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Nevada
CHAPTER 689C - HEALTH INSURANCE FOR SMALL EMPLOYERS
120 entries
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NRS 689C.015 Definitions.
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NRS 689C.017 “Affiliated” defined.
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NRS 689C.019 “Affiliation period” defined.
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NRS 689C.023 “Bona fide association” defined.
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NRS 689C.025 “Carrier” defined.
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NRS 689C.045 “Class of business” defined.
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NRS 689C.047 “Control” defined.
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NRS 689C.053 “Creditable coverage” defined.
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NRS 689C.055 “Dependent” defined.
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NRS 689C.065 “Eligible employee” defined.
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NRS 689C.071 “Geographic rating area” defined.
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NRS 689C.072 “Geographic service area” defined.
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NRS 689C.073 “Group health plan” defined.
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NRS 689C.075 “Health benefit plan” defined.
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NRS 689C.077 “Network plan” defined.
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NRS 689C.078 “Open enrollment” defined.
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NRS 689C.079 “Plan for coverage of a bona fide association” defined.
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NRS 689C.081 “Plan sponsor” defined.
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NRS 689C.083 “Producer” defined.
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NRS 689C.085 “Rating period” defined.
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NRS 689C.095 “Small employer” defined.
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NRS 689C.104 “Voluntary purchasing group” defined.
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NRS 689C.106 “Waiting period” defined.
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NRS 689C.109 Certain plan, fund or program established or maintained by partnership required to be treated as employee welfare benefit plan which is group health plan; partnership deemed employer of each partner.
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NRS 689C.111 Professional employer organization deemed large employer in certain circumstances.
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NRS 689C.113 Requirements for employee welfare benefit plan for providing benefits for employees of more than one employer.
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NRS 689C.115 Mandatory and optional coverage.
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NRS 689C.125 Rating factors for determining premiums; rating periods.
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NRS 689C.131 Contracts between carrier and providers of health care: Prohibiting carrier from charging provider of health care fee for inclusion on list of providers given to insureds; carrier required to use form to obtain information on provider of health care; modification; submission by carrier of schedule of payments to providers.
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NRS 689C.135 Effect of provision in health benefit plan for restricted network on determination of rates.
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NRS 689C.143 Offering of policy of health insurance for purposes of establishing health savings account.
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NRS 689C.155 Regulations.
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NRS 689C.156 Each health benefit plan marketed in this State required to be offered to small employers; issuance; carrier required to provide system for resolving complaints of employees if services provided or paid for through managed care.
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NRS 689C.158 Producer authorized only to market to or sign up small employers and eligible employees in bona fide associations if employers and employees are actively engaged in or directly related to bona fide association.
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NRS 689C.159 Certain provisions inapplicable to plan that carrier makes available only through bona fide association.
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NRS 689C.160 Carrier must uniformly apply requirements to determine whether to provide coverage.
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NRS 689C.165 Carrier prohibited from modifying plan to restrict or exclude coverage or benefits for specific diseases, medical conditions or services otherwise covered by plan; exceptions.
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NRS 689C.166 Coverage for alcohol or substance use disorder: Required in group health insurance policy.
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NRS 689C.167 Coverage for alcohol or substance use disorders: Benefits provided by group health insurance policy.
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NRS 689C.168 Plan covering prescription drugs prohibited from limiting or excluding coverage for prescription drug previously approved for medical condition of insured; exception.
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NRS 689C.169 Coverage for severe mental illness required under group health insurance policy.
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NRS 689C.170 Authorized variation of minimum participation and contributions; denial of coverage based on industry prohibited.
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NRS 689C.180 Carrier to offer same coverage to all eligible employees; denial of coverage to otherwise eligible employee.
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NRS 689C.183 Plan and carrier required to permit employee or dependent of employee to enroll for coverage under certain circumstances.
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NRS 689C.187 Manner and period for enrolling dependent of covered employee; period of special enrollment.
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NRS 689C.190 Carrier required to offer and issue plan regardless of health status of employees; prohibited acts; authority to include wellness program in plan that offers discounts based on health status under certain circumstances.
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NRS 689C.191 Determination of applicable creditable coverage of person; determining period of creditable coverage of person; required statement for certain election by carrier; applicability.
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NRS 689C.192 Written certification of coverage required for purpose of determining period of creditable coverage accumulated by person.
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NRS 689C.193 Carrier prohibited from imposing restriction on being participant of or beneficiary of plan inconsistent with certain provisions; restrictions on rules of eligibility that may be established.
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NRS 689C.194 Plan covering maternity and pediatric care: Required to allow minimum stay in hospital in connection with childbirth; exceptions; prohibited acts.
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NRS 689C.195 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 acts.
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NRS 689C.196 Insurer prohibited from denying coverage solely because claim involves act that constitutes domestic violence or applicant or insured was victim of domestic violence.
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NRS 689C.197 Carrier prohibited from denying coverage because applicant or insured was intoxicated or under influence of controlled substance; exceptions.
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NRS 689C.198 Insurer prohibited from requiring or using information concerning genetic testing; exceptions.
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NRS 689C.200 Circumstances in which carrier is not required to offer coverage.
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NRS 689C.203 Requirement for denial of application for coverage from small employer; regulations setting standards for fair marketing and broad availability of plans.
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NRS 689C.207 Regulations concerning reissuance of health benefit plan.
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NRS 689C.220 Adjustment in rates required to be applied uniformly.
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NRS 689C.265 Carrier authorized to modify coverage for insurance product under certain circumstances.
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NRS 689C.281 Plan covering prescription drugs: Provision of notice and information regarding use of formulary.
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NRS 689C.310 Renewal of plan; discontinuance of issuance or renewal of coverage or of plan offered only through bona fide association; discontinuance of product; applicability.
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NRS 689C.320 Required notification when carrier discontinues transacting insurance in this State or particular geographic service area of state; restrictions on carrier that discontinues transacting insurance.
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NRS 689C.325 Coverage offered through network plan not required to be offered to eligible employee who does not reside or work in geographic service area or if carrier lacks capacity to deliver adequate service to additional employers and employees.
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NRS 689C.335 Approval or denial of claims; payment of claims and interest; requests for additional information; award of costs and attorney’s fees; compliance with requirements; imposition of administrative fine or suspension or revocation of certificate of authority for failure to comply; report of compliance by carrier.
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NRS 689C.350 Health benefit plan 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.
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NRS 689C.355 Prohibited acts of carrier or producer related to encouraging or directing small employer to take certain actions; exceptions; prohibited acts by carrier related to contract or agreement with producer; violation may constitute unfair trade practice; applicability.
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NRS 689C.360 Definitions.
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NRS 689C.380 “Contract” defined.
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NRS 689C.390 “Dependent” defined.
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NRS 689C.425 Applicability of other provisions.
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NRS 689C.430 Entities which are authorized to offer contracts to voluntary purchasing groups; compliance with provisions required.
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NRS 689C.455 Coverage for prescription drugs: Provision of notice and information regarding use of formulary.
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NRS 689C.460 Carrier to offer same coverage to all eligible employees; denial of coverage to otherwise eligible employee.
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NRS 689C.470 Renewal of contract; discontinuance of product or issuance or renewal of plan offered only through bona fide association.
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NRS 689C.480 Required notification when carrier ceases to renew all contracts; restrictions on carrier that ceases to renew all contracts.
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NRS 689C.490 Formation of voluntary purchasing group by small employers; requirements when affiliate of group ceases to qualify as small employer.
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NRS 689C.500 Registration: Requirements; application.
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NRS 689C.510 Registration: Fee for application; response to application; regulations.
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NRS 689C.520 Registration: Additional requirements.
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NRS 689C.530 Filing reports; annual renewal fee; regulations.
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NRS 689C.540 Duties.
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NRS 689C.550 Collection of premiums; trust account for deposit of premiums.
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NRS 689C.560 Regulations governing bond or other security to be maintained by voluntary purchasing group.
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NRS 689C.570 Organizer prohibited from acquiring financial interest in group’s business for specified period.
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NRS 689C.580 Prohibited acts.
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NRS 689C.590 Disciplinary or other action for violation of provisions.
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NRS 689C.600 Regulations.
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NRS 689C.0835 “Professional employer organization” defined.
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NRS 689C.940 Regulations concerning determination of status of stop-loss policy.
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NRS 689C.1065 Applicability.
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NRS 689C.1565 Coverage to small employers not required under certain circumstances; notice required to Commissioner of and prohibition on writing new business after election not to offer new coverage required.
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NRS 689C.1652 Coverage for medically necessary treatment of conditions relating to gender dysphoria and gender incongruence required; restriction on refusal to cover certain treatments; authority of carrier to prescribe requirements for covering surgical treatments for minors; determination of medical necessity.
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NRS 689C.1653 Coverage for testing, treatment and prevention of sexually transmitted diseases required; coverage for condoms for certain insureds required.
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NRS 689C.1654 Coverage for habilitative speech-language pathology and rehabilitative speech-language pathology as treatment for stuttering required for certain persons; prohibited acts.
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NRS 689C.1655 Coverage for autism spectrum disorders for certain persons required; prohibited acts.
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NRS 689C.1665 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.
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NRS 689C.1671 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.
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NRS 689C.1672 Coverage for certain tests and vaccines relating to human papillomavirus required; prohibited acts.
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NRS 689C.1673 Coverage for screening, genetic counseling and testing related to BRCA gene required in certain circumstances.
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NRS 689C.1674 Coverage for certain screenings and tests for breast cancer required; prohibited acts.
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NRS 689C.1675 Coverage for examination of person who is pregnant for certain diseases required.
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NRS 689C.1676 Coverage for drug or device for contraception and related health services required; prohibited acts; exceptions.
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NRS 689C.1677 Coverage for procedure or service for preservation of fertility required in certain circumstances; exemption. [Effective January 1, 2027.]
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NRS 689C.1678 Coverage for certain services, screenings and tests relating to wellness required; prohibited acts.
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NRS 689C.1679 Plan covering prescription drugs: Required actions by carrier related to acquisition of prescription drugs for certain insureds residing in area for which emergency or disaster has been declared.
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NRS 689C.1681 Plan 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; applicability of provisions.
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NRS 689C.1682 Plan covering prescription drugs: Submission to step therapy protocol for drug to treat psychiatric condition prohibited in certain circumstances.
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NRS 689C.1683 Coverage for prescription drugs irregularly dispensed for purpose of synchronization of chronic medications required in plan covering prescription drugs; prohibited acts; exception.
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NRS 689C.1684 Plan covering prescription drug for treatment of cancer or cancer symptom that is part of step therapy protocol: Carrier required to allow insured or attending practitioner to apply for exemption from step therapy protocol in certain circumstances; procedure for applying for and granting exemption.
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NRS 689C.1685 Plan covering prescription drugs: Denial of coverage prohibited for early refills of otherwise covered topical ophthalmic products.
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NRS 689C.1687 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 plan covering prescription drugs.
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NRS 689C.1688 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.
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NRS 689C.1945 Plan covering maternity care: Prohibited acts by carrier if insured is acting as gestational carrier; child deemed child of intended parent for purposes of plan.
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NRS 689C.1947 Plan covering anatomical gifts, organ transplants or treatments or services related to organ transplants: Prohibited acts by carrier if insured is person with disability.
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NRS 689C.1948 Coverage for dental service provided by qualified dental hygienist required in certain circumstances.
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NRS 689C.1975 Carrier prohibited from discriminating against person with respect to participation or coverage on basis of gender identity or expression.
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NRS 689C.16715 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.
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NRS 689C.16745 Coverage for noninvasive prenatal screening required.
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NRS 689C.16805 Limitation on cost-sharing obligation for insulin covered by plan covering prescription insulin drugs; prohibited acts.
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NRS 689C.16875 Coverage for screening for lung cancer required in plan providing coverage for treatment of lung cancer.