Title 57

NRS 695A.400 Service of process on society. 1. Every society authorized to do business in this state shall appoint in writing the Commissioner as attorney-in-fact upon whom all lawful process in any action or proceeding against it must be served, and shall agree in the writing th…

NRS 695A.410 Injunctions against societies. No application or petition for injunction against any domestic, foreign or alien society, or any of its lodges, may be recognized in any court of this state unless made by the Attorney General upon request of the Commissioner. (Added to…

NRS 695A.420 Judicial review of Commissioner’s findings and decisions. All decisions and findings of the Commissioner made under the provisions of this chapter are subject to review by proper proceedings in any court of competent jurisdiction in this state. (Added to NRS by 1971,…

NRS 695A.430 Assets, funds and accounts of society. 1. All assets must be held, invested and disbursed for the use and benefit of the society and no member or beneficiary may have or acquire individual rights therein or become entitled to any apportionment or the surrender of any…

NRS 695A.440 Investments. 1. A society shall invest its money only in such investments as are authorized by the laws of this state for the investment of assets of life insurers and subject to the limitations thereon. 2. Any foreign or alien society permitted or seeking to do busi…

NRS 695A.450 Annual statement of financial condition, transactions and affairs: Filing; fee; contents; provision to members; valuation of certificates. 1. Every society transacting business in this state shall annually, on or before the first day of March, unless for cause shown …

NRS 695A.460 Annual statement of financial condition, transactions and affairs: Penalties for failure to file properly. If a society fails to file the annual statement in the form and within the time provided by NRS 695A.450, it shall pay to the Commissioner $100 for each day tha…

NRS 695A.475 Liability of directors, officers, employees, members and volunteers; indemnification and reimbursement of directors, officers, employees and agents. 1. The officers and members of the supreme governing body or any subordinate body of a society are not personally liab…

NRS 695A.490 Standards of valuation for certificates; excess reserves. 1. The minimum standards of valuation for certificates issued before July 1, 1964, are those provided by the law applicable immediately before July 1, 1963, but not lower than the standards used in the calcula…

NRS 695A.500 Examination of societies transacting or applying to transact business in State. The Commissioner, or any person the Commissioner may appoint, may examine any domestic, foreign or alien society which is transacting business or applying for admission to transact busine…

NRS 695A.530 Applicability of provisions relating to trade practices and frauds. A society authorized to do business in this state and its agents are subject to the provisions of chapter 686A of NRS relating to trade practices and frauds, except that nothing in that chapter appli…

NRS 695A.550 Exemption of societies from certain taxes. Every society organized or licensed under this chapter is hereby declared to be a charitable and benevolent institution, and is exempt from every state, county, district, municipal and school tax other than the commerce tax …

NRS 695A.555 Nonexemption of societies from certain fees. Societies are not exempt from the provisions of NRS 679B.700. If a society is an admitted health insurer, as that term is defined in NRS 449.450, it is not exempt from the fees imposed pursuant to NRS 449.465. (Added to NR…

NRS 695A.560 Exemption of societies from other insurance laws; exceptions. Except as otherwise provided in this chapter or by specific statute, societies are governed by this chapter and are exempt from all other provisions of the insurance laws of this state. (Added to NRS by 19…

NRS 695A.570 Applicability of chapter; effect of exemption. 1. Nothing contained in this chapter shall be construed to affect or apply to: (a) Grand or subordinate lodges of societies, orders or associations now doing business in this state which provide benefits exclusively thro…

NRS 695A.580 Penalties. 1. Any person who makes a false or fraudulent statement in or relating to an application for membership or for the purpose of obtaining money from or a benefit in any society is guilty of a gross misdemeanor. 2. Any person who solicits membership for, or i…

NRS 695B.010 Short title. This chapter may be cited as the Nonprofit Hospital, Medical and Dental Service Corporation Law. (Added to NRS by 1971, 1863)

NRS 695B.020 Scope. 1. This chapter does not: (a) Apply to or govern any corporation which is organized for profit, which contemplates any pecuniary gain to its shareholders or members, or which conducts or is authorized by its articles of incorporation to conduct any business wh…

NRS 695B.030 Definitions. As used in this chapter: 1. “Dental services” means general and special dental services ordinarily provided by dentists licensed under the provisions of chapter 631 of NRS to practice in the State of Nevada in accordance with the generally accepted pract…

NRS 695B.035 Contract between corporation and provider of health care: Prohibiting corporation from charging provider of health care fee for inclusion on list of providers given to insureds; corporation required to use form to obtain information on provider of health care; modifi…

NRS 695B.040 Corporations authorized to undertake and operate plans. Any corporation which is organized under the laws of the State of Nevada, or the laws of any other state, without capital stock, for the purpose of maintaining and operating a hospital, medical or dental service…

NRS 695B.050 Manner of incorporation. Persons desiring to form a nonprofit hospital, medical or dental service corporation shall incorporate pursuant to the provisions of this chapter, and the provisions of the nonprofit corporation laws of the State of Nevada, including NRS 81.4…

NRS 695B.060 Directors: Qualifications. 1. A majority of the board of directors of a corporation providing or rendering hospital services shall be persons who are not duly appointed representatives of hospitals with which the corporation has contracts for the rendering of hospita…

NRS 695B.070 Merger and consolidation: Procedure. Any corporation operating under this chapter may merge and consolidate with any other corporation operating or to operate under this chapter as follows: 1. The agreement of merger and consolidation shall be submitted to and approv…

NRS 695B.080 Merger and consolidation: Continuance of contracts and contribution certificates. In the event of any merger and consolidation as provided by this chapter, contracts and contribution certificates issued in compliance with the provisions of this chapter and outstandin…

NRS 695B.090 Merger and consolidation: Withdrawal of prior deposit of securities. Upon approval by the Commissioner of any such merger and consolidation, the merged and consolidated corporation may withdraw any securities therefore deposited pursuant to any requirements of this c…

NRS 695B.110 Certificate of authority: Required; fees. A corporation shall not establish, maintain or operate a nonprofit service plan as authorized by the provisions of this chapter unless it has: 1. Procured a certificate of authority from the Commissioner for the establishment…

NRS 695B.120 Certificate of authority: Qualifications. The Commissioner shall not issue or renew a certificate of authority to any corporation proposing to establish, maintain or operate a nonprofit hospital, medical or dental service plan until such corporation establishes: 1. I…

NRS 695B.130 Certificate of authority: Application; issuance. 1. An application for a certificate of authority must be filed with the Commissioner in writing by the corporation for medical service which is applying for the certificate on forms furnished or accepted by the Commiss…

NRS 695B.135 Certificate of authority: Expiration; renewal. 1. A certificate of authority issued pursuant to this chapter expires on March 1 of the year following its date of issuance or renewal. 2. To renew a certificate of authority a corporation for medical service must: (a) F…

NRS 695B.140 Reserve fund: Minimum amounts; computation; contracts with hospitals; participation of physicians or dentists. 1. No corporation subject to the provisions of this chapter may establish, maintain or operate a hospital, medical or dental service plan unless it has and …

NRS 695B.150 Insolvency; determination of financial condition; actions by Commissioner; review; regulations. 1. A corporation organized under this chapter shall be deemed to be insolvent if: (a) The corporation fails to meet its obligations as they mature; (b) The assets of the c…

NRS 695B.160 Annual statement of condition and affairs; annual financial statement; quarterly statement; fees; examination by Commissioner. 1. Every corporation subject to the provisions of this chapter shall annually: (a) On or before March 1, file in the Office of the Commissio…

NRS 695B.165 Annual statement required to include report of net worth. A corporation which has been issued a certificate of authority pursuant to this chapter shall maintain and report on its statement filed with the Commissioner pursuant to NRS 695B.160 a net worth in an amount …

NRS 695B.170 Acquisition costs and administrative expenses; effect of finding of excess costs. All acquisition costs in connection with the solicitation of subscribers to such hospital, medical or dental service plan shall at all times be subject to the approval of the Commission…

NRS 695B.176 Contract covering prescription drugs: Provision of notice and information regarding use of formulary. 1. An insurer that offers or issues a contract for hospital or medical services which provides coverage for prescription drugs shall include with any summary, certif…

NRS 695B.180 Required provisions. A contract for hospital, medical or dental services must not be entered into between a corporation proposing to furnish or provide any one or more of the services authorized under this chapter and a subscriber: 1. Unless the entire consideration …

NRS 695B.181 Provision in contract requiring binding arbitration authorized; procedures for arbitration; declaratory relief. 1. Except as otherwise provided in NRS 695B.182 and subject to the approval of the Commissioner, any contract which is authorized pursuant to this chapter …

NRS 695B.182 Required procedure for arbitration of disputes concerning independent medical, dental or chiropractic evaluations. 1. Each contract for hospital or medical services must include a procedure for binding arbitration to resolve disputes concerning independent medical ev…

NRS 695B.183 Insurer required to offer and issue plan regardless of health status of persons; prohibited acts; authority to include wellness program in plan that offers discounts based on health status under certain circumstances. 1. An insurer shall offer and issue a health bene…

NRS 695B.185 Group contract 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; processing of c…

NRS 695B.187 Group contract issued to replace discontinued policy or coverage: Requirements; notice of reduction of benefits; statement of benefits; applicability to self-insured employer. Except as otherwise provided by the provisions of NRS 689B.340 to 689B.580, inclusive, and …

NRS 695B.189 Group contract: Required provision permitting continuation of coverage. A group contract issued by a corporation under the provisions of this chapter must contain a provision which permits the continuation of coverage pursuant to the provisions of NRS 689B.340 to 689…

NRS 695B.190 Family contracts. Family hospital or family medical or dental service contracts may be issued to a family consisting of an individual and one or more persons dependent upon the individual, or of one or more persons dependent upon an individual, and may include a spou…

NRS 695B.1901 Required provision in certain policies concerning coverage for continued medical treatment; exceptions; regulations. 1. The provisions of this section apply to a policy of health insurance offered or issued by a hospital or medical service corporation if an insured …

NRS 695B.1903 Required provision concerning coverage for certain treatment as part of clinical trial or study for treatment of cancer or chronic fatigue syndrome; authority of corporation to require certain information; immunity from liability. 1. A policy of health insurance iss…