997, 2883) NRS 689A.485 “Bona fide association” defined. “Bona fide association” means, with respect to health insurance coverage offered in this state, an association that: 1. Has been actively in existence for at least 5 years; 2. Has been formed and maintained in good faith for purposes other than obtaining insurance; 3. Does not condition membership in the association on any health status-related factor relating to an individual, including an employee of an employer or a dependent of an employee; 4. Makes health insurance coverage offered through the association available to all of its members regardless of any health status-related factors of the members or other individuals who are eligible for such health insurance coverage through a member of the association; 5. Does not make health insurance coverage offered through the association available other than in connection with a member of the association; and 6. Meets such additional requirements as may be imposed by specific statute. (Added to NRS by 1997, 2883) NRS 689A.490 “Church plan” defined. “Church plan” has the meaning ascribed to it in section 3(33) of the Employee Retirement Income Security Act of 1974, as that section existed on July 16, 1997. (Added to NRS by 1997, 2884) NRS 689A.495 “Control” defined. “Control” has the meaning ascribed to it in NRS 692C.050. (Added to NRS by 1997, 2884) NRS 689A.500 “Converted policy” defined. “Converted policy” means a basic or standard health benefit plan issued in accordance with NRS 689B.120 to 689B.210, inclusive, and 689B.590. (Added to NRS by 1997, 2884; A 2001, 2219) NRS 689A.505 “Creditable coverage” defined. “Creditable coverage” means, with respect to a person, health benefits or coverage provided pursuant to: 1. A group health plan; 2. A health benefit plan; 3. Part A or Part B of Title XVIII of the Social Security Act, 42 U.S.C. §§ 1395c et seq., also known as Medicare; 4. Title XIX of the Social Security Act, 42 U.S.C. §§ 1396 et seq., also known as Medicaid, other than coverage consisting solely of benefits under section 1928 of that Title, 42 U.S.C. § 1396s; 5. The Civilian Health and Medical Program of Uniformed Services, CHAMPUS, 10 U.S.C. §§ 1071 et seq.; 6. A medical care program of the Indian Health Service or of a tribal organization; 7. A state health benefit risk pool; 8. A health plan offered pursuant to the Federal Employees Health Benefits Program, FEHBP, 5 U.S.C. §§ 8901 et seq.; 9. A public health plan as defined in 45 C.F.R. § 146.113, authorized by the Public Health Service Act, 42 U.S.C. § 300gg(c)(1)(I); 10. A health benefit plan under section 5(e) of the Peace Corps Act, 22 U.S.C. § 2504(e); 11. The Children’s Health Insurance Program established pursuant to 42 U.S.C. §§ 1397aa to 1397jj, inclusive; 12. A short-term health insurance policy; or 13. A blanket student accident and health insurance policy. (Added to NRS by 1997, 2884; A 1999, 2239, 2802) NRS 689A.510 “Dependent” defined. “Dependent” has the meaning ascribed to it in NRS 689C.055. (Added to NRS by 1997, 2884) NRS 689A.515 “Eligible person” defined. “Eligible person” means: 1. A person: (a) Who, as of the date on which he seeks coverage pursuant to this chapter, has an aggregate period of creditable coverage that is 18 months or more; (b) Whose most recent prior creditable coverage, other than coverage under a short-term health insurance policy, was under a group health plan, governmental plan, church plan or health insurance coverage offered in connection with any such plan; (c) Who is not eligible for coverage under a group health plan, Part A or Part B of Title XVIII of the Social Security Act, 42 U.S.C. §§ 1395c et seq., also known as Medicare, a state plan pursuant to Title XIX of the Social Security Act, 42 U.S.C. §§ 1396 et seq., also known as Medicaid, or any successor program, and who does not have any other health insurance coverage; (d) Whose most recent health insurance coverage within the period of aggregate creditable coverage was not terminated because of a failure to pay premiums or fraud; (e) Who has exhausted his continuation of coverage under the Consolidation Omnibus Budget Reconciliation Act of 1985, Public Law 99-272, or under a similar state program, if any; and (f) Who has not had a break of more than 63 consecutive days in his creditable coverage. 2. A person whose most recent prior creditable coverage was under a basic or standard health benefit plan and was not renewed by a carrier who discontinued offering and renewing individual health benefit plans in this state pursuant to NRS 689A.630. 3. Notwithstanding the provisions of paragraph (a) of subsection 1, a newborn child or a child placed for adoption, if the child was enrolled timely and would have otherwise met the requirements of an eligible person as set forth in subsection 1. (Added to NRS by 1997, 2884; A 1999, 2803) NRS 689A.520 “Established geographic service area” defined. “Established geographic service area” means a geographic area, as approved by the Commissioner and based on the certificate of authority of the carrier to transact insurance in this state, within which the carrier is authorized to provide coverage. (Added to NRS by 1997, 2885) NRS 689A.523 “Exclusion for a preexisting condition” defined. “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) NRS 689A.525 “Geographic area” defined. “Geographic area” means an area established by the Commissioner for use in adjusting the rates for a health benefit plan. (Added to NRS by 1997, 2885) NRS 689A.530 “Governmental plan” defined. “Governmental plan” has the meaning ascribed to it in section 3(32) of the Employee Retirement Income Security Act of 1974, as that section existed on July 16, 1997, and any health plan of the Federal Government. (Added to NRS by 1997, 2885) NRS 689A.535 “Group health plan” defined. 1. “Group health plan” means an employee welfare benefit plan, as defined in section 3(1) of the Employee Retirement Income Security Act of 1974, as that section existed on July 16, 1997, to the extent that the plan provides medical care to employees or their dependents as defined under the terms of the plan directly, or through insurance, reimbursement or otherwise. 2. The term does not include: (a) Coverage that is only for accident or disability income insurance, or any combination thereof; (b) Coverage issued as a supplement to liability insurance; (c) Liability insurance, including general liability insurance and automobile liability insurance; (d) Workers’ compensation or similar insurance; (e) Coverage for medical payments under a policy of automobile insurance; (f) Credit insurance; (g) Coverage for on-site medical clinics; and (h) Other similar insurance coverage specified in federal regulations adopted pursuant to Public Law 104-191 under which benefits for medical care are s

Vegas Law