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Health Insurance for Small Employers
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Nevada Revised Statutes
Health Insurance for Small Employers
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Section
689C.015
Definitions.
Section
689C.017
"Affiliated" defined.
Section
689C.019
"Affiliation period" defined.
Section
689C.023
"Bona fide association" defined.
Section
689C.025
"Carrier" defined.
Section
689C.045
"Class of business" defined.
Section
689C.047
"Control" defined.
Section
689C.053
"Creditable coverage" defined.
Section
689C.055
"Dependent" defined.
Section
689C.065
"Eligible employee" defined.
Section
689C.066
"Employee leasing company" defined.
Section
689C.071
"Geographic rating area" defined.
Section
689C.072
"Geographic service area" defined.
Section
689C.073
"Group health plan" defined.
Section
689C.075
"Health benefit plan" defined.
Section
689C.077
"Network plan" defined.
Section
689C.078
"Open enrollment" defined.
Section
689C.079
"Plan for coverage of a bona fide association" defined.
Section
689C.081
"Plan sponsor" defined.
Section
689C.082
"Preexisting condition" defined. [Effective through December 31, 2019.]
Section
689C.083
"Producer" defined.
Section
689C.085
"Rating period" defined.
Section
689C.095
"Small employer" defined.
Section
689C.106
"Waiting period" defined.
Section
689C.109
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
689C.111
Employee leasing company deemed large employer in certain circumstances.
Section
689C.113
Requirements for employee welfare benefit plan for providing benefits for employees of more than one employer.
Section
689C.115
Mandatory and optional coverage.
Section
689C.125
Rating factors for determining premiums.
Section
689C.135
Effect of provision in health benefit plan for restricted network on determination of rates.
Section
689C.143
Offering of policy of health insurance for purposes of establishing health savings account.
Section
689C.155
Regulations.
Section
689C.156
Each health benefit plan marketed in this State required to be offered to small employers.
Section
689C.158
Producer may only sign up small employers and eligible employees in bona fide associations if employers and employees are actively engaged in or related to bona fide association.
Section
689C.159
Certain provisions inapplicable to plan that carrier makes available only through bona fide association. [Effective through December 31, 2019.]
Section
689C.159
Certain provisions inapplicable to plan that carrier makes available only through bona fide association. [Effective January 1, 2020.]
Section
689C.160
Carrier must uniformly apply requirements to determine whether to provide coverage.
Section
689C.165
Carrier prohibited from modifying plan to restrict or exclude coverage for certain services.
Section
689C.166
Coverage for alcohol or substance use disorder: Required.
Section
689C.167
Coverage for alcohol or substance use disorders: Benefits.
Section
689C.168
Coverage for prescription drug previously approved for medical condition of insured.
Section
689C.169
Coverage for severe mental illness.
Section
689C.170
Authorized variation of minimum participation and contributions; denial of coverage based on industry prohibited.
Section
689C.180
Carrier to offer same coverage to all eligible employees; denial of coverage to otherwise eligible employee.
Section
689C.183
Plan and carrier required to permit employee or dependent of employee to enroll for coverage under certain circumstances.
Section
689C.187
Manner and period for enrolling dependent of covered employee; period of special enrollment.
Section
689C.190
Coverage of preexisting conditions. [Effective through December 31, 2019.]
Section
689C.190
Requirements regarding issuance of health benefit plans and adjustment of costs. [Effective January 1, 2020.]
Section
689C.191
Determination of applicable creditable coverage of person; determining period of creditable coverage of person; required statement; applicability.
Section
689C.192
Written certification of coverage required for purpose of determining period of creditable coverage accumulated by person.
Section
689C.193
Carrier prohibited from imposing restriction on participation inconsistent with certain sections; restrictions on rules of eligibility that may be established; premiums to be equitable. [Effective through December 31, 2019.]
Section
689C.193
Carrier prohibited from imposing restriction on participation inconsistent with certain sections; restrictions on rules of eligibility that may be established. [Effective January 1, 2020.]
Section
689C.194
Plan that includes coverage for maternity and pediatric care: Required to allow minimum stay in hospital in connection with childbirth; prohibited acts.
Section
689C.195
Coverage for services provided through telehealth.
Section
689C.196
Insurer prohibited from denying coverage solely because person was victim of domestic violence.
Section
689C.197
Carrier prohibited from denying coverage because insured was intoxicated or under influence of controlled substance; exceptions.
Section
689C.198
Insurer prohibited from requiring or using information concerning genetic testing; exceptions. [Effective through December 31, 2019.]
Section
689C.198
Insurer prohibited from requiring or using information concerning genetic testing; exceptions. [Effective January 1, 2020.]
Section
689C.200
When carrier is not required to offer coverage.
Section
689C.203
Denial of application for coverage from small employer; regulations.
Section
689C.207
Regulations concerning reissuance of health benefit plan.
Section
689C.220
Adjustment in rates to be applied uniformly. [Effective through December 31, 2019.]
Section
689C.220
Adjustment in rates to be applied uniformly. [Effective January 1, 2020.]
Section
689C.265
Carrier authorized to modify coverage for insurance product under certain circumstances.
Section
689C.281
Coverage for prescription drugs: Provision of notice and information regarding use of formulary.
Section
689C.310
Renewal of health benefit plan; discontinuing product.
Section
689C.320
Required notification when carrier discontinues transacting insurance in this State; restrictions on carrier that discontinues transacting insurance.
Section
689C.325
Coverage offered through network plan not required to be offered to eligible employee who does not reside or work in geographic service area or if carrier lacks capacity to deliver adequate service to additional employers and employees.
Section
689C.350
Health benefit plan with preferred providers of health care: Deductible; when service is deemed to be provided by preferred provider.
Section
689C.355
Prohibited acts of carrier or producer; denial of application for coverage; violation may constitute unfair trade practice; applicability of section.
Section
689C.360
Definitions.
Section
689C.380
"Contract" defined.
Section
689C.390
"Dependent" defined.
Section
689C.420
"Voluntary purchasing group" defined.
Section
689C.425
Applicability of other provisions.
Section
689C.430
Entities which are authorized to offer contracts to voluntary purchasing groups.
Section
689C.435
Contracts between carrier and providers of health care: Prohibiting carrier 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
689C.455
Coverage for prescription drugs: Provision of notice and information regarding use of formulary.
Section
689C.460
Carrier to offer same coverage to all eligible employees; denial of coverage to otherwise eligible employee.
Section
689C.470
Renewal of contract; discontinuing product.
Section
689C.480
Required notification when carrier ceases to renew all contracts; restrictions on carrier that ceases to renew all contracts.
Section
689C.485
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
689C.485
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
689C.490
Formation of voluntary purchasing group by small employers; requirements when affiliate of group ceases to qualify as small employer.
Section
689C.500
Requirements for registration as voluntary purchasing group; application.
Section
689C.510
Fee for application; response to application.
Section
689C.520
Additional requirements for registration.
Section
689C.530
Filing reports; annual renewal fee.
Section
689C.540
Duties.
Section
689C.550
Collection of premiums; trust account for deposit of premiums.
Section
689C.560
Regulations governing security to be maintained by voluntary purchasing group.
Section
689C.570
Organizer prohibited from acquiring financial interest in group’s business.
Section
689C.580
Prohibited acts.
Section
689C.590
Disciplinary action for violation of provisions.
Section
689C.600
Regulations.
Section
689C.610
Definitions.
Section
689C.630
"Church plan" defined.
Section
689C.660
"Individual carrier" defined.
Section
689C.670
"Individual health benefit plan" defined.
Section
689C.940
Regulations concerning determination of status of stop-loss policy.
Section
689C.1065
Applicability.
Section
689C.1565
Coverage to small employers not required under certain circumstances; notice to Commissioner of and prohibition on writing new business after election not to offer new coverage required.
Section
689C.1655
Coverage for autism spectrum disorders.
Section
689C.1672
Coverage for certain tests and vaccines relating to human papillomavirus; prohibited acts.
Section
689C.1674
Coverage for mammograms for certain women; prohibited acts.
Section
689C.1676
Coverage for drug or device for contraception and related health services; prohibited acts; exceptions.
Section
689C.1678
Coverage for certain services, screenings and tests relating to wellness; prohibited acts.
Section
689C.1683
Coverage for prescription drugs irregularly dispensed for purpose of synchronization of chronic medications.
Section
689C.1685
Coverage for early refills of topical ophthalmic products.
Section
689C.1687
Coverage for management and treatment of sickle cell disease.
Section
689C.1945
Plan that includes coverage for maternity care must not deny coverage to gestational carrier; status of child in relation to intended parent. [Effective January 1, 2020.]