Group and Blanket Health Insurance

  1. Law
  2. Nevada Revised Statutes
  3. Group and Blanket Health Insurance

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Section
689B.010

Short title; scope.

Section
689B.015

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; schedule of fees.

Section
689B.020

"Group health insurance" defined; eligible groups and benefits.

Section
689B.026

Delivery of policy to group formed to purchase health insurance prohibited; exception.

Section
689B.029

Annual report regarding system for resolving complaints; insurer to maintain records of complaints concerning something other than health care services.

Section
689B.030

Required provisions.

Section
689B.031

Required provision concerning coverage of certain gynecological or obstetrical services without authorization or referral from primary care physician.

Section
689B.033

Required provision concerning coverage for newly born and adopted children and children placed for adoption.

Section
689B.034

Required provision concerning effect of benefits under other valid group coverage; subrogation.

Section
689B.035

Required provision concerning termination of coverage on dependent child.

Section
689B.038

Reimbursement for treatments by licensed psychologist.

Section
689B.039

Reimbursement for treatments by chiropractor.

Section
689B.040

Direct payment for hospital and medical services and home health care; payment to assignee.

Section
689B.045

Reimbursement for services provided by certain nurses; prohibited limitations; exception.

Section
689B.047

Reimbursement to provider of medical transportation.

Section
689B.049

Reimbursement for acupuncture.

Section
689B.050

Extended disability benefit.

Section
689B.060

Readjustment of premiums; dividends.

Section
689B.061

Limitations on deductibles and copayments charged under policy which offers difference of payment between preferred providers of health care and providers who are not preferred.

Section
689B.063

Primary and secondary policies: Determination of benefits.

Section
689B.064

Primary and secondary policies: Order of benefits.

Section
689B.065

Policy issued to replace discontinued policy or coverage: Requirements; notice of reduction of benefits; statement of benefits; applicability of section.

Section
689B.067

Provision in policy requiring binding arbitration for disputes with insurer authorized; procedure for arbitration; declaratory relief.

Section
689B.068

Insurer prohibited from denying coverage solely because person was victim of domestic violence.

Section
689B.069

Insurer prohibited from requiring or using information concerning genetic testing; exceptions. [Effective through December 31, 2019.]

Section
689B.069

Insurer prohibited from requiring or using information concerning genetic testing; exceptions. [Effective January 1, 2020.]

Section
689B.070

"Blanket accident and health insurance" defined.

Section
689B.080

Authority to issue; required provisions.

Section
689B.090

Application and certificates.

Section
689B.0265

Policy to guaranteed association.

Section
689B.0283

Coverage for prescription drugs: Provision of notice and information regarding use of formulary.

Section
689B.0285

System for resolving complaints: Approval; requirements; examination.

Section
689B.0295

Written notice to insured explaining right to file complaint; notice to insured required when insurer denies coverage of health care service.

Section
689B.0303

Required provision concerning coverage for continued medical treatment.

Section
689B.0306

Required provision concerning coverage for treatment received as part of clinical trial or study.

Section
689B.0313

Required coverage for certain tests and vaccines relating to human papillomavirus; prohibited acts.

Section
689B.0317

Required provision concerning coverage for prostate cancer screening.

Section
689B.0335

Required provision concerning coverage for autism spectrum disorders.

Section
689B.0345

Required provision concerning coverage for employee or member on leave without pay as result of total disability.

Section
689B.0353

Required provision concerning coverage for treatment of certain inherited metabolic diseases.

Section
689B.0357

Required provision concerning coverage for management and treatment of diabetes.

Section
689B.0358

Required provision concerning coverage for management and treatment of sickle cell disease.

Section
689B.0362

Required provision concerning coverage for orally administered chemotherapy.

Section
689B.0365

Required provision concerning coverage for use of certain drugs for treatment of cancer.

Section
689B.0367

Required provision concerning coverage for screening for colorectal cancer.

Section
689B.0368

Required provision concerning coverage for prescription drug previously approved for medical condition of insured.

Section
689B.0369

Required provision concerning coverage for services provided through telehealth.

Section
689B.0374

Required provision concerning coverage for mammograms for certain women; prohibited acts.

Section
689B.0375

Required provision concerning coverage relating to mastectomy.

Section
689B.0376

Policy covering prescription drugs or devices to provide coverage of hormone replacement therapy in certain circumstances; prohibited actions by insurer; exception.

Section
689B.0377

Policy covering outpatient care to provide coverage for health care services related to hormone replacement therapy; prohibited actions by insurer.

Section
689B.0378

Required provision concerning coverage for drug or device for contraception and related health services; prohibited acts; exceptions.

Section
689B.0379

Required provision concerning coverage for treatment of temporomandibular joint.

Section
689B.0383

Reimbursement for treatments by licensed marriage and family therapist or licensed clinical professional counselor.

Section
689B.0385

Reimbursement for treatments by licensed associate in social work, social worker, independent social worker or clinical social worker.

Section
689B.0393

Reimbursement for treatments by podiatrist.

Section
689B.0397

Reimbursement for treatment by licensed clinical alcohol and drug abuse counselor.

Section
689B.03762

Policy covering prescription drugs to provide coverage for drugs irregularly dispensed for purpose of synchronization of chronic medications.

Section
689B.03764

Policy covering prescription drugs to provide coverage for early refills of topical ophthalmic products.

Section
689B.03766

Policy covering maternity care must not deny coverage for gestational carrier; status of child in relation to intended parent. [Effective January 1, 2020.]

Section
689B.03785

Required provisions concerning coverage for certain services, screenings and tests relating to wellness; prohibited acts.

Section
689B.100

Payment of benefits.

Section
689B.110

Legal liability of policyholders for death of or injury to insured member unaffected.

Section
689B.250

Acceptance of uniform forms for billing and claims.

Section
689B.255

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
689B.255

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
689B.260

Required provision concerning coverage relating to complications of pregnancy.

Section
689B.270

Required procedure for arbitration of disputes concerning independent medical, dental or chiropractic evaluations.

Section
689B.275

Contents, approval and provision of summary of coverage; provision of information about guaranteed availability of certain plans for benefits. [Effective through December 31, 2019.]

Section
689B.275

Contents, approval and provision of summary of coverage; provision of information about guaranteed availability of certain plans for benefits. [Effective January 1, 2020.]

Section
689B.280

Disclosure of information concerning medication of insured prohibited.

Section
689B.285

Offering policy of health insurance for purposes of establishing health savings account.

Section
689B.287

Insurer prohibited from denying coverage solely because insured was intoxicated or under influence of controlled substance; exceptions.

Section
689B.290

Definitions.

Section
689B.300

Effect of eligibility for medical assistance under Medicaid; assignment of rights to state agency.

Section
689B.310

Insurer prohibited from asserting certain grounds to deny enrollment of child of insured pursuant to order.

Section
689B.320

Certain accommodations to be made when child is covered under policy of noncustodial parent.

Section
689B.330

Insurer to authorize enrollment of child of parent who is required by order to provide medical coverage for child.

Section
689B.340

Definitions.

Section
689B.350

"Affiliation period" defined.

Section
689B.355

"Blanket accident and health insurance" defined.

Section
689B.360

"Carrier" defined.

Section
689B.370

"Contribution" defined.

Section
689B.380

"Creditable coverage" defined.

Section
689B.390

"Group health plan" defined.

Section
689B.400

"Group participation" defined.

Section
689B.430

"Open enrollment" defined.

Section
689B.440

"Plan sponsor" defined.

Section
689B.450

"Preexisting condition" defined. [Effective through December 31, 2019.]

Section
689B.460

"Waiting period" defined.

Section
689B.480

Determination of applicable creditable coverage of person; determination of period of creditable coverage of person; required statement.

Section
689B.490

Written certification of coverage required for purpose of determining period of creditable coverage accumulated by person.

Section
689B.500

Coverage of preexisting conditions. [Effective through December 31, 2019.]

Section
689B.500

Requirements regarding issuance of health benefit plans and adjustment of costs. [Effective January 1, 2020.]

Section
689B.510

Carrier authorized to modify coverage for insurance product under certain circumstances.

Section
689B.520

Group plan or coverage that includes coverage for maternity care and pediatric care: Required to allow minimum stay in hospital in connection with childbirth; prohibited acts.

Section
689B.530

Carrier required to permit eligible employee or dependent of employee to enroll for coverage under certain circumstances.

Section
689B.540

Manner and period for enrollment of dependent of covered employee; period of special enrollment.

Section
689B.550

Carrier prohibited from imposing restriction on participation inconsistent with chapter; restrictions on rules of eligibility that may be established; premiums to be equitable. [Effective through December 31, 2019.]

Section
689B.550

Carrier prohibited from imposing restriction on participation inconsistent with chapter; restrictions on rules of eligibility that may be established. [Effective January 1, 2020.]

Section
689B.560

Carrier required to renew coverage at option of plan sponsor; exceptions; discontinuation of product; discontinuation of group health insurance through bona fide association.

Section
689B.570

Carrier that offers coverage through network plan not required to offer coverage to employer that does not employ enrollees who reside or work in geographic service area for which carrier is authorized to transact insurance.

Section
689B.580

Plan sponsor of governmental plan authorized to elect to exclude governmental plan from compliance with certain statutes; duties of plan sponsor.