Nonprofit Corporations for Hospital, Medical and Dental Service

  1. Law
  2. Nevada Revised Statutes
  3. Nonprofit Corporations for Hospital, Medical and Dental Service

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Section
695B.010

Short title.

Section
695B.020

Scope.

Section
695B.030

Definitions.

Section
695B.035

Contract between corporation and provider of health care: Prohibiting corporation from charging provider of health care fee for inclusion on list of providers given to insureds; form for obtaining information on provider of health care; modification; schedule of fees.

Section
695B.040

Corporations authorized to undertake and operate plans.

Section
695B.050

Manner of incorporation.

Section
695B.060

Directors: Qualifications.

Section
695B.070

Merger and consolidation: Procedure.

Section
695B.080

Merger and consolidation: Continuance of contracts and contribution certificates.

Section
695B.090

Merger and consolidation: Withdrawal of prior deposit of securities.

Section
695B.110

Certificate of authority required; fees.

Section
695B.120

Certificate of authority: Qualifications.

Section
695B.130

Certificate of authority: Application; issuance.

Section
695B.135

Certificate of authority: Expiration; renewal.

Section
695B.140

Reserve fund: Minimum amounts; computation; contracts with hospitals; participation of physicians.

Section
695B.150

Insolvency; determination of financial condition.

Section
695B.160

Annual statement of condition and affairs; annual financial statement; quarterly statement; fees; examination by Commissioner.

Section
695B.165

Annual statement required to include report of net worth.

Section
695B.170

Acquisition costs and administrative expenses; effect of finding of excess costs.

Section
695B.176

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

Section
695B.180

Required provisions.

Section
695B.181

Provision in contract requiring binding arbitration authorized; procedures for arbitration; declaratory relief.

Section
695B.182

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

Section
695B.183

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

Section
695B.185

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

Section
695B.187

Group contract issued to replace discontinued policy or coverage: Requirements; notice of reduction of benefits; statement of benefits; applicability to self-insured employer.

Section
695B.189

Continuation of coverage under group contract: Required provision.

Section
695B.190

Family contracts.

Section
695B.191

Required provision concerning coverage relating to mastectomy.

Section
695B.192

Required provision concerning coverage relating to complications of pregnancy.

Section
695B.193

Required provision concerning coverage for newly born and adopted children and children placed for adoption. [Effective through December 31, 2019.]

Section
695B.193

Required provision concerning coverage for newly born and adopted children and children placed for adoption. [Effective January 1, 2020.]

Section
695B.196

Reimbursement for acupuncture.

Section
695B.197

Reimbursement for treatment by licensed psychologist.

Section
695B.198

Reimbursement for treatment by chiropractor.

Section
695B.199

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

Section
695B.200

Group contracts written under master contract: Conditions required for issuance.

Section
695B.210

Group master service contract: Required provisions.

Section
695B.220

Blanket service contracts: Issuance to college, school or school personnel; pupils not to be compelled to accept service.

Section
695B.225

Policies of group insurance: Order of benefits.

Section
695B.227

Required contract with insurance company for provision of insurance, indemnity or reimbursement against cost of hospital, medical and dental services; required provisions. [Effective through December 31, 2019.]

Section
695B.230

Filing and approval of forms and schedules of premium rates.

Section
695B.240

Provision of group service coverage before approval of forms.

Section
695B.250

Extensions of time; automatic approval.

Section
695B.251

Group subscriber contracts to contain provision for conversion to individual contracts; exceptions.

Section
695B.252

Conversion privilege available to spouse and children; conditions.

Section
695B.253

Denial of converted contract because of overinsurance; notice concerning cancellation of other coverage.

Section
695B.254

Choice of types of contracts must be offered.

Section
695B.255

Benefits exceeding those provided under group contract not required; exclusions and limitations.

Section
695B.256

Issuance and effective date of converted contract; premiums; persons covered.

Section
695B.257

Notice of conversion privilege.

Section
695B.258

Extension of coverage under existing group contract.

Section
695B.259

Medical service corporation may continue identical coverage in lieu of converting contract.

Section
695B.260

Suspension or revocation of permission to provide coverage before approval of forms.

Section
695B.270

Disapproval of forms; issuance unlawful.

Section
695B.280

Regulations; limitations.

Section
695B.285

Use of Uniform Billing and Claims Forms authorized.

Section
695B.290

Agent’s license required.

Section
695B.300

Contracts with agencies or political subdivisions of United States or State of Nevada; acceptance of money; subcontracts.

Section
695B.310

Corporation subject to same fees, licenses and supervision as domestic mutual insurer.

Section
695B.315

Insurer to provide certain information regarding renewal of insurance policy upon request; fee.

Section
695B.316

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

Section
695B.317

Corporation that provides health insurance prohibited from requiring or using information concerning genetic testing; exceptions. [Effective through December 31, 2019.]

Section
695B.317

Corporation that provides health insurance prohibited from requiring or using information concerning genetic testing; exceptions. [Effective January 1, 2020.]

Section
695B.318

Corporations are subject to certain provisions concerning portability and availability of health insurance.

Section
695B.319

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

Section
695B.320

Applicability of other provisions.

Section
695B.330

Definitions.

Section
695B.340

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

Section
695B.350

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

Section
695B.360

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

Section
695B.370

Corporation 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
695B.380

Approval; requirements; examination.

Section
695B.390

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

Section
695B.400

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

Section
695B.1901

Required provision concerning coverage for continued medical treatment.

Section
695B.1903

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

Section
695B.1904

Required provision concerning coverage for services provided through telehealth.

Section
695B.1905

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

Section
695B.1906

Required provision concerning coverage for prescription drugs irregularly dispensed for purpose of synchronization of chronic medications.

Section
695B.1907

Required provision concerning coverage for screening for colorectal cancer.

Section
695B.1908

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

Section
695B.1909

Required provision concerning coverage for orally administered chemotherapy.

Section
695B.1912

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

Section
695B.1914

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

Section
695B.1916

Required provision concerning coverage of hormone replacement therapy in certain circumstances; prohibited actions by insurer; exception.

Section
695B.1918

Required provision concerning coverage of health care services related to hormone replacement therapy in certain circumstances; prohibited actions by insurer.

Section
695B.1919

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

Section
695B.1923

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

Section
695B.1925

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

Section
695B.1927

Required provision concerning coverage for management and treatment of diabetes.

Section
695B.1929

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

Section
695B.1931

Required provision concerning coverage relating to treatment of temporomandibular joint.

Section
695B.1932

Required provision concerning coverage for early refills of topical ophthalmic products.

Section
695B.1942

Required provision concerning coverage for prostate cancer screening.

Section
695B.1944

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

Section
695B.1948

Contract 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
695B.1951

Reimbursement for treatment by podiatrist.

Section
695B.1955

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

Section
695B.1973

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

Section
695B.1975

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

Section
695B.1995

Reimbursement to provider of medical transportation.

Section
695B.2505

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
695B.2505

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
695B.2555

Benefits payable under converted contract may be reduced by amount payable under group contract. [Effective through December 31, 2019.]

Section
695B.2555

Benefits payable under converted contract may be reduced by amount payable under group contract. [Effective January 1, 2020.]

Section
695B.2565

Renewal of converted contract: Request for information on sources of other benefits; grounds for refusal to renew; notice concerning cancellation of other coverage.

Section
695B.2575

Converted contract delivered outside Nevada: Form.

Section
695B.2585

Group coverage may be provided in lieu of converted individual contract.

Section
695B.3165

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

Section
695B.19195

Required provision concerning coverage for certain services, screenings and tests relating to wellness; prohibited actions by insurer.