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Prepaid Limited Health Service Organizations
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Nevada Revised Statutes
Prepaid Limited Health Service Organizations
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Section
695F.010
Definitions.
Section
695F.020
"Enrollee" defined.
Section
695F.030
"Evidence of coverage" defined.
Section
695F.040
"Limited health service" defined.
Section
695F.043
"Medicaid" defined.
Section
695F.047
"Order for medical coverage" defined.
Section
695F.050
"Prepaid limited health service organization" defined.
Section
695F.060
"Provider" defined.
Section
695F.070
"Subscriber" defined.
Section
695F.080
General applicability of title 57 of NRS.
Section
695F.090
Applicable statutory provisions.
Section
695F.100
Certificate required.
Section
695F.110
Application for certificate.
Section
695F.120
Review of application; issuance of certificate.
Section
695F.130
Application of person who is licensed as insurer or holds another certificate of authority.
Section
695F.140
Denial of application; hearing.
Section
695F.150
Evidence of coverage: Issuance; contents; amendment.
Section
695F.151
Requirements regarding issuance of health benefit plans and adjustment of costs. [Effective January 1, 2020.]
Section
695F.153
Coverage for prescription drugs: Provision of notice and information regarding use of formulary.
Section
695F.156
Coverage for prescription drug previously approved for medical condition of enrollee.
Section
695F.160
Rates and charges: Reasonableness.
Section
695F.170
Procedure for modification of rates, charges, benefits, organization, operations, documents or services.
Section
695F.180
Investments.
Section
695F.190
Requirements for reserve.
Section
695F.200
Maintenance of capital account, surety bond or deposit and risk-based capital; determination of amount of increase by Commissioner.
Section
695F.210
Maintenance of fidelity bond or deposit in lieu of bond.
Section
695F.212
Hazardous financial condition: Regulations; determination; powers of Commissioner.
Section
695F.220
Contract between organization and provider or subcontractor for provision of services to enrollees.
Section
695F.230
Establishment of system for resolution of complaints.
Section
695F.300
Regulations of Commissioner.
Section
695F.310
Examination: Affairs of organization; availability of books and records; exception; assessment of expenses.
Section
695F.320
Annual report and financial statement; quarterly statement; imposition of fine and suspension of certificate of authority for failure to file report or statement.
Section
695F.330
Payment of tax.
Section
695F.340
Fees.
Section
695F.350
Suspension or revocation of certificate of authority.
Section
695F.360
Violations of chapter: Order to cease and desist; fine.
Section
695F.400
License required to apply, procure, negotiate or place for another any policy or contract of organization.
Section
695F.410
Confidentiality and disclosure of information.
Section
695F.420
Certain insurers and organizations may exclude coverage duplicated pursuant to this chapter.
Section
695F.430
Provision of services excluded from practice of any healing arts; solicitation excluded from statutory provisions regarding solicitation or advertising by practitioner of healing art.
Section
695F.440
Effect of eligibility for medical assistance under Medicaid; assignment of rights to state agency.
Section
695F.450
Organization prohibited from asserting certain grounds to deny enrollment of child pursuant to order if parent is insured.
Section
695F.460
Certain accommodations to be made when child is covered under evidence of coverage of noncustodial parent.
Section
695F.470
Organization 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
695F.480
Organization prohibited from restricting coverage of child based on preexisting condition if person who is eligible for group coverage adopts or assumes legal obligation for child. [Effective through December 31, 2019.]