Title 57

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.…

NRS 689C.390 “Dependent” defined. “Dependent” means a spouse, a domestic partner as defined in NRS 122A.030, or a child on or before the last day of the month in which the child attains 26 years of age. (Added to NRS by 1995, 2677; A 2013, 3635)

NRS 689C.425 Applicability of other provisions. A voluntary purchasing group and any contract issued to such a group pursuant to NRS 689C.360 to 689C.600, inclusive, are subject to the provisions of NRS 689C.015 to 689C.355, inclusive, to the extent applicable and not in conflict…

NRS 689C.430 Entities which are authorized to offer contracts to voluntary purchasing groups; compliance with provisions required. Every insurer, fraternal benefit society, corporation providing hospital or medical services or health maintenance organization, whose policies or ac…

NRS 689C.455 Coverage for prescription drugs: Provision of notice and information regarding use of formulary. 1. A carrier that offers or issues a contract which provides coverage for prescription drugs shall include with any summary, certificate or evidence of that coverage prov…

NRS 689C.460 Carrier to offer same coverage to all eligible employees; denial of coverage to otherwise eligible employee. 1. If a carrier offers a contract to a voluntary purchasing group, the carrier shall offer the same coverage to all of the eligible employees of the small emp…

NRS 689C.470 Renewal of contract; discontinuance of product or issuance or renewal of plan offered only through bona fide association. 1. Except as otherwise provided in NRS 689C.360 to 689C.600, inclusive, a carrier shall renew a contract as to all insured small employers that a…

NRS 689C.480 Required notification when carrier ceases to renew all contracts; restrictions on carrier that ceases to renew all contracts. 1. A carrier may cease to renew all contracts covering voluntary purchasing groups and discontinue issuing and delivering for issuance any su…

NRS 689C.490 Formation of voluntary purchasing group by small employers; requirements when affiliate of group ceases to qualify as small employer. 1. A small employer may, in accordance with the provisions of NRS 689C.490 to 689C.600, inclusive, choose to affiliate voluntarily wi…

NRS 689C.500 Registration: Requirements; application. 1. An organization seeking to be registered as a voluntary purchasing group: (a) Must be incorporated as a Nevada corporation not for profit for the purpose of securing health benefits for its members and their eligible employ…

NRS 689C.510 Registration: Fee for application; response to application; regulations. 1. The application must be accompanied by a fee in an amount to be established by the Commissioner by regulation to cover the direct costs of examining the qualifications of an applicant. 2. The…

NRS 689C.520 Registration: Additional requirements. 1. Before the issuance of a certificate of registration, each voluntary purchasing group shall, to the satisfaction of the Commissioner: (a) Establish the conditions of membership in the group and require as a condition of membe…

NRS 689C.530 Filing reports; annual renewal fee; regulations. A voluntary purchasing group shall: 1. File any reports required by the Commissioner; and 2. Pay a renewal fee established by the Commissioner by regulation to recover the direct costs to the Division to determine annu…

NRS 689C.540 Duties. A voluntary purchasing group shall: 1. Establish administrative and accounting procedures for the operation of the group and the provision of services to members, prepare an annual budget and annual operational fiscal reports; 2. Provide for internal and inde…

NRS 689C.550 Collection of premiums; trust account for deposit of premiums. A voluntary purchasing group shall offer to collect premiums for contracts offered through the purchasing group and maintain a trust account for the deposit of premiums collected to be paid to carriers fo…

NRS 689C.560 Regulations governing bond or other security to be maintained by voluntary purchasing group. A voluntary purchasing group shall post a bond for the benefit of members of the group and their eligible employees and dependents, or deposit a certificate of deposit or sec…

NRS 689C.570 Organizer prohibited from acquiring financial interest in group’s business for specified period. No person who organizes a voluntary purchasing group may acquire or attempt to acquire a financial interest in the group’s business for a period of 3 years after organiza…

NRS 689C.580 Prohibited acts. A voluntary purchasing group shall not perform any activity included in the definition of transacting insurance in this state as defined in NRS 679A.130, perform any activity for which it is subject to regulation pursuant to NRS 685B.120 or establish…

NRS 689C.590 Disciplinary or other action for violation of provisions. The Commissioner may deny, revoke or suspend a certificate of registration of any voluntary purchasing group found to be in violation of NRS 689C.490 to 689C.600, inclusive. (Added to NRS by 1995, 2681)

NRS 689C.600 Regulations. The Commissioner shall adopt such regulations as are needed to carry out the requirements of NRS 689C.490 to 689C.600, inclusive. (Added to NRS by 1995, 2681) MISCELLANEOUS HEALTH BENEFIT PLANS

NRS 689C.940 Regulations concerning determination of status of stop-loss policy. The Commissioner may, by regulation, prescribe standards for determining whether a policy issued as a stop-loss policy is a health benefit plan for the purposes of this chapter. (Added to NRS by 1997…

NRS 690A.010 Scope. Any consumer credit insurance issued in connection with loans or other credit transactions for personal, family or household use is subject to the provisions of this chapter except: 1. Insurance written in connection with a credit transaction that is: (a) Secu…

NRS 690A.011 Definitions. As used in this chapter, unless the context otherwise requires, the words and terms defined in NRS 690A.012 to 690A.0247, inclusive, have the meanings ascribed to them in those sections. (Added to NRS by 1987, 2287; A 2005, 2144)

NRS 690A.012 “Compensation” defined. “Compensation” means any valuable consideration, direct or indirect, paid by or on behalf of the insurer, or by any subsidiary or parent, or subsidiary of the parent of the insurer, or by any other person to or on behalf of any group policyhol…

NRS 690A.0135 “Credit accident and health insurance” defined. “Credit accident and health insurance” means insurance on a debtor to provide indemnity for payments or debt becoming due on a specific loan or other credit transaction while the debtor is disabled as defined in the po…

NRS 690A.015 “Credit insurance” and “consumer credit insurance” defined. “Credit insurance” or “consumer credit insurance” means any or all of the following: 1. Credit life insurance; 2. Credit accident and health insurance; 3. Credit unemployment insurance; or 4. Any other insur…

NRS 690A.016 “Credit life insurance” defined. “Credit life insurance” means insurance on the life of a debtor pursuant to or in connection with a specific loan or other credit transaction to provide for satisfaction of a debt, in whole or in part, upon the death of an insured deb…

NRS 690A.0163 “Credit transaction” defined. “Credit transaction” means any transaction for which the terms of repayment of money loaned or loan commitment made, or payment of goods, services or properties sold or leased, is to be made at a future date or dates. (Added to NRS by 2…

NRS 690A.0167 “Credit unemployment insurance” defined. “Credit unemployment insurance” means insurance on a debtor to provide indemnity for payments or a debt becoming due on a specific loan or other credit transaction while the debtor is involuntarily unemployed as defined in th…

NRS 690A.017 “Creditor” defined. “Creditor” means the lender of money or vendor or lessor of goods, services, property, rights or privileges for which payment is arranged through a credit transaction, and includes: 1. The successor to the right, title or interest of; 2. An affili…

NRS 690A.018 “Debtor” defined. “Debtor” means a borrower of money or a purchaser or lessee of goods, services, property, rights or privileges for which payment is arranged through a credit transaction. (Added to NRS by 1987, 2288)

NRS 690A.0195 “Gross debt” defined. “Gross debt” means the sum of the remaining payments owed to a creditor by a debtor. (Added to NRS by 2005, 2137)

NRS 690A.0205 “Identifiable charge” defined. “Identifiable charge” means a charge for consumer credit insurance that is made to debtors who have that insurance and not made to debtors who do not have that insurance. The term includes a charge for insurance that is disclosed in th…

NRS 690A.0243 “Net debt” defined. “Net debt” means the amount required to liquidate the remaining debt in a single lump-sum payment, excluding all unearned interest and other unearned finance charges. (Added to NRS by 2005, 2138)

NRS 690A.0247 “Open-end credit” defined. “Open-end credit” means credit extended by a creditor under an agreement in which: 1. The creditor reasonably contemplates repeated transactions; 2. The creditor periodically imposes a finance charge on any outstanding unpaid balance; and …

NRS 690A.045 Amounts of credit life insurance. 1. Except as otherwise provided in this section, the amount of credit life insurance must not exceed the greater of the actual net debt or the scheduled net debt. 2. If coverage is written on the actual net debt, the amount payable a…

NRS 690A.050 Amounts of credit accident and health insurance or credit unemployment insurance. 1. Except as otherwise provided in subsection 2, the total amount of periodic indemnity payable pursuant to a policy of credit accident and health insurance or credit unemployment insur…

NRS 690A.055 Combinations of consumer credit insurance; prohibition or limitation by regulation. The types of consumer credit insurance defined in this chapter may be written separately or in combination with other types of consumer credit insurance on an individual policy or gro…