Title 57

NRS 695B.19195 Required provision concerning coverage for certain services, screenings and tests relating to wellness; prohibited acts. 1. An insurer that offers or issues a contract for hospital or medical service shall include in the contract coverage for: (a) Counseling, suppo…

NRS 695B.19197 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. A hospital or medical services corporation that of…

NRS 695B.19199 Required provision concerning coverage for noninvasive prenatal screening. 1. A hospital or medical services corporation that offers or issues a policy of group health insurance shall include in the policy coverage for noninvasive prenatal screening at any time dur…

NRS 695B.192 Contract containing exclusion, reduction or limitation of coverage relating to complications of pregnancy prohibited; exception. 1. No hospital, medical or dental service contract issued by a corporation pursuant to the provisions of this chapter may contain any excl…

NRS 695B.1923 Required provision concerning coverage for treatment of certain inherited metabolic diseases. 1. A contract for hospital or medical service must provide coverage for: (a) Enteral formulas for use at home that are prescribed or ordered by a physician as medically nec…

NRS 695B.1924 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. A hospital or medical servi…

NRS 695B.1925 Required provision concerning coverage for certain tests and vaccines relating to human papillomavirus; prohibited acts. 1. An insurer that offers or issues a contract for hospital or medical service must provide coverage for benefits payable for expenses incurred f…

NRS 695B.1926 Required provision concerning coverage for testing, treatment and prevention of sexually transmitted diseases; required provision concerning coverage for condoms for certain insureds. 1. A hospital or medical services corporation that offers or issues a policy of he…

NRS 695B.1927 Required provision in contract covering hospital, medical or surgical expenses concerning coverage for management and treatment of diabetes. 1. No contract for hospital or medical service that provides coverage for hospital, medical or surgical expenses may be deliv…

NRS 695B.1929 Required provision of coverage for management and treatment of sickle cell disease and its variants; policy covering prescription drugs required to provide coverage for medically necessary prescription drugs to treat sickle cell disease and its variants. 1. A hospit…

NRS 695B.193 Contract covering family member of subscriber required to include certain coverage for subscriber’s newly born and adopted children and children placed with subscriber for adoption. 1. All individual and group service or indemnity-type contracts issued by a nonprofit…

NRS 695B.19305 Required provision concerning coverage for dental service provided by qualified dental hygienist in certain circumstances. 1. An insurer that offers or issues a contract for dental services which includes coverage for a dental service that a qualified dental hygien…

NRS 695B.1931 Contract prohibited from excluding coverage relating to treatment of temporomandibular joint; exception. 1. Except as otherwise provided in this section, no contract for hospital or medical service may be delivered or issued for delivery in this state if it contains…

NRS 695B.1932 Policy covering prescription drugs: Denial of coverage prohibited for early refills of otherwise covered topical ophthalmic products. 1. A hospital or medical service corporation which offers or issues a policy of health insurance that provides coverage for prescrip…

NRS 695B.1942 Required provision in contract covering treatment of prostate cancer concerning coverage for prostate cancer screening; prohibited act. 1. A policy of health insurance issued by a hospital or medical service corporation that provides coverage for the treatment of pr…

NRS 695B.1944 Required provision in certain group contracts 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 employe…

NRS 695B.1948 Contract covering maternity care: Prohibited acts by insurer if insured is acting as gestational carrier; child deemed child of intended parent for purposes of contract. 1. An insurer that offers or issues a contract for hospital or medical services that includes co…

NRS 695B.1949 Contract covering anatomical gifts, organ transplants or treatments or services related to organ transplants: Prohibited acts by insurer if insured is person with disability. 1. An insurer that offers or issues a contract for hospital or medical services that includ…

NRS 695B.1951 Reimbursement for treatment by podiatrist. 1. If any contract for hospital or medical services provides coverage for treatment which is within the authorized scope of practice of a qualified podiatrist, the insured or a podiatrist who is licensed pursuant to chapter…

NRS 695B.1955 Reimbursement for treatment by licensed clinical alcohol and drug counselor. If any contract for hospital or medical service provides coverage for treatment which is within the authorized scope of practice of a licensed clinical alcohol and drug counselor, the insur…

NRS 695B.196 Reimbursement for acupuncture. If any contract for hospital or medical services provides coverage for acupuncture performed by a physician, the insured or a person who is licensed pursuant to chapter 634A of NRS and performs acupuncture on the insured, as applicable,…

NRS 695B.197 Reimbursement for treatment by licensed psychologist. If any contract for hospital or medical service provides coverage for treatment which is within the authorized scope of the practice of a qualified psychologist, the insured or a licensed psychologist who provides…

NRS 695B.1973 Reimbursement for treatment by licensed marriage and family therapist or licensed clinical professional counselor. If any contract for hospital or medical service provides coverage for treatment which is within the authorized scope of practice of a licensed marriage…

NRS 695B.1975 Reimbursement for treatment by licensed associate in social work, social worker, master social worker, independent social worker or clinical social worker. If any contract for hospital or medical service provides coverage for treatment which is within the authorized…

NRS 695B.198 Reimbursement for treatment by chiropractic physician. 1. If any contract for hospital or medical service provides coverage for treatment which is within the authorized scope of practice of a qualified chiropractic physician, the insured or a chiropractic physician w…

NRS 695B.199 Reimbursement for services provided by certain nurses. 1. If any contract for medical service provides coverage for services which are within the authorized scope of practice of a registered nurse who is authorized pursuant to chapter 632 of NRS to perform additional…

NRS 695B.1995 Reimbursement to provider of medical transportation. 1. Except as otherwise provided in subsection 3, every contract for medical service amended, delivered or issued for delivery in this State after October 1, 1989, that provides coverage for medical transportation,…

NRS 695B.1997 Assignment of benefits by insured to provider of health care. 1. A person insured under a contract for hospital, medical or dental services may assign his or her right to benefits to the provider of health care who provided the services covered by the contract. The …

NRS 695B.200 Group contracts written under master contract: Conditions required for issuance. Group hospital or group medical or dental service contracts written under a master hospital or medical or dental service contract may be issued to cover groups of two or more persons, fo…

NRS 695B.210 Group master service contract: Required provisions. Every group master hospital or group medical or dental service contract issued shall contain the following provisions: 1. A provision that the contract, the application of the employer, or executive officer or trust…

NRS 695B.220 Blanket service contracts: Issuance to college, school or school personnel; pupils not to be compelled to accept service. Blanket hospital or blanket medical or dental service contracts may be issued to a college or school or to the head or principal thereof or to th…

NRS 695B.225 Policies of group insurance: Order of benefits. A policy of group insurance determines its order of benefits using the first of the following which applies: 1. A policy that does not coordinate with other policies is always the primary policy. 2. The benefits of the …

NRS 695B.230 Filing and approval of forms and schedules of premium rates. If more than one class of risk is included: 1. A hospital or medical or dental service contract or evidence of coverage under a group or nongroup contract must not be issued or delivered in this state until…

NRS 695B.240 Provision of group service coverage before approval of forms. 1. A corporation subject to the provisions of this chapter is permitted to provide group hospital or group medical or dental service coverage prior to the approval of the form of the contract or certificat…

NRS 695B.250 Extensions of time; automatic approval. 1. Upon written request from the corporation subject to the provisions of this chapter filed within 50 days after the date on which the coverage is provided or agreed to be provided and upon proof satisfactory to the Commission…

NRS 695B.2505 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 695B.251 Group subscriber contracts required to contain provision for conversion to individual contracts; exceptions. 1. Except as otherwise provided in the provisions of this section, NRS 689B.340 to 689B.580, inclusive, and chapter 689C of NRS relating to the portability an…

NRS 695B.252 Conversion privilege available to spouse and children; conditions. Subject to the conditions set forth in NRS 695B.251 to 695B.259, inclusive, the conversion privilege must also be made available: 1. To the surviving spouse, if any, upon the death of the employee or …

NRS 695B.253 Denial of converted contract because of overinsurance; notice concerning cancellation of other coverage. 1. The medical service corporation is not required to issue a converted contract to any person who: (a) Is covered for similar benefits by another hospital, surgi…

NRS 695B.254 Choice of types of contracts required to be offered. 1. A person who is entitled to a converted contract must be given a choice of at least three types of contracts offering benefits on a service basis or an expense-incurred basis, or both. 2. The converted contract …

NRS 695B.255 Benefits exceeding those provided under group contract not required; exclusions and limitations. A medical service corporation is not required to issue a converted contract which provides benefits in excess of those provided under the group contract from which conver…

NRS 695B.2555 Benefits payable under converted contract authorized to be reduced by amount payable under group contract; limitation. A converted contract may provide that any hospital, surgical or medical benefits payable under it may be reduced by the amount of any benefits paya…

NRS 695B.256 Issuance and effective date of converted contract; premiums; persons covered. The medical service corporation shall: 1. Issue the converted contract without evidence of insurability; 2. Base the premium on the converted policies for the first 12 months, and subsequen…

NRS 695B.2565 Renewal of converted contract: Request for information on sources of other benefits; grounds for refusal to renew; notice concerning cancellation of other coverage. 1. A converted contract issued under NRS 695B.251 may include a provision permitting the medical serv…

NRS 695B.257 Notice of conversion privilege. A notification of the conversion privilege must be included in each certificate of coverage. A written notice of the existence of the conversion privilege must also be given to the employee or member at least 15 days before the expirat…

NRS 695B.2575 Converted contract delivered outside Nevada: Form. A converted contract which is to be delivered outside this state must be in such form as would be deliverable in the other jurisdiction as a converted contract if the group contract had been issued in that jurisdict…