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.]

NV Rev Stat § 695B.227 (2019) (N/A)
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1. A corporation organized under this chapter shall contract with an insurance company licensed in this State or authorized to do business in this State for the provision of insurance, indemnity or reimbursement against the cost of hospital services, medical services and dental services which are provided by the corporation.

2. The contract of insurance required by subsection 1 must include a provision that, in the case of the insolvency or impairment of the corporation, the insurance company will pay all claims made by an insured for the period for which a premium has been or will be paid to the corporation for the insured. The contract of insurance required by subsection 1 must specifically provide for the:

(a) Continuation of benefits to each insured for the period for which a premium has been or will be paid to the corporation for the insured until the expiration or termination of the insured’s contract with the corporation;

(b) Continuation of benefits for each insured who is receiving inpatient services in a medical facility or facility for the dependent at the time of the insolvency or impairment of the corporation until the inpatient services are no longer medically necessary and the insured is discharged from the medical facility or facility for the dependent; and

(c) Payment of a provider of health care not affiliated with the corporation who provided medically necessary services to an insured, as described in the insured’s contract with the corporation, the insured’s policy or the insured’s evidence of coverage.

3. As used in this section:

(a) “Facility for the dependent” has the meaning ascribed to it in NRS 449.0045.

(b) “Impairment” means that a corporation organized under this chapter is not insolvent and has been:

(1) Deemed to be impaired pursuant to NRS 695B.150; or

(2) Placed under an order of rehabilitation or conservation by a court of competent jurisdiction.

(c) “Insolvency” or “insolvent” means that a corporation organized under this chapter has been:

(1) Deemed to be insolvent pursuant to NRS 695B.150;

(2) Declared insolvent by a court of competent jurisdiction; or

(3) Placed under an order of liquidation by a court of competent jurisdiction.

(d) “Medical facility” has the meaning ascribed to it in NRS 449.0151.

(e) “Medically necessary” has the meaning ascribed to it in NRS 695G.055.

(f) “Provider of health care” has the meaning ascribed to it in NRS 629.031.

(Added to NRS by 2017, 2383; R 2019, 1110, effective January 1, 2020)