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All sources · 50,308 documents · Table of contents · CONTRACTS OF INSURANCE · CHAPTER 687B - CONTRACTS OF INSURANCE

Nevada

CHAPTER 687B - CONTRACTS OF INSURANCE
154 entries
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NRS 687B.010 Scope.
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NRS 687B.011 Definitions.
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NRS 687B.015 “Binder” defined.
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NRS 687B.018 “Medicare supplemental policy” defined.
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NRS 687B.021 Signatures.
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NRS 687B.030 Waiver of payment of premium.
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NRS 687B.040 Insurable interest: Personal insurance.
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NRS 687B.050 Insurable interest: Exception when certain institutions designated beneficiary.
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NRS 687B.060 Insurable interest: Property.
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NRS 687B.070 Power to contract; purchase of insurance and annuities by minors.
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NRS 687B.080 Consent of insured to life or health insurance required; exceptions; notice of application for or request to increase coverage of insurance upon life of another required.
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NRS 687B.090 Alteration of application: Life and health insurance.
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NRS 687B.100 Application as evidence.
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NRS 687B.110 Representations in applications.
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NRS 687B.113 Control of cost of health care: Provisions encouraging use of certain services and facilities.
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NRS 687B.117 Control of cost of health care: Insurer required to use three or more practices that control cost in administering benefits.
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NRS 687B.120 Filing and approval of forms; exemption; appeal of disapproval or withdrawal of previous approval.
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NRS 687B.122 Readability of policies: Applicability of requirements.
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NRS 687B.124 Readability of policies: Flesch test; type size, style, arrangement and overall appearance; index or table of contents; scoring riders or other forms separately.
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NRS 687B.126 Readability of policies: Filing policy for Commissioner’s approval; exceptions to score requirements on Flesch test.
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NRS 687B.128 Readability of policies: Required approval by Commissioner in certain circumstances.
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NRS 687B.130 Grounds for disapproval or withdrawal of previous approval.
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NRS 687B.140 Standard provisions.
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NRS 687B.145 Provisions in policies of casualty insurance: Proration of recovery or benefits; uninsured and underinsured vehicle coverage; coverage for medical expenses; insurer not entitled to subrogation upon payment made because of underinsured vehicle coverage.
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NRS 687B.147 Exclusion, reduction or limitation of certain coverage in motor vehicle insurance policies allowed; conditions; form and contents of disclosure.
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NRS 687B.150 Requirement for making any portion of charter, bylaws or certain other documents of insurer part of contract.
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NRS 687B.160 Execution of policies.
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NRS 687B.170 Underwriters’ and combination policies.
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NRS 687B.180 Validity and construction of noncomplying forms.
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NRS 687B.182 Binders: Issuance; period of effectiveness.
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NRS 687B.183 Binders: Forms; required statement related to certain policies; delivery of copies.
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NRS 687B.184 Binders: Limits of coverage, effective date and premium for policy issued as replacement.
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NRS 687B.185 Binders: Prohibition of use to lower premiums.
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NRS 687B.186 Binders: Proof of insurance coverage; penalties for refusal to accept; exception.
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NRS 687B.187 Binders: Disapproval of insurer.
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NRS 687B.190 Delivery of policy covering motor vehicle: Vendor, mortgagee or pledgee required to deliver duplicate to vendee, mortgagor or pledgor; stamped statement regarding certain lack of coverage; exception.
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NRS 687B.200 Assignability: Life or health insurance policy.
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NRS 687B.210 Payment under life or health insurance policy or annuity contract discharges insurer from claims under policy or contract; exception.
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NRS 687B.220 Forms for proof of loss required to be furnished by insurer to insured claimant.
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NRS 687B.225 Requirements for contracts for payment of cost of medical or dental care which require prior authorization of care.
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NRS 687B.240 Administration of claims not waiver.
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NRS 687B.250 Payment not to constitute admission of liability or waiver of defenses.
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NRS 687B.255 Insurer required to pay claim with negotiable instrument.
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NRS 687B.260 Exemption of proceeds of certain policies.
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NRS 687B.270 Exemption of proceeds: Health insurance.
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NRS 687B.280 Exemption of proceeds: Group insurance.
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NRS 687B.290 Exemption of proceeds: Annuities; assignability of rights.
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NRS 687B.300 Retention of proceeds of policy by insurer.
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NRS 687B.310 Cancellations and nonrenewals; scope of application.
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NRS 687B.320 Policies other than industrial insurance policies: Grounds for midterm cancellation; notice to policyholder.
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NRS 687B.325 Industrial insurance policies: Grounds for midterm cancellation; notice to policyholder; provisions do not prohibit change in premium rate; terms of certain policies.
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NRS 687B.330 Anniversary cancellation.
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NRS 687B.340 Nonrenewals.
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NRS 687B.345 Annual review of coverage and benefits provided in policy.
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NRS 687B.350 Renewal with change in policy or coverage provisions without certain notice to insured prohibited; exceptions.
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NRS 687B.351 Requirements relating to purchase of Medicare supplemental policies by persons less than 65 years of age who are eligible for Medicare; limitation on premiums; open enrollment period.
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NRS 687B.352 Open enrollment period for Medicare supplemental policies required; prohibited acts; notice; treatment of Medicare supplemental policies purchased during open enrollment period for purposes relating to payment of commissions.
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NRS 687B.355 Insurer required to provide to policyholder information about claims paid on behalf of policyholder; fee; regulations.
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NRS 687B.360 Notice of cancellation or nonrenewal: Insurer required to provide to policyholder information about grounds upon request; notice ineffective unless contains information about right of policyholder to make such a request.
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NRS 687B.370 Certain notice ineffective unless contains information about applying for insurance through certain plans.
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NRS 687B.380 Immunity.
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NRS 687B.383 Refusal to issue, cancellation of, nonrenewal of or increase in premium or rate for certain policies solely on basis of breed of dog prohibited; exception; permissible inquiry by insurer regarding dog.
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NRS 687B.385 Refusal to issue, cancellation, nonrenewal or increase in premium of policy of motor vehicle insurance due to claims for which insured was not at fault, claims for which insurer made no payment or recovered entirety of payment or inquiries relating to a claim prohibited.
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NRS 687B.390 Cancellation or nonrenewal of automobile liability insurance policy on sole basis of age, residence, race, color, creed, national origin, ancestry, sexual orientation, gender identity or expression or occupation of insured prohibited.
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NRS 687B.400 Refusal to issue, reduction of liability limits of or increase in premium of automobile liability insurance policy on sole basis of reaching certain age prohibited; burden of proof; cost of medical examination; exception.
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NRS 687B.402 Compliance of certain insurers or organizations providing health coverage with certain federal laws regarding genetic information.
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NRS 687B.404 Adherence by insurer or organization providing health coverage to certain federal laws regarding parity in coverage for mental health and substance use disorder treatment; data request; submission of data or report to Commissioner; confidentiality of information; report by Commissioner; regulations.
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NRS 687B.406 Compliance of certain insurers or organizations providing health coverage with certain federal laws regarding dependent students.
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NRS 687B.407 Authority of nonprofit health benefit plan to use list of preferred prescription drugs developed by Nevada Health Authority as formulary and obtain such drugs through purchasing agreements negotiated by Authority; notification of Authority.
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NRS 687B.408 Insurer that issues certain policies of health insurance required to notify insured and physician before effective date of changes related to prescription drugs used for transplanted organs.
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NRS 687B.409 Payments to out-of-network providers for treatment of mental health or alcohol or substance use disorder; assignment of benefits.
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NRS 687B.410 Withdrawal of provision of insurance for particular class of insureds: Notice to Commissioner; administrative review upon request from insured.
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NRS 687B.420 Notice of proposed cancellation, nonrenewal or alteration of terms of certain policies, contracts or plans of insurance.
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NRS 687B.430 Regulations: Form, content and sale of policies which provide for payment of expenses not covered by Medicare; sale of more than one policy of health insurance to same person.
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NRS 687B.440 Umbrella policies: Requirement of signed disclosure statement from individual indicating whether policy includes uninsured or underinsured motorist coverage; form.
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NRS 687B.450 Required medical examination of applicant or insured: Duty of insurer to provide notification of potentially serious medical condition; exception; regulations.
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NRS 687B.460 Certificates of insurance for property or casualty insurance: Not part of, amend any term of or alter or expand coverage, exclusion or condition of contract or policy.
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NRS 687B.470 “Health benefit plan” defined.
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NRS 687B.480 Required manner of availability; required notice related to Silver State Health Insurance Exchange in certain circumstances; regulations.
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NRS 687B.490 Requirements for carrier offering coverage in small employer group or individual market: Demonstration of capacity to adequately deliver services by applying to Commissioner for issuance of network plan and submission of information; determination by Commissioner; certification of plan or specification of deficiency; annual summary; periodic determinations by Commissioner concerning availability and accessibility of services of approved plan.
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NRS 687B.500 Basis for premium rate; exceptions.
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NRS 687B.600 Definitions.
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NRS 687B.602 “Administrator” defined.
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NRS 687B.605 “Covered person” defined.
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NRS 687B.606 “Dental care” defined.
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NRS 687B.607 “Direct notification” defined.
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NRS 687B.610 “Evidence of coverage” defined.
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NRS 687B.615 “Health benefit plan” defined.
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NRS 687B.620 “Health care services” defined.
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NRS 687B.625 “Health carrier” defined.
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NRS 687B.630 “Intermediary” defined.
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NRS 687B.635 “Medically necessary” defined.
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NRS 687B.640 “Network” defined.
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NRS 687B.645 “Network plan” defined.
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NRS 687B.650 “Participating provider of health care” defined.
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NRS 687B.655 “Primary care physician” defined.
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NRS 687B.658 “Provider network contract” defined.
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NRS 687B.660 “Provider of health care” defined.
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NRS 687B.664 “Third party” defined.
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NRS 687B.665 “Utilization review” defined.
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NRS 687B.670 Requirements to offer or issue network plan.
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NRS 687B.675 Provision of information to Office for Consumer Health Assistance.
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NRS 687B.680 Health carrier required to establish mechanism for ongoing notification of participating providers of health care of services covered by network plan and for which provider is responsible.
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NRS 687B.690 Required provisions in contract between participating provider of health care and health carrier.
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NRS 687B.692 Provider network contract: Circumstances in which health carrier prohibited from denying request to enter into contract from a provider of health care employed or accepting employment with medical school; grounds for denial of request or termination of contract.
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NRS 687B.693 Access to services and contractual discounts of a provider of health care: Inapplicability of provisions.
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NRS 687B.694 Access to services and contractual discounts of a provider of health care: Requirements for granting access; termination; confidentiality.
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NRS 687B.695 Access to services and contractual discounts of a provider of health care: Obligations of third party that grants access to another third party.
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NRS 687B.696 Access to services and contractual discounts of a provider of health care: Information required to be provided to health carrier and providers of health care by third parties; update of information.
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NRS 687B.697 Access to services and contractual discounts of a provider of health care: Obligations of health carrier and third parties concerning remittance advice or explanation of payment; refusal of discount taken on such advice or explanation by provider of health care; correction of error in advice or explanation; requirements of third party for such access.
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NRS 687B.700 Contract required to provide requirement that participating provider of health care continue delivery of services if health carrier or intermediary insolvent or ceases operations for specified period; billing of covered person.
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NRS 687B.710 Certain provisions included in contract required to be construed in favor of covered person, survive termination of contract and supersede certain contrary agreements.
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NRS 687B.720 Contract required to provide for notice of insolvency or cessation of operations of health carrier or intermediary to participating provider of health care.
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NRS 687B.723 Claim for dental care: Health carrier or administrator of health benefit plan prohibited from denying claim for which prior authorization has been granted; exceptions.
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NRS 687B.725 Claim for dental care: Requirements and limitations related to recovery of overpayments.
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NRS 687B.730 Health carrier required to notify participating provider of health care of administrative policies and programs of carrier; health carrier required to provide participating provider of health care and covered person explanation of process for paying claims submitted by participating provider of health care; exemptions.
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NRS 687B.740 Inducement to provide less than medically necessary health care services prohibited.
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NRS 687B.750 Health carrier not to prohibit certain actions by participating provider of health care.
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NRS 687B.760 Health records; confidentiality.
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NRS 687B.770 Assignment or delegation of rights and responsibilities without prior written consent prohibited.
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NRS 687B.780 Health carrier required to ensure that participating providers of health care furnish covered services to all covered persons; exception.
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NRS 687B.790 Health carrier required to notify participating providers of health care of obligation to collect coinsurance, copayment or deductible or notify covered person of obligation for services not covered.
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NRS 687B.795 Health carrier required to demonstrate capacity to adequately deliver family planning services provided by pharmacists or pharmacies; notice to covered persons; regulations.
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NRS 687B.800 Retaliation for good faith reporting to state or federal authority prohibited.
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NRS 687B.805 Prohibited acts by health carrier relating to 340B Program; provisions do not prohibit certain entities from taking actions necessary to prevent duplicate discounts or rebates or ensure financial stability of Medicaid program.
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NRS 687B.810 Health carrier required to establish mechanism to allow participating provider of health care to determine whether a person is a covered person or within grace period for payment of premium.
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NRS 687B.820 Procedures for resolution of disputes; exemptions.
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NRS 687B.830 Contract for purposes of network plan prohibited from conflicting with network plan or law; notice of provisions and incorporated documents; notice of changes.
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NRS 687B.840 Health carrier required to inform participating provider of health care of status and inclusion on certain lists maintained by health carrier upon request or change in such status or inclusion.
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NRS 687B.850 Regulations.
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NRS 687B.860 Definitions.
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NRS 687B.862 “Attachment point” defined.
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NRS 687B.864 “Group health plan” defined.
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NRS 687B.866 “Health care services” defined.
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NRS 687B.868 “Multiple employer welfare arrangement” defined.
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NRS 687B.870 “Network” defined.
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NRS 687B.872 “Policy of provider stop-loss insurance” defined.
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NRS 687B.874 “Policy of stop-loss insurance” defined.
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NRS 687B.876 “Provider of health care” defined.
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NRS 687B.878 Reporting of premiums written in this State for policies of stop-loss insurance.
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NRS 687B.880 Exercise of reasonable diligence related to legitimacy and authority required before issuing policy of stop-loss insurance for group health plan.
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NRS 687B.882 Policy form for policy of stop-loss insurance for group health plan: Filing; approval; requirements.
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NRS 687B.884 Policy form for policy of provider stop-loss insurance: Filing; approval; requirements; accompanying certification.
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NRS 687B.900 Definitions.
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NRS 687B.910 “Health carrier” defined.
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NRS 687B.920 “Insured” defined.
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NRS 687B.930 “Medically necessary” defined.
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NRS 687B.940 “Prior authorization” defined.
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NRS 687B.950 “Provider of health care” defined.
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NRS 687B.960 Applicability.
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NRS 687B.970 Authorization for contracts or policies of insurance for payment of cost of medical or dental care to require prior authorization of care; filing with Commissioner of procedure for obtaining prior authorization; period for health carrier to respond to request for prior authorization; discrimination among persons licensed to provide covered care prohibited.
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NRS 687B.980 Prohibition against requiring prior authorization for certain services, care or goods.
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NRS 687B.990 Violations.
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NRS 687B.4095 Policies of health insurance including prescription drug coverage: Restrictions on moving prescription drug from lower-cost tier to higher-cost tier.
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