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All sources · 50,308 documents · Table of contents · PLANS FOR DENTAL CARE · CHAPTER 695D - PLANS FOR DENTAL CARE

Nevada

CHAPTER 695D - PLANS FOR DENTAL CARE
48 entries
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NRS 695D.010 Definitions.
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NRS 695D.012 “Administrator” defined.
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NRS 695D.020 “Commissioner” defined.
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NRS 695D.030 “Dental care” defined.
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NRS 695D.040 “Dentist” defined.
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NRS 695D.050 “Member” defined.
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NRS 695D.060 “Organization for dental care” defined.
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NRS 695D.070 “Plan for dental care” defined.
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NRS 695D.080 “Policy” defined.
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NRS 695D.090 Applicability of title to organizations for dental care; applicability of chapter.
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NRS 695D.095 Applicability of chapter and certain other provisions to organizations for dental care.
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NRS 695D.100 Regulations.
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NRS 695D.102 Summary of coverage: Contents of disclosure; approval by Commissioner; regulations.
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NRS 695D.104 Summary of coverage: Copy required to be provided to group policyholder before issuance of policy; organization prohibited from offering plan unless disclosure approved by Commissioner.
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NRS 695D.110 Certificate of authority: Required for establishing, operating, acting as administrator of, selling or offering to sell plan for dental care.
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NRS 695D.120 Certificate of authority: Application.
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NRS 695D.130 Certificate of authority: Issuance; fees.
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NRS 695D.140 Certificate of authority: Notice of change of information; application for amendment; fee; approval.
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NRS 695D.150 Certificate of authority: Expiration; renewal; fees.
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NRS 695D.153 Capital account: Minimum amount; requirements.
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NRS 695D.157 Hazardous financial condition: Regulations; determination; powers of Commissioner.
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NRS 695D.160 Composition of board of directors for organization for dental care that is corporation.
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NRS 695D.170 Bond or deposit: Required; amount; creation of Fund for Bonds of Organizations for Dental Care; judgment as lien; disposition upon dissolution, liquidation or other termination of organization.
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NRS 695D.180 Requirements concerning bond.
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NRS 695D.190 Certain persons in organization for dental care in fiduciary relationship to members; dentist subject to disciplinary action for breaches of fiduciary or contractual obligations.
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NRS 695D.200 Policy: Review by prospective members at meeting; provision of copy to members; approval by Commissioner; form and contents; notice of change.
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NRS 695D.203 Group plan issued to replace discontinued policy or coverage: Requirements; notice of reduction of benefits; statement of benefits; applicability to self-insured employer.
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NRS 695D.205 Copayments and deductibles: Reasonableness; approval of Commissioner; regulations.
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NRS 695D.210 Policy covering dependent of member required to include coverage for member’s newly born and adopted children and children placed with member for adoption to same extent as other dependents.
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NRS 695D.215 Claims: Approval or denial; payment of claim and interest; request 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 organization.
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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 provided in person or by other means; prohibited acts.
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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.
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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.
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NRS 695D.220 Licensing of agents.
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NRS 695D.225 Contracts between organization for dental care and dentist: Modification; submission of schedule of payments upon request; exceptions.
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NRS 695D.227 Prohibitions related to setting of fees by plan or organization for dental care other than covered services to members.
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NRS 695D.230 Advertising or materials used to enroll or solicit members: Approval of Commissioner; penalties.
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NRS 695D.240 Limitation on use of charges or premiums for marketing and administrative expenses; regulations.
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NRS 695D.250 Reserves: Maintenance; exception; held in fiduciary capacity; deposit; penalty for diversion or appropriation; regulations.
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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.
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NRS 695D.270 Examination by Commissioner.
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NRS 695D.280 Rehabilitation, liquidation or conservation: Conduct.
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NRS 695D.290 Trade practices and frauds: Applicability of provisions to organizations for dental care.
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NRS 695D.300 Disciplinary action: Grounds; penalties.
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NRS 695D.310 Disciplinary or other action: Notice; hearing; order.
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NRS 695D.2153 Claims: Organization for dental care or administrator prohibited from denying claim for which prior authorization has been granted; exceptions.
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NRS 695D.2157 Recovery of overpayments: Notice; procedures for challenging attempted recovery; limitation of period for recovery; exception.
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NRS 695D.2165 Required provision concerning coverage for dental service provided by qualified dental hygienist in certain circumstances.
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