Title 57

NRS 689B.0265 Policy to guaranteed association. 1. An insurer may offer a policy of group health insurance to a guaranteed association if the policy provides coverage for 200 or more members, employees of members or employees of the guaranteed association or their dependents. 2. …

NRS 689B.0283 Policy covering prescription drugs: Provision of notice and information regarding use of formulary. 1. An insurer that offers or issues a policy of group health insurance which provides coverage for prescription drugs shall include with any summary, certificate or e…

NRS 689B.0285 System for resolving complaints of insureds: Establishment; approval; requirements; examination; exception. 1. Except as otherwise provided in subsection 4, each insurer that issues a policy of group health insurance in this State shall establish a system for resolv…

NRS 689B.029 Annual report regarding system for resolving complaints of insureds; insurer required to maintain records of and report complaints concerning something other than health care services. 1. Each insurer that issues a policy of group health insurance in this State shall…

NRS 689B.0295 Written notice required to be provided by insurer to insured explaining right to file complaint; written notice to insured and provider of health care required when insurer denies coverage of health care service. 1. Following approval by the Commissioner, each insur…

NRS 689B.030 Required provisions. Each group health insurance policy must contain in substance the following provisions: 1. A provision that, in the absence of fraud, all statements made by applicants or the policyholders or by an insured person are representations and not warran…

NRS 689B.0301 Construction of provisions requiring coverage by policy of group health insurance. 1. The provisions of NRS 689B.0303 to 689B.0379, inclusive, must not be construed to require a policy that provides coverage only for a specified disease or illness or other limited b…

NRS 689B.0303 Required provision in certain policies concerning coverage for continued medical treatment; exceptions; regulations. 1. The provisions of this section apply to a policy of group health insurance offered or issued by an insurer if an insured covered by the policy rec…

NRS 689B.0304 Policy covering prescription drugs: Required actions by insurer related to acquisition of prescription drugs for certain insureds residing in area for which emergency or disaster has been declared. 1. If the Governor or the Legislature proclaims the existence of a s…

NRS 689B.0305 Policy covering prescription drug for treatment of cancer or cancer symptom that is part of step therapy protocol: Insurer required to allow insured or attending practitioner to apply for exemption from step therapy protocol in certain circumstances; procedure for a…

NRS 689B.0306 Required provision concerning coverage for certain treatment received as part of clinical trial or study for treatment of cancer or chronic fatigue syndrome; authority of insurer to require certain information; immunity from liability. 1. A policy of group health in…

NRS 689B.0307 Policy covering prescription drug for treatment of medical condition that is part of step therapy protocol: Use of certain guidelines required; establishment of process to request exemption from step therapy protocol required; granting of request; applicability of p…

NRS 689B.031 Required provision concerning coverage of certain gynecological or obstetrical services without authorization or referral from primary care physician; designation of obstetrician or gynecologist as primary care physician. 1. A policy of group health insurance must in…

NRS 689B.0312 Required provision concerning coverage for drugs, laboratory testing and certain services related to human immunodeficiency virus and hepatitis C; reimbursement of certain providers of health care for certain services; prohibited acts. 1. An insurer that offers or i…

NRS 689B.0313 Required coverage for certain tests and vaccines relating to human papillomavirus; prohibited acts. 1. A policy of group health insurance must provide coverage for benefits payable for expenses incurred for: (a) Deoxyribonucleic acid testing for high-risk strains of…

NRS 689B.0314 Required provision concerning coverage for screening, genetic counseling and testing related to BRCA gene in certain circumstances. 1. An insurer that issues a policy of group health insurance shall provide coverage for screening, genetic counseling and testing for …

NRS 689B.03145 Required coverage for procedure or service for preservation of fertility required in certain circumstances; exemption. [Effective January 1, 2027.] 1. Except as otherwise provided in subsection 3, an insurer that issues a policy of group health insurance shall incl…

NRS 689B.0315 Required provision concerning coverage for examination of person who is pregnant for certain diseases. 1. An insurer that issues a policy of group health insurance shall provide coverage for the examination of a person who is pregnant for the discovery of: (a) Chlam…

NRS 689B.03155 Required coverage for noninvasive prenatal screening. 1. An insurer that offers or issues a policy of group health insurance shall include in the policy coverage for noninvasive prenatal screening at any time during pregnancy. Such coverage must be provided without…

NRS 689B.0316 Required provision concerning coverage for testing, treatment and prevention of sexually transmitted diseases; required provision concerning coverage for condoms for certain insureds. 1. An insurer that offers or issues a policy of group health insurance shall inclu…

NRS 689B.0317 Required provision in policy covering treatment of prostate cancer concerning coverage for prostate cancer screening; prohibited act. 1. A policy of group health insurance that provides coverage for the treatment of prostate cancer must provide coverage for prostate…

NRS 689B.0319 Required provision concerning coverage for certain drugs and services related to substance use disorder and opioid use disorder; reimbursement of pharmacists and pharmacies for certain services; prohibited acts. 1. An insurer that offers or issues a policy of group …

NRS 689B.033 Certain policies covering family members required to include certain coverage for insured’s newly born and adopted children and children placed with insured for adoption. 1. All group health insurance policies providing coverage on an expense-incurred basis and all e…

NRS 689B.0334 Required provision concerning coverage for medically necessary treatment of conditions relating to gender dysphoria and gender incongruence; restriction on refusal to cover certain treatments; authority of insurer to prescribe requirements for covering surgical trea…

NRS 689B.03345 Required coverage for habilitative speech-language pathology and rehabilitative speech-language pathology for stuttering for certain persons; prohibited acts. 1. An insurer that offers or issues a policy of group health insurance shall include in the policy coverag…

NRS 689B.0335 Required provision concerning coverage for autism spectrum disorders for certain persons; prohibited acts. 1. A health benefit plan must provide coverage for screening for and diagnosis of autism spectrum disorders and for treatment of autism spectrum disorders to p…

NRS 689B.034 Required provision concerning effect of benefits under other valid group coverage; subrogation; prohibited act. 1. Every policy of group health insurance must contain a provision which reduces the insurer’s liability because of benefits under other valid group covera…

NRS 689B.0345 Required provision concerning continuing coverage for employee or member on leave without pay as result of total disability. 1. As used in this section, “total disability” and “totally disabled” mean the continuing inability of the employee or member, because of an …

NRS 689B.035 Required provision in certain policies concerning termination of coverage on dependent child. 1. A group health insurance policy delivered or issued for delivery after November 1, 1973, which provides for the termination of coverage on a dependent child of a member o…

NRS 689B.0353 Required provision concerning coverage for treatment of certain inherited metabolic diseases. 1. A policy of group health insurance must provide coverage for: (a) Enteral formulas for use at home that are prescribed or ordered by a physician as medically necessary f…

NRS 689B.0357 Required provision in policy covering hospital, medical or surgical expenses concerning coverage for management and treatment of diabetes. 1. No group policy of health insurance that provides coverage for hospital, medical or surgical expenses may be delivered or is…

NRS 689B.0358 Required provision concerning coverage for management and treatment of sickle cell disease and its variants; required provision in policy covering prescription drugs concerning coverage for medically necessary prescription drugs to treat sickle cell disease and its …

NRS 689B.0361 Required provision concerning coverage for biomarker testing for diagnosis, treatment, management and monitoring of cancer in certain circumstances; establishment of process to request exception or appeal denial of coverage; time for responding to request for prior …

NRS 689B.0362 Policy covering treatment of cancer through use of chemotherapy: Prohibited acts related to orally administered chemotherapy. 1. An insurer that offers or issues a policy of group health insurance which provides coverage for the treatment of cancer through the use o…

NRS 689B.0365 Required provision in certain policies concerning coverage for use of certain drugs and related services for treatment of cancer. Except as otherwise provided in NRS 689B.0306: 1. No group policy of health insurance that provides coverage for a drug approved by the …

NRS 689B.0367 Required provision in policy covering treatment of colorectal cancer concerning coverage for colorectal cancer screening. 1. A policy of group health insurance that provides coverage for the treatment of colorectal cancer must provide coverage for colorectal cancer …

NRS 689B.03675 Required coverage for screening for lung cancer in policy providing coverage for treatment of lung cancer. 1. An insurer that offers a policy of group health insurance that provides coverage for the treatment of lung cancer must provide coverage for screening for l…

NRS 689B.0368 Policy covering prescription drugs prohibited from limiting or excluding coverage for certain prescription drugs previously approved for medical condition of insured; exceptions. 1. Except as otherwise provided in this section, a policy of group health insurance whi…

NRS 689B.0369 Required provision concerning coverage for services provided through telehealth to same extent as though provided in person or by other means; required provision concerning reimbursement for certain services provided through telehealth in same amount as though provi…

NRS 689B.0374 Required provision concerning coverage for certain screenings and tests for breast cancer; prohibited acts. 1. A policy of group health insurance must provide coverage for benefits payable for expenses incurred for: (a) A mammogram to screen for breast cancer annual…

NRS 689B.0375 Required provision in policy covering mastectomies concerning coverage relating to mastectomy; prohibited acts. 1. A policy of group health insurance which provides coverage for the surgical procedure known as a mastectomy must also provide commensurate coverage for…

NRS 689B.0376 Required provision in policy covering prescription drugs or devices concerning coverage of hormone replacement therapy in certain circumstances; prohibited acts; exception. 1. An insurer that offers or issues a policy of group health insurance which provides coverag…

NRS 689B.03762 Required provision in policy covering prescription drugs concerning coverage for drugs irregularly dispensed for purpose of synchronization of chronic medications; prohibited acts; exception. 1. An insurer who offers or issues a policy of group health insurance whi…

NRS 689B.03764 Policy covering prescription drugs: Denial of coverage for early refills of otherwise covered topical ophthalmic products prohibited. 1. An insurer who offers or issues a policy of group health insurance which provides coverage for prescription drugs shall not deny…

NRS 689B.037645 Limitation on cost-sharing obligation for insulin covered by policy covering prescription insulin drugs. 1. An insurer that offers or issues a policy of group health insurance which provides coverage for prescription insulin drugs shall not impose against an insur…

NRS 689B.03765 Policy covering prescription drugs: Submission to step therapy protocol for drug to treat psychiatric condition prohibited in certain circumstances. 1. A policy of group health insurance which provides coverage for prescription drugs must not require an insured to …