Nevada Revised Statutes (Last Updated: December 24, 2014) |
TITLE57 INSURANCE |
CHAPTER689C. Health Insurance for Small Employers |
HEALTH BENEFIT PLANS |
NRS 689C.015. Definitions. |
NRS 689C.017. “Affiliated” defined. |
NRS 689C.019. “Affiliation period” defined. |
NRS 689C.021. “Basic health benefit plan” defined. [Effective through December 31, 2013.] |
NRS 689C.023. “Bona fide association” defined. |
NRS 689C.025. “Carrier” defined. |
NRS 689C.035. “Characteristics” defined. [Effective through December 31, 2013.] |
NRS 689C.045. “Class of business” defined. |
NRS 689C.047. “Control” defined. |
NRS 689C.051. “Converted policy” defined. [Effective through December 31, 2013.] |
NRS 689C.053. “Creditable coverage” defined. |
NRS 689C.055. “Dependent” defined. [Effective through December 31, 2013.] |
NRS 689C.055. “Dependent” defined. [Effective January 1, 2014.] |
NRS 689C.065. “Eligible employee” defined. |
NRS 689C.066. “Employee leasing company” defined. |
NRS 689C.067. “Established geographic service area” defined. [Effective through December 31, 2013.] |
NRS 689C.071. “Geographic area” defined. [Effective through December 31, 2013.] |
NRS 689C.071. “Geographic rating area” defined. [Effective January 1, 2014.] |
NRS 689C.072. “Geographic service area” defined. [Effective January 1, 2014.] |
NRS 689C.073. “Group health plan” defined. |
NRS 689C.075. “Health benefit plan” defined. |
NRS 689C.076. “Health status-related factor” defined. [Effective through December 31, 2013.] |
NRS 689C.077. “Network plan” defined. |
NRS 689C.078. “Open enrollment” defined. |
NRS 689C.079. “Plan for coverage of a bona fide association” defined. |
NRS 689C.081. “Plan sponsor” defined. |
NRS 689C.082. “Preexisting condition” defined. |
NRS 689C.083. “Producer” defined. |
NRS 689C.084. “Program of Reinsurance” defined. [Effective through December 31, 2013.] |
NRS 689C.085. “Rating period” defined. |
NRS 689C.089. “Risk-assuming carrier” defined. [Effective through December 31, 2013.] |
NRS 689C.095. “Small employer” defined. [Effective through December 31, 2015.] |
NRS 689C.095. “Small employer” defined. [Effective January 1, 2016.] |
NRS 689C.099. “Standard health benefit plan” defined. [Effective through December 31, 2013.] |
NRS 689C.106. “Waiting period” defined. |
NRS 689C.1065. Applicability. |
NRS 689C.109. 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 689C.111. Determination of whether employer is small or large; applicability of provisions after employer is deemed large. |
NRS 689C.113. Requirements for employee welfare benefit plan for providing benefits for employees of more than one employer. |
NRS 689C.115. Mandatory and optional coverage. |
NRS 689C.125. Rating factors for determining premiums. [Effective through December 31, 2013.] |
NRS 689C.125. Rating factors for determining premiums. [Effective January 1, 2014.] |
NRS 689C.135. Effect of provision in health benefit plan for restricted network on determination of rates. |
NRS 689C.143. Offering of policy of health insurance for purposes of establishing health savings account. |
NRS 689C.145. Characteristics that carrier may use to determine rating factors for establishing premiums. [Effective through December 31, 2013.] |
NRS 689C.155. Regulations. [Effective through December 31, 2013.] |
NRS 689C.155. Regulations. [Effective January 1, 2014.] |
NRS 689C.156. Each health benefit plan marketed in this State required to be offered to small employers. [Effective through December 31, 2013.] |
NRS 689C.156. Each health benefit plan marketed in this State required to be offered to small employers. [Effective January 1, 2014.] |
NRS 689C.157. Requirement to file basic and standard health benefit plans with Commissioner; disapproval of plan. [Effective through December 31, 2013.] |
NRS 689C.158. Producer may only sign up small employers and eligible employees in bona fide associations if employers and employees are actively engaged in or related to bona fide association. |
NRS 689C.159. Certain provisions inapplicable to plan that carrier makes available only through bona fide association. [Effective through December 31, 2013.] |
NRS 689C.159. Certain provisions inapplicable to plan that carrier makes available only through bona fide association. [Effective January 1, 2014.] |
NRS 689C.160. Carrier must uniformly apply requirements to determine whether to provide coverage. [Effective through December 31, 2013.] |
NRS 689C.160. Carrier must uniformly apply requirements to determine whether to provide coverage. [Effective January 1, 2014.] |
NRS 689C.165. Carrier prohibited from modifying plan to restrict or exclude coverage for certain services. |
NRS 689C.1655. Coverage for autism spectrum disorders. |
NRS 689C.166. Coverage for abuse of alcohol or drugs: Required. |
NRS 689C.167. Coverage for abuse of alcohol or drugs: Benefits. |
NRS 689C.168. Coverage for prescription drug previously approved for medical condition of insured. |
NRS 689C.169. Coverage for severe mental illness. [Effective through December 31, 2013.] |
NRS 689C.169. Coverage for severe mental illness. [Effective January 1, 2014.] |
NRS 689C.170. Authorized variation of minimum participation and contributions; denial of coverage based on industry prohibited. |
NRS 689C.180. Carrier to offer same coverage to all eligible employees; denial of coverage to otherwise eligible employee. |
NRS 689C.183. Plan and carrier required to permit employee or dependent of employee to enroll for coverage under certain circumstances. |
NRS 689C.187. Manner and period for enrolling dependent of covered employee; period of special enrollment. |
NRS 689C.190. Coverage of preexisting conditions. [Effective January 1, 2014.] |
NRS 689C.191. Determination of applicable creditable coverage of person; determining period of creditable coverage of person; required statement. [Effective through December 31, 2013.] |
NRS 689C.191. Determination of applicable creditable coverage of person; determining period of creditable coverage of person; required statement; applicability. [Effective January 1, 2014.] |
NRS 689C.192. Written certification of coverage required for purpose of determining period of creditable coverage accumulated by person. |
NRS 689C.194. Plan that includes coverage for maternity and pediatric care: Required to allow minimum stay in hospital in connection with childbirth; prohibited acts. |
NRS 689C.196. Insurer prohibited from denying coverage solely because person was victim of domestic violence. |
NRS 689C.197. Carrier prohibited from denying coverage because insured was intoxicated or under influence of controlled substance; exceptions. |
NRS 689C.198. Insurer prohibited from requiring or using information concerning genetic testing; exceptions. |
NRS 689C.200. When carrier is not required to offer coverage. [Effective through December 31, 2013.] |
NRS 689C.200. When carrier is not required to offer coverage. [Effective January 1, 2014.] |
NRS 689C.203. Denial of application for coverage from small employer; regulations. |
NRS 689C.207. Regulations concerning reissuance of health benefit plan. |
NRS 689C.210. Procedure for increasing premium rates. [Effective through December 31, 2013.] |
NRS 689C.220. Adjustment in rates to be applied uniformly. |
NRS 689C.230. Determination and application of index rate. [Effective through December 31, 2013.] |
NRS 689C.240. Use of industry classifications as rating factor. [Effective through December 31, 2013.] |
NRS 689C.250. Required disclosures to Commissioner; when disclosures constitute trade secret. [Effective through December 31, 2013.] |
NRS 689C.250. Information considered to be trade secret; exception. [Effective January 1, 2014.] |
NRS 689C.260. Manner in which carrier may establish separate class of business; transferring small employer into or out of class of business. [Effective through December 31, 2013.] |
NRS 689C.265. Carrier authorized to modify coverage for insurance product under certain circumstances. |
NRS 689C.270. Regulations concerning disclosures by carrier to small employer; copy of disclosure to be made available to small employer. |
NRS 689C.280. Carrier to provide required disclosures to small employer before issuing policy of insurance. |
NRS 689C.281. Coverage for prescription drugs: Provision of notice and information regarding use of formulary. |
NRS 689C.283. Election to operate as risk-assuming carrier or reinsuring carrier: Notice to Commissioner; effective date; change in status. [Effective through December 31, 2013.] |
NRS 689C.287. Election to act as risk-assuming carrier: Suspension by Commissioner; applicable statutes. [Effective through December 31, 2013.] |
NRS 689C.290. Commissioner authorized to suspend restriction on increase of premiums for new rating period based on new business for policy. [Effective through December 31, 2013.] |
NRS 689C.300. Carrier to file actuarial certification annually with Commissioner. [Effective through December 31, 2013.] |
NRS 689C.310. Renewal of health benefit plan; discontinuing issuance and renewal of coverage, plan or form of product of health benefit plan. [Effective through December 31, 2013.] |
NRS 689C.310. Renewal of health benefit plan; discontinuing issuance and renewal of coverage, plan or form of product of health benefit plan. [Effective January 1, 2014.] |
NRS 689C.320. Required notification when carrier discontinues transacting insurance in this State; restrictions on carrier that discontinues transacting insurance. [Effective January 1, 2014.] |
NRS 689C.327. Carrier that offers network plan: Contracts with certain federally qualified health centers. [Effective through December 31, 2013.] |
NRS 689C.330. When insurer is required to allow employee to continue coverage after employee is no longer covered by health benefit plan. |
NRS 689C.340. Required provisions in health benefit plan of employer who employs less than 20 employees related to continuation of coverage. [Effective through December 31, 2013.] |
NRS 689C.342. Notice of election and payment of premium. [Effective through December 31, 2013.] |
NRS 689C.344. Amount of premium for continuation of coverage; change in rates; payment to insurer; termination. [Effective through December 31, 2013.] |
NRS 689C.346. Effect of change in insurer during period of continued coverage. [Effective through December 31, 2013.] |
NRS 689C.348. Continued coverage ceases before end of established period under certain circumstances. [Effective through December 31, 2013.] |
NRS 689C.350. Health benefit plan with preferred providers of health care: Deductible; when service is deemed to be provided by preferred provider. [Effective January 1, 2014.] |
NRS 689C.355. Prohibited acts of carrier or producer; denial of application for coverage; violation may constitute unfair trade practice; applicability of section. [Effective January 1, 2014.] |