As used in this chapter, unless the context otherwise requires, the words and terms defined in NRS 695D.012 to 695D.080, inclusive, have the meanings ascribed to them in those sections. (Added to NRS by 1983, 2021; A 2021, 3529)
“Administrator” has the meaning ascribed to it in NRS 683A.025. (Added to NRS by 2021, 3527)
“Commissioner” means the Commissioner of Insurance. (Added to NRS by 1983, 2021)
“Dental care” means the services ordinarily provided by dentists and includes appliances, drugs, medicines, supplies, prosthetic appliances, orthodontic appliances, and metal, ceramic or other restorations customarily used or provided by a dentist. (Added to NRS by 1983, 2021)
“Dentist” includes a dental hygienist. (Added to NRS by 1983, 2021)
“Member” includes the person enrolled in a plan for dental care and the person’s dependents who may also be enrolled in the plan. (Added to NRS by 1983, 2021)
“Organization for dental care” means any person who agrees to provide coverage for dental care through one or more plans for dental care. (Added to NRS by 1983, 2021)
“Plan for dental care” means any agreement in which a person agrees to provide or arrange for dental care or pay for or reimburse any part of the cost of that care and the member agrees to prepay, make periodic payments or pay through insurance for that care. (Added to NRS by 1983, 2021; A […]
“Policy” means the document given to a member which describes the dental care to which the member is entitled under a plan for dental care and the obligations of the member to the organization for dental care. (Added to NRS by 1983, 2021)
1. Except as otherwise specifically provided in this chapter or elsewhere in this title, the provisions of this title other than this chapter do not apply to organizations for dental care. This exemption does not apply to any insurer authorized pursuant to any other provision of this title except with respect to those activities authorized […]
1. An organization for dental care is subject to the provisions of this chapter and to the provisions set forth in this section, to the extent reasonably applicable. Organizations for dental care are subject to the provisions of NRS 449.465, 679B.700, subsections 7 and 8 of NRS 680A.270, subsections 2, 4, 18, 19 and 31 […]
The Commissioner may adopt any regulations necessary to carry out the provisions of this chapter. (Added to NRS by 1983, 2022)
1. The Commissioner shall adopt regulations which require an organization for dental care to file with the Commissioner, for approval by the Commissioner, a disclosure summarizing the coverage provided by each plan for dental care offered by the organization for dental care. The disclosure must include: (a) Any significant exception, reduction or limitation that applies […]
An organization for dental care shall provide to the group policyholder to whom it offers a plan for dental care a copy of the disclosure approved for that plan pursuant to NRS 695D.102 before the policy is issued. An organization for dental care shall not offer a plan for dental care unless the disclosure for […]
No person may establish or operate a plan for dental care, act as an administrator of such a plan or sell or offer to sell such a plan without first obtaining a certificate of authority from the Commissioner. (Added to NRS by 1983, 2022)
Each application for a certificate of authority must be filed with the Commissioner on a form prescribed by the Commissioner, must be verified by an officer or authorized representative of the organization for dental care and must include: 1. A copy of any organizational document for the organization and all amendments to that document. 2. […]
The Commissioner shall issue a certificate of authority to an organization for dental care after the organization has paid an application fee of $2,450 and, in addition to any other fee or charge, all applicable fees required pursuant to NRS 680C.110, and the Commissioner is satisfied that: 1. The persons responsible for operating the organization […]
1. Except as otherwise provided in subsection 2, every organization issued a certificate of authority by the Commissioner shall notify the Commissioner of any change in the information provided to obtain its certificate of authority within 10 days after the change. 2. Every such organization that wishes to make a change in the geographic areas […]
A certificate of authority expires at midnight on March 1 following the date it was issued or previously renewed. The Commissioner shall renew the certificate of any organization for dental care which: 1. Continues to comply with the provisions of this chapter; and 2. Pays the fee for renewal of $2,450 and, in addition to […]
1. Each organization for dental care which receives a certificate of authority shall maintain a capital account with a net worth of not less than $500,000 unless a lesser amount is permitted in writing by the Commissioner. 2. An organization for dental care which has been issued a certificate of authority pursuant to this chapter […]
