Title 57

NRS 689C.1676 Coverage for drug or device for contraception and related health services required; prohibited acts; exceptions. 1. Except as otherwise provided in subsection 8, a carrier that offers or issues a health benefit plan shall include in the plan coverage for: (a) Up to …

NRS 689C.1677 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 4, a carrier that issues a health benefit plan shall include in the plan coverage…

NRS 689C.1678 Coverage for certain services, screenings and tests relating to wellness required; prohibited acts. 1. A carrier that offers or issues a health benefit plan shall include in the plan coverage for: (a) Counseling, support and supplies for breastfeeding, including bre…

NRS 689C.1679 Plan covering prescription drugs: Required actions by carrier 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 sta…

NRS 689C.168 Plan covering prescription drugs prohibited from limiting or excluding coverage for prescription drug previously approved for medical condition of insured; exception. 1. Except as otherwise provided in this section, a health benefit plan which provides coverage for p…

NRS 689C.16805 Limitation on cost-sharing obligation for insulin covered by plan covering prescription insulin drugs; prohibited acts. 1. A carrier that offers or issues a health benefit plan which provides coverage for prescription insulin drugs shall not impose against an insur…

NRS 689C.1681 Plan 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 pro…

NRS 689C.1682 Plan covering prescription drugs: Submission to step therapy protocol for drug to treat psychiatric condition prohibited in certain circumstances. 1. A health benefit plan which provides coverage for prescription drugs must not require an insured to submit to a step…

NRS 689C.1683 Coverage for prescription drugs irregularly dispensed for purpose of synchronization of chronic medications required in plan covering prescription drugs; prohibited acts; exception. 1. A carrier who offers or issues a health benefit plan which provides coverage for …

NRS 689C.1684 Plan covering prescription drug for treatment of cancer or cancer symptom that is part of step therapy protocol: Carrier required to allow insured or attending practitioner to apply for exemption from step therapy protocol in certain circumstances; procedure for app…

NRS 689C.1685 Plan covering prescription drugs: Denial of coverage prohibited for early refills of otherwise covered topical ophthalmic products. 1. A carrier who offers or issues a health benefit plan which provides coverage for prescription drugs shall not deny coverage for a t…

NRS 689C.1687 Coverage for management and treatment of sickle cell disease and its variants required; coverage for medically necessary prescription drugs to treat sickle cell disease and its variants required in plan covering prescription drugs. 1. A carrier that issues a health …

NRS 689C.16875 Coverage for screening for lung cancer required in plan providing coverage for treatment of lung cancer. 1. A carrier that offers a health benefit plan that provides coverage for the treatment of lung cancer must provide coverage for screening for lung cancer in ac…

NRS 689C.1688 Coverage for biomarker testing for diagnosis, treatment, management and monitoring of cancer required in certain circumstances; establishment of process to request exception or appeal denial of coverage; time for responding to request for prior authorization. 1. Sub…

NRS 689C.169 Coverage for severe mental illness required under group health insurance policy. 1. A policy of group health insurance delivered or issued for delivery in this State pursuant to this chapter must provide coverage for the treatment of conditions relating to severe men…

NRS 689C.170 Authorized variation of minimum participation and contributions; denial of coverage based on industry prohibited. 1. A carrier serving small employers may vary the application of requirements for minimum participation of eligible employees and minimum employer’s cont…

NRS 689C.180 Carrier to offer same coverage to all eligible employees; denial of coverage to otherwise eligible employee. 1. If a carrier serving small employers offers coverage to a small employer, the carrier shall offer the same coverage to all of the eligible employees of the…

NRS 689C.183 Plan and carrier required to permit employee or dependent of employee to enroll for coverage under certain circumstances. A health benefit plan and a carrier offering such a plan shall permit an employee or a dependent of an employee covered by the health benefit pla…

NRS 689C.187 Manner and period for enrolling dependent of covered employee; period of special enrollment. 1. A health benefit plan and a carrier of such a plan that makes coverage available to the dependent of a covered employee shall permit the employee to enroll a dependent aft…

NRS 689C.190 Carrier required to offer and issue plan regardless of health status of employees; prohibited acts; authority to include wellness program in plan that offers discounts based on health status under certain circumstances. 1. A carrier that issues a health benefit plan …

NRS 689C.191 Determination of applicable creditable coverage of person; determining period of creditable coverage of person; required statement for certain election by carrier; applicability. 1. In determining the applicable creditable coverage of a person, a period of creditable…

NRS 689C.192 Written certification of coverage required for purpose of determining period of creditable coverage accumulated by person. 1. For the purposes of determining the period of creditable coverage of a person accumulated under a health benefit plan or group health insuran…

NRS 689C.193 Carrier prohibited from imposing restriction on being participant of or beneficiary of plan inconsistent with certain provisions; restrictions on rules of eligibility that may be established. 1. A carrier shall not place any restriction on a small employer or an elig…

NRS 689C.194 Plan covering maternity and pediatric care: Required to allow minimum stay in hospital in connection with childbirth; exceptions; prohibited acts. 1. Except as otherwise provided in this subsection, a health benefit plan issued pursuant to this chapter that includes …

NRS 689C.1945 Plan covering maternity care: Prohibited acts by carrier if insured is acting as gestational carrier; child deemed child of intended parent for purposes of plan. 1. A carrier that offers or issues a health benefit plan that includes coverage for maternity care shall…

NRS 689C.1947 Plan covering anatomical gifts, organ transplants or treatments or services related to organ transplants: Prohibited acts by carrier if insured is person with disability. 1. A carrier that offers or issues a health benefit plan that includes coverage for anatomical …

NRS 689C.1948 Coverage for dental service provided by qualified dental hygienist required in certain circumstances. 1. A carrier that offers or issues a health benefit plan which includes coverage for a dental service that a qualified dental hygienist is authorized to provide wit…

NRS 689C.195 Coverage for services provided through telehealth required to same extent as though provided in person or by other means; reimbursement for certain services provided through telehealth required in same amount as though provided in person or by other means; prohibited…

NRS 689C.196 Insurer prohibited from denying coverage solely because claim involves act that constitutes domestic violence or applicant or insured was victim of domestic violence. An insurer shall not deny a claim, refuse to issue a health benefit plan or cancel a health benefit …

NRS 689C.197 Carrier prohibited from denying coverage because applicant or insured was intoxicated or under influence of controlled substance; exceptions. 1. Except as otherwise provided in subsection 2, a carrier shall not: (a) Deny a claim under a health benefit plan solely bec…

NRS 689C.1975 Carrier prohibited from discriminating against person with respect to participation or coverage on basis of gender identity or expression. A carrier that issues a health benefit plan shall not discriminate against any person with respect to participation or coverage…

NRS 689C.198 Insurer prohibited from requiring or using information concerning genetic testing; exceptions. 1. Except as otherwise provided in subsection 2, a carrier serving small employers shall not: (a) Require an insured person or any member of the family of the insured perso…

NRS 689C.200 Circumstances in which carrier is not required to offer coverage. A carrier serving small employers is not required to accept applications from or offer coverage to: 1. A small employer if the employer is not physically located in the carrier’s geographic service are…

NRS 689C.203 Requirement for denial of application for coverage from small employer; regulations setting standards for fair marketing and broad availability of plans. 1. A denial by a carrier of an application for coverage from a small employer must be in writing and must state t…

NRS 689C.207 Regulations concerning reissuance of health benefit plan. The Commissioner may adopt regulations to require a carrier, as a condition of transacting insurance with small employers in this state after July 16, 1997, to reissue a health benefit plan to any small employ…

NRS 689C.220 Adjustment in rates required to be applied uniformly. A carrier serving small employers shall not charge adjustments in rates for duration of coverage or any reason prohibited by NRS 689C.190 to individual employees or dependents. Any such adjustment must be applied …

NRS 689C.265 Carrier authorized to modify coverage for insurance product under certain circumstances. A carrier may modify the health insurance coverage for a product offered to small employers pursuant to a group health plan if, for coverage that is available in that market othe…

NRS 689C.281 Plan covering prescription drugs: Provision of notice and information regarding use of formulary. 1. A carrier that offers or issues a health benefit plan which provides coverage for prescription drugs shall include with any summary, certificate or evidence of that c…

NRS 689C.310 Renewal of plan; discontinuance of issuance or renewal of coverage or of plan offered only through bona fide association; discontinuance of product; applicability. 1. Except as otherwise provided in subsections 2 and 3, a carrier shall renew a health benefit plan at …

NRS 689C.320 Required notification when carrier discontinues transacting insurance in this State or particular geographic service area of state; restrictions on carrier that discontinues transacting insurance. 1. A carrier that discontinues transacting insurance in this State or …

NRS 689C.325 Coverage offered through network plan not required to be offered to eligible employee who does not reside or work in geographic service area or if carrier lacks capacity to deliver adequate service to additional employers and employees. A carrier that offers coverage…

NRS 689C.335 Approval or denial of claims; 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 certificate of authority for failure …

NRS 689C.350 Health benefit plan which offers difference of payment between preferred providers of health care and providers who are not preferred: Limitations on deductibles and copayments; circumstances in which service is deemed to be provided by preferred provider. A health b…

NRS 689C.355 Prohibited acts of carrier or producer related to encouraging or directing small employer to take certain actions; exceptions; prohibited acts by carrier related to contract or agreement with producer; violation may constitute unfair trade practice; applicability. 1.…

NRS 689C.360 Definitions. As used in NRS 689C.360 to 689C.600, inclusive, unless the context otherwise requires, the words and terms defined in NRS 689C.380 and 689C.390 have the meanings ascribed to them in those sections. (Added to NRS by 1995, 2677; A 1997, 2951)

NRS 689C.380 “Contract” defined. “Contract” means a policy or certificate for hospital or medical expenses, a contract for dental, hospital or medical services, or a health care plan of a health maintenance organization available for use by or offered or sold to a small employer.…