GroundRules
Browse Nevada
Read the original sections, or search by topic.
- NRS 695E.170 · Applicability of other provisions; duties of agent or broker.
- NRS 695E.180 · Notice required in policy.
- NRS 695E.190 · Risk retention group not chartered and doing business in this State: Examination by Commissioner; compliance with order issued in certain proceedings if finding of financial impairment after examination; enforcement by district courts in this State of order issued by federal court enjoining conduct of operations or transaction of insurance in any state.
- NRS 695E.200 · Prohibited acts.
- NRS 695E.210 · Applicability of other provisions; fines and penalties for violation of chapter by risk retention group.
- NRS 695E.220 · Annual notice of intent to continue doing business in Nevada.
- 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 · Applicability of chapter and other provisions.
- NRS 695F.100 · Certificate required.
- NRS 695F.110 · Application; fee.
- 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.
- NRS 695F.150 · Evidence of coverage: Issuance; contents; amendment.
- NRS 695F.151 · Organization required to offer and issue plan regardless of health status of persons; prohibited acts; authority to include wellness program in plan that offers discounts based on health status under certain circumstances.
- NRS 695F.153 · Evidence of coverage covering prescription drugs: Provision of notice and information regarding use of formulary.
- NRS 695F.156 · Evidence of coverage covering prescription drugs prohibited from limiting or excluding coverage for certain prescription drugs previously approved for medical condition of enrollee; exceptions.
- NRS 695F.157 · Limitation on cost-sharing obligation of insulin covered under evidence of coverage covering prescription insulin drugs.
- NRS 695F.158 · Evidence of coverage covering prescription drugs: Required actions by organization related to acquisition of prescription drugs for certain insureds residing in area for which emergency or disaster has been declared.
- NRS 695F.159 · Evidence of coverage covering prescription drugs: Use of step therapy protocol for drug to treat psychiatric condition prohibited in certain circumstances.
- NRS 695F.160 · Rates and charges: Reasonableness.
- NRS 695F.170 · Procedure for modification of rates, charges, benefits, organization, operations, documents or services.
- NRS 695F.190 · Requirements for reserve.
- NRS 695F.200 · Maintenance of capital account, surety bond or deposit and risk-based capital; determination of amount of increase by Commissioner.
- NRS 695F.210 · Maintenance of fidelity bond or deposit in lieu of bond.
- NRS 695F.212 · Hazardous financial condition: Regulations; determination; powers of Commissioner.
- NRS 695F.220 · Contract between organization and provider or subcontractor for provision of services to enrollees: Required terms and conditions.
- NRS 695F.225 · Requirements for notice of denial of claim.
- NRS 695F.230 · Establishment of system for resolution of complaints.
- NRS 695F.300 · Regulations.
- NRS 695F.310 · Examinations and investigations.
- NRS 695F.320 · Annual report and financial statement; quarterly statement; additional reports; penalties for failure to file report or statement.
- NRS 695F.330 · Payment of premium tax.
- NRS 695F.340 · Fees.
- NRS 695F.350 · Suspension or revocation of certificate of authority: Grounds; notice; hearing; effect.
- NRS 695F.360 · Violations of chapter: Order to cease and desist; fine.
- 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 authorized to exclude coverage duplicated pursuant to this chapter.
- NRS 695F.430 · Provision of services excluded from practice of any healing arts; solicitation excluded from provisions regarding solicitation or advertising by practitioner of healing art.
- 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 required to be made when child is covered under evidence of coverage of noncustodial parent.
- NRS 695F.470 · Organization 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 695G.010 · Definitions.
- NRS 695G.012 · “Adverse determination” defined.
- NRS 695G.014 · “Authorized representative” defined.
- NRS 695G.015 · “Benefits” defined.
- NRS 695G.016 · “Clinical peer” defined.
- NRS 695G.017 · “Covered person” defined.
- NRS 695G.019 · “Health benefit plan” defined.
- NRS 695G.020 · “Health care plan” defined.
- NRS 695G.022 · “Health care services” defined.
- NRS 695G.024 · “Health carrier” defined.
- NRS 695G.026 · “Independent review organization” defined.
- NRS 695G.030 · “Insured” defined.
- NRS 695G.040 · “Managed care” defined.
- NRS 695G.050 · “Managed care organization” defined.
- NRS 695G.053 · “Medical or scientific evidence” defined.
- NRS 695G.055 · “Medically necessary” defined.
- NRS 695G.060 · “Primary care physician” defined.
- NRS 695G.070 · “Provider of health care” defined.
- NRS 695G.080 · “Utilization review” defined.
- NRS 695G.085 · “Utilization review organization” defined.
- NRS 695G.090 · Applicability of chapter and other provisions.
- NRS 695G.095 · Offering policy of health insurance for purposes of establishing health savings account.
- NRS 695G.100 · Documents filed with Commissioner treated as public record; exception.
- NRS 695G.110 · Medical director required to be physician licensed in this State.
- NRS 695G.120 · Utilization review: Development and maintenance of written policies and procedures for use by managed care organization and subcontractors.
- NRS 695G.125 · Contracts with certain federally qualified health centers.
- NRS 695G.127 · Contracts between managed care organization and provider of health care: Managed care organization required to use form to obtain information on provider of health care; modification; submission by managed care organization of schedule of payments to provider.
- NRS 695G.130 · Report regarding methods for reviewing quality of health care services: Form of report; availability for public inspection.
- NRS 695G.140 · Certain persons in managed care organization in fiduciary relationship to insured.
- NRS 695G.150 · Authorization of recommended and covered health care services required.
- NRS 695G.155 · Managed care organization required to offer and issue plan regardless of health status of persons; prohibited acts; authority to include wellness program in plan that offers discounts based on health status under certain circumstances.
- NRS 695G.160 · Written criteria concerning coverage of health care services and standards for quality of health care services.
- NRS 695G.162 · Required provision concerning coverage for services provided through telehealth to same extent as though provided in person or by other means; required provision concerning reimbursement for certain services provided through telehealth in same amount as though provided in person or by other means; prohibited acts; requirements for certain managed care organizations concerning teledentistry.
- NRS 695G.163 · Plan covering prescription drugs: Provision of notice and information regarding use of formulary.
- NRS 695G.1635 · Plan covering prescription drugs: Required actions by managed care organization related to acquisition of prescription drugs for certain insureds residing in area for which emergency or disaster has been declared.
- NRS 695G.1639 · Plan 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 695G.164 · Required provision in certain plans concerning coverage for continued medical treatment; exceptions; regulations.
- NRS 695G.1643 · Required provision concerning coverage for habilitative speech-language pathology or rehabilitative speech-language pathology as treatment for stuttering for certain persons; prohibited acts.
- NRS 695G.1645 · Required provision in plan for group coverage concerning coverage for autism spectrum disorders for certain persons; prohibited acts.
- NRS 695G.166 · Plan covering prescription drugs prohibited from limiting or excluding coverage for prescription drug previously approved for medical condition of insured; exceptions.
- NRS 695G.1662 · Limitation on cost-sharing obligation for insulin covered under plan covering prescription insulin drugs.
- NRS 695G.1665 · Required provision in plan covering prescription drugs concerning coverage for prescription drugs irregularly dispensed for purpose of synchronization of chronic medications; prohibited acts; exception.
- NRS 695G.167 · Plan covering treatment of cancer through use of chemotherapy: Prohibited acts related to orally administered chemotherapy.
- NRS 695G.1675 · Plan covering prescription drug for treatment of cancer or cancer symptom that is part of step therapy protocol: Managed care organization 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 695G.1678 · Required provision in plan covering treatment of lung cancer concerning coverage for screening for lung cancer.
- NRS 695G.168 · Required provision in plan covering treatment of colorectal cancer concerning coverage for colorectal cancer screening.
- NRS 695G.170 · Required provision concerning coverage for medically necessary emergency services at any hospital; prohibited acts.