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

Checkout our iOS App for a better way to browser and research.

1. Except as otherwise provided in subsection 2, a society that provides health benefits shall not:

(a) Deny a claim under a benefit contract solely because the claim involves an injury sustained by an insured as a consequence of being intoxicated or under the influence of a controlled substance.

(b) Cancel a benefit contract solely because an insured has made a claim involving an injury sustained by the insured as a consequence of being intoxicated or under the influence of a controlled substance.

(c) Refuse to issue a benefit contract to an eligible applicant solely because the applicant has made a claim involving an injury sustained by the applicant as a consequence of being intoxicated or under the influence of a controlled substance.

2. The provisions of subsection 1 do not prohibit a society from enforcing a provision included in a benefit contract to:

(a) Deny a claim which involves an injury to which a contributing cause was the insured’s commission of or attempt to commit a felony;

(b) Cancel a benefit contract solely because of such a claim; or

(c) Refuse to issue a benefit contract to an eligible applicant solely because of such a claim.

3. The provisions of this section do not apply to a society under a benefit contract that provides coverage for long-term care or disability income.

(Added to NRS by 2005, 2345; A 2007, 85)


Download our app to see the most-to-date content.