Nevada Administrative Code

NAC 687B.530 Notice to agent. (NRS 679B.130) Each insurer shall also provide a copy of the notice of cancellation of a policy to the agent who wrote the policy. (Added to NAC by Comm’r of Insurance, eff. 10-30-85) NOTICE OF TERMINATION TO EMPLOYEE LEASING COMPANIES REVISER’S NOTE…

NAC 687B.550 Definitions. (NRS 679B.130) As used in NAC 687B.550 to 687B.564, inclusive, unless the context otherwise requires, the words and terms defined in NAC 687B.552, 687B.554 and 687B.556 have the meanings ascribed to them in those sections. (Added to NAC by Comm’r of Insu…

NAC 687B.552 “Client company” defined. (NRS 679B.130) “Client company” has the meaning ascribed to it in NRS 611.400. (Added to NAC by Comm’r of Insurance by R025-04, 7-9-2004, eff. 8-1-2004)

NAC 687B.554 “Employee leasing company” defined. (NRS 679B.130) “Employee leasing company” has the meaning ascribed to it in NRS 616B.670. (Added to NAC by Comm’r of Insurance by R025-04, 7-9-2004, eff. 8-1-2004)

NAC 687B.556 “Health maintenance organization” defined. (NRS 679B.130) “Health maintenance organization” has the meaning ascribed to it in NRS 695C.030. (Added to NAC by Comm’r of Insurance by R025-04, 7-9-2004, eff. 8-1-2004)

NAC 687B.558 “Insurer” defined. (NRS 679B.130) “Insurer” has the meaning ascribed to it in NRS 679A.100. (Added to NAC by Comm’r of Insurance by R025-04, 7-9-2004, eff. 8-1-2004)

NAC 687B.560 “Producer of insurance” defined. (NRS 679B.130) “Producer of insurance” has the meaning ascribed to it in NRS 679A.117. (Added to NAC by Comm’r of Insurance by R025-04, 7-9-2004, eff. 8-1-2004)

NAC 687B.562 Disclosure of names and addresses of client companies; confidentiality. (NRS 679B.130, 687B.420) 1. Employee leasing companies applying for insurance coverage under chapter 688B, 689A, 689B, 689C, 695A, 695B, 695C, 695D or 695F of NRS shall submit the names and addre…

NAC 687B.564 Notice of cancellation or failure to renew policy or contract. (NRS 679B.130, 687B.420) 1. An insurer or health maintenance organization shall not cancel or fail to renew a policy or contract issued to an employee leasing company pursuant to chapter 688B, 689A, 689B,…

NAC 687B.630 Health policy, contract or plan that includes grace period for payment of premiums. (NRS 679B.130, 695B.280, 695D.100, 695F.300) 1. If an insurer issues a health insurance policy or contract, health care plan, health benefit plan or plan for dental care, whether indi…

NAC 687B.635 Requirements relating to response by insurer to request for information regarding renewal of health benefit plan. (NRS 687B.355) 1. When responding to a request from a policyholder for information for the renewal of a health benefit plan pursuant to subsection 1 of N…

NAC 687B.640 Medical examination required by insurer; standard set of criteria to be applied consistently to each insured. (NRS 679B.130, 687B.450) 1. Any medical examination required by an insurer pursuant to NRS 687B.450 must follow a standard set of criteria established by the…

NAC 687B.700 Notice of duplication for policy which provides reimbursement upon both expense-incurred and fixed-indemnity basis. (NRS 679B.130) 1. An insurer that delivers or issues for delivery in this State a policy of health insurance which provides reimbursement upon both an …

NAC 687B.706 Notice of duplication for certain policies which provide reimbursement in fixed dollar amounts per day. (NRS 679B.130) 1. An insurer that delivers or issues for delivery in this State an indemnity policy or other policy which provides reimbursement in a fixed dollar …

NAC 687B.711 Notice of duplication for policy which provides reimbursement in fixed dollar amounts for specified diseases or other specified impairments. (NRS 679B.130) 1. An insurer that delivers or issues for delivery in this State a policy of health insurance which provides re…

NAC 687B.716 Notice of duplication for policy which provides reimbursement for expenses incurred for accidental injury only. (NRS 679B.130) 1. An insurer that delivers or issues for delivery in this State a policy of health insurance which provides reimbursement for expenses incu…

NAC 687B.720 Notice of duplication for policy which provides reimbursement for expenses incurred for specified diseases and other specified impairments. (NRS 679B.130) 1. An insurer that delivers or issues for delivery in this State a policy of health insurance which provides rei…

NAC 687B.725 Notice of duplication for policy which provides reimbursement for expenses incurred for specified limited services. (NRS 679B.130) 1. An insurer that delivers or issues for delivery in this State a policy of health insurance which provides reimbursement for expenses …

NAC 687B.730 Notice of duplication for policy not described in NAC 687B.700 to 687B.725, inclusive. (NRS 679B.130) 1. An insurer that delivers or issues for delivery in this State a policy of health insurance, other than a policy of insurance described in NAC 687B.700 to 687B.725…

NAC 687B.735 Payment of benefits that are covered under other policies. (NRS 679B.130) A policy of health insurance described in NAC 687B.700, 687B.720, 687B.725 or 687B.730 which provides benefits that are provided under Medicare may not be delivered or issued for delivery in th…

NAC 687B.750 Definitions. (NRS 679B.130, 687B.490) As used in NAC 687B.750 to 687B.784, inclusive, unless the context otherwise requires, the words and terms defined in NAC 687B.752 to 687B.762, inclusive, have the meanings ascribed to them in those sections. (Added to NAC by Com…

NAC 687B.752 “Carrier” defined. (NRS 679B.130, 687B.490) “Carrier” means an insurer that makes a network plan available for sale in this State pursuant to NRS 687B.490. (Added to NAC by Comm’r of Insurance by R049-14, eff. 4-4-2016)

NAC 687B.754 “Council” defined. (NRS 679B.130, 687B.490) “Council” means the Network Adequacy Advisory Council established by NAC 687B.770. (Added to NAC by Comm’r of Insurance by R049-14, eff. 4-4-2016)

NAC 687B.756 “Covered person” defined. (NRS 679B.130, 687B.490) “Covered person” means a policyholder, subscriber, enrollee or other person participating in a network plan. (Added to NAC by Comm’r of Insurance by R049-14, eff. 4-4-2016)

NAC 687B.758 “Network plan” defined. (NRS 679B.130, 687B.490) “Network plan” has the meaning ascribed to it in NRS 689B.570. (Added to NAC by Comm’r of Insurance by R049-14, eff. 4-4-2016)

NAC 687B.760 “Provider of health care” defined. (NRS 679B.130, 687B.490) “Provider of health care” has the meaning ascribed to it in NRS 695G.070. (Added to NAC by Comm’r of Insurance by R049-14, eff. 4-4-2016)

NAC 687B.762 “Qualified health plan” defined. (NRS 679B.130, 687B.490) “Qualified health plan” has the meaning ascribed to it in NRS 695I.080. (Added to NAC by Comm’r of Insurance by R049-14, eff. 4-4-2016)

NAC 687B.764 Applicability: Network plans issued by certain smaller carriers. (NRS 679B.130, 687B.490) The provisions of NAC 687B.776 to 687B.784, inclusive, do not apply during any calendar year to a network plan that: 1. Is issued by a carrier that has been authorized to transa…

NAC 687B.766 Applicability: Generally. (NRS 679B.130, 687B.490) The provisions of NAC 687B.750 to 687B.784, inclusive, do not apply to: 1. A network plan issued pursuant to NRS 422.273 for the purpose of providing services through a Medicaid managed care program on behalf of the …

NAC 687B.768 Requirements and standards for determining adequacy. (NRS 679B.130, 687B.490) 1. In order for the Commissioner to determine that a network plan made available for sale in this State is adequate, the network plan must contain, at a minimum: (a) Evidence that the netwo…

NAC 687B.770 Network Adequacy Advisory Council: Establishment; membership; vacancy; meetings. (NRS 679B.130, 679B.160, 687B.490) 1. The Network Adequacy Advisory Council is hereby established. 2. The Council consists of nine members appointed by the Commissioner. The members of t…

NAC 687B.772 Network Adequacy Advisory Council: Recommendations for additional or alternative standards for determining adequacy; determination by Commissioner; effective date of new requirements. (NRS 679B.130, 679B.160, 687B.490) 1. The Council shall consider the standards requ…

NAC 687B.776 Application for approval to issue network plan: Additional data and documentation required. (NRS 679B.130, 687B.490) 1. Each carrier or other person or entity that applies to the Commissioner for approval to issue a network plan pursuant to NRS 687B.490 shall submit …

NAC 687B.778 Update of directory of providers of health care; public availability of directory. (NRS 679B.130, 687B.490) 1. Each carrier shall update its directory of providers of health care at least once each month. Except as otherwise provided in this subsection, each update t…

NAC 687B.780 Change to network plan resulting in failure to meet standards or requirements: Carrier required to notify Commissioner; description of cause and impact of change; summary of measures to bring plan in compliance. (NRS 679B.130, 687B.490) A carrier shall: 1. Within 3 b…

NAC 687B.782 Change to network plan resulting in failure to meet standards or requirements: Submission of corrective action plan by carrier; requirement to ensure covered persons receive covered services; exception. (NRS 679B.130, 687B.490) 1. A carrier shall, within 60 days afte…

NAC 687B.784 Change to network plan resulting in failure to meet standards or requirements: Authority of Commissioner to determine inadequacy of plan; submission of statement of network capacity for certain plans. (NRS 679B.130, 687B.490) If a network plan does not meet the stand…

NAC 687B.800 Policy sold by short-term lessor of motor vehicle: Deemed primary coverage; filing requirements. (NRS 679B.130) A policy of liability insurance that is sold by a short-term lessor of a motor vehicle to a short-term lessee of a motor vehicle: 1. Shall be deemed to pro…

NAC 687B.850 Chargeable accidents: Restrictions on authority of insurer; filing and use of definition. (NRS 679B.130, 687B.385) 1. An insurer shall not cancel, refuse to renew or increase the premium charge for the liability coverage under a policy of motor vehicle insurance upon…

NAC 688A.110 Purpose and scope of provisions. (NRS 679B.130) 1. NAC 688A.110 to 688A.180, inclusive, require insurers to deliver to prospects for annuity contracts, or for deposit funds accepted in conjunction with life insurance policies or annuity contracts, information which: …

NAC 688A.115 Applicability of provisions. (NRS 679B.130) 1. NAC 688A.110 to 688A.180, inclusive, apply to: (a) Any solicitation, negotiation or procurement of: (1) Annuity contracts; or (2) Deposit funds accepted in conjunction with individual life insurance policies or with annu…

NAC 688A.120 Contract summary: Provision to prospective purchasers. (NRS 679B.130) 1. The insurer shall provide to all prospective purchasers a contract summary before accepting the applicant’s initial consideration for the annuity contract or, in the case of a deposit fund, befo…

NAC 688A.130 Contract summary: Preparation. (NRS 679B.130) 1. The contract summary must be a separate document. 2. All information required to be disclosed must be set out in a manner which will not minimize or render any portion of the summary obscure. 3. Any amounts which remai…

NAC 688A.135 Contract summary: Contents. (NRS 679B.130) A contract summary must be a written statement describing the elements of the annuity contract and deposit fund and including as a minimum: 1. A prominently placed title, to be followed by an identification of the annuity co…

NAC 688A.140 Disclosure of agency and identity of insurance company. (NRS 679B.130) 1. Before beginning a sales presentation, the agent shall inform the prospective purchaser: (a) That the agent is acting as a life insurance agent; and (b) Of the full name of the insurance compan…

NAC 688A.150 Use of certain professional designations; restriction on fees. (NRS 679B.130) Terms such as “financial planner,” “investment adviser,” “financial consultant” or “financial counselor” must not be used in such a way as to imply that the insurance agent is generally eng…

NAC 688A.160 Restrictions on presentations, literature and contract forms. (NRS 679B.130) 1. A presentation of benefits must not display guaranteed and nonguaranteed benefits as a single sum unless guaranteed benefits are shown separately in close proximity thereto and with equal…