Nevada Chapter 695F — Prepaid Limited Health Service Organizations
47 sections hosted, reproduced from the official public-domain source.
- NRS 695F.010— Definitions
- NRS 695F.020— “Enrollee” defined
- NRS 695F.030— “Evidence of coverage” defined
- NRS 695F.040— “Limited health service” defined
- NRS 695F.043— “Medicaid” defined
- NRS 695F.047— “Order for medical coverage” defined
- NRS 695F.050— “Prepaid limited health service organization” defined
- NRS 695F.060— “Provider” defined
- NRS 695F.070— “Subscriber” defined
- NRS 695F.080— General applicability of title 57 of NRS
- NRS 695F.090— Applicability of chapter and other provisions
- NRS 695F.100— Certificate required
- NRS 695F.110— Application; fee
- NRS 695F.120— Review of application; issuance of certificate
- NRS 695F.130— Application of person who is licensed as insurer or holds another certificate of authority
- NRS 695F.140— Denial of application; hearing
- NRS 695F.150— Evidence of coverage: Issuance; contents; amendment
- NRS 695F.151— Organization required to offer and issue plan regardless of health status of persons; prohibited acts; authority to include wellness program in plan that offers discounts based on health status under certain circumstances
- NRS 695F.153— Evidence of coverage covering prescription drugs: Provision of notice and information regarding use of formulary
- NRS 695F.156— Evidence of coverage covering prescription drugs prohibited from limiting or excluding coverage for certain prescription drugs previously approved for medical condition of enrollee; exceptions
- NRS 695F.157— Limitation on cost-sharing obligation of insulin covered under evidence of coverage covering prescription insulin drugs
- NRS 695F.158— Evidence of coverage covering prescription drugs: Required actions by organization related to acquisition of prescription drugs for certain insureds residing in area for which emergency or disaster has been declared
- NRS 695F.159— Evidence of coverage covering prescription drugs: Use of step therapy protocol for drug to treat psychiatric condition prohibited in certain circumstances
- NRS 695F.160— Rates and charges: Reasonableness
- NRS 695F.170— Procedure for modification of rates, charges, benefits, organization, operations, documents or services
- NRS 695F.190— Requirements for reserve
- NRS 695F.200— Maintenance of capital account, surety bond or deposit and risk-based capital; determination of amount of increase by Commissioner
- NRS 695F.210— Maintenance of fidelity bond or deposit in lieu of bond
- NRS 695F.212— Hazardous financial condition: Regulations; determination; powers of Commissioner
- NRS 695F.220— Contract between organization and provider or subcontractor for provision of services to enrollees: Required terms and conditions
- NRS 695F.225— Requirements for notice of denial of claim
- NRS 695F.230— Establishment of system for resolution of complaints
- NRS 695F.300— Regulations
- NRS 695F.310— Examinations and investigations
- NRS 695F.320— Annual report and financial statement; quarterly statement; additional reports; penalties for failure to file report or statement
- NRS 695F.330— Payment of premium tax
- NRS 695F.340— Fees
- NRS 695F.350— Suspension or revocation of certificate of authority: Grounds; notice; hearing; effect
- NRS 695F.360— Violations of chapter: Order to cease and desist; fine
- NRS 695F.400— License required to apply, procure, negotiate or place for another any policy or contract of organization
- NRS 695F.410— Confidentiality and disclosure of information
- NRS 695F.420— Certain insurers and organizations authorized to exclude coverage duplicated pursuant to this chapter
- NRS 695F.430— Provision of services excluded from practice of any healing arts; solicitation excluded from provisions regarding solicitation or advertising by practitioner of healing art
- NRS 695F.440— Effect of eligibility for medical assistance under Medicaid; assignment of rights to state agency
- NRS 695F.450— Organization prohibited from asserting certain grounds to deny enrollment of child pursuant to order if parent is insured
- NRS 695F.460— Certain accommodations required to be made when child is covered under evidence of coverage of noncustodial parent
- NRS 695F.470— Organization 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