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.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)
NRS 689A.740 – Regulations.
The Commissioner shall adopt regulations as necessary to carry out the provisions of NRS 689A.470 to 689A.740, inclusive. (Added to NRS by 1997, 2896; A 2017, 2365)
NRS 689A.705 – Regulations concerning reissuance of health benefit plan.
The Commissioner may adopt regulations to require an individual carrier, as a condition of transacting business with individuals in this state after July 16, 1997, to reissue a health benefit plan to any individual whose health benefit plan has been terminated or not renewed by the individual carrier after July 1, 1997. The Commissioner may […]
NRS 689A.710 – Prohibited acts; denial of application for coverage; regulations; violation may constitute unfair trade practice; applicability of section.
1. Except as otherwise provided in this section, an individual carrier or a producer shall not, directly or indirectly: (a) Encourage or direct an individual or family to refrain from filing an application for coverage with an individual carrier because of the health status, claims experience, industry, occupation or geographic location of the individual or […]
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 […]