Title 57

NRS 695D.2157 Recovery of overpayments: Notice; procedures for challenging attempted recovery; limitation of period for recovery; exception. 1. An organization for dental care or an administrator who recovers overpayments under a plan for dental care shall provide written notice …

NRS 695D.216 Required provision concerning coverage for services provided through telehealth to same extent as though provided in person or by other means; required provision concerning reimbursement for certain services provided through telehealth in same amount as though provid…

NRS 695D.2165 Required provision concerning coverage for dental service provided by qualified dental hygienist in certain circumstances. 1. An organization for dental care that offers or issues a plan for dental care which includes coverage for a dental service that a qualified d…

NRS 695D.217 Organization for dental care prohibited from denying coverage solely because claim involves act that constitutes domestic violence or applicant or insured was victim of domestic violence. An organization for dental care shall not deny a claim, refuse to issue a polic…

NRS 695D.219 Organization for dental care prohibited from denying coverage solely because applicant or member was intoxicated or under the influence of controlled substance; exceptions. 1. Except as otherwise provided in subsection 2, an organization for dental care shall not: (a…

NRS 695D.220 Licensing of agents. 1. The provisions of chapter 683A of NRS apply to the licensing of agents for an organization for dental care. 2. As used in this section, “agent” means any person who is associated, directly or indirectly, with the organization and engages in so…

NRS 695D.225 Contracts between organization for dental care and dentist: Modification; submission of schedule of payments upon request; exceptions. 1. Except as otherwise provided in NRS 695D.227, a contract between an organization for dental care and a dentist may be modified: (…

NRS 695D.227 Prohibitions related to setting of fees by plan or organization for dental care other than covered services to members. 1. No plan for dental care and no contract between an organization for dental care and a dentist may require, directly or indirectly, that the dent…

NRS 695D.230 Advertising or materials used to enroll or solicit members: Approval of Commissioner; penalties. 1. Every organization for dental care must submit any advertising, or other materials to be used to enroll or solicit members, to the Commissioner for approval by the Com…

NRS 695D.240 Limitation on use of charges or premiums for marketing and administrative expenses; regulations. 1. The organization for dental care shall use not more than 25 percent of its prepaid charges or premiums for marketing and administrative expenses, including all costs t…

NRS 695D.250 Reserves: Maintenance; exception; held in fiduciary capacity; deposit; penalty for diversion or appropriation; regulations. 1. An organization for dental care shall set aside a reserve equal to 3 percent of the premiums collected from its members up to a total of $50…

NRS 695D.260 Annual report; financial statement; quarterly statement; administrative penalty for failure to file timely report or statement; extension of time; payment of premium tax and filing fee. 1. Every organization for dental care shall file with the Commissioner on or befo…

NRS 695D.270 Examination by Commissioner. 1. The Commissioner shall, not less frequently than once every 3 years, conduct an examination of an organization for dental care pursuant to NRS 679B.250 to 679B.300, inclusive. 2. The Commissioner may examine any organization which hold…

NRS 695D.280 Rehabilitation, liquidation or conservation: Conduct. Any rehabilitation, liquidation or conservation of an organization for dental care shall be deemed to be the rehabilitation, liquidation or conservation of an insurer and must be conducted pursuant to chapter 696B…

NRS 695D.290 Trade practices and frauds: Applicability of provisions to organizations for dental care. The provisions of NRS 686A.010 to 686A.310, inclusive, relating to trade practices and frauds apply to organizations for dental care. (Added to NRS by 1983, 2027; A 2023, 22)

NRS 695D.300 Disciplinary action: Grounds; penalties. 1. The Commissioner may suspend or revoke any certificate of authority issued to an organization for dental care or impose a fine of not more than $500 for each violation if the Commissioner finds that: (a) The organization is…

NRS 695D.310 Disciplinary or other action: Notice; hearing; order. 1. If the Commissioner believes that grounds for denying a certificate of authority or for suspending or revoking a certificate exist, the Commissioner shall notify the organization for dental care in writing, spe…

NRS 695E.010 Statement of purpose. The purpose of this chapter is to regulate the formation and operation in this state of organizations formed pursuant to the provisions of the Liability Risk Retention Act of 1986. (Added to NRS by 1987, 1327)

NRS 695E.020 Definitions. As used in this chapter, the words and terms defined in NRS 695E.030 to 695E.110, inclusive, have the meanings ascribed to them in those sections. (Added to NRS by 1987, 1327)

NRS 695E.030 “Completed operations liability” defined. 1. “Completed operations liability” means liability arising out of the installation, maintenance or repair of any product at a site that is not owned or controlled by: (a) Any person who performs the work; or (b) Any person w…

NRS 695E.040 “Domicile” defined. “Domicile” means: 1. For a corporation, the state in which it is incorporated; and 2. For any other person, the state of the person’s principal place of business. (Added to NRS by 1987, 1328)

NRS 695E.050 “Hazardous financial condition” defined. “Hazardous financial condition” means that, based on its present or reasonably anticipated financial condition, a risk retention group, although not yet financially impaired or insolvent, is unlikely to be able to: 1. Meet obl…

NRS 695E.060 “Liability” defined. 1. “Liability” means legal liability for damages, including costs of defense, legal costs and fees, and other expenses for claims, because of injuries to other persons, damage to their property, or other damage or loss to those persons resulting …

NRS 695E.070 “Personal risk liability” defined. “Personal risk liability” means liability for damages because of injury to any person, damage to property, or other loss or damage resulting from any personal, familial or household responsibilities or activities. (Added to NRS by 1…

NRS 695E.080 “Plan of operation” defined. “Plan of operation” means an analysis of the expected activities and results of a risk retention group, including: 1. The coverages, deductibles, limits of coverage, rates and systems of rating classification for each line of insurance th…

NRS 695E.090 “Product liability” defined. “Product liability” means liability for damages because of any personal injury, death, emotional harm, consequential economic damage or damage to property, including damages resulting from the loss of use of property, arising out of the m…

NRS 695E.100 “Purchasing group” defined. “Purchasing group” means any group which: 1. Has as one of its purposes the purchase of liability insurance on a group basis; 2. Purchases such insurance only for its members and only to cover their similar or related exposure to liability…

NRS 695E.110 “Risk retention group” defined. “Risk retention group” means any corporation or association with limited liability that is formed under the laws of any state, Bermuda or the Cayman Islands: 1. Whose primary activity consists of assuming and spreading all or any porti…

NRS 695E.120 Requirements. A purchasing group that intends to conduct business in this state shall register with the Commissioner and: 1. Furnish notice to the Commissioner that: (a) Identifies the state in which the group is domiciled; (b) Specifies the lines and classifications…

NRS 695E.125 Notification of change in information provided to Commissioner. A purchasing group shall notify the Commissioner of any change in any of the information required pursuant to subsection 1 of NRS 695E.120, within 10 days after the information ceases to be accurate. (Ad…

NRS 695E.130 Purchase of insurance; exemption from certain laws. 1. Except as otherwise provided in chapter 685A of NRS, a purchasing group shall not purchase insurance from an unauthorized insurer or a risk retention group that is not chartered or registered in this state. 2. A …

NRS 695E.135 Extent of liability for payment of premium tax. All premiums paid by a purchasing group or any member of the purchasing group for insurance on risks resident, located or to be performed in this state are subject to the payment of premium taxes and any related fines o…

NRS 695E.140 Requirements. 1. A risk retention group seeking to be chartered in this State must obtain a certificate of authority pursuant to chapter 694C of NRS to transact liability insurance and, except as otherwise provided in this chapter, must comply with: (a) All of the la…

NRS 695E.150 Statement of registration; plan of operation; appointment of Commissioner as agent for service of process; filing fee; transmission of revisions of plan of operation by Commissioner. 1. Before transacting insurance in this state, a risk retention group must submit to…

NRS 695E.160 Submission of financial statement, examinations, audits and other information. A risk retention group transacting insurance in this state shall submit to the Commissioner: 1. A copy of the group’s financial statement submitted to its state of domicile, which must be …

NRS 695E.170 Applicability of other provisions; duties of agent or broker. 1. A risk retention group and its agents and representatives are subject to the provisions of: (a) NRS 680A.205 and any regulations adopted pursuant thereto, including, without limitation, regulations rela…

NRS 695E.180 Notice required in policy. A policy issued by a risk retention group must contain in 10-point type on the front page and the declaration page, the following notice: NOTICE This policy is issued by your risk retention group. Your risk retention group may not be subjec…

NRS 695E.190 Risk retention group not chartered and doing business in this State: Examination by Commissioner; compliance with order issued in certain proceedings if finding of financial impairment after examination; enforcement by district courts in this State of order issued by…

NRS 695E.200 Prohibited acts. A risk retention group shall not: 1. Transact insurance with any person who is not eligible for membership in the risk retention group; 2. Conduct any business in this state if an insurer is directly or indirectly a member or owner of the group, unle…

NRS 695E.210 Applicability of other provisions; fines and penalties for violation of chapter by risk retention group. 1. The provisions of chapters 683A and 685A of NRS apply to any person acting, or offering to act, as an agent or broker for: (a) A purchasing group; (b) A member…

NRS 695E.220 Annual notice of intent to continue doing business in Nevada. On or before March 1 of each year, a purchasing group and a risk retention group shall submit to the Commissioner a written notice of its intention to continue doing business in Nevada. (Added to NRS by 19…

NRS 695F.010 Definitions. As used in this chapter, unless the context otherwise requires, the words and terms defined in NRS 695F.020 to 695F.070, inclusive, have the meanings ascribed to them in those sections. (Added to NRS by 1991, 1113; A 1995, 2439)

NRS 695F.020 “Enrollee” defined. “Enrollee” means a person, including the dependents of the person, who is entitled to a limited health service pursuant to a contract with a person authorized to provide or arrange for that service pursuant to this chapter. (Added to NRS by 1991, …

NRS 695F.030 “Evidence of coverage” defined. “Evidence of coverage” means any certificate, agreement or contract issued to an enrollee which sets forth the coverage the enrollee is entitled to receive. (Added to NRS by 1991, 1113)

NRS 695F.040 “Limited health service” defined. “Limited health service” means: 1. Chiropractic, naprapathic, dental, hospital, medical, optometric, pharmaceutical, podiatric or surgical care; 2. Treatment relating to mental health or an alcohol or substance use disorder; or 3. Su…

NRS 695F.043 “Medicaid” defined. “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 all of the cost of medical care rendered on behalf of indigent persons. (Added to NR…