Vegas Law



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Nevada Injury Law

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Las Vegas Inury Lawyer
Las Vegas Injury Lawyer





Vegas Law

t of claims and interest; requests for additional information; award of costs and attorney’s fees; compliance with requirements. NRS 689A.413 Insurer prohibited from denying coverage solely because person was victim of domestic violence. NRS 689A.415 Insurer prohibited from denying coverage solely because insured was intoxicated or under influence of controlled substance; exceptions. [Effective July 1, 2006.] NRS 689A.417 Insurer prohibited from requiring or using information concerning genetic testing; exceptions. NRS 689A.419 Offering policy of health insurance for purposes of establishing health savings account. ELIGIBILITY FOR COVERAGE NRS 689A.420 Definitions. NRS 689A.430 Effect of eligibility for medical assistance under Medicaid; assignment of rights to state agency. NRS 689A.440 Insurer prohibited from asserting certain grounds to deny enrollment of child of insured pursuant to order. NRS 689A.450 Certain accommodations to be made when child is covered under policy of noncustodial parent. NRS 689A.460 Insurer to authorize enrollment of child of parent who is required by order to provide medical coverage under certain circumstances; termination of coverage of child. PORTABILITY AND ACCOUNTABILITY General Provisions NRS 689A.470 Definitions. NRS 689A.475 “Affiliated” defined. NRS 689A.480 “Basic health benefit plan” defined. NRS 689A.485 “Bona fide association” defined. NRS 689A.490 “Church plan” defined. NRS 689A.495 “Control” defined. NRS 689A.500 “Converted policy” defined. NRS 689A.505 “Creditable coverage” defined. NRS 689A.510 “Dependent” defined. NRS 689A.515 “Eligible person” defined. NRS 689A.520 “Established geographic service area” defined. NRS 689A.523 “Exclusion for a preexisting condition” defined. NRS 689A.525 “Geographic area” defined. NRS 689A.530 “Governmental plan” defined. NRS 689A.535 “Group health plan” defined. NRS 689A.540 “Health benefit plan” defined. NRS 689A.545 “Health status-related factor” defined. NRS 689A.550 “Individual carrier” defined. NRS 689A.555 “Individual health benefit plan” defined. NRS 689A.560 “Individual reinsuring carrier” defined. NRS 689A.565 “Individual risk-assuming carrier” defined. NRS 689A.570 “Plan for coverage of a bona fide association” defined. NRS 689A.575 “Plan of operation” defined. NRS 689A.580 “Plan sponsor” defined. NRS 689A.585 “Preexisting condition” defined. NRS 689A.590 “Producer” defined. NRS 689A.595 “Program of Reinsurance” defined. NRS 689A.600 “Provision for a restricted network” defined. NRS 689A.605 “Standard health benefit plan” defined. NRS 689A.610 Applicability; ceding arrangement prohibited in certain circumstances. NRS 689A.615 Certain plan, fund or program to be treated as employee welfare benefit plan which is group health plan; partnership deemed employer of each partner. NRS 689A.620 Certain person with break in coverage deemed eligible person. NRS 689A.625 Supplemental coverage not health benefit plan if individual carrier files annual certification with Commissioner. Individual Carriers NRS 689A.630 Requirement to renew coverage at option of individual; exceptions; discontinuation of form of product of health benefit plan; discontinuation of health benefit plan available through bona fide association. NRS 689A.635 Coverage offered through network plan not required to be offered to eligible person who does not reside or work in established geographic service area. NRS 689A.637 Coverage offered through plan that provides for restricted network: Contracts with certain federally qualified health centers. NRS 689A.640 Each health benefit plan marketed in this State required to be offered to eligible persons. NRS 689A.645 Coverage to eligible person who does not reside in established geographic service area not required; coverage within certain areas not required. NRS 689A.650 Coverage to eligible persons not required under certain circumstances; notice to Commissioner of and prohibition on writing new business after election not to offer new coverage required. NRS 689A.655 Requirement to file basic and standard health benefit plans with Commissioner; disapproval of plan. NRS 689A.660 Prohibited acts concerning preexisting conditions and modification of health benefit plan. NRS 689A.665 Certain health carriers not required to offer health benefit insurance coverage to individuals. NRS 689A.670 Election to operate as individual risk-assuming carrier or individual reinsuring carrier: Notice to Commissioner; effective date; change in status. NRS 689A.675 Election to act as individual risk-assuming carrier: Suspension by Commissioner; applicable statutes. NRS 689A.680 Rates for individual health benefit plans to be developed based on rating characteristics: Prohibited characteristics; health status as rating factor. NRS 689A.685 Amount of change in rate of single block of business; plan with provision for restricted network; involuntary transfer of individual or dependent prohibited; premiums adjusted for block of business. NRS 689A.690 Information required to be disclosed as part of solicitation and sales materials; information required to be maintained at place of business; actuarial certification required to be filed with Commissioner. NRS 689A.695 Information and documents to be made available to Commissioner; proprietary information. NRS 689A.700 Regulations regarding rates. NRS 689A.705 Regulations concerning reissuance of health benefit plan. NRS 689A.710 Prohibited acts; denial of application for coverage; regulations; violation may constitute unfair trade practice; applicability of section. Individual Health Insurance Coverage NRS 689A.715 Requirements for employee welfare benefit plan for providing benefits for employees of more than one employer. NRS 689A.720 Written certification of coverage required for determining period of creditable coverage accumulated by person; provision of certificate to insured. Bona Fide Associations NRS 689A.725 Requirements for plan for coverage. NRS 689A.730 Producer may only sign up eligible persons if eligible persons are actively engaged in or related to association. Miscellaneous Provisions NRS 689A.735 Report to Commissioner by trustee of medical savings account. NRS 689A.740 Regulations. SYSTEM FOR RESOLVING COMPLAINTS OF INSUREDS NRS 689A.745 Approval; requirements; examination. NRS 689A.750 Annual report; insurer to maintain records of complaints concerning something other than health care services. NRS 689A.755 Written notice to insured explaining right to file complaint; notice to insured required when insurer denies coverage of health care service. _________ GENERAL PROVISIONS NRS 689A.010 Short title. This chapter may be cited as the Uniform Health Policy Provision Law. (Added to NRS by 1971, 1751) NRS 689A.020 Scope. Nothing in this chapter applies to or affects: 1. Any policy of liability or workers’ compensation insurance with or without supplementary expense coverage therein. 2. Any group or blanket policy. 3. Life insurance, endowment or annuity contracts, or contracts supplemental thereto which contain only such provisions relating to health insurance as to: (a) Provide additional benefits in case of death or dismemberment or loss of sight by accident or accidental means; or (b) Operate to safeguard such contracts again

Vegas Law




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