tion of the provisions of this chapter, if the Commissioner elects not to issue a cease and desist order, or in the event of noncompliance with a cease and desist order issued pursuant to subsection 5, the Commissioner may institute a proceeding to obtain injunctive relief, or seek other appropriate relief in the district court of the judicial district of the county in which the violator resides. (Added to NRS by 1973, 1257; A 1999, 2817) CHAPTER 695D - PLANS FOR DENTAL CARE NRS 695D.010 Definitions. NRS 695D.020 “Commissioner” defined. NRS 695D.030 “Dental care” defined. NRS 695D.040 “Dentist” defined. NRS 695D.050 “Member” defined. NRS 695D.060 “Organization for dental care” defined. NRS 695D.070 “Plan for dental care” defined. NRS 695D.080 “Policy” defined. NRS 695D.090 Applicability. NRS 695D.095 Applicability of other provisions to organizations for dental care. NRS 695D.100 Regulations of Commissioner. NRS 695D.102 Summary of coverage: Contents of disclosure; approval by Commissioner. NRS 695D.104 Summary of coverage: Copy to be provided before policy issued; policy not to be offered unless summary approved by Commissioner. NRS 695D.110 Certificate of authority: Required for plan for dental care. NRS 695D.120 Certificate of authority: Application. NRS 695D.130 Certificate of authority: Issuance. NRS 695D.140 Certificate of authority: Notice of change of information; application for amendment; fee; approval. NRS 695D.150 Certificate of authority: Expiration; renewal; fee for renewal. NRS 695D.160 Composition of board of directors for organization for dental care. NRS 695D.170 Bond required; lien and payment on bond. NRS 695D.180 Bond payable to State; cancellation. NRS 695D.190 Fiduciary responsibilities; disciplinary action. NRS 695D.200 Policy: Issuance; form and contents; notice of change. NRS 695D.203 Group plan issued to replace discontinued policy or coverage: Requirements; notice of reduction of benefits; statement of benefits; applicability to self-insured employer. NRS 695D.205 Copayments and deductibles. NRS 695D.210 Coverage for newly born and adopted children and children placed for adoption. NRS 695D.215 Claims: Approval or denial; request for additional information; payment; interest on unpaid claim. NRS 695D.217 Organization for dental care prohibited from denying coverage solely because person was victim of domestic violence. NRS 695D.219 Organization for dental care prohibited from denying coverage solely because member was intoxicated or under the influence of controlled substance; exceptions. [Effective July 1, 2006.] NRS 695D.220 Licensing of agents. NRS 695D.230 Approval of advertising or materials used to solicit members. NRS 695D.240 Limitation on expenses for marketing and administration. NRS 695D.250 Reserves; regulations. NRS 695D.260 Annual report, financial statement and tax; administrative penalty for failure to file report or financial statement. NRS 695D.270 Examination of organization by Commissioner. NRS 695D.280 Rehabilitation, liquidation or conservation. NRS 695D.290 Trade practices and frauds. NRS 695D.300 Disciplinary actions; penalties. NRS 695D.310 Notice of disciplinary action; hearing; order. _________ NRS 695D.010 Definitions. As used in this chapter, unless the context otherwise requires, the words and terms defined in NRS 695D.020 to 695D.080, inclusive, have the meanings ascribed to them in those sections. (Added to NRS by 1983, 2021) NRS 695D.020 “Commissioner” defined. “Commissioner” means the Commissioner of Insurance. (Added to NRS by 1983, 2021) NRS 695D.030 “Dental care” defined. “Dental care” means the services ordinarily provided by dentists and includes appliances, drugs, medicines, supplies, prosthetic appliances, orthodontic appliances, and metal, ceramic or other restorations customarily used or provided by a dentist. (Added to NRS by 1983, 2021) NRS 695D.040 “Dentist” defined. “Dentist” includes a dental hygienist. (Added to NRS by 1983, 2021) NRS 695D.050 “Member” defined. “Member” includes the person enrolled in a plan for dental care and his dependents who may also be enrolled in the plan. (Added to NRS by 1983, 2021) NRS 695D.060 “Organization for dental care” defined. “Organization for dental care” means any person who agrees to provide coverage for dental care through one or more plans for dental care. (Added to NRS by 1983, 2021) NRS 695D.070 “Plan for dental care” defined. “Plan for dental care” means any agreement in which a person agrees to provide or arrange for dental care or pay for or reimburse any part of the cost of that care and the member agrees to prepay, make periodic payments or pay through insurance for that care. (Added to NRS by 1983, 2021; A 1985, 2098) NRS 695D.080 “Policy” defined. “Policy” means the document given to a member which describes the dental care to which he is entitled under a plan for dental care and his obligations to the organization for dental care. (Added to NRS by 1983, 2021) NRS 695D.090 Applicability. 1. Except as otherwise specifically provided in this chapter or elsewhere in this title, the provisions of this title other than this chapter do not apply to organizations for dental care. This exemption does not apply to any insurer authorized pursuant to any other provision of this title except with respect to those activities authorized and regulated by this chapter. 2. The provisions of this chapter do not apply to: (a) Any person, corporation or organization which must be authorized by the Commissioner to transact the business of insurance pursuant to chapter 680A, 695B or 695C of NRS. (b) Any plan established to provide health and welfare benefits to employees pursuant to a collective bargaining agreement. (Added to NRS by 1983, 2021) NRS 695D.095 Applicability of other provisions to organizations for dental care. An organization for dental care is not exempt from the provisions of NRS 679B.700. If an organization is an admitted health insurer, as that term is defined in NRS 449.450, it is not exempt from the fees imposed pursuant to NRS 449.465. (Added to NRS by 1987, 470) NRS 695D.100 Regulations of Commissioner. The Commissioner may adopt any regulations necessary to carry out the provisions of this chapter. (Added to NRS by 1983, 2022) NRS 695D.102 Summary of coverage: Contents of disclosure; approval by Commissioner. 1. The Commissioner shall adopt regulations which require an organization for dental care to file with the Commissioner, for his approval, a disclosure summarizing the coverage provided by each plan for dental care offered by the organization for dental care. The disclosure must include: (a) Any significant exception, reduction or limitation that applies to the plan; and (b) Any other information, that the Commissioner finds necessary to provide for full and fair disclosure of the provisions of the plan. 2. The disclosure must be written in language which is easily understood and must include a statement that the disclosure is a summary of the policy only, and that the policy itself should be read to determine the governing contractual provisions. 3. The Commissioner shall not approve any proposed disclosure submitted to him pursuant to this section which does not comply with the requirements of this section and the applicable regulations. (Added to NRS by 1989, 1254) NRS 695D.104 Summary of coverage: Copy to be provided before policy is

Vegas Law