nated: (a) That amount of the bond or deposit which is necessary to satisfy the outstanding obligations of the organization may not be withdrawn for at least 3 years after the certificate of authority has been terminated. (b) Any balance remaining after money has been withheld to pay the organization’s debts and liens must be paid to the organization by the Commissioner no later than 90 days after the certificate of authority has been terminated. (Added to NRS by 1983, 2023) NRS 695D.180 Bond payable to State; cancellation. 1. A bond by any organization for dental care or its officers under this chapter must be payable to the State of Nevada and must be conditioned on compliance with the provisions of this chapter. The surety shall pay all damages to any person by reason of any misstatement, misrepresentation, fraud or deceit, or any wrongful act or omission of any person or organization made, committed or omitted in the plan for dental care or caused by any other violation of the provisions of this chapter. 2. The organization must give notice to the Commissioner at least 90 days before such a bond may be cancelled. (Added to NRS by 1983, 2024) NRS 695D.190 Fiduciary responsibilities; disciplinary action. Any director, officer, partner or employee of an organization for dental care who receives, collects, disburses or invests money in connection with the activities of that organization is responsible for that money and has a fiduciary duty and relationship to the members of the organization. Any dentist who breaches this fiduciary duty or fails to satisfy his contractual obligation to the organization or the members thereof is subject to disciplinary action pursuant to NRS 631.350. (Added to NRS by 1983, 2024) NRS 695D.200 Policy: Issuance; form and contents; notice of change. 1. An organization for dental care shall: (a) Hold a meeting for all prospective members to review fully the policy being offered and describe the coverage under the plan for dental care before any contract is executed between the parties. (b) Provide to each member a copy of the policy describing his coverage under the plan for dental care. 2. The Commissioner must approve every policy and amendment to it before they are distributed to the members or any other person. If the Commissioner does not disapprove the policy within 30 days after it is filed with him, it shall be deemed to be approved. If the Commissioner disapproves a policy, he shall notify the organization of the reasons for his disapproval. The Commissioner shall grant a hearing on any disapproval of a policy or amendment within 15 days after the organization requests, in writing, a hearing on the matter. 3. A policy must contain a clear and complete statement of the contract between the parties or a summary of the contract which describes: (a) The dental care and other benefits to which the member is entitled; (b) Any limitations on the care to be provided, including any deductibles or copayments to be paid by a member; (c) Where information is available and how dental care may be obtained; and (d) The member’s obligations for payment under the plan for dental care. 4. The organization must give notice to the Commissioner and every member 30 days before any change is made in the member’s policy. (Added to NRS by 1983, 2025) 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. 1. A group plan for dental care issued by an organization for dental care to replace any discontinued policy or coverage for dental care must: (a) Provide coverage for all persons who were covered under the previous policy or coverage on the date it was discontinued; and (b) Except as otherwise provided in subsection 2, provide benefits which are at least as extensive as the benefits provided by the previous policy or coverage, except that benefits may be reduced or excluded to the extent that such a reduction or exclusion was permissible under the terms of the previous policy or coverage, if that plan is issued within 60 days after the date on which the previous policy or coverage was discontinued. 2. If an employer obtains a replacement plan pursuant to subsection 1 to cover his employees, any benefits provided by the previous policy or coverage may be reduced if notice of the reduction is given to his employees pursuant to NRS 608.1577. 3. Any organization for dental care which issues a replacement plan pursuant to subsection 1 may submit a written request to the insurer which provided the previous policy or coverage for a statement of benefits which were provided under that policy or coverage. Upon receiving such a request, the insurer shall give a written statement to the organization indicating what benefits were provided and what exclusions or reductions were in effect under the previous policy or coverage. 4. The provisions of this section apply to a self-insured employer who provides benefits to his employees for dental care and replaces those benefits with a group plan for dental care. (Added to NRS by 1987, 851) NRS 695D.205 Copayments and deductibles. 1. Each copayment and deductible required to be paid by a member must be reasonable and reasonably related to the cost of the particular service. 2. Every organization for dental care shall submit to the Commissioner for his approval any proposal for copayment or deductible before it is imposed on the members. The Commissioner shall approve or disapprove the proposal within 30 days after it is submitted to him. If the Commissioner disapproves a copayment or deductible, he shall notify the organization of the reasons for his disapproval. The Commissioner shall grant a hearing on any such disapproval within 15 days after the organization requests, in writing, a hearing on the matter. 3. The Commissioner may adopt regulations to define: (a) “Reasonable” as it relates to copayments and deductibles; and (b) A “reasonable relationship” between the cost of particular services and the amount of related copayments and deductibles. (Added to NRS by 1987, 1783) NRS 695D.210 Coverage for newly born and adopted children and children placed for adoption. 1. Any policy which provides coverage for a dependent of a member must provide that benefits for children are payable for a member’s newly born child, adopted child or child placed with the member for the purpose of adoption to the same extent that the coverage applies to other dependents. 2. The policy may require that to have coverage for the newly born child, adopted child or child placed for adoption continued beyond 31 days after the child’s birth, adoption or placement, the member must notify the organization for dental care within 31 days after the birth, adoption or placement. 3. For covered services provided to the child, the organization for dental care shall reimburse noncontracted providers of health care to an amount equal to the average amount of payment for which the organization has agreements, contracts or arrangements for those covered services. (Added to NRS by 1983, 2025; A 1989, 742) NRS 695D.215 Claims: Approval or denial; request for additional information; payment; interest on unpaid claim. 1. Except as otherwise provided in subsection 2, an organization for dental care shall approve or deny a claim relating to a plan for dental care within 30 days after the organization for dental care receives the claim. If the claim is approved, the organization for dental care shall pay the claim within 30 days after it is approved. If the approved claim is not paid within that period, the organization for dental care shall pay interest on the claim at the rate of interest establishe

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