NRS 695G.243: Applicability.
Where this section sits in the code
- TITLE 57 — INSURANCE
- CHAPTER 695G - MANAGED CARE
- EXTERNAL REVIEW OF ADVERSE DETERMINATION
1. Except as otherwise provided in subsection 2, the provisions of NRS 695G.200 to 695G.310, inclusive, apply to all health carriers.
2. The provisions of subsection 1 do not apply to:
(a) A policy or certificate that provides only coverage for:
(1) A specified disease or accident;
(2) Accidents;
(3) Credit;
(4) Disability income;
(5) Hospital indemnity;
(6) Long-term care insurance;
(7) Vision care; or
(8) Any other limited supplemental benefit;
(b) A Medicare supplement policy of insurance, as defined in regulations adopted by the Commissioner;
(c) Coverage under a plan through Medicare, Medicaid or the Federal Employees Health Benefits Program, FEHBP, 5 U.S.C. §§ 8901 et seq.;
(d) Any coverage issued under the Civilian Health and Medical Program of the Uniformed Services, CHAMPUS, 10 U.S.C. §§ 1071 et seq., and any coverage issued as supplemental to that coverage;
(e) Any coverage issued as supplemental to liability insurance;
(f) Workers’ compensation or similar insurance;
(g) Automobile medical payment insurance; or
(h) Any insurance under which benefits are payable with or without regard to fault, whether written on a group, blanket or individual basis.
Collected 2026-09-03T05:51:46Z. Source file · JSON