Title 57

NRS 683A.051 “License” defined. “License” means a document issued by the Commissioner authorizing a person to act as a producer of insurance for the lines of authority specified in the document. (Added to NRS by 2001, 2191)

NRS 683A.060 “Managing general agent” defined. 1. A “managing general agent” is a person who: (a) Negotiates and binds ceding reinsurance contracts on behalf of an insurer or manages all or part of the insurance business of an insurer, including the management of a separate divis…

NRS 683A.065 “Negotiate” defined. “Negotiate” means to confer directly with, or offer advice directly to, a purchaser or prospective purchaser of a particular contract of insurance concerning any of the substantive benefits, terms or conditions of the contract, if the person conf…

NRS 683A.072 “Sell” defined. “Sell” means to exchange a contract of insurance, by any means, for money or its equivalent on behalf of an insurer. (Added to NRS by 2001, 2191)

NRS 683A.074 “Solicit” defined. “Solicit” means to attempt to sell insurance or to ask or urge a person to apply for a particular kind of insurance from a particular insurer. (Added to NRS by 2001, 2191)

NRS 683A.076 “Terminate” defined. “Terminate” means to cancel the relationship between a producer of insurance and the insurer or to terminate a producer’s authority to transact insurance. (Added to NRS by 2001, 2191)

NRS 683A.078 “Uniform application” defined. “Uniform application” means the uniform application for licensing of producers of insurance prepared by the National Association of Insurance Commissioners and adopted by the Commissioner. (Added to NRS by 2001, 2191) ADMINISTRATORS

NRS 683A.0805 Definitions. As used in NRS 683A.0805 to 683A.0893, inclusive, unless the context otherwise requires, the words and terms defined in NRS 683A.081 to 683A.084, inclusive, have the meanings ascribed to them in those sections. (Added to NRS by 1999, 2789; A 2007, 3318;…

NRS 683A.081 “Affiliate” defined. “Affiliate” has the meaning ascribed to it in NRS 692C.030. (Added to NRS by 1999, 2789)

NRS 683A.082 “Control” defined. “Control” has the meaning ascribed to it in NRS 692C.050. (Added to NRS by 1999, 2789)

NRS 683A.083 “Insurer” defined. “Insurer” includes, without limitation: 1. An insurance company licensed pursuant to the provisions of this Code; 2. A prepaid limited health service organization that has been issued a certificate of authority pursuant to chapter 695F of NRS; 3. A…

NRS 683A.084 “Underwrite” defined. “Underwrite” includes, without limitation: 1. Accepting applications for insurance coverage in accordance with the written rules of an insurer; 2. Planning and coordinating a program of insurance; and 3. Procuring bonds and excess insurance. (Ad…

NRS 683A.085 Qualifications. Except as otherwise provided in NRS 683A.086, no person may act as, offer to act as or hold himself or herself out to the public as an administrator, unless: 1. The person has obtained a certificate of registration as an administrator from the Commiss…

NRS 683A.0851 Health maintenance organization authorized to act as administrator of program of health insurance; approval or disapproval of contract by Commissioner; exemption from licensing and bonding. 1. A health maintenance organization licensed under chapter 695C of NRS may …

NRS 683A.0852 Nonprofit corporation for hospital or medical services authorized to act as administrator of program of health insurance; notice to Commissioner; exemption from licensing and bonding. 1. A nonprofit corporation for hospital or medical services licensed pursuant to c…

NRS 683A.08522 Certificate of registration: Contents of application. Each application for a certificate of registration as an administrator must include or be accompanied by: 1. A financial statement of the applicant that has been reviewed by an independent certified public accou…

NRS 683A.08524 Certificate of registration: Issuance; grounds for refusal to issue certificate of registration; requirements if applicant seeks final approval by Division of Industrial Relations of the Department of Business and Industry. 1. Except as otherwise provided in subsec…

NRS 683A.08526 Certificate of registration: Duration; expiration; renewal. 1. A certificate of registration as an administrator is valid for 3 years after the date the Commissioner issues the certificate to the administrator or the administrator renews the certificate, as applica…

NRS 683A.08528 Annual report: Requirements; review by Commissioner. 1. Not later than 90 days after the expiration of the fiscal year of the administrator, or within such other period as the Commissioner may allow, each holder of a certificate of registration as an administrator …

NRS 683A.08529 Duty to notify Commissioner of certain changes; submission of affidavit required upon change in members, owners, directors or officers. 1. An administrator shall notify the Commissioner of any change in: (a) The members, owners, directors or officers of the adminis…

NRS 683A.0853 Waiver of requirements for administrator’s certificate. The Commissioner may waive any requirement which the Commissioner has promulgated for issue of an administrator’s certificate to any person or class of persons. In so doing the Commissioner shall consider, with…

NRS 683A.0857 Bond: Requirement; amount; conditions; replacement. 1. Each administrator shall file with the Commissioner a bond which complies with NRS 679B.175, continuous in form and in an amount determined by the Commissioner of not less than $100,000. 2. The Commissioner shal…

NRS 683A.086 Agreement with insurer required; contents of agreement; retention of copy of agreement; trust agreements; delegation of duties of administrator; regulations specifying permissible functions; termination of agreement. 1. No person may act as an administrator unless th…

NRS 683A.0863 Payments to administrator. 1. Payment by or on behalf of an insured to an administrator shall be deemed to have been received by the insurer. 2. Payment to the administrator by the insurer of return premiums or claim settlements shall not be deemed to be payment to …

NRS 683A.0868 Prohibiting fee to include provider of health care on panel; penalty; costs and attorney’s fees; suspension of activities. 1. If an administrator establishes a panel of providers of health care or contracts with an organization that establishes a panel of providers …

NRS 683A.087 Advertising. An administrator may advertise the insurance which he or she administers only after the administrator receives the approval of the insurer who underwrites the business involved. (Added to NRS by 1977, 731; A 1999, 2795)

NRS 683A.0873 Records of administrator: Maintenance and retention; examination by Commissioner and insurer; confidentiality. 1. Each administrator shall maintain at his or her principal office adequate books and records of all transactions between the administrator, the insurer a…

NRS 683A.0877 Certain charges and premiums collected or received held in fiduciary capacity; remittance or deposit of money in fiduciary accounts; withdrawals from and records relating to fiduciary accounts. 1. All insurance charges and premiums collected by an administrator on b…

NRS 683A.0879 Claims relating to health insurance coverage: Approval or denial; payment of claims and interest; requests for additional information; award of costs and attorney’s fees; compliance with requirements; imposition of administrative fine or suspension or revocation of …

NRS 683A.088 Payment of claims by check or draft. Each claim paid by the administrator from money collected for or on behalf of an insurer must be paid by a check or draft upon and as authorized by the insurer. (Added to NRS by 1977, 731; A 1999, 2796)

NRS 683A.0883 Basis for compensation of administrator. 1. The compensation paid to an administrator for his or her services may be based upon premiums or charges collected, on number of claims paid or processed or on any other basis agreed upon by the administrator and the insure…

NRS 683A.0887 Duty to disclose information relating to identity and relationship among insurer, administrator and insured and amount of premium or charge to insured; duty to disclose to insurer charges, fees and commissions received for provision of administrative services. 1. Ea…

NRS 683A.089 Delivery to insureds of communications of insurer. The administrator shall deliver or cause to be delivered to insured persons any written communications of an insurer which are given to the administrator for delivery. (Added to NRS by 1977, 733)

NRS 683A.0891 Penalty for failure of administrator to comply with certain requirements for electronic maintenance, transmittal and exchange of health information. 1. If the Commissioner receives notification from the Nevada Health Authority pursuant to NRS 439.5895 that an admini…

NRS 683A.0892 Suspension or revocation of certificate of registration: Grounds; additional penalties. 1. The Commissioner: (a) Shall suspend or revoke the certificate of registration of an administrator if the Commissioner has determined, after notice and a hearing, that the admi…

NRS 683A.0893 Penalty for acting without certificate of registration. Any person who acts as an administrator without having applied for and received from the Commissioner a certificate of registration as an administrator shall be fined not less than $300 nor more than $2,000. (A…

NRS 683A.090 License required; administrative fine. 1. A managing general agent, whether or not located in this state, shall not be or act as such with respect to the business of an insurer in this state unless licensed as such under this Code. 2. A person who acts as a managing …

NRS 683A.140 Licensing of firm or corporation; requirements for issuance or renewal of license of business entity. 1. A firm or corporation may be licensed as a managing general agent. 2. A resident firm or corporation which has more than one office in this state is a single lice…

NRS 683A.160 Application for license; fees; period of validity, renewal, failure to renew, contents and availability of license; change of address. 1. Each applicant for a license as a managing general agent must submit with his or her application: (a) The appointment of the appl…

NRS 683A.165 Authority of Commissioner to require surety bond for license. Before the issuance of a license as a managing general agent, the Commissioner may require the applicant to file with the Commissioner, and thereafter maintain in force while so licensed, a surety bond whi…

NRS 683A.171 Definitions. As used in NRS 683A.171 to 683A.179, inclusive, unless the context otherwise requires, the words and terms defined in NRS 683A.172 to 683A.176, inclusive, have the meanings ascribed to them in those sections. (Added to NRS by 2017, 4307; A 2023, 2265)

NRS 683A.172 “Covered person” defined. “Covered person” means a person who is covered by a pharmacy benefits plan. (Added to NRS by 2017, 4307)

NRS 683A.173 “Pharmacy” defined. “Pharmacy” has the meaning ascribed to it in NRS 639.012. (Added to NRS by 2017, 4307)

NRS 683A.174 “Pharmacy benefit manager” defined. “Pharmacy benefit manager” means an entity that contracts with or is employed by a third party and manages the pharmacy benefits plan provided by the third party. (Added to NRS by 2017, 4307)

NRS 683A.175 “Pharmacy benefits plan” defined. “Pharmacy benefits plan” means coverage of prescription drugs provided by a third party. (Added to NRS by 2017, 4307)

NRS 683A.176 “Third party” defined. “Third party” means: 1. An insurer, as that term is defined in NRS 679B.540; 2. A health benefit plan, as that term is defined in NRS 687B.470, for employees which provides a pharmacy benefits plan; 3. A participating public agency, as that ter…