
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.
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.
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; annual financial statement; quarterly statement; fees; examination by Commissioner.
NRS 695B.165 - Annual statement required to include report of net worth.
NRS 695B.170 - Acquisition costs and administrative expenses; effect of finding of excess costs.
NRS 695B.176 - Coverage for prescription drugs: Provision of notice and information regarding use of formulary.
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, dental or chiropractic evaluations.
NRS 695B.183 - Requirements regarding issuance of health benefit plans and adjustment of costs. [Effective January 1, 2020.]
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.
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.1904 - Required provision concerning coverage for services provided through telehealth.
NRS 695B.1905 - Required provision concerning coverage for prescription drug previously approved for medical condition of insured.
NRS 695B.1906 - Required provision concerning coverage for prescription drugs irregularly dispensed for purpose of synchronization of chronic medications.
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.1909 - Required provision concerning coverage for orally administered chemotherapy.
NRS 695B.191 - Required provision concerning coverage relating to mastectomy.
NRS 695B.1912 - Required provision concerning coverage for mammograms for certain women; prohibited acts.
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 hormone replacement therapy in certain circumstances; prohibited actions by insurer; exception.
NRS 695B.1918 - Required provision concerning coverage of health care services related to hormone replacement therapy in certain circumstances; prohibited actions by insurer.
NRS 695B.1919 - Required provision concerning coverage for drug or device for contraception and related health services; prohibited actions by insurer; exceptions.
NRS 695B.19195 - Required provision concerning coverage for certain services, screenings and tests relating to wellness; prohibited actions by insurer.
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 certain tests and vaccines relating to human papillomavirus; prohibited acts.
NRS 695B.1927 - Required provision concerning coverage for management and treatment of diabetes.
NRS 695B.1929 - Required provision of coverage for management and treatment of sickle cell disease.
NRS 695B.193 - Required provision concerning coverage for newly born and adopted children and children placed for adoption. [Effective through December 31, 2019.]
NRS 695B.193 - Required provision concerning coverage for newly born and adopted children and children placed for adoption. [Effective January 1, 2020.]
NRS 695B.1931 - Required provision concerning coverage relating to treatment of temporomandibular joint.
NRS 695B.1932 - Required provision concerning coverage for early refills of topical ophthalmic products.
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.
NRS 695B.1948 - Contract 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 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.
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.227 - Required contract with insurance company for provision of insurance, indemnity or reimbursement against cost of hospital, medical and dental services; required provisions. [Effective through December 31, 2019.]
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. [Effective through December 31, 2019.]
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; imposition of administrative fine or suspension or revocation of certificate of authority for failure to comply. [Effective January 1, 2020.]
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. [Effective through December 31, 2019.]
NRS 695B.2555 - Benefits payable under converted contract may be reduced by amount payable under group contract. [Effective January 1, 2020.]
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.
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. [Effective through December 31, 2019.]
NRS 695B.317 - Corporation that provides health insurance prohibited from requiring or using information concerning genetic testing; exceptions. [Effective January 1, 2020.]
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.
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.
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.