Title 57

NRS 689B.0385 Reimbursement for treatments by licensed associate in social work, social worker, master social worker, independent social worker or clinical social worker. If any policy of group health insurance provides coverage for treatment which is within the authorized scope …

NRS 689B.039 Reimbursement for treatments by chiropractic physician. 1. If any group policy of health insurance provides coverage for treatment which is within the authorized scope of practice of a qualified chiropractic physician, the insured or a chiropractic physician who is l…

NRS 689B.0393 Reimbursement for treatments by podiatrist. 1. If any group policy of health insurance 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 635 of …

NRS 689B.0397 Reimbursement for treatment by licensed clinical alcohol and drug counselor. If any policy of group health insurance provides coverage for treatment which is within the authorized scope of practice of a licensed clinical alcohol and drug counselor, the insured or a …

NRS 689B.040 Direct payment for hospital and medical services and home health care; payment to assignee. 1. Any group health policy may provide that all or any portion of any indemnities provided by any such policy on account of hospital, nursing, medical or surgical services, ho…

NRS 689B.045 Reimbursement for services provided by certain nurses. 1. If any group policy of health insurance 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 additi…

NRS 689B.047 Reimbursement to provider of medical transportation. 1. Except as otherwise provided in subsection 3, every policy of group health insurance amended, delivered or issued for delivery in this State after October 1, 1989, that provides coverage for medical transportati…

NRS 689B.049 Reimbursement for acupuncture. If any policy of group health insurance 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, is entit…

NRS 689B.050 Extended disability benefit. Any group health policy may provide for payment not exceeding three times the amount of the monthly benefit under the policy as an extended disability benefit upon the insured’s death from any cause. The extended disability benefit must n…

NRS 689B.060 Readjustment of premiums; dividends. 1. Any contract of group health insurance may provide for the readjustment of the rate of premium based upon the experience thereunder. If a policy dividend is declared after January 1, 1972, or a reduction in rate is made after J…

NRS 689B.061 Limitations on deductibles and copayments charged under policy which offers difference of payment between preferred providers of health care and providers who are not preferred. A policy of group health insurance which offers a difference of payment between preferred…

NRS 689B.063 Primary and secondary policies: Determination of benefits. 1. When a policy of group insurance is primary, its benefits are determined before those of another policy and the benefits of another policy are not considered. When a policy of group insurance is secondary,…

NRS 689B.064 Primary and secondary policies: 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 t…

NRS 689B.065 Policy issued to replace discontinued policy or coverage: Requirements; notice of reduction of benefits; statement of benefits; applicability of section. 1. A policy of group health insurance issued to replace any discontinued policy or coverage for group health insu…

NRS 689B.067 Provision in policy requiring binding arbitration for disputes with insurer authorized; procedure for arbitration; declaratory relief. 1. Except as otherwise provided in NRS 689B.270 and subject to the approval of the Commissioner, a policy of group health insurance …

NRS 689B.0675 Insurer prohibited from discriminating against person with respect to participation or coverage on basis of gender identity or expression. An insurer that issues a policy of group health insurance shall not discriminate against any person with respect to participati…

NRS 689B.068 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 policy of group health insurance or cancel a po…

NRS 689B.069 Insurer prohibited from requiring or using information concerning genetic testing; exceptions. 1. Except as otherwise provided in subsection 2, an insurer who provides group health insurance shall not: (a) Require an insured person or any member of the family of the …

NRS 689B.070 “Blanket accident and health insurance” defined. “Blanket accident and health insurance” is that form of accident insurance, health insurance, or both, covering groups of persons as enumerated in one of the following subsections under a policy or contract issued to: …

NRS 689B.080 Authority to issue; required provisions. Any insurer authorized to write health insurance in this state, including a nonprofit corporation for hospital, medical or dental services that has a certificate of authority issued pursuant to chapter 695B of NRS, may issue b…

NRS 689B.090 Application and certificates. 1. An individual application need not be required from a person covered under a blanket health policy or contract, nor shall it be necessary for the insurer to furnish each person a certificate, if such person does not pay all or part of…

NRS 689B.100 Payment of benefits. 1. Except as provided in subsection 2, all benefits under any blanket health policy or contract must be payable to the person insured, or to the designated beneficiary or beneficiaries of the person insured, or to the estate of the person insured…

NRS 689B.110 Legal liability of policyholders for death of or injury to insured member unaffected. Nothing contained in NRS 689B.070 to 689B.100, inclusive, shall be deemed to affect the legal liability of policyholders for death of or injury to any member insured under a blanket…

NRS 689B.250 Acceptance of uniform forms for billing and claims. Every insurer under a group health insurance contract or a blanket accident and health insurance contract and every state agency, for its records shall accept from: 1. A hospital the Uniform Billing and Claims Forms…

NRS 689B.255 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 689B.260 Group health or blanket health policy containing exclusion, reduction or limitation of coverage relating to complications of pregnancy prohibited; exception. 1. No group health or blanket health policy may be delivered or issued for delivery in this state if it conta…

NRS 689B.265 Policy 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 policy of group health insurance that includes coverage …

NRS 689B.270 Required procedure for arbitration of disputes concerning independent medical, dental or chiropractic evaluations. 1. Each policy of group or blanket health insurance must include a procedure for binding arbitration to resolve disputes concerning independent medical …

NRS 689B.275 Contents, approval and provision of summary of coverage; provision of information about guaranteed availability of certain plans for benefits. 1. An insurer shall provide to each policyholder, or producer of insurance acting on behalf of a policyholder, on a form app…

NRS 689B.280 Disclosure of information concerning medication of insured prohibited. 1. Except as otherwise provided in subsection 2, an insurer or any agent or employee of an insurer who delivers or issues for delivery a policy of group health or blanket health insurance in this …

NRS 689B.285 Offering policy of health insurance for purposes of establishing health savings account. An insurer may, subject to regulation by the Commissioner, offer a policy of health insurance that has a high deductible and is in compliance with 26 U.S.C. § 223 for the purpose…

NRS 689B.287 Insurer prohibited from denying coverage solely because applicant or insured was intoxicated or under influence of controlled substance; exceptions. 1. Except as otherwise provided in subsection 2, an insurer shall not: (a) Deny a claim under a policy of group health…

NRS 689B.290 Definitions. As used in NRS 689B.290 to 689B.330, inclusive, unless the context otherwise requires: 1. “Medicaid” means a program established in any state pursuant to Title XIX of the Social Security Act (42 U.S.C. §§ 1396 et seq.) to provide assistance for part or a…

NRS 689B.300 Effect of eligibility for medical assistance under Medicaid; assignment of rights to state agency. 1. An insurer shall not, when considering eligibility for coverage or making payments under a group health policy, consider the availability of, or eligibility of a per…

NRS 689B.310 Insurer prohibited from asserting certain grounds to deny enrollment of child of insured pursuant to order. An insurer shall not deny the enrollment of a child pursuant to an order for medical coverage under a group health policy pursuant to which a parent of the chi…

NRS 689B.320 Certain accommodations required to be made when child is covered under policy of noncustodial parent. If a child has coverage under a group health policy pursuant to which a noncustodial parent of the child is insured, the health insurer issuing that policy shall: 1.…

NRS 689B.330 Insurer required to authorize enrollment of child of parent who is required by order to provide medical coverage for child in certain circumstances. If a parent is required by an order for medical coverage to provide coverage under a group health policy for a child a…

NRS 689B.340 Definitions. As used in NRS 689B.340 to 689B.580, inclusive, unless the context otherwise requires, the words and terms defined in NRS 689B.350 to 689B.460, inclusive, have the meanings ascribed to them in those sections. (Added to NRS by 1997, 2900; A 2001, 1923, 22…

NRS 689B.350 “Affiliation period” defined. “Affiliation period” means a period not to exceed 60 days for new enrollees and 90 days for late enrollees during which no premiums may be collected from, and coverage issued would not become effective for, an employee or a dependent of …

NRS 689B.355 “Blanket accident and health insurance” defined. “Blanket accident and health insurance” has the meaning ascribed to it in NRS 689B.070. (Added to NRS by 2001, 2219)

NRS 689B.360 “Carrier” defined. “Carrier” means any person who provides health insurance in this state, including a fraternal benefit society, a health maintenance organization, a nonprofit hospital and health service corporation, a health insurance company and any other person p…

NRS 689B.370 “Contribution” defined. “Contribution” means the minimum employer contribution toward the premium for enrollment of participants and beneficiaries in a health benefit plan. (Added to NRS by 1997, 2900)

NRS 689B.380 “Creditable coverage” defined. “Creditable coverage” means health benefits or coverage provided to a person pursuant to: 1. A group health plan; 2. A health benefit plan; 3. Part A or Part B of Title XVIII of the Social Security Act, 42 U.S.C. §§ 1395c et seq., also …

NRS 689B.390 “Group health plan” defined. 1. “Group health plan” means an employee welfare benefit plan, as defined in section 3(1) of the Employee Retirement Income Security Act of 1974, as that section existed on July 16, 1997, to the extent that the plan provides medical care …

NRS 689B.400 “Group participation” defined. “Group participation” means the minimum number of participants or beneficiaries that must be enrolled in a health benefit plan in relation to a specified percentage or number of eligible persons or employees of the employer. (Added to N…

NRS 689B.430 “Open enrollment” defined. “Open enrollment” means the period designated for enrollment in a health benefit plan. (Added to NRS by 1997, 2903)