GroundRules
Browse Nevada
Read the original sections, or search by topic.
- NRS 695A.042 · “Rules” defined.
- NRS 695A.044 · “Society” defined.
- NRS 695A.050 · Organization: Preparation and contents of articles of incorporation.
- NRS 695A.060 · Organization: Filing of documents and bond with Commissioner; preliminary certificate of authority.
- NRS 695A.070 · Organization: Solicitation of members; collection of advance premiums; reports to Commissioner.
- NRS 695A.080 · Certificate of authority: Issuance and renewal; effect; record; copies; fees.
- NRS 695A.090 · General powers and duties of society.
- NRS 695A.095 · Contracts between society and provider of health care: Prohibiting society from charging provider of health care fee for inclusion on list of providers given to insureds; society required to use form to obtain information on provider of health care; modification; submission by society of schedule of payments to provider.
- NRS 695A.110 · Unincorporated or voluntary association prohibited from transacting business as society.
- NRS 695A.120 · Location of principal office; meetings of supreme governing body; minutes of certain proceedings; official publications; grievances by benefit members.
- NRS 695A.130 · Consolidation; merger.
- NRS 695A.140 · Conversion of fraternal benefit society into mutual life insurer.
- NRS 695A.150 · Qualifications for and rights and privileges of membership.
- NRS 695A.151 · Effect of eligibility for medical assistance under Medicaid on eligibility for coverage; assignment of rights to state agency.
- NRS 695A.152 · Society required to comply with certain provisions concerning portability and availability of health insurance.
- NRS 695A.153 · Society prohibited from asserting certain grounds to deny enrollment of child of insured pursuant to order.
- NRS 695A.155 · Certain accommodations required to be made by society when child is covered under policy of noncustodial parent.
- NRS 695A.157 · Society required 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 695A.160 · Amendment of laws of society: Manner; approval by Commissioner; provision to members.
- NRS 695A.180 · Scope of contractual benefits.
- NRS 695A.184 · Benefit contract covering prescription drugs prohibited from limiting or excluding coverage for prescription drug previously approved for medical condition of insured; exception.
- NRS 695A.1841 · Limitation on cost-sharing obligation for insulin covered under benefit contract covering prescription insulin drugs.
- NRS 695A.1843 · Coverage for drugs, laboratory testing and certain services related to human immunodeficiency virus and hepatitis C required; reimbursement of certain providers of health care for certain services; prohibited acts.
- NRS 695A.1844 · Coverage for testing, treatment and prevention of sexually transmitted diseases required; coverage for condoms for certain insureds required.
- NRS 695A.18445 · Coverage for certain gynecological or obstetrical services required without prior authorization or referral from primary care physician; designation of obstetrician or gynecologist as primary care physician.
- NRS 695A.1845 · Coverage for certain tests and vaccines relating to human papillomavirus required; prohibited acts.
- NRS 695A.1853 · Coverage for screening, genetic counseling and testing related to BRCA gene required in certain circumstances.
- NRS 695A.1855 · Coverage for certain screenings and tests for breast cancer required; prohibited acts.
- NRS 695A.1856 · Coverage for examination of person who is pregnant for certain diseases required.
- NRS 695A.18565 · Coverage for noninvasive prenatal screening required.
- NRS 695A.1857 · Benefit contract covering maternity care: Prohibited acts by society if insured is acting as gestational carrier; child deemed child of intended parent for purposes of benefit contract.
- NRS 695A.18575 · Coverage for screening for lung cancer required in benefit contract providing coverage for treatment for lung cancer.
- NRS 695A.1859 · Coverage for biomarker testing for diagnosis, treatment, management and monitoring of cancer required in certain circumstances; establishment of process to request exception or appeal denial of coverage; time for responding to request for prior authorization.
- NRS 695A.1865 · Coverage for drug or device for contraception and related health services required in benefit contract covering prescription drugs or devices; prohibited acts; exceptions.
- NRS 695A.1866 · Coverage for procedure or service for preservation of fertility required in certain circumstances; exemption. [Effective January 1, 2027.]
- NRS 695A.1867 · Coverage for medically necessary treatment of conditions relating to gender dysphoria and gender incongruence required; restriction on refusal to cover certain treatments; authority of society to prescribe requirements for covering surgical treatment for minors; determination of medical necessity.
- NRS 695A.1873 · Coverage for management and treatment of sickle cell disease and its variants required; coverage for medically necessary prescription drugs to treat sickle cell disease and its variants required in benefit contract covering prescription drugs.
- NRS 695A.18735 · Coverage for habilitative speech-language pathology and rehabilitative speech-language pathology as treatment for stuttering required for certain persons; prohibited acts.
- NRS 695A.1874 · Coverage for certain drugs and services related to substance use disorder and opioid use disorder required; reimbursement of pharmacists and pharmacies for certain services; prohibited acts.
- NRS 695A.1875 · Coverage for certain services, screenings and tests relating to wellness required; prohibited acts.
- NRS 695A.188 · Approval or denial of claim; payment of claims and interest; request for additional information; payment of claim; award of costs and attorney’s fees; compliance with requirements; imposition of administrative fine or suspension or revocation of certificate of authority for failure to comply; report of compliance by society.
- NRS 695A.195 · Society prohibited from denying coverage solely because claim involves act that constitutes domestic violence or applicant or insured was victim of domestic violence.
- NRS 695A.197 · Society prohibited from denying coverage solely because applicant or insured was intoxicated or under the influence of controlled substance; exceptions.
- NRS 695A.198 · Society prohibited from discriminating against person with respect to participation or coverage on basis of gender identity or expression.
- NRS 695A.200 · Nonforfeiture benefits, cash surrender values, certificate loans and other options.
- NRS 695A.210 · Beneficiaries; funeral benefits.
- NRS 695A.220 · Benefits not liable to attachment, garnishment or other process.
- NRS 695A.230 · Terms and conditions of benefit contracts.
- NRS 695A.232 · Society required to offer and issue plan regardless of health status of persons; prohibited acts.
- NRS 695A.235 · Offering policy of health insurance for purposes of establishing health savings account.
- NRS 695A.240 · Approval and contents of certificates.
- NRS 695A.255 · Benefit contract covering prescription drugs: Provision of notice and information regarding use of formulary.
- NRS 695A.256 · Benefit contract covering prescription drugs: Submission to step therapy protocol for drug to treat psychiatric condition prohibited in certain circumstances.
- NRS 695A.257 · Benefit contract covering prescription drugs: Required actions by society related to acquisition of prescription drugs for certain insureds residing in area for which emergency or disaster has been declared.
- NRS 695A.258 · Benefit contract covering prescription drug for treatment of medical condition that is part of step therapy protocol: Use of certain guidelines required; establishment of process to request exemption from step therapy protocol required; granting of request; applicability of provisions.
- NRS 695A.259 · Benefit contract covering prescription drug for treatment of cancer or cancer symptom that is part of step therapy protocol: Society required to allow insured or attending practitioner to apply for exemption from step therapy protocol in certain circumstances; procedure for applying for and granting exemption.
- NRS 695A.261 · Benefit contract covering anatomical gifts, organ transplants or treatments or services related to organ transplants: Prohibited acts by society if insured is person with disability.
- NRS 695A.263 · Coverage for dental service provided by qualified dental hygienist required in certain circumstances.
- NRS 695A.265 · Coverage for services provided through telehealth required to same extent as though provided in person or by other means; reimbursement for certain services provided through telehealth required in same amount as though provided in person or by other means; prohibited acts.
- NRS 695A.270 · Authority to prohibit in society’s laws waiver of provisions of society’s laws.
- NRS 695A.280 · Reinsurance.
- NRS 695A.300 · Foreign or alien society: License required to transact business; required information.
- NRS 695A.310 · Injunction against, liquidation of or appointment of receiver for domestic society.
- NRS 695A.320 · Suspension, revocation or refusal of license of foreign or alien society.
- NRS 695A.330 · Licensing of insurance agents of society; persons exempt from licensing.
- NRS 695A.400 · Service of process on society.
- NRS 695A.410 · Injunctions against societies.
- NRS 695A.420 · Judicial review of Commissioner’s findings and decisions.
- NRS 695A.430 · Assets, funds and accounts of society.
- NRS 695A.440 · Investments.
- NRS 695A.450 · Annual statement of financial condition, transactions and affairs: Filing; fee; contents; provision to members; valuation of certificates.
- NRS 695A.460 · Annual statement of financial condition, transactions and affairs: Penalties for failure to file properly.
- NRS 695A.475 · Liability of directors, officers, employees, members and volunteers; indemnification and reimbursement of directors, officers, employees and agents.
- NRS 695A.490 · Standards of valuation for certificates; excess reserves.
- NRS 695A.500 · Examination of societies transacting or applying to transact business in State.
- NRS 695A.530 · Applicability of provisions relating to trade practices and frauds.
- NRS 695A.550 · Exemption of societies from certain taxes.
- NRS 695A.555 · Nonexemption of societies from certain fees.
- NRS 695A.560 · Exemption of societies from other insurance laws; exceptions.
- NRS 695A.570 · Applicability of chapter; effect of exemption.
- NRS 695A.580 · Penalties.
- NRS 695B.010 · Short title.
- NRS 695B.020 · Scope.
- NRS 695B.030 · Definitions.
- NRS 695B.035 · Contract between corporation and provider of health care: Prohibiting corporation from charging provider of health care fee for inclusion on list of providers given to insureds; corporation required to use form to obtain information on provider of health care; modification; submission by corporation of schedule of payments to provider.
- NRS 695B.040 · Corporations authorized to undertake and operate plans.
- NRS 695B.050 · Manner of incorporation.
- NRS 695B.060 · Directors: Qualifications.
- NRS 695B.070 · Merger and consolidation: Procedure.
- NRS 695B.080 · Merger and consolidation: Continuance of contracts and contribution certificates.
- NRS 695B.090 · Merger and consolidation: Withdrawal of prior deposit of securities.
- NRS 695B.110 · Certificate of authority: Required; fees.
- NRS 695B.120 · Certificate of authority: Qualifications.
- NRS 695B.130 · Certificate of authority: Application; issuance.
- NRS 695B.135 · Certificate of authority: Expiration; renewal.
- NRS 695B.140 · Reserve fund: Minimum amounts; computation; contracts with hospitals; participation of physicians or dentists.
- NRS 695B.150 · Insolvency; determination of financial condition; actions by Commissioner; review; regulations.
- NRS 695B.160 · Annual statement of condition and affairs; annual financial statement; quarterly statement; fees; examination by Commissioner.
- NRS 695B.165 · Annual statement required to include report of net worth.
- NRS 695B.170 · Acquisition costs and administrative expenses; effect of finding of excess costs.