Nevada · Statutes
Chapter 689B
117 sections
117 sections
- Nev. Rev. Stat. § 689B.010Short title; scope.
- Nev. Rev. Stat. § 689B.015Contracts between insurer and provider of health care: Prohibiting insurer from charging provider of health care fee for inclusion on list of providers given to insureds; insurer required to use form to obtain information on provider of health care; modification; submission by insurer of schedule of payments to providers.
- Nev. Rev. Stat. § 689B.020“Group health insurance” defined; authority to provide in certain policies for continuation of certain benefit provisions after death of person in insured group; authority of Commissioner to require filing of form of certificate proposed for delivery in this state of policy made under laws of another state.
- Nev. Rev. Stat. § 689B.026Delivery of policy to group formed to purchase health insurance prohibited; exception; applicable provisions for review of marketed insurance products by Commissioner; applicability to policy issued in another state.
- Nev. Rev. Stat. § 689B.029Annual report regarding system for resolving complaints of insureds; insurer required to maintain records of and report complaints concerning something other than health care services.
- Nev. Rev. Stat. § 689B.030Required provisions.
- Nev. Rev. Stat. § 689B.031Required provision concerning coverage of certain gynecological or obstetrical services without authorization or referral from primary care physician; designation of obstetrician or gynecologist as primary care physician.
- Nev. Rev. Stat. § 689B.033Certain policies covering family members required to include certain coverage for insured’s newly born and adopted children and children placed with insured for adoption.
- Nev. Rev. Stat. § 689B.034Required provision concerning effect of benefits under other valid group coverage; subrogation; prohibited act.
- Nev. Rev. Stat. § 689B.035Required provision in certain policies concerning termination of coverage on dependent child.
- Nev. Rev. Stat. § 689B.038Reimbursement for treatments by licensed psychologist.
- Nev. Rev. Stat. § 689B.039Reimbursement for treatments by chiropractic physician.
- Nev. Rev. Stat. § 689B.040Direct payment for hospital and medical services and home health care; payment to assignee.
- Nev. Rev. Stat. § 689B.045Reimbursement for services provided by certain nurses.
- Nev. Rev. Stat. § 689B.047Reimbursement to provider of medical transportation.
- Nev. Rev. Stat. § 689B.049Reimbursement for acupuncture.
- Nev. Rev. Stat. § 689B.050Extended disability benefit.
- Nev. Rev. Stat. § 689B.060Readjustment of premiums; dividends.
- Nev. Rev. Stat. § 689B.061Limitations on deductibles and copayments charged under policy which offers difference of payment between preferred providers of health care and providers who are not preferred.
- Nev. Rev. Stat. § 689B.063Primary and secondary policies: Determination of benefits.
- Nev. Rev. Stat. § 689B.064Primary and secondary policies: Order of benefits.
- Nev. Rev. Stat. § 689B.065Policy issued to replace discontinued policy or coverage: Requirements; notice of reduction of benefits; statement of benefits; applicability of section.
- Nev. Rev. Stat. § 689B.067Provision in policy requiring binding arbitration for disputes with insurer authorized; procedure for arbitration; declaratory relief.
- Nev. Rev. Stat. § 689B.068Insurer prohibited from denying coverage solely because claim involves act that constitutes domestic violence or applicant or insured was victim of domestic violence.
- Nev. Rev. Stat. § 689B.069Insurer prohibited from requiring or using information concerning genetic testing; exceptions.
- Nev. Rev. Stat. § 689B.070“Blanket accident and health insurance” defined.
- Nev. Rev. Stat. § 689B.080Authority to issue; required provisions.
- Nev. Rev. Stat. § 689B.090Application and certificates.
- Nev. Rev. Stat. § 689B.100Payment of benefits.
- Nev. Rev. Stat. § 689B.110Legal liability of policyholders for death of or injury to insured member unaffected.
- Nev. Rev. Stat. § 689B.250Acceptance of uniform forms for billing and claims.
- Nev. Rev. Stat. § 689B.255Approval 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 insurer.
- Nev. Rev. Stat. § 689B.260Group health or blanket health policy containing exclusion, reduction or limitation of coverage relating to complications of pregnancy prohibited; exception.
- Nev. Rev. Stat. § 689B.0265Policy to guaranteed association.
- Nev. Rev. Stat. § 689B.265Policy covering anatomical gifts, organ transplants or treatments or services related to organ transplants: Prohibited acts by insurer if insured is person with disability.
- Nev. Rev. Stat. § 689B.270Required procedure for arbitration of disputes concerning independent medical, dental or chiropractic evaluations.
- Nev. Rev. Stat. § 689B.275Contents, approval and provision of summary of coverage; provision of information about guaranteed availability of certain plans for benefits.
- Nev. Rev. Stat. § 689B.280Disclosure of information concerning medication of insured prohibited.
- Nev. Rev. Stat. § 689B.0283Policy covering prescription drugs: Provision of notice and information regarding use of formulary.
- Nev. Rev. Stat. § 689B.0285System for resolving complaints of insureds: Establishment; approval; requirements; examination; exception.
- Nev. Rev. Stat. § 689B.285Offering policy of health insurance for purposes of establishing health savings account.
- Nev. Rev. Stat. § 689B.287Insurer prohibited from denying coverage solely because applicant or insured was intoxicated or under influence of controlled substance; exceptions.
- Nev. Rev. Stat. § 689B.290Definitions.
- Nev. Rev. Stat. § 689B.0295Written notice required to be provided by insurer to insured explaining right to file complaint; written notice to insured and provider of health care required when insurer denies coverage of health care service.
- Nev. Rev. Stat. § 689B.300Effect of eligibility for medical assistance under Medicaid; assignment of rights to state agency.
- Nev. Rev. Stat. § 689B.0301Construction of provisions requiring coverage by policy of group health insurance.
- Nev. Rev. Stat. § 689B.0303Required provision in certain policies concerning coverage for continued medical treatment; exceptions; regulations.
- Nev. Rev. Stat. § 689B.0304Policy covering prescription drugs: Required actions by insurer related to acquisition of prescription drugs for certain insureds residing in area for which emergency or disaster has been declared.
- Nev. Rev. Stat. § 689B.0305Policy covering prescription drug for treatment of cancer or cancer symptom that is part of step therapy protocol: Insurer 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.
- Nev. Rev. Stat. § 689B.0306Required provision concerning coverage for certain treatment received as part of clinical trial or study for treatment of cancer or chronic fatigue syndrome; authority of insurer to require certain information; immunity from liability.
- Nev. Rev. Stat. § 689B.0307Policy 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.
- Nev. Rev. Stat. § 689B.310Insurer prohibited from asserting certain grounds to deny enrollment of child of insured pursuant to order.
- Nev. Rev. Stat. § 689B.0312Required provision concerning coverage for drugs, laboratory testing and certain services related to human immunodeficiency virus and hepatitis C; reimbursement of certain providers of health care for certain services; prohibited acts.
- Nev. Rev. Stat. § 689B.0313Required coverage for certain tests and vaccines relating to human papillomavirus; prohibited acts.
- Nev. Rev. Stat. § 689B.0314Required provision concerning coverage for screening, genetic counseling and testing related to BRCA gene in certain circumstances.
- Nev. Rev. Stat. § 689B.0315Required provision concerning coverage for examination of person who is pregnant for certain diseases.
- Nev. Rev. Stat. § 689B.0316Required provision concerning coverage for testing, treatment and prevention of sexually transmitted diseases; required provision concerning coverage for condoms for certain insureds.
- Nev. Rev. Stat. § 689B.0317Required provision in policy covering treatment of prostate cancer concerning coverage for prostate cancer screening; prohibited act.
- Nev. Rev. Stat. § 689B.0319Required provision concerning coverage for certain drugs and services related to substance use disorder and opioid use disorder; reimbursement of pharmacists and pharmacies for certain services; prohibited acts.
- Nev. Rev. Stat. § 689B.320Certain accommodations required to be made when child is covered under policy of noncustodial parent.
- Nev. Rev. Stat. § 689B.330Insurer required to authorize enrollment of child of parent who is required by order to provide medical coverage for child in certain circumstances.
- Nev. Rev. Stat. § 689B.0334Required provision concerning coverage for medically necessary treatment of conditions relating to gender dysphoria and gender incongruence; restriction on refusal to cover certain treatments; authority of insurer to prescribe requirements for covering surgical treatments for minors; determination of medical necessity.
- Nev. Rev. Stat. § 689B.0335Required provision concerning coverage for autism spectrum disorders for certain persons; prohibited acts.
- Nev. Rev. Stat. § 689B.340Definitions.
- Nev. Rev. Stat. § 689B.0345Required provision concerning continuing coverage for employee or member on leave without pay as result of total disability.
- Nev. Rev. Stat. § 689B.350“Affiliation period” defined.
- Nev. Rev. Stat. § 689B.0353Required provision concerning coverage for treatment of certain inherited metabolic diseases.
- Nev. Rev. Stat. § 689B.355“Blanket accident and health insurance” defined.
- Nev. Rev. Stat. § 689B.0357Required provision in policy covering hospital, medical or surgical expenses concerning coverage for management and treatment of diabetes.
- Nev. Rev. Stat. § 689B.0358Required provision concerning coverage for management and treatment of sickle cell disease and its variants; required provision in policy covering prescription drugs concerning coverage for medically necessary prescription drugs to treat sickle cell disease and its variants.
- Nev. Rev. Stat. § 689B.360“Carrier” defined.
- Nev. Rev. Stat. § 689B.0361Required provision concerning coverage for biomarker testing for diagnosis, treatment, management and monitoring of cancer in certain circumstances; establishment of process to request exception or appeal denial of coverage; time for responding to request for prior authorization.
- Nev. Rev. Stat. § 689B.0362Policy covering treatment of cancer through use of chemotherapy: Prohibited acts related to orally administered chemotherapy.
- Nev. Rev. Stat. § 689B.0365Required provision in certain policies concerning coverage for use of certain drugs and related services for treatment of cancer.
- Nev. Rev. Stat. § 689B.0367Required provision in policy covering treatment of colorectal cancer concerning coverage for colorectal cancer screening.
- Nev. Rev. Stat. § 689B.0368Policy covering prescription drugs prohibited from limiting or excluding coverage for certain prescription drugs previously approved for medical condition of insured; exceptions.
- Nev. Rev. Stat. § 689B.0369Required 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.
- Nev. Rev. Stat. § 689B.370“Contribution” defined.
- Nev. Rev. Stat. § 689B.0374Required provision concerning coverage for certain screenings and tests for breast cancer; prohibited acts.
- Nev. Rev. Stat. § 689B.0375Required provision in policy covering mastectomies concerning coverage relating to mastectomy; prohibited acts.
- Nev. Rev. Stat. § 689B.0376Required provision in policy covering prescription drugs or devices concerning coverage of hormone replacement therapy in certain circumstances; prohibited acts; exception.
- Nev. Rev. Stat. § 689B.0377Required provision in policy covering outpatient care concerning coverage for health care services related to hormone replacement therapy; prohibited acts.
- Nev. Rev. Stat. § 689B.0378Required provision concerning coverage for drug or device for contraception and related health services; prohibited acts; exceptions.
- Nev. Rev. Stat. § 689B.0379Policy prohibited from excluding coverage for treatment of temporomandibular joint; exception.
- Nev. Rev. Stat. § 689B.380“Creditable coverage” defined.
- Nev. Rev. Stat. § 689B.0383Reimbursement for treatments by licensed marriage and family therapist or licensed clinical professional counselor.
- Nev. Rev. Stat. § 689B.0385Reimbursement for treatments by licensed associate in social work, social worker, master social worker, independent social worker or clinical social worker.
- Nev. Rev. Stat. § 689B.390“Group health plan” defined.
- Nev. Rev. Stat. § 689B.0393Reimbursement for treatments by podiatrist.
- Nev. Rev. Stat. § 689B.0397Reimbursement for treatment by licensed clinical alcohol and drug counselor.
- Nev. Rev. Stat. § 689B.400“Group participation” defined.
- Nev. Rev. Stat. § 689B.430“Open enrollment” defined.
- Nev. Rev. Stat. § 689B.440“Plan sponsor” defined.
- Nev. Rev. Stat. § 689B.460“Waiting period” defined.
- Nev. Rev. Stat. § 689B.480Determination of applicable creditable coverage of person; determination of period of creditable coverage of person; required statement.
- Nev. Rev. Stat. § 689B.490Written certification of coverage required for purpose of determining period of creditable coverage accumulated by person.
- Nev. Rev. Stat. § 689B.500Carrier required to offer and issue plan regardless of health status of members; prohibited acts; authority to include wellness program in plan that offers discounts based on health status under certain circumstances.
- Nev. Rev. Stat. § 689B.510Carrier authorized to modify coverage for insurance product under certain circumstances.
- Nev. Rev. Stat. § 689B.520Group plan or coverage covering maternity care and pediatric care: Required to allow minimum stay in hospital in connection with childbirth; exception; prohibited acts.
- Nev. Rev. Stat. § 689B.530Carrier required to permit eligible employee or dependent of employee to enroll for coverage under certain circumstances.