Title 57

NRS 687B.870 “Network” defined. “Network” has the meaning ascribed to it in NRS 687B.640. (Added to NRS by 2021, 2970)

NRS 687B.872 “Policy of provider stop-loss insurance” defined. “Policy of provider stop-loss insurance” means a policy of stop-loss insurance which: 1. Is issued to a provider of health care or a network; 2. Provides coverage for losses of the provider of health care or network a…

NRS 687B.874 “Policy of stop-loss insurance” defined. “Policy of stop-loss insurance” means a policy or contract of insurance, which provides coverage for the losses of an insured above an attachment point which is stated in the policy or contract, including, without limitation, …

NRS 687B.876 “Provider of health care” defined. “Provider of health care” has the meaning ascribed to it in NRS 687B.660. (Added to NRS by 2021, 2970)

NRS 687B.878 Reporting of premiums written in this State for policies of stop-loss insurance. An insurer authorized in this State to issue policies or contracts of property and casualty insurance, accident and health insurance or health insurance shall report to the Commissioner …

NRS 687B.880 Exercise of reasonable diligence related to legitimacy and authority required before issuing policy of stop-loss insurance for group health plan. 1. An insurer intending to issue a policy of stop-loss insurance in this State to cover losses of a group health plan sha…

NRS 687B.882 Policy form for policy of stop-loss insurance for group health plan: Filing; approval; requirements. A policy form for a policy of stop-loss insurance which is intended for issue in this State to cover losses of a group health plan must be filed with and approved by …

NRS 687B.884 Policy form for policy of provider stop-loss insurance: Filing; approval; requirements; accompanying certification. 1. A policy form for a policy of provider stop-loss insurance which is intended for issue in this State must be filed with and approved by the Commissi…

NRS 687B.900 Definitions. As used in NRS 687B.900 to 687B.990, inclusive, unless the context otherwise requires, the words and terms defined in NRS 687B.910 to 687B.950, inclusive, have the meanings ascribed to them in those sections. (Added to NRS by 2025, 3110)

NRS 687B.910 “Health carrier” defined. “Health carrier” has the meaning ascribed to it in NRS 695G.024, and includes, without limitation, an organization for dental care. The term additionally includes a utilization review organization, as defined in NRS 695G.085, while acting in…

NRS 687B.920 “Insured” defined. “Insured” means a policyholder, subscriber, enrollee or other person covered by a health carrier. (Added to NRS by 2025, 3110)

NRS 687B.930 “Medically necessary” defined. “Medically necessary” has the meaning ascribed to it in NRS 695G.055. (Added to NRS by 2025, 3110)

NRS 687B.940 “Prior authorization” defined. “Prior authorization” means: 1. Any process by which a health carrier determines, before medical care or dental care that is otherwise covered by the health carrier is provided to an insured, that the medical care or dental care is medi…

NRS 687B.950 “Provider of health care” defined. “Provider of health care” has the meaning ascribed to it in NRS 695G.070. (Added to NRS by 2025, 3110)

NRS 687B.960 Applicability. The provisions of NRS 687B.900 to 687B.990, inclusive, do not apply to: 1. A health maintenance organization or other managed care organization that enters into a contract with the Nevada Health Authority pursuant to NRS 422.273 to provide health care …

NRS 687B.970 Authorization for contracts or policies of insurance for payment of cost of medical or dental care to require prior authorization of care; filing with Commissioner of procedure for obtaining prior authorization; period for health carrier to respond to request for pri…

NRS 687B.980 Prohibition against requiring prior authorization for certain services, care or goods. 1. A health carrier shall not require prior authorization for: (a) Outpatient services for the treatment of a substance use disorder. (b) Evidence-based goods or services for preve…

NRS 687B.990 Violations. If a health carrier violates NRS 687B.970 or 687B.980 with respect to a particular request for prior authorization, the request shall be deemed approved. (Added to NRS by 2025, 3111)

NRS 687C.010 Enactment and text of Compact. The Interstate Insurance Product Regulation Compact, set forth in this section, is hereby enacted into law and entered into with all jurisdictions substantially as follows: Article I. Purposes The purposes of this Compact are, through m…

NRS 687C.020 Representative: Designation. The Commissioner of Insurance is hereby designated to serve as the representative of this State to the Interstate Insurance Product Regulation Commission. (Added to NRS by 2011, 532)

NRS 687C.030 Policy of State relating to opting out of certain uniform standards; notice by Commissioner to Legislature upon determination or finding requiring opting out of standard. 1. It is the policy of this State to opt out of and the Commissioner of Insurance shall by regul…

NRS 688A.010 Scope. This chapter, with the exception of NRS 688A.390, applies only to contracts of life insurance, endowment and annuities, other than reinsurance, group life insurance and group annuities. (Added to NRS by 1971, 1726)

NRS 688A.020 “Annuity” defined. 1. For the purposes of this Code, an “annuity” is a contract under which obligations are assumed to make periodic payments for a specific term or terms or where the making or continuance of all or some such payments, or the amount of any such payme…

NRS 688A.030 “Industrial life insurance” defined. For the purposes of this Code, “industrial life insurance” is that form of life insurance written under policies of a face amount of $2,500 or less bearing the words “industrial policy” or “weekly premium policy” or words of simil…

NRS 688A.040 Standard provisions required in certain policies. 1. No policy of life insurance other than pure endowments, with or without return of premiums or of premiums and interest, shall be delivered or issued for delivery in this state unless it contains in substance all of…

NRS 688A.050 Payment of premiums. There shall be a provision relating to the time and place of payment of premiums. (Added to NRS by 1971, 1727)

NRS 688A.060 Grace period. There shall be a provision that a grace period of 30 days or, at the option of the insurer, of 1 month of not less than 30 days or of 4 weeks in the case of industrial life insurance policies the premiums for which are payable more frequently than month…

NRS 688A.070 Entire contract. There shall be a provision that except as otherwise expressly provided by law, the policy and the application therefor, if a copy of such application is endorsed upon or attached to the policy when issued, shall constitute the entire contract between…

NRS 688A.080 Incontestability. There shall be a provision that the policy shall be incontestable after it has been in force during the lifetime of the insured for a period of not more than 2 years after its date of issue, except for nonpayment of premiums, and, at the insurer’s o…

NRS 688A.090 Misstatement of age. There shall be a provision that if the age of the insured or of any other person whose age is considered in determining the premium or benefit has been misstated, any amount payable or benefit accruing under the policy shall be such as the premiu…

NRS 688A.100 Dividends. 1. There shall be a provision in participating policies that, beginning not later than the end of the third policy year, the insurer shall annually ascertain and apportion the divisible surplus, if any, that will accrue on the policy anniversary or other d…

NRS 688A.110 Loan secured by policy. 1. There shall be a provision that after 3 full years’ premiums have been paid and after the policy has a cash surrender value and while no premium is in default beyond the grace period for payment, the insurer will advance, on proper assignme…

NRS 688A.120 Table of installments. In case the policy provides that the proceeds may be payable in installments which are determinable at issue of the policy, there shall be a table showing the amounts of the guaranteed installments. (Added to NRS by 1971, 1729)

NRS 688A.130 Reinstatement. There must be a provision that unless: 1. The policy has been surrendered for its cash surrender value; 2. Its cash surrender value has been exhausted; or 3. The paid-up term insurance, if any, has expired, Ê the policy will be reinstated at any time w…

NRS 688A.140 Payment of claims. There shall be a provision that when the benefits under the policy become payable by reason of the death of the insured, settlement shall be made upon receipt of due proof of death and, at the insurer’s option, surrender of the policy and proof of …

NRS 688A.150 Beneficiary: Industrial policies. 1. An industrial life insurance policy shall have the name of the beneficiary designated thereon or in the application or other form if attached to the policy, with a reservation of the right to designate or change the beneficiary af…

NRS 688A.160 Title. There shall be a title on the policy, briefly describing the same. (Added to NRS by 1971, 1731)

NRS 688A.165 Surrender and request for cancellation of contract or policy. 1. No annuity contract, pure endowment contract or policy of life insurance, other than a replacement contract or policy, may be delivered or issued for delivery in this state unless it contains a provisio…

NRS 688A.170 Excluded or restricted coverage. A clause in any policy of life insurance providing that such policy shall be incontestable after a specified period shall preclude only a contest of the validity of the policy, and shall not preclude the assertion at any time of defen…

NRS 688A.180 Standard provisions: Annuity and pure endowment contracts. 1. No annuity or pure endowment contract, other than reversionary annuities (also called survivorship annuities) or group annuities and except as stated in this section, shall be delivered or issued for deliv…

NRS 688A.190 Annuities: Grace period. In an annuity or pure endowment contract, other than a reversionary, survivorship or group annuity, there shall be a provision that there shall be a period of grace of 1 month, but not less than 30 days, within which any stipulated payment to…

NRS 688A.200 Annuities: Incontestability. If any statements, other than those relating to age, sex and identity are required as a condition to issuing an annuity or pure endowment contract, other than a reversionary, survivorship or group annuity, and subject to NRS 688A.220, the…

NRS 688A.210 Annuities: Entire contract. In an annuity or pure endowment contract, other than a reversionary, survivorship or group annuity, there shall be a provision that the contract shall constitute the entire contract between the parties or, if a copy of the application is e…

NRS 688A.220 Annuities: Misstatement of age or sex. In an annuity or pure endowment contract, other than a reversionary, survivorship or group annuity, there shall be a provision that if the age or sex of the person or persons upon whose life or lives the contract is made, or of …

NRS 688A.230 Annuities: Dividends. If an annuity or pure endowment contract, other than a reversionary, survivorship or group annuity, is participating, there shall be a provision that the insurer shall annually ascertain and apportion any divisible surplus accruing on the contra…