Title 57

NRS 695A.153 Society prohibited from asserting certain grounds to deny enrollment of child of insured pursuant to order. A society shall not deny the enrollment of a child pursuant to an order for medical coverage under a certificate for health benefits pursuant to which a parent…

NRS 695A.155 Certain accommodations required to be made by society when child is covered under policy of noncustodial parent. If a child has coverage under a certificate for health benefits pursuant to which a noncustodial parent of the child is insured, the society issuing that …

NRS 695A.157 Society required to authorize enrollment of child of parent who is required by order to provide medical coverage under certain circumstances; termination of coverage of child. If a parent is required by an order for medical coverage to provide coverage under a certif…

NRS 695A.160 Amendment of laws of society: Manner; approval by Commissioner; provision to members. 1. A domestic society may amend its laws in accordance with the provisions thereof by action of its supreme governing body at any regular or special meeting thereof or, if its laws …

NRS 695A.180 Scope of contractual benefits. 1. A society authorized to do business in this state may provide the following contractual benefits in any form: (a) Death benefits; (b) Endowment benefits; (c) Annuity benefits; (d) Temporary or permanent disability benefits; (e) Hospi…

NRS 695A.184 Benefit contract 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 benefit contract which provides cover…

NRS 695A.1841 Limitation on cost-sharing obligation for insulin covered under benefit contract covering prescription insulin drugs. 1. A society that offers or issues a benefit contract which provides coverage for prescription insulin drugs shall not impose against an insured a d…

NRS 695A.1843 Coverage for drugs, laboratory testing and certain services related to human immunodeficiency virus and hepatitis C required; reimbursement of certain providers of health care for certain services; prohibited acts. 1. A society that offers or issues a benefit contra…

NRS 695A.1844 Coverage for testing, treatment and prevention of sexually transmitted diseases required; coverage for condoms for certain insureds required. 1. A society that offers or issues a benefit contract shall include in the contract: (a) Coverage of testing for and the tre…

NRS 695A.18445 Coverage for certain gynecological or obstetrical services required without prior authorization or referral from primary care physician; designation of obstetrician or gynecologist as primary care physician. 1. A society that offers or issues a benefit contract sha…

NRS 695A.1845 Coverage for certain tests and vaccines relating to human papillomavirus required; prohibited acts. 1. A benefit contract must provide coverage for benefits payable for expenses incurred for: (a) Deoxyribonucleic acid testing for high-risk strains of human papilloma…

NRS 695A.1853 Coverage for screening, genetic counseling and testing related to BRCA gene required in certain circumstances. 1. A society that issues a benefit contract shall provide coverage for screening, genetic counseling and testing for harmful mutations in the BRCA gene for…

NRS 695A.1855 Coverage for certain screenings and tests for breast cancer required; prohibited acts. 1. A benefit contract must provide coverage for benefits payable for expenses incurred for: (a) A mammogram to screen for breast cancer annually for insureds who are 40 years of a…

NRS 695A.1856 Coverage for examination of person who is pregnant for certain diseases required. 1. A society that issues a benefit contract shall provide coverage for the examination of a person who is pregnant for the discovery of: (a) Chlamydia trachomatis, gonorrhea, hepatitis…

NRS 695A.18565 Coverage for noninvasive prenatal screening required. 1. A society that offers or issues a benefit contract shall include in the contract coverage for noninvasive prenatal screening at any time during pregnancy. Such coverage must be provided without prior authoriz…

NRS 695A.1857 Benefit contract covering maternity care: Prohibited acts by society if insured is acting as gestational carrier; child deemed child of intended parent for purposes of benefit contract. 1. A society that offers or issues a benefit contract that includes coverage for…

NRS 695A.18575 Coverage for screening for lung cancer required in benefit contract providing coverage for treatment for lung cancer. 1. A society that offers a benefit contract that provides coverage for the treatment of lung cancer must provide coverage for screening for lung ca…

NRS 695A.1859 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 695A.1865 Coverage for drug or device for contraception and related health services required in benefit contract covering prescription drugs or devices; prohibited acts; exceptions. 1. Except as otherwise provided in subsection 8, a society that offers or issues a benefit con…

NRS 695A.1866 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 society that issues a benefit contract shall include in the contract coverag…

NRS 695A.1867 Coverage for medically necessary treatment of conditions relating to gender dysphoria and gender incongruence required; restriction on refusal to cover certain treatments; authority of society to prescribe requirements for covering surgical treatment for minors; det…

NRS 695A.1873 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 benefit contract covering prescription drugs. 1. A society that issu…

NRS 695A.18735 Coverage for habilitative speech-language pathology and rehabilitative speech-language pathology as treatment for stuttering required for certain persons; prohibited acts. 1. A society that offers or issues a benefit contract shall include in the contract coverage …

NRS 695A.1874 Coverage for certain drugs and services related to substance use disorder and opioid use disorder required; reimbursement of pharmacists and pharmacies for certain services; prohibited acts. 1. A society that offers or issues a benefit contract shall include in the …

NRS 695A.1875 Coverage for certain services, screenings and tests relating to wellness required; prohibited acts. 1. A society that offers or issues a benefit contract shall include in the contract coverage for: (a) Counseling, support and supplies for breastfeeding, including br…

NRS 695A.188 Approval or denial of claim; payment of claims and interest; request for additional information; payment of claim; award of costs and attorney’s fees; compliance with requirements; imposition of administrative fine or suspension or revocation of certificate of author…

NRS 695A.195 Society prohibited from denying coverage solely because claim involves act that constitutes domestic violence or applicant or insured was victim of domestic violence. A society shall not deny a claim, refuse to issue a benefit contract or cancel a benefit contract so…

NRS 695A.197 Society prohibited from denying coverage solely because applicant or insured was intoxicated or under the influence of controlled substance; exceptions. 1. Except as otherwise provided in subsection 2, a society that provides health benefits shall not: (a) Deny a cla…

NRS 695A.198 Society prohibited from discriminating against person with respect to participation or coverage on basis of gender identity or expression. A society that issues a benefit contract shall not discriminate against any person with respect to participation or coverage und…

NRS 695A.200 Nonforfeiture benefits, cash surrender values, certificate loans and other options. 1. A society may grant paid-up nonforfeiture benefits, cash surrender values, certificate loans and such other options as its laws may permit. 2. In the case of certificates for which…

NRS 695A.210 Beneficiaries; funeral benefits. 1. The owner of a benefit contract has the right at all times to change any beneficiary in accordance with the laws or rules of the society, unless the owner waives that right by requesting in writing that the owner’s designation of a…

NRS 695A.220 Benefits not liable to attachment, garnishment or other process. No money or other benefit, charity, relief or aid to be paid, provided or rendered by any society is liable to attachment, garnishment or other process, or to be seized, taken, appropriated or applied b…

NRS 695A.230 Terms and conditions of benefit contracts. 1. Every society authorized to do business in this state shall issue to each owner of a benefit contract a certificate specifying the amount of benefits provided thereby. The certificate, together with any riders or endorsem…

NRS 695A.232 Society required to offer and issue plan regardless of health status of persons; prohibited acts. 1. A society shall offer and issue a health benefit plan to any person regardless of the health status of the person or any dependent of the person. Such health status i…

NRS 695A.235 Offering policy of health insurance for purposes of establishing health savings account. A society 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 purposes…

NRS 695A.240 Approval and contents of certificates. 1. No certificate may be delivered or issued for delivery in this state unless a copy of the form of the certificate has been filed with and approved by the Commissioner in conformity with the requirements of NRS 687B.120. 2. Th…

NRS 695A.255 Benefit contract covering prescription drugs: Provision of notice and information regarding use of formulary. 1. A society that offers or issues a benefit contract which provides coverage for prescription drugs shall include with any certificate for such a contract p…

NRS 695A.256 Benefit contract covering prescription drugs: Submission to step therapy protocol for drug to treat psychiatric condition prohibited in certain circumstances. 1. A benefit contract which provides coverage for prescription drugs must not require an insured to submit t…

NRS 695A.257 Benefit contract covering prescription drugs: Required actions by society 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 existen…

NRS 695A.258 Benefit contract 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; applicabi…

NRS 695A.259 Benefit contract covering prescription drug for treatment of cancer or cancer symptom that is part of step therapy protocol: Society required to allow insured or attending practitioner to apply for exemption from step therapy protocol in certain circumstances; proced…

NRS 695A.261 Benefit contract covering anatomical gifts, organ transplants or treatments or services related to organ transplants: Prohibited acts by society if insured is person with disability. 1. A society that offers or issues a benefit contract that includes coverage for ana…

NRS 695A.263 Coverage for dental service provided by qualified dental hygienist required in certain circumstances. 1. A society that offers or issues a benefit contract which includes coverage for a dental service that a qualified dental hygienist is authorized to provide without…

NRS 695A.265 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 695A.270 Authority to prohibit in society’s laws waiver of provisions of society’s laws. The laws of the society may provide that no subordinate body or any of its subordinate officers or members may waive any of the provisions of the laws of the society. Such a provision is …

NRS 695A.280 Reinsurance. 1. Except as otherwise provided in subsection 3, a domestic society may, by a reinsurance agreement, cede any individual risk or risks in whole or in part to an insurer, other than another fraternal benefit society, authorized to provide reinsurance in t…