GROUP POLICIES  


General Provisions
NRS 689B.020. “Group health insurance” defined; eligible groups and benefits.
NRS 689B.026. Delivery of policy to group formed to purchase health insurance prohibited; exception.
NRS 689B.0265. Policy to guaranteed association.
NRS 689B.027. Summary of coverage: Contents of disclosure; approval by Commissioner; copy to be made available to employer or producer acting on behalf of employer.
NRS 689B.028. Summary of coverage: Copy to be provided before policy issued; policy may not be offered unless summary approved by Commissioner.
NRS 689B.0283. Coverage for prescription drugs: Provision of notice and information regarding use of formulary.
NRS 689B.0285. System for resolving complaints: Approval; requirements; examination.
NRS 689B.029. Annual report regarding system for resolving complaints; insurer to maintain records of complaints concerning something other than health care services.
NRS 689B.0295. Written notice to insured explaining right to file complaint; notice to insured required when insurer denies coverage of health care service.
Coverage
NRS 689B.030. Required provisions.
NRS 689B.0303. Required provision concerning coverage for continued medical treatment.
NRS 689B.0306. Required provision concerning coverage for treatment received as part of clinical trial or study.
NRS 689B.031. Required provision concerning coverage of certain gynecological or obstetrical services without authorization or referral from primary care physician.
NRS 689B.0313. Required provision concerning coverage for human papillomavirus vaccine. [Effective through December 31, 2013.]
NRS 689B.0313. Required provision concerning coverage for human papillomavirus vaccine. [Effective January 1, 2014.]
NRS 689B.0317. Required provision concerning coverage for prostate cancer screening.
NRS 689B.033. Required provision concerning coverage for newly born and adopted children and children placed for adoption. [Effective through December 31, 2013.]
NRS 689B.033. Required provision concerning coverage for newly born and adopted children and children placed for adoption. [Effective January 1, 2014.]
NRS 689B.0335. Required provision concerning coverage for autism spectrum disorders.
NRS 689B.034. Required provision concerning effect of benefits under other valid group coverage; subrogation.
NRS 689B.0345. Required provision concerning coverage for employee or member on leave without pay as result of total disability.
NRS 689B.035. Required provision concerning termination of coverage on dependent child.
NRS 689B.0353. Required provision concerning coverage for treatment of certain inherited metabolic diseases.
NRS 689B.0357. Required provision concerning coverage for management and treatment of diabetes.
NRS 689B.0362. Required provision concerning coverage for orally administered chemotherapy.
NRS 689B.0365. Required provision concerning coverage for use of certain drugs for treatment of cancer.
NRS 689B.0367. Required provision concerning coverage for screening for colorectal cancer.
NRS 689B.0368. Required provision concerning coverage for prescription drug previously approved for medical condition of insured.
NRS 689B.0374. Required provision concerning coverage for cytologic screening tests and mammograms for certain women.
NRS 689B.0375. Required provision concerning coverage relating to mastectomy.
NRS 689B.0376. Policy covering prescription drugs or devices to provide coverage for drug or device for contraception and of hormone replacement therapy in certain circumstances; prohibited actions by insurer; exceptions.
NRS 689B.0377. Policy covering outpatient care to provide coverage for health care services related to contraceptives and hormone replacement therapy; prohibited actions by insurer; exceptions.
NRS 689B.0379. Required provision concerning coverage for treatment of temporomandibular joint.
Reimbursement and Payment
NRS 689B.038. Reimbursement for treatments by licensed psychologist.
NRS 689B.0383. Reimbursement for treatments by licensed marriage and family therapist or licensed clinical professional counselor.
NRS 689B.0385. Reimbursement for treatments by licensed associate in social work, social worker, independent social worker or clinical social worker.
NRS 689B.039. Reimbursement for treatments by chiropractor.
NRS 689B.0393. Reimbursement for treatments by podiatrist.
NRS 689B.0397. Reimbursement for treatment by licensed clinical alcohol and drug abuse counselor.
NRS 689B.040. Direct payment for hospital and medical services and home health care; payment to assignee.
NRS 689B.045. Reimbursement for services provided by certain nurses; prohibited limitations; exception.
NRS 689B.047. Reimbursement to provider of medical transportation.
NRS 689B.049. Reimbursement for acupuncture.
Miscellaneous Provisions
NRS 689B.050. Extended disability benefit.
NRS 689B.060. Readjustment of premiums; dividends.
NRS 689B.061. Limitations on deductibles and copayments charged under policy which offers difference of payment between preferred providers of health care and providers who are not preferred. [Effective through December 31, 2013.]
NRS 689B.061. Limitations on deductibles and copayments charged under policy which offers difference of payment between preferred providers of health care and providers who are not preferred. [Effective January 1, 2014.]
NRS 689B.063. Primary and secondary policies: Determination of benefits. [Effective through December 31, 2013.]
NRS 689B.063. Primary and secondary policies: Determination of benefits. [Effective January 1, 2014.]
NRS 689B.064. Primary and secondary policies: Order of benefits.
NRS 689B.065. Policy issued to replace discontinued policy or coverage: Requirements; notice of reduction of benefits; statement of benefits; applicability of section.
NRS 689B.067. Provision in policy requiring binding arbitration for disputes with insurer authorized; procedure for arbitration; declaratory relief.
NRS 689B.068. Insurer prohibited from denying coverage solely because person was victim of domestic violence.
NRS 689B.069. Insurer prohibited from requiring or using information concerning genetic testing; exceptions.