CHAPTER695F. Prepaid Limited Health Service Organizations  


GENERAL PROVISIONS
NRS 695F.010. Definitions.
NRS 695F.020. “Enrollee” defined.
NRS 695F.030. “Evidence of coverage” defined.
NRS 695F.040. “Limited health service” defined.
NRS 695F.043. “Medicaid” defined.
NRS 695F.047. “Order for medical coverage” defined.
NRS 695F.050. “Prepaid limited health service organization” defined.
NRS 695F.060. “Provider” defined.
NRS 695F.070. “Subscriber” defined.
NRS 695F.080. General applicability of title 57 of NRS.
NRS 695F.090. Applicable statutory provisions. [Effective through December 31, 2013.]
NRS 695F.090. Applicable statutory provisions. [Effective January 1, 2014.]
CERTIFICATE OF AUTHORITY
NRS 695F.100. Certificate required.
NRS 695F.110. Application for certificate.
NRS 695F.120. Review of application; issuance of certificate.
NRS 695F.130. Application of person who is licensed as insurer or holds another certificate of authority.
NRS 695F.140. Denial of application; hearing.
OPERATION
NRS 695F.150. Evidence of coverage: Issuance; contents; amendment.
NRS 695F.153. Coverage for prescription drugs: Provision of notice and information regarding use of formulary.
NRS 695F.156. Coverage for prescription drug previously approved for medical condition of enrollee.
NRS 695F.160. Rates and charges: Reasonableness.
NRS 695F.170. Procedure for modification of rates, charges, benefits, organization, operations, documents or services.
NRS 695F.180. Investments.
NRS 695F.190. Requirements for reserve.
NRS 695F.200. Maintenance of capital account and surety.
NRS 695F.210. Maintenance of fidelity bond or deposit in lieu of bond.
NRS 695F.215. Required contract with insurance company for provision of insurance, indemnity or reimbursement against cost of health care services.
NRS 695F.220. Contract between organization and provider or subcontractor for provision of services to enrollees.
NRS 695F.230. Establishment of system for resolution of complaints.
REGULATION AND ENFORCEMENT
NRS 695F.300. Regulations of Commissioner.
NRS 695F.310. Examination of affairs of organization.
NRS 695F.320. Reports to Commissioner; fine and suspension for noncompliance.
NRS 695F.330. Payment of tax.
NRS 695F.340. Fees.
NRS 695F.350. Suspension or revocation of certificate of authority.
NRS 695F.360. Violations of chapter: Order to cease and desist; fine.
MISCELLANEOUS PROVISIONS
NRS 695F.400. License required to apply, procure, negotiate or place for another any policy or contract of organization.
NRS 695F.410. Confidentiality and disclosure of information.
NRS 695F.420. Certain insurers and organizations may exclude coverage duplicated pursuant to this chapter.
NRS 695F.430. Provision of services excluded from practice of any healing arts; solicitation excluded from statutory provisions regarding solicitation or advertising by practitioner of healing art.
ELIGIBILITY FOR COVERAGE
NRS 695F.440. Effect of eligibility for medical assistance under Medicaid; assignment of rights to state agency.
NRS 695F.450. Organization prohibited from asserting certain grounds to deny enrollment of child pursuant to order if parent is insured.
NRS 695F.460. Certain accommodations to be made when child is covered under evidence of coverage of noncustodial parent.
NRS 695F.470. Organization to authorize enrollment of child of parent who is required by order to provide medical coverage under certain circumstances; termination of coverage of child.
NRS 695F.480. Organization prohibited from restricting coverage of child based on preexisting condition if person who is eligible for group coverage adopts or assumes legal obligation for child.