"Exclusion for a preexisting condition" defined. [Effective through December 31, 2019.]

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"Exclusion for a preexisting condition" means:

1. Any limitation or exclusion of benefits relating to a condition that was present before the date coverage was first provided, regardless of whether any medical advice, diagnosis, care or treatment was recommended or received before that date; or

2. Any exclusion applicable to an individual based on any information relating to the status of an individual’s health that was obtained before the date coverage was first provided, including, without limitation, any identification of a condition resulting from:

(a) A preenrollment questionnaire or physical examination provided to the individual; or

(b) A review of any medical records relating to the period of preenrollment.

(Added to NRS by 2005, 2136; R 2019, 318, effective January 1, 2020)


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