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Nevada Revised Statutes
Individual Health Insurance
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Section
689A.010
Short title.
Section
689A.020
Scope.
Section
689A.030
General requirements.
Section
689A.032
Requirements regarding issuance of health benefit plans and adjustment of costs. [Effective January 1, 2020.]
Section
689A.035
Contracts between insurer and provider of health care: Prohibiting insurer from charging provider of health care fee for inclusion on list of providers given to insureds; form to obtain information on provider of health care; modification; providing schedule of fees.
Section
689A.040
Contents of policy; substitution of provisions; captions; omission or modification of provisions.
Section
689A.041
Coverage relating to mastectomy.
Section
689A.042
Coverage relating to complications of pregnancy.
Section
689A.043
Coverage of newly born and adopted children and children placed for adoption.
Section
689A.044
Required coverage for certain tests and vaccines relating to human papillomavirus; prohibited acts.
Section
689A.046
Benefits for treatment of alcohol or substance use disorder.
Section
689A.048
Treatment by licensed psychologist.
Section
689A.049
Treatment by licensed chiropractor; restriction on policy limitations.
Section
689A.050
Entire contract; changes.
Section
689A.060
Time limit on certain defenses.
Section
689A.070
Grace period.
Section
689A.075
Cancellation and rescission of short-term limited duration medical plan. [Effective January 1, 2020.]
Section
689A.080
Reinstatement.
Section
689A.090
Notice of claim.
Section
689A.0403
Procedure for arbitration of disputes concerning independent medical, dental or chiropractic evaluations.
Section
689A.0404
Coverage for use of certain drugs for treatment of cancer.
Section
689A.0405
Coverage for mammograms for certain women; prohibited acts.
Section
689A.0413
Coverage for certain gynecological or obstetrical services without authorization or referral from primary care physician.
Section
689A.0415
Coverage for hormone replacement therapy in certain circumstances; prohibited actions by insurer; exception.
Section
689A.0417
Coverage for health care services related to hormone replacement therapy in certain circumstances; prohibited actions by insurer.
Section
689A.0418
Coverage for drug or device for contraception and related health services; prohibited acts; exceptions.
Section
689A.0419
Coverage for certain services, screenings and tests relating to wellness; prohibited acts.
Section
689A.0423
Coverage for treatment of certain inherited metabolic diseases.
Section
689A.0424
Policy that includes coverage for maternity care must not deny coverage for gestational carrier; status of child in relation to intended parent. [Effective January 1, 2020.]
Section
689A.0425
Individual health benefit plan that includes coverage for maternity care and pediatric care: Requirement to allow minimum stay in hospital in connection with childbirth; prohibited acts.
Section
689A.0427
Coverage for management and treatment of diabetes.
Section
689A.0428
Coverage for management and treatment of sickle cell disease.
Section
689A.0435
Coverage for autism spectrum disorders.
Section
689A.0445
Coverage for prostate cancer screening.
Section
689A.0447
Coverage for orally administered chemotherapy.
Section
689A.0455
Coverage for treatment of conditions relating to severe mental illness.
Section
689A.0463
Coverage for services provided through telehealth; prohibited actions by insurer; exclusions.
Section
689A.0465
Coverage of treatment of temporomandibular joint.
Section
689A.0475
Acupuncture.
Section
689A.0483
Treatment by licensed marriage and family therapist or licensed clinical professional counselor.
Section
689A.0485
Treatment by licensed associate in social work, social worker, independent social worker or clinical social worker.
Section
689A.0487
Treatment by licensed podiatrist.
Section
689A.0493
Treatment by licensed clinical alcohol and drug abuse counselor.
Section
689A.0495
Services provided by certain registered nurses; restriction on policy limitations; exception.
Section
689A.0497
Provider of medical transportation.
Section
689A.04033
Coverage for treatment received as part of clinical trial or study.
Section
689A.04036
Coverage for continued medical treatment.
Section
689A.04042
Coverage for screening for colorectal cancer.
Section
689A.04045
Coverage for prescription drug previously approved for medical condition of insured.
Section
689A.04046
Coverage for prescription drugs irregularly dispensed for purpose of synchronization of chronic medications.
Section
689A.04047
Coverage for early refills of topical ophthalmic products.
Section
689A.100
Claim forms: Required provision.
Section
689A.105
Claim forms: Uniform billing, claims forms.
Section
689A.110
Claim forms: Acceptance of uniform forms.
Section
689A.120
Time of payment of claims.
Section
689A.130
Payment of claims.
Section
689A.135
Assignment of benefits to provider of health care.
Section
689A.140
Physical examination and autopsy.
Section
689A.150
Legal actions.
Section
689A.160
Change of beneficiary.
Section
689A.170
Right to examine and return policy.
Section
689A.180
Optional provisions.
Section
689A.190
Extended disability benefit.
Section
689A.200
Change of occupation.
Section
689A.210
Misstatement of age.
Section
689A.220
Coordination of benefits: Same insurer.
Section
689A.230
Coordination of benefits: All coverages.
Section
689A.240
Relation of earnings to insurance.
Section
689A.250
Unpaid premiums.
Section
689A.260
Conformity with state statutes.
Section
689A.270
Illegal occupation.
Section
689A.290
Renewability.
Section
689A.300
Order of certain provisions.
Section
689A.310
Ownership of policy by person other than insured.
Section
689A.320
Requirements of other jurisdictions.
Section
689A.330
Policies issued for delivery in another state.
Section
689A.340
Limitation on provisions not subject to chapter; effect of violation.
Section
689A.350
Age limit.
Section
689A.380
Definitions of terms used in policies.
Section
689A.405
Coverage for prescription drugs: Provision of notice and information regarding use of formulary.
Section
689A.410
Approval or denial of claims; payment of claims and interest; requests for additional information; award of costs and attorney’s fees; compliance with requirements. [Effective through December 31, 2019.]
Section
689A.410
Approval or denial of claims; payment of claims and interest; requests for additional information; 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. [Effective January 1, 2020.]
Section
689A.413
Insurer prohibited from denying coverage solely because person was victim of domestic violence.
Section
689A.415
Insurer prohibited from denying coverage solely because insured was intoxicated or under influence of controlled substance; exceptions.
Section
689A.417
Insurer prohibited from requiring or using information concerning genetic testing; exceptions. [Effective through December 31, 2019.]
Section
689A.417
Insurer prohibited from requiring or using information concerning genetic testing; exceptions. [Effective January 1, 2020.]
Section
689A.419
Offering policy of health insurance for purposes of establishing health savings account.
Section
689A.420
Definitions.
Section
689A.430
Effect of eligibility for medical assistance under Medicaid; assignment of rights to state agency.
Section
689A.440
Insurer prohibited from asserting certain grounds to deny enrollment of child of insured pursuant to order.
Section
689A.450
Certain accommodations to be made when child is covered under policy of noncustodial parent.
Section
689A.460
Insurer to authorize enrollment of child of parent who is required by order to provide medical coverage under certain circumstances; termination of coverage of child.
Section
689A.470
Definitions.
Section
689A.475
"Affiliated" defined.
Section
689A.485
"Bona fide association" defined.
Section
689A.490
"Church plan" defined.
Section
689A.495
"Control" defined.
Section
689A.505
"Creditable coverage" defined.
Section
689A.510
"Dependent" defined.
Section
689A.523
"Exclusion for a preexisting condition" defined. [Effective through December 31, 2019.]
Section
689A.525
"Geographic rating area" defined.
Section
689A.527
"Geographic service area" defined.
Section
689A.530
"Governmental plan" defined.
Section
689A.535
"Group health plan" defined.
Section
689A.540
"Health benefit plan" defined. [Effective through December 31, 2019.]
Section
689A.540
"Health benefit plan" defined. [Effective January 1, 2020.]
Section
689A.550
"Individual carrier" defined.
Section
689A.555
"Individual health benefit plan" defined.
Section
689A.570
"Plan for coverage of a bona fide association" defined.
Section
689A.580
"Plan sponsor" defined.
Section
689A.585
"Preexisting condition" defined. [Effective through December 31, 2019.]
Section
689A.590
"Producer" defined.
Section
689A.600
"Provision for a restricted network" defined.
Section
689A.615
Certain plan, fund or program to be treated as employee welfare benefit plan which is group health plan; partnership deemed employer of each partner.
Section
689A.630
Requirement to renew coverage at option of individual; exceptions; discontinuation of product; discontinuation of health benefit plan available through bona fide association.
Section
689A.635
Coverage offered through network plan not required to be offered to person who does not reside or work in geographic service area or geographic rating area.
Section
689A.637
Coverage offered through plan that provides for restricted network: Contracts with certain federally qualified health centers.
Section
689A.696
Information and documents to be made available to Commissioner; proprietary information.
Section
689A.700
Regulations regarding rates.
Section
689A.705
Regulations concerning reissuance of health benefit plan.
Section
689A.710
Prohibited acts; denial of application for coverage; regulations; violation may constitute unfair trade practice; applicability of section.
Section
689A.715
Requirements for employee welfare benefit plan for providing benefits for employees of more than one employer.
Section
689A.717
Individual health benefit plan that includes coverage for maternity care and pediatric care: Requirement to allow minimum stay in hospital in connection with childbirth; prohibited acts.
Section
689A.720
Written certification of coverage required for determining period of creditable coverage accumulated by person; provision of certificate to insured.
Section
689A.725
Requirements for plan for coverage.
Section
689A.740
Regulations.
Section
689A.745
Approval; requirements; examination.
Section
689A.750
Annual report; insurer to maintain records of complaints concerning something other than health care services.
Section
689A.755
Written notice to insured explaining right to file complaint; notice to insured required when insurer denies coverage of health care service.