Organization for dental care prohibited from denying coverage solely because member was intoxicated or under the influence of controlled substance; exceptions.

1. Law
2. Nevada Revised Statutes
3. Plans for Dental Care
4. Organization for dental care prohibited from denying coverage solely because member was intoxicated or under the influence of controlled substance; exceptions.

1. Except as otherwise provided in subsection 2, an organization for dental care shall not:

(a) Deny a claim under a plan for dental care solely because the claim involves an injury sustained by a member as a consequence of being intoxicated or under the influence of a controlled substance.

(b) Cancel participation under a plan for dental care solely because a member has made a claim involving an injury sustained by the member as a consequence of being intoxicated or under the influence of a controlled substance.

(c) Refuse participation under a plan for dental care 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 this section do not prohibit an organization for dental care from enforcing a provision included in a plan for dental care 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 participation under a plan for dental care solely because of such a claim; or

(c) Refuse participation under a plan for dental care to an eligible applicant solely because of such a claim.

(Added to NRS by 2005, 2346)

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