NRS 687B.874 – “Policy of stop-loss insurance” defined.
“Policy of stop-loss insurance” means a policy or contract of insurance, which provides coverage for the losses of an insured above an attachment point which is stated in the policy or contract, including, without limitation, a policy of insurance which includes stop-loss coverage or excess loss coverage. (Added to NRS by 2021, 2970)
NRS 687B.876 – “Provider of health care” defined.
“Provider of health care” has the meaning ascribed to it in NRS 687B.660. (Added to NRS by 2021, 2970)
NRS 687B.878 – Reporting of premiums written in this State for policies of stop-loss insurance.
An insurer authorized in this State to issue policies or contracts of property and casualty insurance, accident and health insurance or health insurance shall report to the Commissioner any premiums written in this State by the insurer for policies of stop-loss insurance. The insurer shall report the premiums: 1. With the annual statement filed by […]
NRS 687B.880 – Exercise of reasonable diligence related to legitimacy and authority required before issuing policy of stop-loss insurance for group health plan.
1. An insurer intending to issue a policy of stop-loss insurance in this State to cover losses of a group health plan shall, before issuing the policy, exercise reasonable diligence to confirm that: (a) The underlying group health plan is legitimate; and (b) The entity offering the underlying group health plan is properly authorized to […]
NRS 687B.882 – Policy form for policy of stop-loss insurance for group health plan: Filing; approval; requirements.
A policy form for a policy of stop-loss insurance which is intended for issue in this State to cover losses of a group health plan must be filed with and approved by the Commissioner pursuant to NRS 687B.120 before being delivered or issued for delivery. In addition to any other applicable requirements, the policy form […]
NRS 687B.884 – Policy form for policy of provider stop-loss insurance: Filing; approval; requirements; accompanying certification.
1. A policy form for a policy of provider stop-loss insurance which is intended for issue in this State must be filed with and approved by the Commissioner pursuant to NRS 687B.120 before being delivered or issued for delivery. In addition to any other applicable requirements, the policy form must satisfy the following requirements: (a) […]
NRS 687B.868 – “Multiple employer welfare arrangement” defined.
“Multiple employer welfare arrangement” has the meaning ascribed to it in NRS 680A.028. (Added to NRS by 2021, 2970)
NRS 687B.870 – “Network” defined.
“Network” has the meaning ascribed to it in NRS 687B.640. (Added to NRS by 2021, 2970)
NRS 687B.872 – “Policy of provider stop-loss insurance” defined.
“Policy of provider stop-loss insurance” means a policy of stop-loss insurance which: 1. Is issued to a provider of health care or a network; 2. Provides coverage for losses of the provider of health care or network above an attachment point which is stated in the policy; and 3. Covers losses of the provider of […]
NRS 687B.830 – Contract for purposes of network plan prohibited from conflicting with network plan or law; notice of provisions and incorporated documents; notice of changes.
1. A contract entered into for the purposes of a network plan between a participating provider of health care and the health carrier must not contain a provision that conflicts with any provision in the network plan or any requirement set forth in NRS 687B.600 to 687B.850, inclusive. 2. At the time a participating provider […]