689C.135 - Effect of provision in health benefit plan for restricted network on determination of rates. - Nevada Statutes

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Statutes > Nevada > Title-57 > Chapter-689c > Health-benefit-plans > 689c-135

689C.135 Effect of provision in health benefit plan for restricted network on determination of rates.

1. For the purposes of determining rates charged for health benefit plans, a health benefit plan that contains a provision for a restricted network is not similar coverage to a health benefit plan that does not contain such a provision if the restriction of benefits results in material differences in cost of claims.

2. As used in this section, “provision for a restricted network” means any provision of a group health benefit plan that conditions the payment of benefits, in whole or in part, on the use of providers of health care who have entered into a contractual arrangement with the carrier to provide health care to persons covered by the plan.

(Added to NRS by 1995, 980)

State Codes and Statutes

Statutes > Nevada > Title-57 > Chapter-689c > Health-benefit-plans > 689c-135

689C.135 Effect of provision in health benefit plan for restricted network on determination of rates.

1. For the purposes of determining rates charged for health benefit plans, a health benefit plan that contains a provision for a restricted network is not similar coverage to a health benefit plan that does not contain such a provision if the restriction of benefits results in material differences in cost of claims.

2. As used in this section, “provision for a restricted network” means any provision of a group health benefit plan that conditions the payment of benefits, in whole or in part, on the use of providers of health care who have entered into a contractual arrangement with the carrier to provide health care to persons covered by the plan.

(Added to NRS by 1995, 980)

State Codes and Statutes

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State Codes and Statutes

Statutes > Nevada > Title-57 > Chapter-689c > Health-benefit-plans > 689c-135

689C.135 Effect of provision in health benefit plan for restricted network on determination of rates.

1. For the purposes of determining rates charged for health benefit plans, a health benefit plan that contains a provision for a restricted network is not similar coverage to a health benefit plan that does not contain such a provision if the restriction of benefits results in material differences in cost of claims.

2. As used in this section, “provision for a restricted network” means any provision of a group health benefit plan that conditions the payment of benefits, in whole or in part, on the use of providers of health care who have entered into a contractual arrangement with the carrier to provide health care to persons covered by the plan.

(Added to NRS by 1995, 980)