Chapter 695B - Nonprofit Corporations for Hospital, Medical and Dental Service
- CONTRACTS
- CONVERSION OF GROUP CONTRACTS TO INDIVIDUAL CONTRACTS
- 695B.251 - Group subscriber contracts to contain provision for conversion to individual contracts; exceptions.
- 695B.252 - Conversion privilege available to spouse and children; conditions.
- 695B.253 - Denial of converted contract because of overinsurance; notice concerning cancellation of other coverage.
- 695B.254 - Choice of types of contracts must be offered.
- 695B.255 - Benefits exceeding those provided under group contract not required; exclusions and limitations.
- 695B.2555 - Benefits payable under converted contract may be reduced by amount payable under group contract.
- 695B.256 - Issuance and effective date of converted contract; premiums; persons covered.
- 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.
- 695B.257 - Notice of conversion privilege.
- 695B.2575 - Converted contract delivered outside Nevada: Form.
- 695B.258 - Extension of coverage under existing group contract.
- 695B.2585 - Group coverage may be provided in lieu of converted individual contract.
- ELIGIBILITY FOR COVERAGE
- 695B.330 - Definitions.
- 695B.340 - Effect of eligibility for medical assistance under Medicaid; assignment of rights to state agency.
- 695B.350 - Corporation prohibited from asserting certain grounds to deny enrollment of child of insured pursuant to order.
- 695B.360 - Certain accommodations to be made when child is covered under policy of noncustodial parent.
- 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.
- GENERAL PROVISIONS
- LICENSING; REGULATION
- 695B.110 - Certificate of authority required; fees.
- 695B.120 - Certificate of authority: Qualifications.
- 695B.130 - Certificate of authority: Application; issuance.
- 695B.135 - Certificate of authority: Expiration; renewal.
- 695B.140 - Reserve fund: Minimum amounts; computation; contracts with hospitals; participation of physicians.
- 695B.150 - Insolvency; determination of financial condition.
- 695B.160 - Annual statement of condition and affairs; fees; examination by Commissioner.
- 695B.170 - Acquisition costs and administrative expenses; effect of finding of excess costs.
- 695B.172 - Summary of coverage: Contents of disclosure; approval by Commissioner.
- 695B.174 - Summary of coverage: Copy to be provided before policy issued; policy not to be offered unless summary approved by Commissioner.
- 695B.176 - Coverage for prescription drugs: Provision of notice and information regarding use of formulary.
- MISCELLANEOUS PROVISIONS
- 695B.260 - Suspension or revocation of permission to provide coverage before approval of forms.
- 695B.270 - Disapproval of forms; issuance unlawful.
- 695B.280 - Regulations; limitations.
- 695B.285 - Use of Uniform Billing and Claims Forms authorized.
- 695B.290 - Agent’s license required.
- 695B.300 - Contracts with agencies or political subdivisions of United States or State of Nevada; acceptance of money; subcontracts.
- 695B.310 - Corporation subject to same fees, licenses and supervision as domestic mutual insurer.
- 695B.315 - Insurer to provide certain information regarding renewal of insurance policy upon request; fee.
- 695B.316 - Corporation prohibited from denying coverage solely because person was victim of domestic violence.
- 695B.3165 - Corporation prohibited from denying coverage solely because insured was intoxicated or under the influence of controlled substance; exceptions.
- 695B.317 - Corporation that provides health insurance prohibited from requiring or using information concerning genetic testing; exceptions.
- 695B.318 - Corporations are subject to certain provisions concerning portability and availability of health insurance.
- 695B.319 - Offering policy of health insurance for purposes of establishing health savings account.
- ORGANIZATION
- SYSTEM FOR RESOLVING COMPLAINTS OF INSUREDS
- 695B.380 - Approval; requirements; examination.
- 695B.390 - Annual report; insurer to maintain records of complaints concerning something other than health care services.
- 695B.400 - Written notice to insured explaining right to file complaint; notice to insured required when insurer denies coverage of health care service.