Nevada · Statutes
Chapter 695A
94 sections
94 sections
- Nev. Rev. Stat. § 695A.001Definitions.
- Nev. Rev. Stat. § 695A.003“Benefit contract” defined.
- Nev. Rev. Stat. § 695A.004“Benefit member” defined.
- Nev. Rev. Stat. § 695A.006“Certificate” defined.
- Nev. Rev. Stat. § 695A.010“Fraternal benefit society” defined.
- Nev. Rev. Stat. § 695A.014“Insurer” defined.
- Nev. Rev. Stat. § 695A.016“Laws” defined.
- Nev. Rev. Stat. § 695A.018“Lodge” defined.
- Nev. Rev. Stat. § 695A.020“Lodge system” defined.
- Nev. Rev. Stat. § 695A.023“Medicaid” defined.
- Nev. Rev. Stat. § 695A.027“Order for medical coverage” defined.
- Nev. Rev. Stat. § 695A.030“Premiums” defined.
- Nev. Rev. Stat. § 695A.040“Representative form of government” defined.
- Nev. Rev. Stat. § 695A.042“Rules” defined.
- Nev. Rev. Stat. § 695A.044“Society” defined.
- Nev. Rev. Stat. § 695A.050Organization: Preparation and contents of articles of incorporation.
- Nev. Rev. Stat. § 695A.060Organization: Filing of documents and bond with Commissioner; preliminary certificate of authority.
- Nev. Rev. Stat. § 695A.070Organization: Solicitation of members; collection of advance premiums; reports to Commissioner.
- Nev. Rev. Stat. § 695A.080Certificate of authority: Issuance and renewal; effect; record; copies; fees.
- Nev. Rev. Stat. § 695A.090General powers and duties of society.
- Nev. Rev. Stat. § 695A.095Contracts between society and provider of health care: Prohibiting society from charging provider of health care fee for inclusion on list of providers given to insureds; society required to use form to obtain information on provider of health care; modification; submission by society of schedule of payments to provider.
- Nev. Rev. Stat. § 695A.110Unincorporated or voluntary association prohibited from transacting business as society.
- Nev. Rev. Stat. § 695A.120Location of principal office; meetings of supreme governing body; minutes of certain proceedings; official publications; grievances by benefit members.
- Nev. Rev. Stat. § 695A.130Consolidation; merger.
- Nev. Rev. Stat. § 695A.140Conversion of fraternal benefit society into mutual life insurer.
- Nev. Rev. Stat. § 695A.150Qualifications for and rights and privileges of membership.
- Nev. Rev. Stat. § 695A.151Effect of eligibility for medical assistance under Medicaid on eligibility for coverage; assignment of rights to state agency.
- Nev. Rev. Stat. § 695A.152Society required to comply with certain provisions concerning portability and availability of health insurance.
- Nev. Rev. Stat. § 695A.153Society prohibited from asserting certain grounds to deny enrollment of child of insured pursuant to order.
- Nev. Rev. Stat. § 695A.155Certain accommodations required to be made by society when child is covered under policy of noncustodial parent.
- Nev. Rev. Stat. § 695A.157Society required to authorize enrollment of child of parent who is required by order to provide medical coverage under certain circumstances; termination of coverage of child.
- Nev. Rev. Stat. § 695A.160Amendment of laws of society: Manner; approval by Commissioner; provision to members.
- Nev. Rev. Stat. § 695A.180Scope of contractual benefits.
- Nev. Rev. Stat. § 695A.184Benefit contract covering prescription drugs prohibited from limiting or excluding coverage for prescription drug previously approved for medical condition of insured; exception.
- Nev. Rev. Stat. § 695A.188Approval or denial of claim; payment of claims and interest; request for additional information; payment of claim; 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 society.
- Nev. Rev. Stat. § 695A.195Society 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. § 695A.197Society prohibited from denying coverage solely because applicant or insured was intoxicated or under the influence of controlled substance; exceptions.
- Nev. Rev. Stat. § 695A.198Society prohibited from discriminating against person with respect to participation or coverage on basis of gender identity or expression.
- Nev. Rev. Stat. § 695A.200Nonforfeiture benefits, cash surrender values, certificate loans and other options.
- Nev. Rev. Stat. § 695A.210Beneficiaries; funeral benefits.
- Nev. Rev. Stat. § 695A.220Benefits not liable to attachment, garnishment or other process.
- Nev. Rev. Stat. § 695A.230Terms and conditions of benefit contracts.
- Nev. Rev. Stat. § 695A.232Society required to offer and issue plan regardless of health status of persons; prohibited acts.
- Nev. Rev. Stat. § 695A.235Offering policy of health insurance for purposes of establishing health savings account.
- Nev. Rev. Stat. § 695A.240Approval and contents of certificates.
- Nev. Rev. Stat. § 695A.255Benefit contract covering prescription drugs: Provision of notice and information regarding use of formulary.
- Nev. Rev. Stat. § 695A.256Benefit contract covering prescription drugs: Submission to step therapy protocol for drug to treat psychiatric condition prohibited in certain circumstances.
- Nev. Rev. Stat. § 695A.257Benefit contract covering prescription drugs: Required actions by society related to acquisition of prescription drugs for certain insureds residing in area for which emergency or disaster has been declared.
- Nev. Rev. Stat. § 695A.258Benefit contract 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. § 695A.259Benefit contract covering prescription drug for treatment of cancer or cancer symptom that is part of step therapy protocol: Society 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. § 695A.261Benefit contract covering anatomical gifts, organ transplants or treatments or services related to organ transplants: Prohibited acts by society if insured is person with disability.
- Nev. Rev. Stat. § 695A.263Coverage for dental service provided by qualified dental hygienist required in certain circumstances.
- Nev. Rev. Stat. § 695A.265Coverage 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.
- Nev. Rev. Stat. § 695A.270Authority to prohibit in society’s laws waiver of provisions of society’s laws.
- Nev. Rev. Stat. § 695A.280Reinsurance.
- Nev. Rev. Stat. § 695A.300Foreign or alien society: License required to transact business; required information.
- Nev. Rev. Stat. § 695A.310Injunction against, liquidation of or appointment of receiver for domestic society.
- Nev. Rev. Stat. § 695A.320Suspension, revocation or refusal of license of foreign or alien society.
- Nev. Rev. Stat. § 695A.330Licensing of insurance agents of society; persons exempt from licensing.
- Nev. Rev. Stat. § 695A.400Service of process on society.
- Nev. Rev. Stat. § 695A.410Injunctions against societies.
- Nev. Rev. Stat. § 695A.420Judicial review of Commissioner’s findings and decisions.
- Nev. Rev. Stat. § 695A.430Assets, funds and accounts of society.
- Nev. Rev. Stat. § 695A.440Investments.
- Nev. Rev. Stat. § 695A.450Annual statement of financial condition, transactions and affairs: Filing; fee; contents; provision to members; valuation of certificates.
- Nev. Rev. Stat. § 695A.460Annual statement of financial condition, transactions and affairs: Penalties for failure to file properly.
- Nev. Rev. Stat. § 695A.475Liability of directors, officers, employees, members and volunteers; indemnification and reimbursement of directors, officers, employees and agents.
- Nev. Rev. Stat. § 695A.490Standards of valuation for certificates; excess reserves.
- Nev. Rev. Stat. § 695A.500Examination of societies transacting or applying to transact business in State.
- Nev. Rev. Stat. § 695A.530Applicability of provisions relating to trade practices and frauds.
- Nev. Rev. Stat. § 695A.550Exemption of societies from certain taxes.
- Nev. Rev. Stat. § 695A.555Nonexemption of societies from certain fees.
- Nev. Rev. Stat. § 695A.560Exemption of societies from other insurance laws; exceptions.
- Nev. Rev. Stat. § 695A.570Applicability of chapter; effect of exemption.
- Nev. Rev. Stat. § 695A.580Penalties.
- Nev. Rev. Stat. § 695A.1841Limitation on cost-sharing obligation for insulin covered under benefit contract covering prescription insulin drugs.
- Nev. Rev. Stat. § 695A.1843Coverage 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.
- Nev. Rev. Stat. § 695A.1844Coverage for testing, treatment and prevention of sexually transmitted diseases required; coverage for condoms for certain insureds required.
- Nev. Rev. Stat. § 695A.1845Coverage for certain tests and vaccines relating to human papillomavirus required; prohibited acts.
- Nev. Rev. Stat. § 695A.1853Coverage for screening, genetic counseling and testing related to BRCA gene required in certain circumstances.
- Nev. Rev. Stat. § 695A.1855Coverage for certain screenings and tests for breast cancer required; prohibited acts.
- Nev. Rev. Stat. § 695A.1856Coverage for examination of person who is pregnant for certain diseases required.
- Nev. Rev. Stat. § 695A.1857Benefit contract covering maternity care: Prohibited acts by society if insured is acting as gestational carrier; child deemed child of intended parent for purposes of benefit contract.
- Nev. Rev. Stat. § 695A.1859Coverage 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.
- Nev. Rev. Stat. § 695A.1865Coverage for drug or device for contraception and related health services required in benefit contract covering prescription drugs or devices; prohibited acts; exceptions.
- Nev. Rev. Stat. § 695A.1866Coverage for procedure or service for preservation of fertility required in certain circumstances; exemption. [Effective January 1, 2027.]
- Nev. Rev. Stat. § 695A.1867Coverage for medically necessary treatment of conditions relating to gender dysphoria and gender incongruence required; restriction on refusal to cover certain treatments; authority of society to prescribe requirements for covering surgical treatment for minors; determination of medical necessity.
- Nev. Rev. Stat. § 695A.1873Coverage 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 benefit contract covering prescription drugs.
- Nev. Rev. Stat. § 695A.1874Coverage 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.
- Nev. Rev. Stat. § 695A.1875Coverage for certain services, screenings and tests relating to wellness required; prohibited acts.
- Nev. Rev. Stat. § 695A.18445Coverage 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.
- Nev. Rev. Stat. § 695A.18565Coverage for noninvasive prenatal screening required.
- Nev. Rev. Stat. § 695A.18575Coverage for screening for lung cancer required in benefit contract providing coverage for treatment for lung cancer.
- Nev. Rev. Stat. § 695A.18735Coverage for habilitative speech-language pathology and rehabilitative speech-language pathology as treatment for stuttering required for certain persons; prohibited acts.