Title 57

NRS 687B.350 Renewal with change in policy or coverage provisions without certain notice to insured prohibited; exceptions. 1. Except as otherwise provided in subsections 2 and 3, an insurer shall not renew a policy if the renewal includes a change in policy or coverage provision…

NRS 687B.351 Requirements relating to purchase of Medicare supplemental policies by persons less than 65 years of age who are eligible for Medicare; limitation on premiums; open enrollment period. 1. An insurer that offers any Medicare supplemental policy for delivery in this Sta…

NRS 687B.352 Open enrollment period for Medicare supplemental policies required; prohibited acts; notice; treatment of Medicare supplemental policies purchased during open enrollment period for purposes relating to payment of commissions. 1. An insurer that issues a Medicare supp…

NRS 687B.355 Insurer required to provide to policyholder information about claims paid on behalf of policyholder; fee; regulations. 1. If a policyholder requests information for the renewal of his or her policy, an insurer shall provide to the policyholder information regarding c…

NRS 687B.360 Notice of cancellation or nonrenewal: Insurer required to provide to policyholder information about grounds upon request; notice ineffective unless contains information about right of policyholder to make such a request. If a notice of cancellation or nonrenewal unde…

NRS 687B.370 Certain notice ineffective unless contains information about applying for insurance through certain plans. Except for a notice of cancellation for the failure to pay a premium when due, no notice required pursuant to NRS 687B.310 to 687B.420, inclusive, is effective …

NRS 687B.380 Immunity. There is no liability on the part of and no cause of action of any nature may arise against any insurer, its authorized representative, its agents, its employees, or any person furnishing to the insurer information as to reasons for cancellation or nonrenew…

NRS 687B.383 Refusal to issue, cancellation of, nonrenewal of or increase in premium or rate for certain policies solely on basis of breed of dog prohibited; exception; permissible inquiry by insurer regarding dog. 1. Except as otherwise provided in subsection 2, an insurer shall…

NRS 687B.385 Refusal to issue, cancellation, nonrenewal or increase in premium of policy of motor vehicle insurance due to claims for which insured was not at fault, claims for which insurer made no payment or recovered entirety of payment or inquiries relating to a claim prohibi…

NRS 687B.390 Cancellation or nonrenewal of automobile liability insurance policy on sole basis of age, residence, race, color, creed, national origin, ancestry, sexual orientation, gender identity or expression or occupation of insured prohibited. No insurer shall cancel or refus…

NRS 687B.400 Refusal to issue, reduction of liability limits of or increase in premium of automobile liability insurance policy on sole basis of reaching certain age prohibited; burden of proof; cost of medical examination; exception. 1. No insurer shall refuse to issue, reduce l…

NRS 687B.402 Compliance of certain insurers or organizations providing health coverage with certain federal laws regarding genetic information. An insurer or other organization providing health coverage pursuant to chapter 689A, 689B, 689C, 695A, 695B, 695C, 695D or 695F of NRS s…

NRS 687B.404 Adherence by insurer or organization providing health coverage to certain federal laws regarding parity in coverage for mental health and substance use disorder treatment; data request; submission of data or report to Commissioner; confidentiality of information; rep…

NRS 687B.406 Compliance of certain insurers or organizations providing health coverage with certain federal laws regarding dependent students. An insurer or other organization providing health coverage pursuant to chapter 689B, 689C, 695A, 695B, 695C or 695F of NRS shall comply w…

NRS 687B.407 Authority of nonprofit health benefit plan to use list of preferred prescription drugs developed by Nevada Health Authority as formulary and obtain such drugs through purchasing agreements negotiated by Authority; notification of Authority. 1. A nonprofit health bene…

NRS 687B.408 Insurer that issues certain policies of health insurance required to notify insured and physician before effective date of changes related to prescription drugs used for transplanted organs. If a policy of health insurance issued pursuant to chapter 689A, 689B, 689C,…

NRS 687B.409 Payments to out-of-network providers for treatment of mental health or alcohol or substance use disorder; assignment of benefits. 1. Every payment made pursuant to a policy of health insurance to pay for treatment relating solely to mental health or an alcohol or sub…

NRS 687B.4095 Policies of health insurance including prescription drug coverage: Restrictions on moving prescription drug from lower-cost tier to higher-cost tier. 1. If a policy of health insurance issued to an individual pursuant to chapter 689A, 695B or 695C of NRS includes co…

NRS 687B.410 Withdrawal of provision of insurance for particular class of insureds: Notice to Commissioner; administrative review upon request from insured. 1. An insurer which intends to withdraw from providing insurance for a particular class of insureds shall notify the Commis…

NRS 687B.420 Notice of proposed cancellation, nonrenewal or alteration of terms of certain policies, contracts or plans of insurance. 1. An insurer shall not cancel, fail to renew or renew with altered terms a policy or contract issued pursuant to chapter 688B, 689A, 689B, 689C, …

NRS 687B.430 Regulations: Form, content and sale of policies which provide for payment of expenses not covered by Medicare; sale of more than one policy of health insurance to same person. 1. The Commissioner may adopt regulations relating to the form, content and sale of policie…

NRS 687B.440 Umbrella policies: Requirement of signed disclosure statement from individual indicating whether policy includes uninsured or underinsured motorist coverage; form. 1. An insurer offering an umbrella policy to an individual shall obtain a signed disclosure statement f…

NRS 687B.450 Required medical examination of applicant or insured: Duty of insurer to provide notification of potentially serious medical condition; exception; regulations. 1. Except as otherwise provided in this subsection, if an insurer requires a medical examination of an appl…

NRS 687B.460 Certificates of insurance for property or casualty insurance: Not part of, amend any term of or alter or expand coverage, exclusion or condition of contract or policy. A certificate of insurance issued regarding a contract or policy of property or casualty insurance,…

NRS 687B.470 “Health benefit plan” defined. 1. As used in NRS 687B.470 to 687B.500, inclusive, “health benefit plan” means a policy, contract, certificate or agreement offered by a carrier to provide for, deliver payment for, arrange for the payment of, pay for or reimburse any o…

NRS 687B.480 Required manner of availability; required notice related to Silver State Health Insurance Exchange in certain circumstances; regulations. 1. All health benefit plans must be made available in the manner required by 45 C.F.R. § 147.104. 2. Except as otherwise provided…

NRS 687B.490 Requirements for carrier offering coverage in small employer group or individual market: Demonstration of capacity to adequately deliver services by applying to Commissioner for issuance of network plan and submission of information; determination by Commissioner; ce…

NRS 687B.500 Basis for premium rate; exceptions. 1. The premium rate charged by a health insurer for health benefit plans offered in the individual or small employer group market may vary with respect to the particular plan or coverage involved based solely on these characteristi…

NRS 687B.600 Definitions. As used in NRS 687B.600 to 687B.850, inclusive, unless the context otherwise requires, the words and terms defined in NRS 687B.602 to 687B.665, inclusive, have the meanings ascribed to them in those sections. (Added to NRS by 2017, 2349; A 2019, 298, 160…

NRS 687B.602 “Administrator” defined. “Administrator” has the meaning ascribed to it in NRS 683A.025. (Added to NRS by 2021, 3525)

NRS 687B.605 “Covered person” defined. “Covered person” means a policyholder, subscriber, enrollee or other person participating in a network plan. (Added to NRS by 2017, 2349)

NRS 687B.606 “Dental care” defined. “Dental care” has the meaning ascribed to it in NRS 695D.030. (Added to NRS by 2021, 3525)

NRS 687B.607 “Direct notification” defined. “Direct notification” means a written or electronic communication from a health carrier to a provider of health care documenting third-party access to a network. (Added to NRS by 2019, 1602)

NRS 687B.610 “Evidence of coverage” defined. “Evidence of coverage” means any certificate, agreement or contract issued to a covered person by a health carrier setting forth the coverage to which the covered person is entitled pursuant to a network plan. (Added to NRS by 2017, 23…

NRS 687B.615 “Health benefit plan” defined. “Health benefit plan” has the meaning ascribed to it in NRS 695G.019. (Added to NRS by 2017, 2349)

NRS 687B.620 “Health care services” defined. “Health care services” has the meaning ascribed to it in NRS 695G.022. (Added to NRS by 2017, 2349)

NRS 687B.625 “Health carrier” defined. “Health carrier” has the meaning ascribed to it in NRS 695G.024. (Added to NRS by 2017, 2349)

NRS 687B.630 “Intermediary” defined. “Intermediary” means a person authorized to negotiate and execute a contract between a provider of health care and a health carrier entered into for the purposes of a network plan, whether the person acts on behalf of the provider of health ca…

NRS 687B.635 “Medically necessary” defined. “Medically necessary” has the meaning ascribed to it in NRS 695G.055. (Added to NRS by 2017, 2349)

NRS 687B.640 “Network” defined. “Network” means a defined set of providers of health care who are under contract with a health carrier to provide health care services pursuant to a network plan offered or issued by the health carrier. (Added to NRS by 2017, 2349)

NRS 687B.645 “Network plan” defined. “Network plan” means a health benefit plan offered or issued by a health carrier under which the financing and delivery of health care services, including, without limitation, items and services paid for as health care services, are provided, …

NRS 687B.650 “Participating provider of health care” defined. “Participating provider of health care” means a provider of health care who, under a contract with a health carrier, has agreed to provide health care services to covered persons pursuant to a network plan with an expe…

NRS 687B.655 “Primary care physician” defined. “Primary care physician” has the meaning ascribed to it in NRS 695G.060. (Added to NRS by 2017, 2350)

NRS 687B.658 “Provider network contract” defined. “Provider network contract” means a contract between a health carrier and a provider of health care specifying the rights and responsibilities of the health carrier and the provider of health care for delivery of health care servi…

NRS 687B.660 “Provider of health care” defined. “Provider of health care” has the meaning ascribed to it in NRS 695G.070. (Added to NRS by 2017, 2350)

NRS 687B.664 “Third party” defined. “Third party” means an organization that enters into a contract with a health carrier or with another third party to gain access to a provider network contract. (Added to NRS by 2019, 1602)