Title 57

NRS 695H.130 Net worth. 1. Each medical discount plan must at all times maintain a net worth of $100,000. 2. The Commissioner shall not issue a registration or renewal of a registration for a medical discount plan unless the person registering or renewing the registration certifi…

NRS 695H.140 Examinations and inspection of accounts, books and records by Commissioner. 1. Except as otherwise provided in this subsection, the Commissioner may conduct examinations to enforce the provisions of this chapter pursuant to the provisions of NRS 679B.230 to 679B.300,…

NRS 695H.150 Records: Maintenance, retention and storage. 1. A medical discount plan must maintain records of the transactions governed by this chapter. The records must include: (a) A copy of each type of contract that the medical discount plan issues, sells or offers for sale; …

NRS 695H.160 Regulations. The Commissioner may adopt regulations to carry out the provisions of this chapter. (Added to NRS by 2005, 2105)

NRS 695H.170 Administrative penalty for commission of certain acts; availability of list of participating providers of health care required. A person is subject to the imposition of an administrative penalty pursuant to this chapter if, in the course of the business of the person…

NRS 695H.180 Penalties. A person who violates any provision of this chapter or an order or regulation of the Commissioner issued or adopted pursuant thereto may be assessed an administrative penalty by the Commissioner of not more than $2,000 for each act or violation. (Added to …

NRS 695I.010 Definitions. As used in this chapter, unless the context otherwise requires, the words and terms defined in NRS 695I.015 to 695I.110, inclusive, have the meanings ascribed to them in those sections. (Added to NRS by 2011, 2644; A 2025, 3768)

NRS 695I.015 “Authority” defined. “Authority” means the Nevada Health Authority. (Added to NRS by 2025, 3768)

NRS 695I.020 “Board” defined. “Board” means the Board of Directors of the Exchange. (Added to NRS by 2011, 2645)

NRS 695I.025 “Division” defined. “Division” means the Consumer Health Division of the Authority. (Added to NRS by 2025, 3768)

NRS 695I.030 “Exchange” defined. “Exchange” means the Silver State Health Insurance Exchange. (Added to NRS by 2011, 2645)

NRS 695I.040 “Executive Director” defined. “Executive Director” means the Executive Director of the Exchange. (Added to NRS by 2011, 2645)

NRS 695I.060 “Medical facility” defined. “Medical facility” has the meaning ascribed to it in NRS 449.0151. (Added to NRS by 2011, 2645)

NRS 695I.070 “Provider of health care” defined. “Provider of health care” has the meaning ascribed to it in NRS 629.031. (Added to NRS by 2011, 2645)

NRS 695I.080 “Qualified health plan” defined. Except as otherwise provided in NRS 695I.370, “qualified health plan” has the meaning ascribed to it in § 1301 of the Federal Act. (Added to NRS by 2011, 2645)

NRS 695I.090 “Qualified individual” defined. “Qualified individual” means a person, including, without limitation, a minor, who: 1. Is seeking to enroll in a qualified health plan offered to persons through the Exchange; 2. Resides in Nevada; 3. At the time of enrollment is not i…

NRS 695I.100 “Qualified small employer” defined. “Qualified small employer” means a small employer that chooses to make all of its full-time employees eligible for one or more qualified health plans offered through the Exchange to assist qualified small employers in Nevada in fac…

NRS 695I.110 “Small employer” defined. “Small employer” has the meaning ascribed to it in NRS 689C.095. (Added to NRS by 2011, 2645) ORGANIZATION; POWERS AND DUTIES

NRS 695I.200 Establishment within Consumer Health Division of Nevada Health Authority; purpose. The Silver State Health Insurance Exchange is hereby established within the Division to: 1. Facilitate the purchase and sale of qualified health plans in the individual market in Nevad…

NRS 695I.210 Powers and duties of Consumer Health Division of Nevada Health Authority through Exchange; applicability of state purchasing provisions. 1. The Division shall, through the Exchange: (a) Create and administer a health insurance exchange; (b) Facilitate the purchase an…

NRS 695I.300 Membership of Board. 1. The Board of the Exchange is hereby created within the Division. The Board consists of seven voting members and one ex officio nonvoting member. 2. Subject to the provisions of subsections 3 to 6, inclusive: (a) The Governor shall appoint two …

NRS 695I.310 Terms of office; reappointment; removal; vacancy. 1. After the initial terms, the term of each appointed member of the Board is 3 years. 2. An appointed member of the Board may be reappointed to an additional nonconsecutive term on the Board. 3. The appointing author…

NRS 695I.320 Chair and Vice Chair: Election; term and limit on number of terms; vacancy. 1. The Board shall elect a Chair and a Vice Chair from among its members. 2. The terms of the Chair and Vice Chair are 1 year. 3. The Chair and Vice Chair may be reelected to not more than on…

NRS 695I.330 Compensation of members; per diem and travel expenses. 1. To the extent that money is available for that purpose, each member of the Board who is not an officer or employee of the State of Nevada or a political subdivision of the State is entitled to receive a salary…

NRS 695I.340 Meetings; quorum; voting. 1. The Board shall meet: (a) At least once each calendar year; and (b) At other times upon the call of the Chair or a majority of the voting members. 2. A majority of the voting members of the Board constitutes a quorum for the transaction o…

NRS 695I.350 Subcommittees and advisory committees. 1. The Board may appoint subcommittees and advisory committees composed of members of the Board, former members of the Board and members of the general public who have experience with or knowledge of matters relating to health c…

NRS 695I.360 Compliance with Open Meeting Law. The Board and any subcommittee or advisory committee appointed by the Board shall comply with the provisions of chapter 241 of NRS. (Added to NRS by 2011, 2648)

NRS 695I.370 Powers and duties of Board: Advise Executive Director; adopt bylaws; reports; audits; regulations; recommendations concerning contracts for services. 1. The Board shall: (a) Advise the Executive Director concerning the governance and operation of the Exchange in acco…

NRS 695I.380 Appointment, classification, qualifications and duties of Executive Director; appointment, classification and removal of other employees; contracting for services. 1. The Director of the Authority shall, subject to the approval of the Governor, appoint an Executive D…

NRS 695I.390 Coordination with Medicaid, Children’s Health Insurance Program and other public programs. 1. The Director of the Authority and the Director of the Department of Human Services shall collaborate to ensure that the Exchange coordinates with Medicaid, the Children’s He…

NRS 695I.500 State agencies to provide support to Nevada Health Authority and Exchange; intergovernmental agreements. The Department of Human Services, the Division of Insurance of the Department of Business and Industry and any other relevant state agency shall work with and pro…

NRS 695I.505 Policies to meet unique needs of tradespersons: Application for federal waiver by Executive Director; requirements for offering policy on Exchange; criteria for eligibility for policy. 1. The Executive Director, in collaboration with the Director of the Department of…

NRS 695I.510 Temporary advance from State General Fund for authorized expenses of Exchange. 1. If the Executive Director determines that the current expenses of the Exchange exceed the amount of money available because of a delay in the receipt of money from federal grants or a d…

NRS 695I.520 Construction of chapter. Nothing in this chapter, and no action taken by the Exchange pursuant to this chapter, shall be construed to preempt or supersede the authority of the Commissioner to regulate the business of insurance within this State. (Added to NRS by 2011…

NRS 695J.010 Definitions. As used in this chapter, unless the context otherwise requires, the words and terms defined in NRS 695J.020 to 695J.070, inclusive, have the meanings ascribed to them in those sections. (Added to NRS by 2013, 3590)

NRS 695J.020 “Appointment” defined. “Appointment” means a contract, agreement or other arrangement under which a person may act on behalf of the Exchange as an assister, navigator or any other designation authorized or required by the Federal Act. (Added to NRS by 2013, 3590)

NRS 695J.030 “Assister” defined. “Assister” has the meaning ascribed to it by regulations adopted by the Board of Directors of the Exchange pursuant to NRS 695I.370. (Added to NRS by 2013, 3590)

NRS 695J.040 “Exchange” defined. “Exchange” means the Silver State Health Insurance Exchange established by NRS 695I.200. (Added to NRS by 2013, 3590)

NRS 695J.050 “Exchange enrollment facilitator” defined. “Exchange enrollment facilitator” means a person certified pursuant to this chapter who is engaged in the business of facilitating enrollment in qualified health plans offered by the Exchange. (Added to NRS by 2013, 3590)

NRS 695J.060 “Navigator” defined. “Navigator” means a person or entity that meets the requirements of 45 C.F.R. § 155.210 and any other requirements of the Exchange. (Added to NRS by 2013, 3590)

NRS 695J.070 “Qualified health plan” defined. “Qualified health plan” has the meaning ascribed to it in NRS 695I.080. (Added to NRS by 2013, 3590)

NRS 695J.100 Applicability. 1. The provisions of NRS 683A.341 and 683A.351 apply to exchange enrollment facilitators. 2. For the purposes of subsection 1, unless the context requires that NRS 683A.341 or 683A.351 apply only to producers of insurance or insurers, any reference in …

NRS 695J.110 Application for initial certificate as exchange enrollment facilitator: Requirements; fee. An applicant for an initial certificate as an exchange enrollment facilitator must: 1. Be a natural person of not less than 18 years of age; 2. Apply on a form prescribed by th…

NRS 695J.120 Application for certificate as exchange enrollment facilitator: Form; fingerprints; period of validity of certificate. 1. The Commissioner shall prescribe the form for application for a certificate as an exchange enrollment facilitator. The form must require the appl…

NRS 695J.130 Examination: Application; fee; failure to appear or pass. 1. A person taking the examination required pursuant to NRS 695J.110 must apply to the Commissioner to take the examination and pay a nonrefundable fee in an amount prescribed in the regulations adopted pursua…

NRS 695J.140 Renewal of certificate: Application; fees; waiver of time limit and fine or sanction; expiration. 1. A certificate may be renewed by submitting to the Commissioner an application for renewal and: (a) If the application is made: (1) On or before the renewal date of th…