Chapter 695F - Prepaid Limited Health Service Organizations

Chapter 695F - Prepaid Limited Health Service Organizations

NRS 695F.010 - Definitions.
NRS 695F.020 - “Enrollee” defined.
NRS 695F.030 - “Evidence of coverage” defined.
NRS 695F.040 - “Limited health service” defined.
NRS 695F.043 - “Medicaid” defined.
NRS 695F.047 - “Order for medical coverage” defined.
NRS 695F.050 - “Prepaid limited health service organization” defined.
NRS 695F.060 - “Provider” defined.
NRS 695F.070 - “Subscriber” defined.
NRS 695F.080 - General applicability of title 57 of NRS.
NRS 695F.090 - Applicable statutory provisions.
NRS 695F.100 - Certificate required.
NRS 695F.110 - Application for certificate.
NRS 695F.120 - Review of application; issuance of certificate.
NRS 695F.130 - Application of person who is licensed as insurer or holds another certificate of authority.
NRS 695F.140 - Denial of application; hearing.
NRS 695F.150 - Evidence of coverage: Issuance; contents; amendment.
NRS 695F.151 - Requirements regarding issuance of health benefit plans and adjustment of costs. [Effective January 1, 2020.]
NRS 695F.153 - Coverage for prescription drugs: Provision of notice and information regarding use of formulary.
NRS 695F.156 - Coverage for prescription drug previously approved for medical condition of enrollee.
NRS 695F.160 - Rates and charges: Reasonableness.
NRS 695F.170 - Procedure for modification of rates, charges, benefits, organization, operations, documents or services.
NRS 695F.180 - Investments.
NRS 695F.190 - Requirements for reserve.
NRS 695F.200 - Maintenance of capital account, surety bond or deposit and risk-based capital; determination of amount of increase by Commissioner.
NRS 695F.210 - Maintenance of fidelity bond or deposit in lieu of bond.
NRS 695F.212 - Hazardous financial condition: Regulations; determination; powers of Commissioner.
NRS 695F.220 - Contract between organization and provider or subcontractor for provision of services to enrollees.
NRS 695F.230 - Establishment of system for resolution of complaints.
NRS 695F.300 - Regulations of Commissioner.
NRS 695F.310 - Examination: Affairs of organization; availability of books and records; exception; assessment of expenses.
NRS 695F.320 - Annual report and financial statement; quarterly statement; imposition of fine and suspension of certificate of authority for failure to file report or statement.
NRS 695F.330 - Payment of tax.
NRS 695F.340 - Fees.
NRS 695F.350 - Suspension or revocation of certificate of authority.
NRS 695F.360 - Violations of chapter: Order to cease and desist; fine.
NRS 695F.400 - License required to apply, procure, negotiate or place for another any policy or contract of organization.
NRS 695F.410 - Confidentiality and disclosure of information.
NRS 695F.420 - Certain insurers and organizations may exclude coverage duplicated pursuant to this chapter.
NRS 695F.430 - Provision of services excluded from practice of any healing arts; solicitation excluded from statutory provisions regarding solicitation or advertising by practitioner of healing art.
NRS 695F.440 - Effect of eligibility for medical assistance under Medicaid; assignment of rights to state agency.
NRS 695F.450 - Organization prohibited from asserting certain grounds to deny enrollment of child pursuant to order if parent is insured.
NRS 695F.460 - Certain accommodations to be made when child is covered under evidence of coverage of noncustodial parent.
NRS 695F.470 - Organization 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 695F.480 - Organization prohibited from restricting coverage of child based on preexisting condition if person who is eligible for group coverage adopts or assumes legal obligation for child. [Effective through December 31, 2019.]

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