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Nevada Chapter 695A — Fraternal Benefit Societies

94 sections hosted, reproduced from the official public-domain source.

  • NRS 695A.001— Definitions
  • NRS 695A.003— “Benefit contract” defined
  • NRS 695A.004— “Benefit member” defined
  • NRS 695A.006— “Certificate” defined
  • NRS 695A.010— “Fraternal benefit society” defined
  • NRS 695A.014— “Insurer” defined
  • NRS 695A.016— “Laws” defined
  • NRS 695A.018— “Lodge” defined
  • NRS 695A.020— “Lodge system” defined
  • NRS 695A.023— “Medicaid” defined
  • NRS 695A.027— “Order for medical coverage” defined
  • NRS 695A.030— “Premiums” defined
  • NRS 695A.040— “Representative form of government” defined
  • NRS 695A.042— “Rules” defined
  • NRS 695A.044— “Society” defined
  • NRS 695A.050— Organization: Preparation and contents of articles of incorporation
  • NRS 695A.060— Organization: Filing of documents and bond with Commissioner; preliminary certificate of authority
  • NRS 695A.070— Organization: Solicitation of members; collection of advance premiums; reports to Commissioner
  • NRS 695A.080— Certificate of authority: Issuance and renewal; effect; record; copies; fees
  • NRS 695A.090— General powers and duties of society
  • NRS 695A.095— Contracts between society and provider of health care: Prohibiting society from charging provider of health care fee for inclusion on list of providers given to insureds; society required to use form to obtain information on provider of health care; modification; submission by society of schedule of payments to provider
  • NRS 695A.110— Unincorporated or voluntary association prohibited from transacting business as society
  • NRS 695A.120— Location of principal office; meetings of supreme governing body; minutes of certain proceedings; official publications; grievances by benefit members
  • NRS 695A.130— Consolidation; merger
  • NRS 695A.140— Conversion of fraternal benefit society into mutual life insurer
  • NRS 695A.150— Qualifications for and rights and privileges of membership
  • NRS 695A.151— Effect of eligibility for medical assistance under Medicaid on eligibility for coverage; assignment of rights to state agency
  • NRS 695A.152— Society required to comply with certain provisions concerning portability and availability of health insurance
  • NRS 695A.153— Society prohibited from asserting certain grounds to deny enrollment of child of insured pursuant to order
  • NRS 695A.155— Certain accommodations required to be made by society when child is covered under policy of noncustodial parent
  • NRS 695A.157— Society required to authorize enrollment of child of parent who is required by order to provide medical coverage under certain circumstances; termination of coverage of child
  • NRS 695A.160— Amendment of laws of society: Manner; approval by Commissioner; provision to members
  • NRS 695A.180— Scope of contractual benefits
  • NRS 695A.184— Benefit contract covering prescription drugs prohibited from limiting or excluding coverage for prescription drug previously approved for medical condition of insured; exception
  • NRS 695A.188— Approval or denial of claim; payment of claims and interest; request for additional information; payment of claim; award of costs and attorney’s fees; compliance with requirements; imposition of administrative fine or suspension or revocation of certificate of authority for failure to comply; report of compliance by society
  • NRS 695A.195— Society prohibited from denying coverage solely because claim involves act that constitutes domestic violence or applicant or insured was victim of domestic violence
  • NRS 695A.197— Society prohibited from denying coverage solely because applicant or insured was intoxicated or under the influence of controlled substance; exceptions
  • NRS 695A.198— Society prohibited from discriminating against person with respect to participation or coverage on basis of gender identity or expression
  • NRS 695A.200— Nonforfeiture benefits, cash surrender values, certificate loans and other options
  • NRS 695A.210— Beneficiaries; funeral benefits
  • NRS 695A.220— Benefits not liable to attachment, garnishment or other process
  • NRS 695A.230— Terms and conditions of benefit contracts
  • NRS 695A.232— Society required to offer and issue plan regardless of health status of persons; prohibited acts
  • NRS 695A.235— Offering policy of health insurance for purposes of establishing health savings account
  • NRS 695A.240— Approval and contents of certificates
  • NRS 695A.255— Benefit contract covering prescription drugs: Provision of notice and information regarding use of formulary
  • NRS 695A.256— Benefit contract covering prescription drugs: Submission to step therapy protocol for drug to treat psychiatric condition prohibited in certain circumstances
  • NRS 695A.257— Benefit contract covering prescription drugs: Required actions by society related to acquisition of prescription drugs for certain insureds residing in area for which emergency or disaster has been declared
  • NRS 695A.258— Benefit contract covering prescription drug for treatment of medical condition that is part of step therapy protocol: Use of certain guidelines required; establishment of process to request exemption from step therapy protocol required; granting of request; applicability of provisions
  • NRS 695A.259— Benefit contract covering prescription drug for treatment of cancer or cancer symptom that is part of step therapy protocol: Society required to allow insured or attending practitioner to apply for exemption from step therapy protocol in certain circumstances; procedure for applying for and granting exemption
  • NRS 695A.261— Benefit contract covering anatomical gifts, organ transplants or treatments or services related to organ transplants: Prohibited acts by society if insured is person with disability
  • NRS 695A.263— Coverage for dental service provided by qualified dental hygienist required in certain circumstances
  • NRS 695A.265— Coverage for services provided through telehealth required to same extent as though provided in person or by other means; reimbursement for certain services provided through telehealth required in same amount as though provided in person or by other means; prohibited acts
  • NRS 695A.270— Authority to prohibit in society’s laws waiver of provisions of society’s laws
  • NRS 695A.280— Reinsurance
  • NRS 695A.300— Foreign or alien society: License required to transact business; required information
  • NRS 695A.310— Injunction against, liquidation of or appointment of receiver for domestic society
  • NRS 695A.320— Suspension, revocation or refusal of license of foreign or alien society
  • NRS 695A.330— Licensing of insurance agents of society; persons exempt from licensing
  • NRS 695A.400— Service of process on society
  • NRS 695A.410— Injunctions against societies
  • NRS 695A.420— Judicial review of Commissioner’s findings and decisions
  • NRS 695A.430— Assets, funds and accounts of society
  • NRS 695A.440— Investments
  • NRS 695A.450— Annual statement of financial condition, transactions and affairs: Filing; fee; contents; provision to members; valuation of certificates
  • NRS 695A.460— Annual statement of financial condition, transactions and affairs: Penalties for failure to file properly
  • NRS 695A.475— Liability of directors, officers, employees, members and volunteers; indemnification and reimbursement of directors, officers, employees and agents
  • NRS 695A.490— Standards of valuation for certificates; excess reserves
  • NRS 695A.500— Examination of societies transacting or applying to transact business in State
  • NRS 695A.530— Applicability of provisions relating to trade practices and frauds
  • NRS 695A.550— Exemption of societies from certain taxes
  • NRS 695A.555— Nonexemption of societies from certain fees
  • NRS 695A.560— Exemption of societies from other insurance laws; exceptions
  • NRS 695A.570— Applicability of chapter; effect of exemption
  • NRS 695A.580— Penalties
  • NRS 695A.1841— Limitation on cost-sharing obligation for insulin covered under benefit contract covering prescription insulin drugs
  • NRS 695A.1843— Coverage for drugs, laboratory testing and certain services related to human immunodeficiency virus and hepatitis C required; reimbursement of certain providers of health care for certain services; prohibited acts
  • NRS 695A.1844— Coverage for testing, treatment and prevention of sexually transmitted diseases required; coverage for condoms for certain insureds required
  • NRS 695A.1845— Coverage for certain tests and vaccines relating to human papillomavirus required; prohibited acts
  • NRS 695A.1853— Coverage for screening, genetic counseling and testing related to BRCA gene required in certain circumstances
  • NRS 695A.1855— Coverage for certain screenings and tests for breast cancer required; prohibited acts
  • NRS 695A.1856— Coverage for examination of person who is pregnant for certain diseases required
  • NRS 695A.1857— Benefit contract covering maternity care: Prohibited acts by society if insured is acting as gestational carrier; child deemed child of intended parent for purposes of benefit contract
  • NRS 695A.1859— Coverage for biomarker testing for diagnosis, treatment, management and monitoring of cancer required in certain circumstances; establishment of process to request exception or appeal denial of coverage; time for responding to request for prior authorization
  • NRS 695A.1865— Coverage for drug or device for contraception and related health services required in benefit contract covering prescription drugs or devices; prohibited acts; exceptions
  • NRS 695A.1866— Coverage for procedure or service for preservation of fertility required in certain circumstances; exemption. [Effective January 1, 2027.]
  • NRS 695A.1867— Coverage for medically necessary treatment of conditions relating to gender dysphoria and gender incongruence required; restriction on refusal to cover certain treatments; authority of society to prescribe requirements for covering surgical treatment for minors; determination of medical necessity
  • NRS 695A.1873— Coverage for management and treatment of sickle cell disease and its variants required; coverage for medically necessary prescription drugs to treat sickle cell disease and its variants required in benefit contract covering prescription drugs
  • NRS 695A.1874— Coverage for certain drugs and services related to substance use disorder and opioid use disorder required; reimbursement of pharmacists and pharmacies for certain services; prohibited acts
  • NRS 695A.1875— Coverage for certain services, screenings and tests relating to wellness required; prohibited acts
  • NRS 695A.18445— Coverage for certain gynecological or obstetrical services required without prior authorization or referral from primary care physician; designation of obstetrician or gynecologist as primary care physician
  • NRS 695A.18565— Coverage for noninvasive prenatal screening required
  • NRS 695A.18575— Coverage for screening for lung cancer required in benefit contract providing coverage for treatment for lung cancer
  • NRS 695A.18735— Coverage for habilitative speech-language pathology and rehabilitative speech-language pathology as treatment for stuttering required for certain persons; prohibited acts