§ 689C.015 Definitions
§ 689C.017 ‘Affiliated’ defined
§ 689C.019 ‘Affiliation period’ defined
§ 689C.023 ‘Bona fide association’ defined
§ 689C.025 ‘Carrier’ defined
§ 689C.045 ‘Class of business’ defined
§ 689C.047 ‘Control’ defined
§ 689C.053 ‘Creditable coverage’ defined
§ 689C.055 ‘Dependent’ defined
§ 689C.065 ‘Eligible employee’ defined
§ 689C.066 ‘Employee leasing company’ defined
§ 689C.071 ‘Geographic rating area’ defined
§ 689C.072 ‘Geographic service area’ defined
§ 689C.073 ‘Group health plan’ defined
§ 689C.075 ‘Health benefit plan’ defined
§ 689C.077 ‘Network plan’ defined
§ 689C.078 ‘Open enrollment’ defined
§ 689C.079 ‘Plan for coverage of a bona fide association’ defined
§ 689C.081 ‘Plan sponsor’ defined
§ 689C.082 ‘Preexisting condition’ defined
§ 689C.083 ‘Producer’ defined
§ 689C.085 ‘Rating period’ defined
§ 689C.095 ‘Small employer’ defined
§ 689C.106 ‘Waiting period’ defined
§ 689C.1065 Applicability
§ 689C.109 Certain plan, fund or program to be treated as employee welfare benefit plan which is group health plan; partnership deemed employer of each partner
§ 689C.111 Employee leasing company deemed large employer in certain circumstances
§ 689C.113 Requirements for employee welfare benefit plan for providing benefits for employees of more than one employer
§ 689C.115 Mandatory and optional coverage
§ 689C.125 Rating factors for determining premiums
§ 689C.135 Effect of provision in health benefit plan for restricted network on determination of rates
§ 689C.143 Offering of policy of health insurance for purposes of establishing health savings account
§ 689C.155 Regulations
§ 689C.156 Each health benefit plan marketed in this State required to be offered to small employers
§ 689C.1565 Coverage to small employers not required under certain circumstances; notice to Commissioner of and prohibition on writing new business after election not to offer new coverage required
§ 689C.158 Producer may only sign up small employers and eligible employees in bona fide associations if employers and employees are actively engaged in or related to bona fide association
§ 689C.159 Certain provisions inapplicable to plan that carrier makes available only through bona fide association
§ 689C.160 Carrier must uniformly apply requirements to determine whether to provide coverage
§ 689C.165 Carrier prohibited from modifying plan to restrict or exclude coverage for certain services
§ 689C.1655 Coverage for autism spectrum disorders. [Effective through December 31, 2018.]
§ 689C.1655 v2 Coverage for autism spectrum disorders. [Effective January 1, 2019.]
§ 689C.166 Coverage for abuse of alcohol or drugs: Required
§ 689C.167 Coverage for abuse of alcohol or drugs: Benefits
§ 689C.1672 Coverage for certain tests and vaccines relating to human papillomavirus; prohibited acts
§ 689C.1674 Coverage for mammograms for certain women; prohibited acts
§ 689C.1676 Coverage for drug or device for contraception and related health services; prohibited acts; exceptions
§ 689C.1678 Coverage for certain services, screenings and tests relating to wellness; prohibited acts
§ 689C.168 Coverage for prescription drug previously approved for medical condition of insured
§ 689C.1683 Coverage for prescription drugs irregularly dispensed for purpose of synchronization of chronic medications
§ 689C.1685 Coverage for early refills of topical ophthalmic products
§ 689C.169 Coverage for severe mental illness
§ 689C.170 Authorized variation of minimum participation and contributions; denial of coverage based on industry prohibited
§ 689C.180 Carrier to offer same coverage to all eligible employees; denial of coverage to otherwise eligible employee
§ 689C.183 Plan and carrier required to permit employee or dependent of employee to enroll for coverage under certain circumstances
§ 689C.187 Manner and period for enrolling dependent of covered employee; period of special enrollment
§ 689C.190 Coverage of preexisting conditions
§ 689C.191 Determination of applicable creditable coverage of person; determining period of creditable coverage of person; required statement; applicability
§ 689C.192 Written certification of coverage required for purpose of determining period of creditable coverage accumulated by person
§ 689C.193 Carrier prohibited from imposing restriction on participation inconsistent with certain sections; restrictions on rules of eligibility that may be established; premiums to be equitable
§ 689C.194 Plan that includes coverage for maternity and pediatric care: Required to allow minimum stay in hospital in connection with childbirth; prohibited acts
§ 689C.195 Coverage for services provided through telehealth
§ 689C.196 Insurer prohibited from denying coverage solely because person was victim of domestic violence
§ 689C.197 Carrier prohibited from denying coverage because insured was intoxicated or under influence of controlled substance; exceptions
§ 689C.198 Insurer prohibited from requiring or using information concerning genetic testing; exceptions
§ 689C.200 When carrier is not required to offer coverage
§ 689C.203 Denial of application for coverage from small employer; regulations
§ 689C.207 Regulations concerning reissuance of health benefit plan
§ 689C.220 Adjustment in rates to be applied uniformly
§ 689C.265 Carrier authorized to modify coverage for insurance product under certain circumstances
§ 689C.270 Regulations concerning disclosures by carrier to small employer; copy of disclosure to be made available to small employer. [Repealed.]
§ 689C.280 Carrier to provide required disclosures to small employer before issuing policy of insurance. [Repealed.]
§ 689C.281 Coverage for prescription drugs: Provision of notice and information regarding use of formulary
§ 689C.310 Renewal of health benefit plan; discontinuing product
§ 689C.320 Required notification when carrier discontinues transacting insurance in this State; restrictions on carrier that discontinues transacting insurance
§ 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
§ 689C.330 When insurer is required to allow employee to continue coverage after employee is no longer covered by health benefit plan. [Repealed.]
§ 689C.350 Health benefit plan with preferred providers of health care: Deductible; when service is deemed to be provided by preferred provider
§ 689C.355 Prohibited acts of carrier or producer; denial of application for coverage; violation may constitute unfair trade practice; applicability of section

Terms Used In Nevada Revised Statutes > Chapter 689C > Health Benefit Plans

  • Beneficiary: A person who is entitled to receive the benefits or proceeds of a will, trust, insurance policy, retirement plan, annuity, or other contract. Source: OCC
  • Contract: A legal written agreement that becomes binding when signed.
  • controlled substance: means a drug, immediate precursor or other substance which is listed in schedule I, II, III, IV or V for control by the State Board of Pharmacy pursuant to NRS 453. See Nevada Revised Statutes 104.4104
  • Corporation: A legal entity owned by the holders of shares of stock that have been issued, and that can own, receive, and transfer property, and carry on business in its own name.
  • Dependent: A person dependent for support upon another.
  • Evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.
  • Felony: A crime carrying a penalty of more than a year in prison.
  • Fraud: Intentional deception resulting in injury to another.
  • Partnership: A voluntary contract between two or more persons to pool some or all of their assets into a business, with the agreement that there will be a proportional sharing of profits and losses.
  • person: means a natural person, any form of business or social organization and any other nongovernmental legal entity including, but not limited to, a corporation, partnership, association, trust or unincorporated organization. See Nevada Revised Statutes 104.4111
  • physician: means a person who engages in the practice of medicine, including osteopathy and homeopathy. See Nevada Revised Statutes 104.4201
  • Public law: A public bill or joint resolution that has passed both chambers and been enacted into law. Public laws have general applicability nationwide.
  • Trial: A hearing that takes place when the defendant pleads "not guilty" and witnesses are required to come to court to give evidence.