{"data":{"id":"us-nv/nrs-695g.405","jurisdiction":"us-nv","citation":"NRS 695G.405","heading":"Managed care organization prohibited from denying coverage solely because applicant or insured was intoxicated or under the influence of controlled substance; exceptions.","body":"1. Except as otherwise provided in subsection 2, a managed care organization shall not:\n(a) Deny a claim under a health care plan solely because the claim involves an injury sustained by an insured as a consequence of being intoxicated or under the influence of a controlled substance.\n(b) Cancel participation under a health care plan solely because an insured has made a claim involving an injury sustained by the insured as a consequence of being intoxicated or under the influence of a controlled substance.\n(c) Refuse participation under a health care plan to an eligible applicant solely because the applicant has made a claim involving an injury sustained by the applicant as a consequence of being intoxicated or under the influence of a controlled substance.\n2. The provisions of subsection 1 do not prohibit a managed care organization from enforcing a provision included in a health care plan to:\n(a) Deny a claim which involves an injury to which a contributing cause was the insured’s commission of or attempt to commit a felony;\n(b) Cancel participation under a health care plan solely because of such a claim; or\n(c) Refuse participation under a health care plan to an eligible applicant solely because of such a claim.\n3. The provisions of this section do not apply to a managed care organization under a health care plan that provides coverage for long-term care or disability income.","path":["TITLE 57 — INSURANCE","CHAPTER 695G - MANAGED CARE","PROHIBITED ACTS"],"source_url":"https://www.leg.state.nv.us/NRS/NRS-695G.html#NRS695GSec405","current_through":"2025 session (NRS as revised 2026-08-25)","vintage":"","retrieved_at":"2026-09-03T05:51:46Z","sha256":"9c1d218a6fc0b4b409d021dee792d919f6343a03871e65db4110ebed8264e712","source_id":"us-nv","stale":true,"prev":"us-nv/nrs-695g.400","next":"us-nv/nrs-695g.410"},"notice":"GroundRules: Original legal text. Not legal advice."}