NRS 689A.745 – Establishment; approval; requirements; examination; exception.
1. Except as otherwise provided in subsection 4, each insurer that issues a policy of health insurance in this State shall establish a system for resolving any complaints of an insured concerning health care services covered under the policy. The system must be approved by the Commissioner. 2. A system for resolving complaints established pursuant […]
NRS 689A.750 – Annual report; insurer required to maintain records of and report complaints concerning something other than health care services.
1. Each insurer that issues a policy of health insurance in this State shall submit to the Commissioner an annual report regarding its system for resolving complaints established pursuant to subsection 1 of NRS 689A.745 on a form prescribed by the Commissioner which includes, without limitation: (a) A description of the procedures used for resolving […]
NRS 689A.755 – Written notice required to be provided by insurer to insured explaining right to file complaint; written notice to insured required when insurer denies coverage of health care service.
1. Following approval by the Commissioner, each insurer that issues a policy of health insurance in this State shall provide written notice to an insured, in clear and comprehensible language that is understandable to an ordinary layperson, explaining the right of the insured to file a written complaint. Such notice must be provided to an […]
NRS 689A.715 – Requirements for employee welfare benefit plan for providing benefits for employees of more than one employer.
1. An employee welfare benefit plan for providing benefits for employees of more than one employer under which individual health insurance coverage is provided must comply with the provisions of NRS 679B.139 and 689A.470 to 689A.740, inclusive, and the regulations adopted by the Commissioner pursuant thereto. 2. As used in this section, the term “employee […]
NRS 689A.717 – Individual health benefit plan covering maternity care and pediatric care: Requirement to allow minimum stay in hospital in connection with childbirth; prohibited acts.
1. Except as otherwise provided in this subsection, an individual health benefit plan issued pursuant to this chapter that includes coverage for maternity care and pediatric care for newborn infants may not restrict benefits for any length of stay in a hospital in connection with childbirth for a pregnant or postpartum individual or newborn infant […]
NRS 689A.720 – Written certification of coverage required for determining period of creditable coverage accumulated by person; provision of certificate to insured.
1. To determine the period of creditable coverage of a person, a health insurance issuer offering individual health insurance coverage shall provide written certification of coverage on a form prescribed by the Commissioner to the person that certifies: (a) The period of creditable coverage of the person under the individual health insurance coverage; and (b) […]
NRS 689A.725 – Requirements for plan for coverage.
For the purposes of NRS 689A.470 to 689A.740, inclusive, a plan for coverage of a bona fide association must: 1. Conform with any regulations adopted pursuant to NRS 689A.700 concerning rates. 2. Provide for the renewability of coverage for members of the bona fide association, and their dependents, if such coverage meets the criteria set […]
NRS 689A.637 – Coverage offered through plan that provides for restricted network: Contracts with certain federally qualified health centers.
1. An individual carrier that offers a health benefit plan that includes a provision for a restricted network shall use its best efforts to contract with at least one health center in each geographic service area to provide health care services to persons covered by the plan if the health center: (a) Meets all conditions […]
NRS 689A.696 – Information and documents required to be made available to Commissioner; proprietary information.
1. An individual carrier shall make the unified rate review template and rate filing documentation used by the individual carrier and any information and documents described in any regulations adopted pursuant to NRS 689A.700 available to the Commissioner upon request. Except in cases of violations of the provisions of this chapter, the unified rate review […]
NRS 689A.700 – Regulations regarding rates.
The Commissioner may adopt regulations to carry out the provisions of this section and to ensure that the practices used by individual carriers relating to the establishment of rates are consistent with the purposes of NRS 689A.470 to 689A.740, inclusive. (Added to NRS by 1997, 2895; A 2013, 3617; 2015, 3485; 2017, 2364)