Nev. Rev. Stat. § 692C.440 — NV Code / Title 57 / Chapter 692C / Section 692C.440
Prohibited voting of securities
Status: in_force

1. No security which is the subject of any agreement or arrangement regarding acquisition, or which is acquired or to be acquired, in contravention of the provisions of this chapter or of any rule, regulation or order issued by the Commissioner hereunder may be voted at any shareholders' meeting, or may be counted for quorum purposes, and any action of shareholders requiring the affirmative vote of a percentage of shares may be taken as though such securities were not issued and outstanding, but no action taken at any such meeting shall be invalidated by the voting of such securities, unless the action would materially affect control of the insurer or unless the courts of this state have so ordered.

2. If an insurer or the Commissioner has reason to believe that any security of the insurer has been or is about to be acquired in contravention of the provisions of this chapter or of any rule, regulation or order issued by the Commissioner hereunder the insurer or the Commissioner may apply to the First Judicial District Court in and for Carson City or to the district court for the county in which the insurer has its principal place of business to enjoin any offer, request, invitation, agreement, or acquisition made in contravention of NRS 692C.180 to 692C.250 , inclusive, or any rule, regulation or order issued by the Commissioner thereunder to enjoin the voting of any security so acquired, to void any vote of such security already cast at any meeting of shareholders, and for such other equitable relief as the nature of the case and the interests of the insurer's policyholders, creditors and shareholders or the public may require.
Nev. Rev. Stat. § 689C.1671 — NV Code / Title 57 / Chapter 689C / Section 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
Status: in_force

1. A carrier that offers or issues a health benefit plan shall include in the plan coverage for: (a) All drugs approved by the United States Food and Drug Administration for preventing the acquisition of human immunodeficiency virus or treating human immunodeficiency virus or hepatitis C in the form recommended by the prescribing practitioner, regardless of whether the drug is included in the formulary of the carrier; (b) Laboratory testing that is necessary for therapy that uses a drug to prevent the acquisition of human immunodeficiency virus; (c) Any service to test for, prevent or treat human immunodeficiency virus or hepatitis C provided by a provider of primary care if the service is covered when provided by a specialist and: (1) The service is within the scope of practice of the provider of primary care; or (2) The provider of primary care is capable of providing the service safely and effectively in consultation with a specialist and the provider engages in such consultation; and (d) The services described in NRS 639.28085 , when provided by a pharmacist who participates in the health benefit plan of the carrier.

2. A carrier that offers or issues a health benefit plan shall reimburse: (a) A pharmacist who participates in the health benefit plan of the carrier for the services described in NRS 639.28085 at a rate equal to the rate of reimbursement provided to a physician, physician assistant or advanced practice registered nurse for similar services. (b) An advanced practice registered nurse or a physician assistant who participates in the network plan of the carrier for any service to test for, prevent or treat human immunodeficiency virus or hepatitis C at a rate equal to the rate of reimbursement provided to a physician for similar services.

3. A carrier shall not: (a) Subject the benefits required by subsection 1 to medical management techniques, other than step therapy; (b) Limit the covered amount of a drug described in paragraph (a) of subsection 1; (c) Refuse to cover a drug described in paragraph (a) of subsection 1 because the drug is dispensed by a pharmacy through mail order service; or (d) Prohibit or restrict access to any service or drug to treat human immunodeficiency virus or hepatitis C on the same day on which the insured is diagnosed.

4. A carrier shall ensure that the benefits required by subsection 1 are made available to an insured through a provider of health care who participates in the network plan of the carrier.

5. A health benefit plan subject to the provisions of this chapter that is delivered, issued for delivery or renewed on or after January 1, 2024, has the legal effect of including the coverage required by subsection 1, and any provision of the plan that conflicts with the provisions of this section is void.

6. As used in this section: (a) “ Medical management technique ” means a practice which is used to control the cost or use of health care services or prescription drugs. The term includes, without limitation, the use of step therapy, prior authorization and categorizing drugs and devices based on cost, type or method of administration. (b) “ Network plan ” means a health benefit plan offered by a carrier under which the financing and delivery of medical care, including items and services paid for as medical care, are provided, in whole or in part, through a defined set of providers under contract with the carrier. The term does not include an arrangement for the financing of premiums. (c) “ Primary care ” means the practice of family medicine, pediatrics, internal medicine, obstetrics and gynecology and midwifery. (d) “ Provider of health care ” has the meaning ascribed to it in NRS 629.031 .
Nev. Rev. Stat. § 692C.3536 — NV Code / Title 57 / Chapter 692C / Section 692C.3536
Confidentiality of information
Status: in_force

1. Except as otherwise provided in this section and NRS 239.0115 and 692C.3516 , any documents, materials and other information, including an ORSA Summary Report, in the possession of or control of the Division that are obtained by, created by or disclosed to the Commissioner or any other person in accordance with the provisions of NRS 692C.351 to 692C.3548 , inclusive, are proprietary and constitute trade secrets. All such documents, materials or other information are: (a) Confidential by law and privileged; (b) Not subject to subpoena; and (c) Not subject to discovery or admissible in evidence in any private civil action.

2. Notwithstanding any provision of subsection 1 to the contrary, the Commissioner is authorized to use the documents, materials or other information in the furtherance of any regulatory or legal action brought as a part of the Commissioner's official duties. The Commissioner shall not otherwise make the documents, materials or other information public without the prior written consent of the insurer.
Nev. Rev. Stat. § 689A.310 — NV Code / Title 57 / Chapter 689A / Section 689A.310
Ownership of policy by person other than insured
Status: in_force

The word “insured,” as used in this chapter, shall not be construed as preventing a person other than the insured with a proper insurable interest from making application for and owning a policy covering the insured or from being entitled under such a policy to any indemnities, benefits and rights provided therein.
Nev. Rev. Stat. § 680A.250 — NV Code / Title 57 / Chapter 680A / Section 680A.250
Service of process: Appointment of Commissioner as attorney in fact for receipt required for certain insurers; methods of serving
Status: in_force

1. Before the Commissioner may authorize it to transact insurance in this state, each insurer must appoint the Commissioner as its attorney in fact to receive service of legal process issued against the insurer in this state. The appointment must be made on a form as designated and furnished by the Commissioner, and must be accompanied by a copy of a resolution of the board of directors or like governing body of the insurer, if an incorporated insurer, showing that those officers who executed the appointment were authorized to do so on behalf of the insurer.

2. The appointment must be irrevocable, must bind the insurer and any successor in interest to the assets or liabilities of the insurer, and must remain in effect as long as there is in force any contract of the insurer in this state or any obligation of the insurer arising out of its transactions in this state.

3. Service of such process against a foreign or alien insurer must be made only by service thereof upon the Commissioner.

4. Service of such process against a domestic insurer may be made as provided in this section, or in any other manner provided by Nevada Rules of Civil Procedure.

5. At the time of application for a certificate of authority the insurer shall file the appointment with the Commissioner, together with a designation of the person to whom process against it served upon the Commissioner is to be forwarded. The insurer shall provide written notice to the Commissioner of any change of such a designation by a new filing.

6. Service of process against an insurer for whom the Commissioner is attorney in fact must be made in accordance with NRS 680A.260 .
Nev. Rev. Stat. § 682A.560 — NV Code / Title 57 / Chapter 682A / Section 682A.560
Derivative transactions
Status: in_force

An insurer may, directly or indirectly through an investment subsidiary, engage in derivative transactions as described in NRS 682A.560 to 682A.568 , inclusive, pursuant to the following conditions:

1. An insurer may use derivative instruments under NRS 682A.560 to 682A.568 , inclusive, to engage in hedging transactions and certain income generation transactions, as these terms may be further defined in regulations adopted by the Commissioner pursuant to NRS 682A.388 ; and

2. An insurer must be able to demonstrate to the Commissioner the intended hedging characteristics and the ongoing effectiveness of the derivative transaction or combination of transactions through cash flow testing or other appropriate analyses.
Nev. Rev. Stat. § 695B.1915 — NV Code / Title 57 / Chapter 695B / Section 695B.1915
Required 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 corporation to prescribe requirements for covering surgical treatments for minors; determination of medical necessity
Status: in_force

1. Except as otherwise provided in this section, a hospital or medical services corporation that issues a policy of health insurance shall include in the policy coverage for the medically necessary treatment of conditions relating to gender dysphoria and gender incongruence. Such coverage must include coverage of medically necessary psychosocial and surgical intervention and any other medically necessary treatment for such disorders provided by: (a) Endocrinologists; (b) Pediatric endocrinologists; (c) Social workers; (d) Psychiatrists; (e) Psychologists; (f) Gynecologists; (g) Speech-language pathologists; (h) Primary care physicians; (i) Advanced practice registered nurses; (j) Physician assistants; and (k) Any other providers of medically necessary services for the treatment of gender dysphoria or gender incongruence.

2. This section does not require a policy of health insurance to include coverage for cosmetic surgery performed by a plastic surgeon or reconstructive surgeon that is not medically necessary.

3. A hospital or medical services corporation that issues a policy of health insurance shall not categorically refuse to cover medically necessary gender-affirming treatments or procedures or revisions to prior treatments if the policy provides coverage for any such services, procedures or revisions for purposes other than gender transition or affirmation.

4. A hospital or medical services corporation that issues a policy of health insurance may prescribe requirements that must be satisfied before the hospital or medical services corporation covers surgical treatment of conditions relating to gender dysphoria or gender incongruence for an insured who is less than 18 years of age. Such requirements may include, without limitation, requirements that: (a) The treatment must be recommended by a psychologist, psychiatrist or other mental health professional; (b) The treatment must be recommended by a physician; (c) The insured must provide a written expression of the desire of the insured to undergo the treatment; (d) A written plan for treatment that covers at least 1 year must be developed and approved by at least two providers of health care; and (e) Parental consent is provided for the insured unless the insured is expressly authorized by law to consent on his or her own behalf.

5. When determining whether treatment is medically necessary for the purposes of this section, a hospital or medical services corporation must consider the most recent Standards of Care published by the World Professional Association for Transgender Health, or its successor organization.

6. A hospital or medical services corporation shall make a reasonable effort to ensure that the benefits required by subsection 1 are made available to an insured through a provider of health care who participates in the network plan of the hospital or medical services corporation. If, after a reasonable effort, the hospital or medical services corporation is unable to make such benefits available through such a provider of health care, the hospital or medical services corporation may treat the treatment that the hospital or medical services corporation is unable to make available through such a provider of health care in the same manner as other services provided by a provider of health care who does not participate in the network plan of the hospital or medical services corporation.

7. If an insured appeals the denial of a claim or coverage under this section on the grounds that the treatment requested by the insured is not medically necessary, the hospital or medical services corporation must consult with a provider of health care who has experience in prescribing or delivering gender-affirming treatment concerning the medical necessity of the treatment requested by the insured when considering the appeal.

8. A policy of health insurance subject to the provisions of this chapter that is delivered, issued for delivery or renewed on or after July 1, 2023, has the legal effect of including the coverage required by subsection 1, and any provision of the policy or renewal which is in conflict with the provisions of this section is void.

9. As used in this section: (a) “ Cosmetic surgery ”: (1) Means a surgical procedure that: (I) Does not meaningfully promote the proper function of the body; (II) Does not prevent or treat illness or disease; and (III) Is primarily directed at improving the appearance of a person. (2) Includes, without limitation, cosmetic surgery directed at preserving beauty. (b) “ Gender dysphoria ” means distress or impairment in social, occupational or other areas of functioning caused by a marked difference between the gender identity or expression of a person and the sex assigned to the person at birth which lasts at least 6 months and is shown by at least two of the following: (1) A marked difference between gender identity or expression and primary or secondary sex characteristics or anticipated secondary sex characteristics in young adolescents. (2) A strong desire to be rid of primary or secondary sex characteristics because of a marked difference between such sex characteristics and gender identity or expression or a desire to prevent the development of anticipated secondary sex characteristics in young adolescents. (3) A strong desire for the primary or secondary sex characteristics of the gender opposite from the sex assigned at birth. (4) A strong desire to be of the opposite gender or a gender different from the sex assigned at birth. (5) A strong desire to be treated as the opposite gender or a gender different from the sex assigned at birth. (6) A strong conviction of experiencing typical feelings and reactions of the opposite gender or a gender different from the sex assigned at birth. (c) “ Medically necessary ” means health care services or products that a prudent provider of health care would provide to a patient to prevent, diagnose or treat an illness, injury or disease, or any symptoms thereof, that are necessary and: (1) Provided in accordance with generally accepted standards of medical practice; (2) Clinically appropriate with regard to type, frequency, extent, location and duration; (3) Not provided primarily for the convenience of the patient or provider of health care; (4) Required to improve a specific health condition of a patient or to preserve the existing state of health of the patient; and (5) The most clinically appropriate level of health care that may be safely provided to the patient. A provider of health care prescribing, ordering, recommending or approving a health care service or product does not, by itself, make that health care service or product medically necessary. (d) “ Network plan ” means a policy of health insurance offered by a hospital or medical services corporation under which the financing and delivery of medical care, including items and services paid for as medical care, are provided, in whole or in part, through a defined set of providers under contract with the hospital or medical services corporation. The term does not include an arrangement for the financing of premiums. (e) “ Provider of health care ” has the meaning ascribed to it in NRS 629.031 .
Nev. Rev. Stat. § 681B.080 — NV Code / Title 57 / Chapter 681B / Section 681B.080
Reserves for policies of health insurance
Status: in_force

For all health insurance policies the insurer shall maintain an active life reserve which shall place a sound value on its liabilities under such policies and be not less than the reserve according to appropriate standards set forth in regulations issued by the Commissioner and, in no event, less in the aggregate than the pro rata gross unearned premiums for such policies.
Nev. Rev. Stat. § 688A.310 — NV Code / Title 57 / Chapter 688A / Section 688A.310
Paid-up nonforfeiture benefit
Status: in_force

Any paid-up nonforfeiture benefit available under the policy in the event of default in a premium payment due on any policy anniversary must be such that its present value as of the anniversary is at least equal to the cash surrender value then provided for by the policy or, if none is provided for, that cash surrender value which would have been required by NRS 688A.290 to 688A.360 , inclusive, in the absence of the condition that premiums must have been paid for at least a specified period.
Nev. Rev. Stat. § 697.170 — NV Code / Title 57 / Chapter 697 / Section 697.170
Bail solicitor: Qualifications
Status: in_force

1. Except as otherwise provided in subsection 2, a person is entitled to receive, renew or hold a license as a bail solicitor if the person: (a) Is a natural person not less than 18 years of age. (b) Is a resident of this state and has resided in this state for not less than 3 months immediately preceding the date of the application for the license. (c) Is the bona fide employee of a licensed bail agent as a bail solicitor, or is to be so employed subject to the issuance of the license. (d) Has successfully completed a 6-hour course of instruction in bail bonds that is: (1) Offered by a state or national organization of bail agents or another organization that administers training programs for bail solicitors; and (2) Is approved by the Commissioner. (e) Has passed any written examination required under this chapter.

2. Except as otherwise provided in NRS 697.188 , a person is not entitled to receive, renew or hold a license as a bail solicitor if the person: (a) Has been convicted of a felony in this state or of any offense committed in another state which would be a felony if committed in this state; or (b) Has been convicted of an offense involving moral turpitude or the unlawful use, sale or possession of a controlled substance.
Nev. Rev. Stat. § 692C.250 — NV Code / Title 57 / Chapter 692C / Section 692C.250
Jurisdiction of court; consent to service of process
Status: in_force

1. The courts of this state are hereby vested with jurisdiction over every person not resident, domiciled or authorized to do business in this state who files a statement with the Commissioner under NRS 692C.180 to 692C.250 , inclusive, and over all actions involving such person arising out of violations of such sections.

2. Each such person shall be deemed to have performed acts equivalent to and constituting an appointment by such a person of the Commissioner to be his or her true and lawful attorney upon whom may be served all lawful process in any action, suit or proceeding arising out of violations of NRS 692C.180 to 692C.250 , inclusive. Copies of all such lawful process shall be served on the Commissioner and transmitted by registered or certified mail by the Commissioner to such person at his or her last known address.
Nev. Rev. Stat. § 685A.0385 — NV Code / Title 57 / Chapter 685A / Section 685A.0385
“Principal residence” defined
Status: in_force

“ Principal residence ” means, for the purpose of determining the home state of the insured:

1. The state where the insured resides for the greatest number of days during a calendar year; or

2. If the insured's principal residence is located outside of any state, the state to which the greatest percentage of the insured's taxable premium for that insurance contract is allocated.
Nev. Rev. Stat. § 680B.120 — NV Code / Title 57 / Chapter 680B / Section 680B.120
Refund of overpayments of fees, charges or taxes
Status: in_force

1. Any person from whom fees, charges or taxes imposed by this Code have been erroneously collected may apply for refund at any time within 1 year after the date such fees, charges or taxes were originally required to be paid or within 30 days after the date of payment of any additional tax, charge or fee.

2. If the amount of taxes, charges or fees due are found to be less than the amount paid, either by examination of the return or by allowance of a claim for overpayment filed by the payer, then upon presentation of proper vouchers, the State Controller shall issue warrants upon the appropriate fund and the State Treasurer shall pay them out of the money credited to that fund.

3. Whenever such a refund is found to be due an insurer, the Executive Director of the Department of Taxation, in lieu of preparing the proper vouchers for a cash refund, may authorize the insurer to credit the amount of the refund against the premium tax payable by it under NRS 680B.027 in the next following calendar year.

4. No cash refund may be made unless the amount to be so refunded is $10 or more.

5. Claims for refund pursuant to this section must be submitted: (a) In the case of refunds of taxes payable to the Department of Taxation, to the Executive Director of the Department of Taxation. (b) In the case of refunds of taxes, fees or charges payable to the Commissioner, to the Commissioner.
Nev. Rev. Stat. § 695G.090 — NV Code / Title 57 / Chapter 695G / Section 695G.090
Applicability of chapter and other provisions
Status: in_force

1. Except as otherwise provided in subsection 3, the provisions of this chapter apply to each organization and insurer that operates as a managed care organization and may include, without limitation, an insurer that issues a policy of health insurance, an insurer that issues a policy of individual or group health insurance, a carrier serving small employers, a fraternal benefit society, a hospital or medical service corporation and a health maintenance organization.

2. In addition to the provisions of this chapter, each managed care organization shall comply with: (a) The provisions of chapter 686A of NRS , including all obligations and remedies set forth therein; and (b) Any other applicable provision of this title.

3. The provisions of NRS 695G.127 , 695G.1639 , 695G.164 , 695G.1645 , 695G.167 and 695G.200 to 695G.230 , inclusive, do not apply to a managed care organization that provides health care services to recipients of Medicaid under the State Plan for Medicaid or insurance pursuant to the Children's Health Insurance Program pursuant to a contract with the Division of Health Care Financing and Policy of the Department of Health and Human Services.

4. The provisions of NRS 695C.1735 and 695G.1639 do not apply to a managed care organization that provides health care services to members of the Public Employees' Benefits Program.

5. Subsections 3 and 4 do not exempt a managed care organization from any provision of this chapter for services provided pursuant to any other contract.
Nev. Rev. Stat. § 694C.400 — NV Code / Title 57 / Chapter 694C / Section 694C.400
Submission of annual report of financial condition, audit and financial statement to Commissioner; regulations designating form; alternative date to file annual report; penalties for failing to comply or making false statement
Status: in_force

1. On or before June 30 of each year, a captive insurer, other than a state-chartered risk retention group, shall submit to the Commissioner a report of its financial condition. A captive insurer shall use generally accepted accounting principles and include any useful or necessary modifications or adaptations thereof that have been approved or accepted by the Commissioner for the type of insurance and kinds of insurers to be reported upon, and as supplemented by additional information required by the Commissioner. Except as otherwise provided in this section, each association captive insurer, agency captive insurer, rental captive insurer or sponsored captive insurer shall file its report in the time and form required by the Commissioner. Each state-chartered risk retention group shall file its report in the time and form required by NRS 680A.270 . The Commissioner shall adopt regulations designating the form in which pure captive insurers must report.

2. Each captive insurer, other than a state-chartered risk retention group, shall submit to the Commissioner, on or before June 30 of each year, an annual audit as of December 31 of the preceding calendar year that is certified by a certified public accountant who is not an employee of the insurer. An annual audit submitted pursuant to this subsection must comply with the requirements set forth in regulations adopted by the Commissioner which govern such an annual audit, including, without limitation, criteria for extensions and exemptions.

3. Each state-chartered risk retention group shall file a financial statement pursuant to NRS 680A.265 .

4. A pure captive insurer may apply, in writing, for authorization to file its annual report based on a fiscal year that is consistent with the fiscal year of the parent company of the pure captive insurer. If an alternative date is granted, the annual report is due not later than 60 days after the end of each such fiscal year.

5. A pure captive insurer shall file on or before March 1 of each year such forms as required by the Commissioner by regulation to provide sufficient detail to support its premium tax return filed pursuant to NRS 694C.450 .

6. Any captive insurer failing, without just cause beyond the reasonable control of the captive insurer, to file its annual report of financial condition as required by subsection 1, its annual audit as required by subsection 2 or its financial statement as required by subsection 3 shall pay a penalty of $100 for each day the captive insurer fails to file the report of financial condition, the annual audit or the financial statement, but not to exceed an aggregate amount of $3,000, to be recovered in the name of the State of Nevada by the Attorney General.

7. Any director, officer, agent or employee of a captive insurer who subscribes to, makes or concurs in making or publishing, any annual or other statement required by law, knowing the same to contain any material statement which is false, is guilty of a gross misdemeanor.
Nev. Rev. Stat. § 689.205 — NV Code / Title 57 / Chapter 689 / Section 689.205
Certificate of authority: Expiration; renewal; fees for renewal
Status: in_force

1. Each seller's certificate of authority issued pursuant to NRS 689.150 to 689.375 , inclusive, expires at midnight on April 30 of the third year following its date of issuance or renewal.

2. The Commissioner shall renew a certificate of authority upon receiving a written request for renewal from the seller, accompanied by all applicable fees for renewal, which are not refundable, if the Commissioner finds that the seller is, at that time, in compliance with all applicable provisions of NRS 689.150 to 689.375 , inclusive.

3. The Commissioner may accept a request for renewal received by the Commissioner within 30 days after the expiration of the certificate if the request is accompanied by a fee for renewal of 150 percent of all applicable fees otherwise required, except for any fee required pursuant to NRS 680C.110 .
Nev. Rev. Stat. § 695C.17095 — NV Code / Title 57 / Chapter 695C / Section 695C.17095
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
Status: in_force

1. When developing a step therapy protocol, a health maintenance organization shall use guidelines based on medical or scientific evidence, if such guidelines are available.

2. A health maintenance organization that offers or issues a health care plan which includes coverage for a prescription drug for the treatment of any medical condition that is part of a step therapy protocol shall: (a) Establish a clear, convenient and readily accessible process by which an enrollee and his or her attending practitioner may: (1) Request an exemption for the enrollee from the step therapy protocol; and (2) Appeal a decision made by the health maintenance organization concerning a request for an exemption from the step therapy protocol pursuant to subparagraph (1); (b) Make the process described in paragraph (a) accessible through an Internet website maintained by the health maintenance organization; and (c) Except as otherwise provided in this paragraph, respond to a request made or an appeal submitted pursuant to paragraph (a) not later than 2 business days after the request is made or the appeal is submitted, as applicable. If the attending practitioner indicates that exigent circumstances exist, the health maintenance organization shall respond to the request or appeal within 24 hours after the request is made or the appeal is submitted, as applicable.

3. A health maintenance organization shall grant a request to exempt an enrollee from a step therapy protocol made in accordance with the process established pursuant to subsection 2 if the attending practitioner for the enrollee submits to the health maintenance organization a statement which provides an adequate justification for the exemption and any documentation necessary to support the statement. The health maintenance organization shall determine whether such justification exists if the statement and documentation demonstrate that: (a) Each prescription drug that is required to be used earlier in the step therapy protocol: (1) Is contraindicated or will likely cause an adverse reaction or physical or mental harm to the enrollee; (2) Is expected to be ineffective based on the known clinical characteristics of the enrollee and the known characteristics of the required prescription drug; (3) Has been tried by the enrollee, regardless of whether the enrollee was covered by the current health care plan at the time, and was discontinued due to lack of efficacy or effectiveness, diminished effect or an adverse event relating to the prescription drug; or (4) Is not in the best interest of the enrollee, based on medical necessity; or (b) The enrollee is stable on a prescription drug selected by his or her attending practitioner for the medical condition under consideration, regardless of whether the enrollee was covered by his or her current health care plan at the time the attending practitioner selected the drug.

4. If a health maintenance organization does not respond to a request for an exemption from a step therapy protocol or an appeal concerning a decision relating to such a request within the time frame prescribed by paragraph (c) of subsection 2, the request shall be deemed to have been granted.

5. If a request for an exemption from a step therapy protocol is granted pursuant to subsection 3 or deemed granted pursuant to subsection 4, the health maintenance organization shall immediately authorize coverage for and dispensing of the drug chosen by the attending practitioner for the enrollee.

6. A health care plan subject to the provisions of this chapter that is delivered, issued for delivery or renewed on or after January 1, 2024, has the legal effect of including the coverage required by this section, and any provisions of the policy that conflict with the provisions of this section is void.

7. The provisions of this section do not apply to any prescription drug to which the provisions of NRS 695C.17333 apply.

8. As used in this section: (a) “ Attending practitioner ” means the practitioner, as defined in NRS 639.0125 , who has primary responsibility for the treatment of the medical condition of an insured for which a prescription drug is prescribed. (b) “ Medical or scientific evidence ” has the meaning ascribed to it in NRS 695G.053 .
Nev. Rev. Stat. § 695E.070 — NV Code / Title 57 / Chapter 695E / Section 695E.070
“Personal risk liability” defined
Status: in_force

“Personal risk liability” means liability for damages because of injury to any person, damage to property, or other loss or damage resulting from any personal, familial or household responsibilities or activities.
Nev. Rev. Stat. § 689C.1655 — NV Code / Title 57 / Chapter 689C / Section 689C.1655
Coverage for autism spectrum disorders for certain persons required; prohibited acts
Status: in_force

1. A health benefit plan must provide coverage for screening for and diagnosis of autism spectrum disorders and for treatment of autism spectrum disorders to persons covered by the health benefit plan under the age of 18 years or, if enrolled in high school, until the person reaches the age of 22 years.

2. Coverage provided under this section is subject to: (a) A maximum benefit of the actuarial equivalent of $72,000 per year for applied behavior analysis treatment; and (b) Copayment, deductible and coinsurance provisions and any other general exclusion or limitation of a health benefit plan to the same extent as other medical services or prescription drugs covered by the plan.

3. A health benefit plan that offers or issues a policy of group health insurance which provides coverage for outpatient care shall not: (a) Require an insured to pay a higher deductible, copayment or coinsurance or require a longer waiting period for coverage for outpatient care related to autism spectrum disorders than is required for other outpatient care covered by the plan; or (b) Refuse to issue a health benefit plan or cancel a health benefit plan solely because the person applying for or covered by the plan uses or may use in the future any of the services listed in subsection 1.

4. Except as otherwise provided in subsections 1 and 2, a carrier shall not limit the number of visits an insured may make to any person, entity or group for treatment of autism spectrum disorders.

5. Treatment of autism spectrum disorders must be identified in a treatment plan and may include medically necessary habilitative or rehabilitative care, prescription care, psychiatric care, psychological care, behavioral therapy or therapeutic care that is: (a) Prescribed for a person diagnosed with an autism spectrum disorder by a licensed physician or licensed psychologist; and (b) Provided for a person diagnosed with an autism spectrum disorder by a licensed physician, licensed psychologist, licensed behavior analyst or other provider that is supervised by the licensed physician, psychologist or behavior analyst. A carrier may request a copy of and review a treatment plan created pursuant to this subsection.

6. A health benefit plan subject to the provisions of this chapter that is delivered, issued for delivery or renewed on or after January 1, 2011, has the legal effect of including the coverage required by subsection 1, and any provision of the plan or the renewal which is in conflict with subsection 1 or 2 is void.

7. Nothing in this section shall be construed as requiring a carrier to provide reimbursement to a school for services delivered through school services.

8. As used in this section: (a) “ Applied behavior analysis ” means the design, implementation and evaluation of environmental modifications using behavioral stimuli and consequences to produce socially significant improvement in human behavior, including, without limitation, the use of direct observation, measurement and functional analysis of the relations between environment and behavior. (b) “ Autism spectrum disorder ” has the meaning ascribed to it in NRS 427A.875 . (c) “ Behavioral therapy ” means any interactive therapy derived from evidence-based research, including, without limitation, discrete trial training, early intensive behavioral intervention, intensive intervention programs, pivotal response training and verbal behavior provided by a licensed psychologist, licensed behavior analyst, licensed assistant behavior analyst or registered behavior technician. (d) “ Evidence-based research ” means research that applies rigorous, systematic and objective procedures to obtain valid knowledge relevant to autism spectrum disorders. (e) “ Habilitative or rehabilitative care ” means counseling, guidance and professional services and treatment programs, including, without limitation, applied behavior analysis, that are necessary to develop, maintain and restore, to the maximum extent practicable, the functioning of a person. (f) “ Licensed assistant behavior analyst ” has the meaning ascribed to the term “assistant behavior analyst” in NRS 641D.020 . (g) “ Licensed behavior analyst ” has the meaning ascribed to the term “behavior analyst” in NRS 641D.030 . (h) “ Prescription care ” means medications prescribed by a licensed physician and any health-related services deemed medically necessary to determine the need or effectiveness of the medications. (i) “ Psychiatric care ” means direct or consultative services provided by a psychiatrist licensed in the state in which the psychiatrist practices. (j) “ Psychological care ” means direct or consultative services provided by a psychologist licensed in the state in which the psychologist practices. (k) “Registered behavior technician” has the meaning ascribed to it in NRS 641D.100 . (l) “ Screening for autism spectrum disorders ” means medically necessary assessments, evaluations or tests to screen and diagnose whether a person has an autism spectrum disorder. (m) “ Therapeutic care ” means services provided by licensed or certified speech-language pathologists, occupational therapists and physical therapists. (n) “ Treatment plan ” means a plan to treat an autism spectrum disorder that is prescribed by a licensed physician or licensed psychologist and may be developed pursuant to a comprehensive evaluation in coordination with a licensed behavior analyst.
Nev. Rev. Stat. § 689C.183 — NV Code / Title 57 / Chapter 689C / Section 689C.183
Plan and carrier required to permit employee or dependent of employee to enroll for coverage under certain circumstances
Status: in_force

A health benefit plan and a carrier offering such a plan shall permit an employee or a dependent of an employee covered by the health benefit plan who is eligible, but not enrolled, for coverage in connection with the health benefit plan to enroll for coverage under the terms of the health benefit plan if:

1. The employee or dependent was covered under a different health benefit plan or had other health insurance coverage at the time coverage was previously offered to the employee or dependent;

2. The employee stated in writing at that time that the other coverage was the reason for declining enrollment, but only if the plan sponsor or carrier required such a written statement and informed the employee of that requirement and the consequences of the requirement; and

3. The employee or dependent: (a) Was covered under any provision of the Consolidated Omnibus Budget Reconciliation Act of 1985 1 relating to the continuation of coverage and such continuation of coverage was exhausted; or (b) Was not covered under such a provision and his or her insurance coverage was lost as a result of cessation of contributions by his or her employer, termination of employment or eligibility, reduction in the number of hours of employment, or the death of, or divorce or legal separation from, a covered spouse.

1 29 U.S.C.A. §§ 1161 through 1167; 42 U.S.C.A. §§ 300bb-1 through 300bb-8
Nev. Rev. Stat. § 687A.100 — NV Code / Title 57 / Chapter 687A / Section 687A.100
Exhaustion of remedies of insured
Status: in_force

1. Any person having a claim under an insurance policy, whether or not the insurance policy is a policy issued by a member insurer, and the claim under such other policy arises from the same facts, injury or loss that gave rise to the covered claim against the Association, is required first to exhaust all coverage provided by any such policy, including, without limitation, the right to a defense under the other policy. Any amount payable on a covered claim under this chapter must be reduced by the full applicable limits stated in such other insurance policy and the Association must receive a full credit for such stated limits, or, where there are no applicable stated limits, the claim must be reduced by the total recovery. Notwithstanding the foregoing, a person is not required to exhaust any right under the policy of an insolvent insurer.

2. For the purposes of subsection 1, a claim under an insurance policy: (a) Which provides liability coverage to a person who may be jointly and severally liable with or a joint tortfeasor with the person covered under the policy of the insolvent insurer that gives rise to the covered claim shall be deemed to be a claim arising from the same facts, injury or loss that gave rise to the covered claim against the Association. (b) Includes, without limitation: (1) A claim against a health maintenance organization, a hospital plan corporation or a professional health service corporation; and (2) Any amount payable by or on behalf of a self-insurer.

3. To the extent that the Association's obligation is reduced by the application of subsections 1 and 2, the liability of the person insured by the insolvent insurer's policy for the claim must be reduced in the same amount.

4. Any person having a claim which may be recovered under more than one insurance guaranty association or its equivalent shall seek recovery first from the association of the place of residence of the insured. However, if the claim is a first party claim for damage to property with a permanent location, recovery must first be sought from the association of the location of the property. If the claim is a workers' compensation claim, recovery must first be sought from the association of the residence of the claimant. Any recovery under this chapter must be reduced by the amount of the recovery from any other insurance guaranty association or its equivalent.
Nev. Rev. Stat. § 687B.830 — NV Code / Title 57 / Chapter 687B / Section 687B.830
Contract for purposes of network plan prohibited from conflicting with network plan or law; notice of provisions and incorporated documents; notice of changes
Status: in_force

1. A contract entered into for the purposes of a network plan between a participating provider of health care and the health carrier must not contain a provision that conflicts with any provision in the network plan or any requirement set forth in NRS 687B.600 to 687B.850 , inclusive.

2. At the time a participating provider of health care signs a contract described in subsection 1, the health carrier and, if applicable, the intermediary shall notify the participating provider of health care of all provisions of the contract and all documents incorporated by reference in the contract.

3. While a contract described in subsection 1 is in force, the health carrier shall provide timely notice to the participating provider of health care of any changes to the provisions of the contract or the documents incorporated by reference in the contract that would result in a material change in the contract.

4. For the purposes of subsection 3, the contract must define what is to be considered timely notice and what is to be considered a material change.
Nev. Rev. Stat. § 696A.280 — NV Code / Title 57 / Chapter 696A / Section 696A.280
License: Qualifications
Status: in_force

The Commissioner shall license as a club agent only an individual who has otherwise complied with this chapter, and who has furnished evidence satisfactory to the Commissioner that the individual:

1. Is at least 21 years of age.

2. Has been a bona fide resident of this state or is a resident of a state which will permit residents of this state to act as club agents in such other state.

3. Is a trustworthy person with a good reputation.
Nev. Rev. Stat. § 689C.1682 — NV Code / Title 57 / Chapter 689C / Section 689C.1682
Plan covering prescription drugs: Submission to step therapy protocol for drug to treat psychiatric condition prohibited in certain circumstances
Status: in_force

1. A health benefit plan which provides coverage for prescription drugs must not require an insured to submit to a step therapy protocol before covering a drug approved by the Food and Drug Administration that is prescribed to treat a psychiatric condition of the insured, if: (a) The drug has been approved by the Food and Drug Administration with indications for the psychiatric condition of the insured or the use of the drug to treat that psychiatric condition is otherwise supported by medical or scientific evidence; (b) The drug is prescribed by: (1) A psychiatrist; (2) A physician assistant under the supervision of a psychiatrist; (3) An advanced practice registered nurse who has the psychiatric training and experience prescribed by the State Board of Nursing pursuant to NRS 632.120 ; or (4) A primary care provider that is providing care to an insured in consultation with a practitioner listed in subparagraph (1), (2) or (3), if the closest practitioner listed in subparagraph (1), (2) or (3) who participates in the network plan of the health carrier is located 60 miles or more from the residence of the insured; and (c) The practitioner listed in paragraph (b) who prescribed the drug knows, based on the medical history of the insured, or reasonably expects each alternative drug that is required to be used earlier in the step therapy protocol to be ineffective at treating the psychiatric condition.

2. Any provision of a health benefit plan subject to the provisions of this chapter that is delivered, issued for delivery or renewed on or after July 1, 2023, which is in conflict with this section is void.

3. As used in this section: (a) “ Medical or scientific evidence ” has the meaning ascribed to it in NRS 695G.053 . (b) “ Network plan ” means a health benefit plan offered by a health carrier under which the financing and delivery of medical care is provided, in whole or in part, through a defined set of providers under contract with the health carrier. The term does not include an arrangement for the financing of premiums. (c) “ Step therapy protocol ” means a procedure that requires an insured to use a prescription drug or sequence of prescription drugs other than a drug that a practitioner recommends for treatment of a psychiatric condition of the insured before his or her health benefit plan provides coverage for the recommended drug.
Nev. Rev. Stat. § 682A.371 — NV Code / Title 57 / Chapter 682A / Section 682A.371
Availability of documentation to board
Status: in_force

In discharging its duties pursuant to NRS 682A.365 to 682A.375 , inclusive, the board of directors shall require that the records of any authorizations or approvals, other documentation as the board may require and reports of any action taken pursuant to authority delegated in accordance with the written plan referred to in NRS 682A.365 be made available on a regular basis to the board of directors.
Nev. Rev. Stat. § 695F.410 — NV Code / Title 57 / Chapter 695F / Section 695F.410
Confidentiality and disclosure of information
Status: in_force

1. Any information relating to the diagnosis, treatment or health of any enrollee obtained from the enrollee or from any provider by a prepaid limited health service organization and any contract with a provider submitted pursuant to the requirements of this chapter must not be disclosed to any person except: (a) To the extent that it is necessary to carry out the provisions of this chapter; (b) Upon the written consent of the enrollee or applicant, provider or prepaid limited health service organization, as appropriate; (c) Pursuant to a specific statute or court order for the production of evidence or the discovery thereof; or (d) For a claim or legal action if that data or information is relevant.

2. A prepaid limited health service organization may claim any privilege against disclosure which the provider who furnished the information relating to the diagnosis, treatment or health of an enrollee or applicant to the organization is entitled to claim.
Nev. Rev. Stat. § 689C.1678 — NV Code / Title 57 / Chapter 689C / Section 689C.1678
Coverage for certain services, screenings and tests relating to wellness required; prohibited acts
Status: in_force

1. A carrier that offers or issues a health benefit plan shall include in the plan coverage for: (a) Counseling, support and supplies for breastfeeding, including breastfeeding equipment, counseling and education during the antenatal, perinatal and postpartum period for not more than 1 year; (b) Screening and counseling for interpersonal and domestic violence for women at least annually, with initial intervention services consisting of education, strategies to reduce harm, supportive services or a referral for any other appropriate services; (c) Behavioral counseling concerning sexually transmitted diseases from a provider of health care for sexually active women who are at increased risk for such diseases; (d) Hormone replacement therapy; (e) Such prenatal screenings and tests as recommended by the American College of Obstetricians and Gynecologists or its successor organization; (f) Screening for blood pressure abnormalities and diabetes, including gestational diabetes, after at least 24 weeks of gestation or as ordered by a provider of health care; (g) Screening for cervical cancer at such intervals as are recommended by the American College of Obstetricians and Gynecologists or its successor organization; (h) Screening for depression; (i) Screening and counseling for the human immunodeficiency virus consisting of a risk assessment, annual education relating to prevention and at least one screening for the virus during the lifetime of the insured or as ordered by a provider of health care; (j) Smoking cessation programs for an insured who is 18 years of age or older consisting of not more than two cessation attempts per year and four counseling sessions per year; (k) All vaccinations recommended by the Advisory Committee on Immunization Practices of the Centers for Disease Control and Prevention of the United States Department of Health and Human Services or its successor organization; and (l) Such well-woman preventative visits as recommended by the Health Resources and Services Administration, which must include at least one such visit per year beginning at 14 years of age.

2. A carrier must ensure that the benefits required by subsection 1 are made available to an insured through a provider of health care who participates in the network plan of the carrier.

3. Except as otherwise provided in subsection 5, a carrier that offers or issues a health benefit plan shall not: (a) Require an insured to pay a higher deductible, any copayment or coinsurance or require a longer waiting period or other condition to obtain any benefit provided in the health benefit plan pursuant to subsection 1; (b) Refuse to issue a health benefit plan or cancel a health benefit plan solely because the person applying for or covered by the plan uses or may use any such benefit; (c) Offer or pay any type of material inducement or financial incentive to an insured to discourage the insured from obtaining any such benefit; (d) Penalize a provider of health care who provides any such benefit to an insured, including, without limitation, reducing the reimbursement of the provider of health care; (e) Offer or pay any type of material inducement, bonus or other financial incentive to a provider of health care to deny, reduce, withhold, limit or delay access to any such benefit to an insured; or (f) Impose any other restrictions or delays on the access of an insured to any such benefit.

4. A plan subject to the provisions of this chapter that is delivered, issued for delivery or renewed on or after January 1, 2018, has the legal effect of including the coverage required by subsection 1, and any provision of the plan or the renewal which is in conflict with this section is void.

5. Except as otherwise provided in this section and federal law, a carrier may use medical management techniques, including, without limitation, any available clinical evidence, to determine the frequency of or treatment relating to any benefit required by this section or the type of provider of health care to use for such treatment.

6. As used in this section: (a) “ Medical management technique ” means a practice which is used to control the cost or utilization of health care services or prescription drug use. The term includes, without limitation, the use of step therapy, prior authorization or categorizing drugs and devices based on cost, type or method of administration. (b) “ Network plan ” means a health benefit plan offered by a carrier under which the financing and delivery of medical care, including items and services paid for as medical care, are provided, in whole or in part, through a defined set of providers under contract with the carrier. The term does not include an arrangement for the financing of premiums. (c) “Provider of health care” has the meaning ascribed to it in NRS 629.031 .
Nev. Rev. Stat. § 695B.317 — NV Code / Title 57 / Chapter 695B / Section 695B.317
Corporation that provides health insurance prohibited from requiring or using information concerning genetic testing; exceptions
Status: in_force

1. Except as otherwise provided in subsection 2, a corporation that provides health insurance shall not: (a) Require an insured person or any member of the family of the insured person to take a genetic test; (b) Require an insured person to disclose whether the insured person or any member of the family of the insured person has taken a genetic test or any genetic information of the insured person or a member of the family of the insured person; or (c) Determine the rates or any other aspect of the coverage or benefits for health care provided to an insured person based on whether the insured person or any member of the family of the insured person has taken a genetic test.

2. The provisions of this section do not apply to a corporation that issues a policy of health insurance that provides coverage for long-term care or disability income.

3. As used in this section: (a) “ Genetic information ” means any information that is obtained from a genetic test. (b) “ Genetic test ” means a test, including a laboratory test that uses deoxyribonucleic acid extracted from the cells of a person or a diagnostic test, to determine the presence of abnormalities or deficiencies, including carrier status, that: (1) Are linked to physical or mental disorders or impairments; or (2) Indicate a susceptibility to illness, disease, impairment or any other disorder, whether physical or mental.
Nev. Rev. Stat. § 692C.3546 — NV Code / Title 57 / Chapter 692C / Section 692C.3546
Applicability of confidentiality provisions to NAIC and third parties
Status: in_force

Documents, materials or other information in the possession or control of the NAIC or a third-party consultant in accordance with the provisions of NRS 692C.351 to 692C.3548 , inclusive, are:

1. Confidential by law and privileged;

2. Not subject to the provisions of chapter 239 of NRS ;

3. Not subject to subpoena; and

4. Not subject to discovery or admissible in evidence in any private civil action.
Nev. Rev. Stat. § 695C.020 — NV Code / Title 57 / Chapter 695C / Section 695C.020
Legislative declaration
Status: in_force

The Legislature hereby declares that the rising cost of health services in recent years has led government agencies, private organizations, and legislative bodies to seek alternatives to the traditional medical delivery system which would provide improved health care and would provide such health care at a lower cost. The health maintenance organization is a concept which has received much attention as one means through which an improvement in delivery might be achieved. The Legislature therefore enacts this chapter to carry out this objective.
Nev. Rev. Stat. § 695J.140 — NV Code / Title 57 / Chapter 695J / Section 695J.140
Renewal of certificate: Application; fees; waiver of time limit and fine or sanction; expiration
Status: in_force

1. A certificate may be renewed by submitting to the Commissioner an application for renewal and: (a) If the application is made: (1) On or before the renewal date of the certificate, all applicable renewal fees; or (2) Except as otherwise provided in subsection 3: (I) Not more than 30 days after the renewal date of the certificate, a renewal fee of 150 percent of all applicable renewal fees otherwise required, except for any fee required pursuant to NRS 680C.110 ; or (II) More than 30 days but not more than 1 year after the renewal date of the certificate, all applicable renewal fees plus a penalty of twice all applicable renewal fees, except for any fee required pursuant to NRS 680C.110 . (b) Proof of the successful completion of appropriate courses of study required for renewal, as established by the Commissioner by regulation.

2. The fees specified in this section are not refundable.

3. An exchange enrollment facilitator who is unable to renew his or her certificate because of military service, extended medical disability or other extenuating circumstance may request a waiver of the time limit and of any fine or sanction otherwise required or imposed because of the failure to renew.

4. A certificate which: (a) Is not renewed pursuant to this section on or before the renewal date expires on the renewal date. (b) Is renewed pursuant to this section continues in effect until the next renewal date unless it is suspended, revoked or otherwise terminated.

5. As used in this section, “ renewal date ” means: (a) For the first renewal of the certificate, the last day of the month which is 3 years after the month in which the Commissioner originally issued the certificate. (b) For each renewal after the first renewal of the certificate, the last day of the month which is 3 years after the month in which the certificate was last due to be renewed.
Nev. Rev. Stat. § 695I.200 — NV Code / Title 57 / Chapter 695I / Section 695I.200
Establishment; purpose
Status: in_force

The Silver State Health Insurance Exchange is hereby established to:

1. Facilitate the purchase and sale of qualified health plans in the individual market in Nevada;

2. Assist qualified small employers in Nevada in facilitating the enrollment and purchase of coverage and the application for subsidies for small business enrollees;

3. Reduce the number of uninsured persons in Nevada;

4. Provide a transparent marketplace for health insurance and consumer education on matters relating to health insurance; and

5. Assist residents of Nevada with access to programs, premium assistance tax credits and cost-sharing reductions.
Nev. Rev. Stat. § 682A.548 — NV Code / Title 57 / Chapter 682A / Section 682A.548
Securities lending, repurchase, reverse repurchase and dollar roll transactions
Status: in_force

An insurer may enter into securities lending, repurchase, reverse repurchase and dollar roll transactions with business entities, subject to the following requirements:

1. The insurer's board of directors shall adopt a written plan that is consistent with the requirements of the written plan in NRS 682A.365 which specifies the guidelines and objectives to be followed, including, without limitation: (a) A description of how cash received will be invested or used for general corporate purposes of the insurer; (b) Operational procedures to manage interest rate risk, counterparty default risk, the conditions under which proceeds from reverse repurchase transactions may be used in the ordinary course of business and the use of acceptable collateral in a manner that reflects the liquidity needs of the transaction; and (c) The extent to which the insurer may engage in these transactions.

2. The insurer shall enter into a written agreement for all transactions authorized in this section other than dollar roll transactions. The written agreement must require that each transaction terminate not more than 1 year after its inception or upon the earlier demand of the insurer. The agreement must be with the business entity counterparty, but for securities lending transactions, the agreement may be with an agent acting on behalf of the insurer, if the agent is a qualified business entity and if the agreement: (a) Requires the agent to enter into separate agreements with each counterparty that are consistent with the requirements of this section; and (b) Prohibits securities lending transactions under the agreement with the agent or its affiliates.

3. Cash received in a transaction entered into as described in this section must be invested in accordance with the provisions of this chapter and in a manner that recognizes the liquidity needs of the transaction or used by the insurer for its general corporate purposes. For so long as the transaction remains outstanding, the insurer, its agent or custodian shall maintain, as to acceptable collateral received in a transaction entered into in accordance with this section, either physically or through the book entry systems of the Federal Reserve, the Depository Trust Company, the Participants Trust Company or any other securities depositories approved by the Commissioner: (a) Possession of the acceptable collateral; (b) A perfected security interest in the acceptable collateral; or (c) In the case of a jurisdiction outside of the United States, title to, or rights of a secured creditor to, the acceptable collateral.

4. The limitations of NRS 682A.512 , 682A.514 , 682A.516 and 682A.550 to 682A.558 , inclusive, do not apply to the business entity counterparty exposure created by transactions entered into under this section. For purposes of calculations made to determine compliance with this subsection, no effect will be given to the insurer's future obligation to resell securities, in the case of a repurchase transaction, or to repurchase securities, in the case of a reverse repurchase transaction. An insurer shall not enter into a transaction under this section if, as a result of and after giving effect to the transaction: (a) The aggregate amount of securities loaned, sold to or purchased from any one business entity counterparty under this section would exceed 5 percent of its admitted assets. In calculating the amount sold to or purchased from a business entity counterparty under repurchase or reverse repurchase transactions, effect may be given to netting provisions contained within a master written agreement. (b) The aggregate amount of all securities loaned, sold to or purchased from all business entities under this section would exceed 40 percent of its admitted assets. The limitation in this subsection does not apply to reverse repurchase transactions for so long as the borrowing is used to meet operational liquidity requirements resulting from an officially declared catastrophe and subject to a plan approved by the Commissioner.

5. In a securities lending transaction, the insurer shall receive acceptable collateral having a market value on the transaction date, equal to 102 percent or more of the market value of the securities loaned by the insurer in the transaction on that date. If at any time the market value of the acceptable collateral is less than the market value of the loaned securities, the business entity counterparty is obligated to deliver additional acceptable collateral, the market value of which, together with the market value of all acceptable collateral held in connection with the transaction, equals 102 percent or more of the market value of the loaned securities.

6. In a reverse repurchase transaction, other than a dollar roll transaction, the insurer shall receive acceptable collateral having a market value on the transaction date equal to 95 percent or more of the market value of the securities transferred by the insurer in the transaction on that date. If at any time the market value of the acceptable collateral is less than 95 percent of the market value of the securities so transferred, the business entity counterparty is obligated to deliver additional acceptable collateral, the market value of which, together with the market value of all acceptable collateral held in connection with the transaction, equals 95 percent or more of the market value of the transferred securities.

7. In a dollar roll transaction, the insurer shall receive cash in an amount equal to at least the market value of the securities transferred by the insurer in the transaction on the transaction date.

8. In a repurchase transaction, the insurer shall receive as acceptable collateral transferred securities having a market value equal to 102 percent or more of the purchase price paid by the insurer for the securities. If at any time the market value of the acceptable collateral is less than 100 percent of the purchase price paid by the insurer, the business entity counterparty is obligated to provide additional acceptable collateral, the market value of which, together with the market value of all acceptable collateral held in connection with the transaction, equals 102 percent or more of the purchase price. Securities acquired by an insurer in a repurchase transaction must not be sold in a reverse repurchase transaction, loaned in a securities lending transaction or otherwise pledged.

9. To constitute acceptable collateral for the purposes of this section, a letter of credit must have an expiration date beyond the term of the subject transaction.
Nev. Rev. Stat. § 682A.169 — NV Code / Title 57 / Chapter 682A / Section 682A.169
“Qualified clearinghouse” defined
Status: in_force

“ Qualified clearinghouse ” means a clearinghouse for, and subject to the rules of, a qualified exchange or qualified foreign exchange, which provides clearing services, including acting as a counterparty to each of the parties to a transaction such that the parties no longer have credit risk as to each other.
Nev. Rev. Stat. § 689B.0393 — NV Code / Title 57 / Chapter 689B / Section 689B.0393
Reimbursement for treatments by podiatrist
Status: in_force

1. If any group policy of health insurance provides coverage for treatment of an illness which is within the authorized scope of practice of a qualified podiatrist, the insured is entitled to reimbursement for treatments by a podiatrist who is licensed pursuant to chapter 635 of NRS .

2. The terms of the policy must not limit: (a) Coverage for treatments by a podiatrist to a number less than for treatments by other physicians. (b) Reimbursement for treatments by a podiatrist to an amount less than that reimbursed for similar treatments by other physicians.
Nev. Rev. Stat. § 689B.0334 — NV Code / Title 57 / Chapter 689B / Section 689B.0334
Required 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
Status: in_force

1. Except as otherwise provided in this section, an insurer that issues a policy of group health insurance shall include in the policy coverage for the medically necessary treatment of conditions relating to gender dysphoria and gender incongruence. Such coverage must include coverage of medically necessary psychosocial and surgical intervention and any other medically necessary treatment for such disorders provided by: (a) Endocrinologists; (b) Pediatric endocrinologists; (c) Social workers; (d) Psychiatrists; (e) Psychologists; (f) Gynecologists; (g) Speech-language pathologists; (h) Primary care physicians; (i) Advanced practice registered nurses; (j) Physician assistants; and (k) Any other providers of medically necessary services for the treatment of gender dysphoria or gender incongruence.

2. This section does not require a policy of group health insurance to include coverage for cosmetic surgery performed by a plastic surgeon or reconstructive surgeon that is not medically necessary.

3. An insurer that issues a policy of group health insurance shall not categorically refuse to cover medically necessary gender-affirming treatments or procedures or revisions to prior treatments if the policy provides coverage for any such services, procedures or revisions for purposes other than gender transition or affirmation.

4. An insurer that issues a policy of group health insurance may prescribe requirements that must be satisfied before the insurer covers surgical treatment of conditions relating to gender dysphoria or gender incongruence for an insured who is less than 18 years of age. Such requirements may include, without limitation, requirements that: (a) The treatment must be recommended by a psychologist, psychiatrist or other mental health professional; (b) The treatment must be recommended by a physician; (c) The insured must provide a written expression of the desire of the insured to undergo the treatment; (d) A written plan for treatment that covers at least 1 year must be developed and approved by at least two providers of health care; and (e) Parental consent is provided for the insured unless the insured is expressly authorized by law to consent on his or her own behalf.

5. When determining whether treatment is medically necessary for the purposes of this section, an insurer must consider the most recent Standards of Care published by the World Professional Association for Transgender Health, or its successor organization.

6. An insurer shall make a reasonable effort to ensure that the benefits required by subsection 1 are made available to an insured through a provider of health care who participates in the network plan of the insurer. If, after a reasonable effort, the insurer is unable to make such benefits available through such a provider of health care, the insurer may treat the treatment that the insurer is unable to make available through such a provider of health care in the same manner as other services provided by a provider of health care who does not participate in the network plan of the insurer.

7. If an insured appeals the denial of a claim or coverage under this section on the grounds that the treatment requested by the insured is not medically necessary, the insurer must consult with a provider of health care who has experience in prescribing or delivering gender-affirming treatment concerning the medical necessity of the treatment requested by the insured when considering the appeal.

8. A policy of group health insurance subject to the provisions of this chapter that is delivered, issued for delivery or renewed on or after July 1, 2023, has the legal effect of including the coverage required by subsection 1, and any provision of the policy or renewal which is in conflict with the provisions of this section is void.

9. As used in this section: (a) “ Cosmetic surgery ”: (1) Means a surgical procedure that: (I) Does not meaningfully promote the proper function of the body; (II) Does not prevent or treat illness or disease; and (III) Is primarily directed at improving the appearance of a person. (2) Includes, without limitation, cosmetic surgery directed at preserving beauty. (b) “ Gender dysphoria ” means distress or impairment in social, occupational or other areas of functioning caused by a marked difference between the gender identity or expression of a person and the sex assigned to the person at birth which lasts at least 6 months and is shown by at least two of the following: (1) A marked difference between gender identity or expression and primary or secondary sex characteristics or anticipated secondary sex characteristics in young adolescents. (2) A strong desire to be rid of primary or secondary sex characteristics because of a marked difference between such sex characteristics and gender identity or expression or a desire to prevent the development of anticipated secondary sex characteristics in young adolescents. (3) A strong desire for the primary or secondary sex characteristics of the gender opposite from the sex assigned at birth. (4) A strong desire to be of the opposite gender or a gender different from the sex assigned at birth. (5) A strong desire to be treated as the opposite gender or a gender different from the sex assigned at birth. (6) A strong conviction of experiencing typical feelings and reactions of the opposite gender or a gender different from the sex assigned at birth. (c) “ Medically necessary ” means health care services or products that a prudent provider of health care would provide to a patient to prevent, diagnose or treat an illness, injury or disease, or any symptoms thereof, that are necessary and: (1) Provided in accordance with generally accepted standards of medical practice; (2) Clinically appropriate with regard to type, frequency, extent, location and duration; (3) Not provided primarily for the convenience of the patient or provider of health care; (4) Required to improve a specific health condition of a patient or to preserve the existing state of health of the patient; and (5) The most clinically appropriate level of health care that may be safely provided to the patient. A provider of health care prescribing, ordering, recommending or approving a health care service or product does not, by itself, make that health care service or product medically necessary. (d) “ Network plan ” means a policy of group health insurance offered by an insurer under which the financing and delivery of medical care, including items and services paid for as medical care, are provided, in whole or in part, through a defined set of providers under contract with the insurer. The term does not include an arrangement for the financing of premiums. (e) “ Provider of health care ” has the meaning ascribed to it in NRS 629.031 .
Nev. Rev. Stat. § 695H.020 — NV Code / Title 57 / Chapter 695H / Section 695H.020
“Administrator” defined
Status: in_force

“ Administrator ” means a person authorized pursuant to NRS 683A.0805 to 683A.0893 , inclusive, to conduct business in this State as an administrator.
Nev. Rev. Stat. § 689C.1565 — NV Code / Title 57 / Chapter 689C / Section 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
Status: in_force

1. A carrier is not required to provide coverage to small employers pursuant to NRS 689C.156 : (a) During any period in which the Commissioner determines that requiring the carrier to provide such coverage would place the carrier in a financially impaired condition. (b) If the carrier elects not to offer any new coverage to any small employers in this State. A carrier that elects not to offer new coverage in accordance with this paragraph may maintain its existing policies issued to small employers in this State, subject to the requirements of NRS 689C.310 and 689C.320 .

2. A carrier that elects not to offer new coverage pursuant to paragraph (b) of subsection 1 shall notify the Commissioner forthwith of that election and shall not thereafter write any new business to small employers in this State for 5 years after the date of the notification.
Nev. Rev. Stat. § 681A.2165 — NV Code / Title 57 / Chapter 681A / Section 681A.2165
Applicability of certain provisions
Status: in_force

1. Credit may be taken under NRS 681A.211 to 681A.2165 , inclusive, only for reinsurance agreements entered into, amended, or renewed on or after October 1, 2021, and only with respect to losses incurred and reserves reported on or after the later of: (a) The date on which the assuming insurer has met all eligibility requirements pursuant to NRS 681A.211 to 681A.2125 , inclusive; or (b) The effective date of the new reinsurance agreement, amendment, or renewal.

2. The provisions of this section do not alter or impair a ceding insurer's right to take credit for reinsurance, to the extent that credit is not available under NRS 681A.211 to 681A.2165 , inclusive, as long as the reinsurance qualifies for credit under any other applicable provision of NRS 681A.110 to 681A.240 , inclusive.

3. Nothing in NRS 681A.211 to 681A.2165 , inclusive, authorize an assuming insurer to withdraw or reduce the security provided under any reinsurance agreement except as permitted by the terms of the agreement.

4. Nothing in NRS 681A.211 to 681A.2165 , inclusive, limit, or in any way alter, the capacity of a party to any reinsurance agreement to renegotiate the agreement.
Nev. Rev. Stat. § 679B.080 — NV Code / Title 57 / Chapter 679B / Section 679B.080
Designation of acting Commissioner; powers and duties of deputies; restrictions on other employment of deputies
Status: in_force

1. The Director of the Department of Business and Industry shall designate an acting Commissioner when the Office of Commissioner is vacant or when the Commissioner is unable to perform his or her duties because of mental or physical disability.

2. The Commissioner shall designate one of his or her deputies to serve as acting Commissioner in the Commissioner's absence.

3. The deputies have such powers and duties as the Commissioner delegates and assigns to them.

4. Except as otherwise provided in NRS 284.143 , the deputies shall devote their full time to the Division.
Nev. Rev. Stat. § 683A.231 — NV Code / Title 57 / Chapter 683A / Section 683A.231
Licensing of bank
Status: in_force

1. For the purposes of this section: (a) “ Affiliate ” means a person that directly, or indirectly through one or more intermediaries, is controlled by, or is under common control with, a bank. (b) “ Bank ” means any institution that accepts deposits that the depositor has a legal right to withdraw on demand. (c) “ Financial holding company ” means a bank holding company as defined in section 4(l)(2) of the Bank Holding Company Act of 1956, 12 U.S.C. § 1841(l)(1) . (d) “ Parent ” means a person that owns or controls a bank, directly or indirectly, in whole or in part. (e) “ Subsidiary ” means a person owned or controlled by a bank, directly or indirectly, in whole or in part.

2. A bank may be licensed as a producer of insurance in this state: (a) To the extent permitted by Title V of Public Law 106-102 , 15 U.S.C. §§ 6801 et seq. ; and (b) For credit insurance, as defined in NRS 690A.015 , and credit property insurance.

3. A bank must not be licensed or admitted as an insurer.

4. The provisions of subsection 3 do not prohibit the licensing by the Commissioner of an affiliate, financial holding company, parent or subsidiary of a bank to sell insurance or be admitted as an insurer.
Nev. Rev. Stat. § 686A.210 — NV Code / Title 57 / Chapter 686A / Section 686A.210
Service and processing charges prohibited
Status: in_force

No mortgagee, lessor, vendor or other person whose interest is insured under an insurance policy paid for by another shall make, receive or accept any monetary charge or fee paid or payable by such other person, for handling, servicing or processing the insurance policy, or endorsements thereon or cancellation thereof.
Nev. Rev. Stat. § 689B.03765 — NV Code / Title 57 / Chapter 689B / Section 689B.03765
Policy covering prescription drugs: Submission to step therapy protocol for drug to treat psychiatric condition prohibited in certain circumstances
Status: in_force

1. A policy of group health insurance which provides coverage for prescription drugs must not require an insured to submit to a step therapy protocol before covering a drug approved by the Food and Drug Administration that is prescribed to treat a psychiatric condition of the insured, if: (a) The drug has been approved by the Food and Drug Administration with indications for the psychiatric condition of the insured or the use of the drug to treat that psychiatric condition is otherwise supported by medical or scientific evidence; (b) The drug is prescribed by: (1) A psychiatrist; (2) A physician assistant under the supervision of a psychiatrist; (3) An advanced practice registered nurse who has the psychiatric training and experience prescribed by the State Board of Nursing pursuant to NRS 632.120 ; or (4) A primary care provider that is providing care to an insured in consultation with a practitioner listed in subparagraph (1), (2) or (3), if the closest practitioner listed in subparagraph (1), (2) or (3) who participates in the network plan of the insurer is located 60 miles or more from the residence of the insured; and (c) The practitioner listed in paragraph (b) who prescribed the drug knows, based on the medical history of the insured, or reasonably expects each alternative drug that is required to be used earlier in the step therapy protocol to be ineffective at treating the psychiatric condition.

2. Any provision of a policy of group health insurance subject to the provisions of this chapter that is delivered, issued for delivery or renewed on or after July 1, 2023, which is in conflict with this section is void.

3. As used in this section: (a) “ Medical or scientific evidence ” has the meaning ascribed to it in NRS 695G.053 . (b) “ Network plan ” means a policy of group health insurance offered by an insurer under which the financing and delivery of medical care is provided, in whole or in part, through a defined set of providers under contract with the insurer. The term does not include an arrangement for the financing of premiums. (c) “ Step therapy protocol ” means a procedure that requires an insured to use a prescription drug or sequence of prescription drugs other than a drug that a practitioner recommends for treatment of a psychiatric condition of the insured before his or her policy of group health insurance provides coverage for the recommended drug.
Nev. Rev. Stat. § 690A.010 — NV Code / Title 57 / Chapter 690A / Section 690A.010
Scope
Status: in_force

Any consumer credit insurance issued in connection with loans or other credit transactions for personal, family or household use is subject to the provisions of this chapter except:

1. Insurance written in connection with a credit transaction that is: (a) Secured by a first mortgage or deed of trust; and (b) Made to finance the purchase of real property or the construction of a dwelling thereon, or to refinance a prior credit transaction made for that purpose;

2. Insurance that is sold as an isolated transaction on the part of the insurer and not related to an agreement or a plan for insuring debtors of the creditor;

3. Insurance for which no identifiable charge is made to the debtor; or

4. Insurance on accounts receivable.
Nev. Rev. Stat. § 681B.125 — NV Code / Title 57 / Chapter 681B / Section 681B.125
Interest rates for minimum standard; applicability
Status: in_force

1. This section sets forth the interest rates used in determining the minimum standard for valuation of: (a) All life insurance policies issued in a particular calendar year on or after the operative date of NRS 688A.325 ; (b) All individual annuity and pure endowment contracts issued in a particular calendar year on or after January 1, 1984; (c) All annuities and pure endowments purchased in a particular calendar year on or after January 1, 1984, under group annuity and pure endowment contracts; and (d) The net increase, if any, in a particular calendar year after January 1, 1984, in amounts held under contract which have guaranteed interest.

2. The interest rates for valuation must be determined as follows, and the results rounded to the nearer one-quarter of 1 percent: (a) For life insurance: I = .03 + W (R 1 - .03) + W/2 (R 2 - .09) (b) For single-premium immediate annuities and for annuity benefits involving life contingencies arising from other annuities with options for cash settlement and from contracts which have guaranteed interest with options for cash settlement: I = .03 + W (R - .03) where R 1 is the lesser of R and .09, R 2 is the greater of R and .09, R is the reference interest rate defined in this section, and W is the weighting factor defined in this section. (c) For other annuities with options for cash settlement and contracts which have guaranteed interest with options for cash settlement, valued on the basis of the year issued, except as stated in paragraph (b), the formula for life insurance set forth in paragraph (a) applies to annuities and contracts which have guaranteed interest with a guaranteed duration in excess of 10 years, and the formula for single-premium immediate annuities stated in paragraph (b) applies to annuities and contracts which have guaranteed interest with guaranteed durations of 10 years or less. (d) For other annuities with no options for cash settlement and for contracts which have guaranteed interest with no options for cash settlement, the formula for single-premium immediate annuities set forth in paragraph (b) applies. (e) For other annuities with options for cash settlement and contracts which have guaranteed interest with no options for cash settlement which are valued on the basis of a change in its fund the formula for single-premium immediate annuities stated in paragraph (b) applies. (f) If the interest rate for valuation for any life insurance policies issued in any calendar year determined without reference to this sentence differs from the corresponding actual rate for similar policies issued in the immediately preceding calendar year by less than one-half of 1 percent, the interest rate for the valuation of such life insurance policies is equal to the corresponding actual rate for the immediately preceding calendar year. The interest rate for the valuation of life insurance policies issued in a calendar year must be determined for 1980 using the reference interest rate defined for 1979 and must be determined for each subsequent calendar year regardless of when NRS 688A.325 becomes operative with respect to the insurer.

3. The weighting factors referred to in the formulas set forth in subsection 2 are given in the following tables: (a) Weighting Factors for Life Insurance: Guarantee Duration Weighting (Years) Factors 10 or less․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․ .50 More than 10 but not more than 20 ․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․ .45 More than 20 ․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․ .35 For life insurance, the duration of the guarantee is the maximum number of years the life insurance can remain in force on a basis guaranteed in the policy or under options to convert to plans of life insurance with premium rates or nonforfeiture values, or both, which are guaranteed in the original policy; (b) The weighting factor for single-premium immediate annuities and for annuity benefits involving life contingencies arising from other annuities with options for cash settlement and contracts which have guaranteed interest with options for cash settlement is .80; and (c) Weighting factors for other annuities and for contracts which have guaranteed interest except as stated in paragraph (b), are specified in the tables in subparagraphs (1), (2) and (3), according to the rules and definitions in subparagraphs (4), (5) and (6) as follows: (1) For annuities and contracts which have guaranteed interest valued on the basis of the year issued: Guarantee Duration Weighting Factor for Plan Type (Years) A B C 5 or less․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․ .80 .60 .50 More than 5, but not more than 10․․․․․․․․․․․․․․․․․․․․․․․․․․․․․ .75 .60 .50 More than 10, but not more than 20․․․․․․․․․․․․․․․․․․․․․․․․․․․․ .65 .50 .45 More than 2․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․ .45 .35 .35 (2) For annuities and contracts which have guaranteed interest valued on a change in fund basis, the factors shown in subparagraph (1): Weighting Factor for Plan Type A B C Increased by․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․ .15 .25 .05 (3) For annuities and contracts which have guaranteed interest valued on the basis of the year issued, (other than those with no options for cash settlement) which do not guarantee interest on considerations received more than 1 year after issue or purchase and for annuities and contracts which have guaranteed interest valued on a change in fund basis which do not guarantee interest rates on considerations received more than 12 months beyond the valuation date, the factors shown in subparagraph (1) or derived in subparagraph (2) increased by .05. (4) For other annuities with options for cash settlement and contracts which have guaranteed interest with options for cash settlement, the guaranteed duration is the number of years for which the contract guarantees interest rates in excess of the interest rate for the valuation of life insurance policies with a guaranteed duration in excess of 20 years. For other annuities with no options for cash settlement and for contracts which have guaranteed interest with no options for cash settlement, the guaranteed duration is the number of years from the date of issue or date of purchase to the date on which the annuity benefits are scheduled to commence. (5) The types of plans listed in this subsection have the following characteristics: Plan Type A Under this plan the policyholder: (I) May withdraw money only with an adjustment to reflect changes in interest rates or the value of assets since the insurer's receipt of the money, or without such an adjustment but in installments payable over 5 years or more; (II) May withdraw money as an immediate life annuity; or (III) Is not permitted to withdraw money. Plan Type B Under this plan, before expiration of the guaranteed interest rate, the policyholder: (I) May withdraw money only with an adjustment to reflect changes in interest rates or the value of assets since the insurer's receipt of the money, or without such an adjustment but in installments payable over 5 years or more; or (II) Is not permitted to withdraw money. At the end of the guaranteed interest rate, the policyholder may withdraw money without such an adjustment in a single sum or in installments over a period of less than 5 years. Plan Type C Under this plan the policyholder may withdraw money before expiration of the guaranteed interest rate in a single sum or in installments over a period of less than 5 years: (I) Without any adjustment to reflect changes in interest rates or the value of assets since the insurer's receipt of the money; or (II) Subject only to a fixed charge for surrender which is stipulated in the contract as a percentage of the fund. (6) An insurer may elect to value contracts which have guaranteed interest with options for cash settlement and annuities with options for cash settlement on the basis of the year issued or a change in fund basis. Contracts which have guaranteed interest but no options for cash settlement and annuities with no options for cash settlement must be valued on the basis of the year issued. As used in this section, “ valuation on the basis of the year issued ” means a basis of valuation under which the interest rate used to determine the minimum standard of valuation for the entire duration of an annuity or contract with guaranteed interest is the interest rate of valuation for the year of issue or the year of purchase of the annuity or contract, and “change in fund basis of valuation” means a basis of valuation under which the interest rate used to determine the minimum standard of valuation applicable to each change in the fund held under the annuity or contract is the interest rate for valuation for the year of the change in the fund.

4. For purposes of subsection 2, “ reference interest rate ” means: (a) For all life insurance, the lesser of the average over 36 months and the average over 12 months, ending on June 30 of the calendar year next preceding the year of issue, of Moody's Corporate Bond Yield Average--Monthly Average Corporates, as published by Moody's Investors Service, Inc. (b) For single-premium immediate annuities, annuity benefits involving life contingencies arising from other annuities with options for cash settlement and contracts which have guaranteed interest with options for cash settlement, the average over 12 months, ending on June 30 of the calendar year of issue or year of purchase, of Moody's Corporate Bond Yield Average--Monthly Average Corporates, as published by Moody's Investors Service, Inc. (c) For other annuities with options for cash settlement and contracts which have guaranteed interest with options for cash settlement, valued on the basis of the year issued, except as stated in paragraph (b), with a guaranteed duration of more than 10 years, the lesser of the average over 36 months and the average over 12 months, ending on June 30 of the calendar year of issue or purchase, of Moody's Corporate Bond Yield Average--Monthly Average Corporates, as published by Moody's Investors Service, Inc. (d) For other annuities with options for cash settlement and guaranteed interest with options for cash settlement, valued on the basis of the year issued, except as stated in paragraph (b), with a guaranteed duration of 10 years or less, the average over 12 months, ending on June 30 of the calendar year issued or purchased, of Moody's Corporate Bond Yield Average--Monthly Average Corporates, as published by Moody's Investors Service, Inc. (e) For other annuities with no options for cash settlement and for contracts which have guaranteed interest with no option for cash settlement, the average over 12 months, ending on June 30 of the calendar year issued or purchased, of Moody's Corporate Bond Yield Average--Monthly Average Corporates, as published by Moody's Investors Service, Inc. (f) For other annuities with options for cash settlement and contracts which have guaranteed interest with options for cash settlement valued on a change in fund basis, except as stated in paragraph (b), the average over 12 months, ending on June 30 of the calendar year of the change in the fund, of Moody's Corporate Bond Yield Average--Monthly Average Corporates, as published by Moody's Investors Service, Inc.

5. If the publication of Moody's Corporate Bond Yield Average--Monthly Average Corporates by Moody's Investors Service, Inc., ends or the National Association of Insurance Commissioners determines that Moody's Corporate Bond Yield Average--Monthly Average Corporates is no longer appropriate for determination of the reference interest rate, an alternative method for determination of the reference interest rate which is adopted by the NAIC and approved by regulation of the Commissioner may be substituted.

6. The minimum standard for the valuation of policies and contracts issued before January 1, 1972, must be that provided by the laws in effect immediately preceding that date.

7. Except as otherwise provided in NRS 681B.310 , the provisions of this section apply only to, or in connection with, policies and contracts issued on or after January 1, 1972, and before the operative date of the Valuation Manual .
Nev. Rev. Stat. § 695B.2565 — NV Code / Title 57 / Chapter 695B / Section 695B.2565
Renewal of converted contract: Request for information on sources of other benefits; grounds for refusal to renew; notice concerning cancellation of other coverage
Status: in_force

1. A converted contract issued under NRS 695B.251 may include a provision permitting the medical service corporation to request from the applicant, in advance of any premium due date, information as to whether the applicant is covered for similar benefits under any of the sources listed in NRS 695B.253 .

2. The medical service corporation may not refuse to renew the contract or the coverage of any person unless: (a) Benefits provided under the sources listed in subsection 1 of NRS 695B.253 , together with the benefits provided by the converted contract would result in overinsurance according to the medical service corporation's standards; (b) The holder of the converted contract has refused to provide requested information as to such sources; or (c) Fraud was committed in applying for any benefits under the converted contract.

3. Before refusing to renew a converted contract because of overinsurance, the medical service corporation shall notify the subscriber that the converted contract will be renewed only if the other coverage is cancelled.
Nev. Rev. Stat. § 695F.100 — NV Code / Title 57 / Chapter 695F / Section 695F.100
Certificate required
Status: in_force

A person shall not operate a prepaid limited health service organization in this state unless the person has been issued a certificate of authority by the Commissioner pursuant to this chapter.
Nev. Rev. Stat. § 686A.200 — NV Code / Title 57 / Chapter 686A / Section 686A.200
Plan or transaction involving favored agent or insurer prohibited; exception
Status: in_force

1. Except as otherwise provided in NRS 616B.710 , no person shall require, directly or indirectly, or through any trustee, director, officer, agent or employee or affiliate, as a condition, agreement or understanding to selling or furnishing any other person any loan, or extension thereof, credit, sale, goods, property, contract, lease or service, that such other person shall place, continue (other than as to life insurance) or renew any policy of insurance of any kind through any particular agent, broker or insurer. No agent, broker or insurer shall knowingly participate in any such prohibited plan or transaction. No person shall fix a price charged for such thing or service, or discount from or rebate upon price, on the condition, agreement or understanding that any insurance is to be obtained through a particular agent, broker or insurer.

2. Subsection 1 does not prevent: (a) The exercise by any such person upon a reasonable basis of any right to approve or disapprove of the insurer and representative to underwrite the insurance. Such basis shall relate only to the adequacy and terms of the coverage with respect to the interest of the vendor, lender, lessor or provider of service to be insured thereunder, the financial standards to be met by the insurer, and the ability of the insurer or representative to service the policy. (b) The exercise by the vendor, lender, lessor or provider of service of the right to furnish or renew the insurance, and to charge the account of the other person with the costs thereof, if such other person fails to deliver such insurance to the lender, vendor, lessor or provider of service, where otherwise called for and in order, at least 15 days prior to expiration of the existing policy.
Nev. Rev. Stat. § 690B.420 — NV Code / Title 57 / Chapter 690B / Section 690B.420
“Transportation network company” defined
Status: in_force

“ Transportation network company ” has the meaning ascribed to it in NRS 706A.050 .
Nev. Rev. Stat. § 685B.030 — NV Code / Title 57 / Chapter 685B / Section 685B.030
Transaction of unauthorized insurance business unlawful; exceptions; venue; effect
Status: in_force

1. As used in this section unless otherwise indicated, “insurer” includes: (a) All corporations, associations, partnerships and natural persons engaged as principals in the business of insurance, including a fraternal benefit society, a nonprofit corporation offering dental, hospital and medical services, a health maintenance organization, a prepaid limited health service organization, an organization for dental care, a dental plan, an optometric plan or a similar health service plan; and (b) Interinsurance exchanges and mutual benefit societies.

2. It is unlawful for any insurer to transact an insurance business in this State as set forth in subsection 3, without a certificate of authority from the Commissioner. This section does not apply to: (a) Any transaction for which a certificate of authority is not required pursuant to NRS 680A.070 . (b) Attorneys at law acting in the ordinary relation of attorney and client in the adjustment of claims or losses. (c) Transactions in this State involving any policy of insurance or annuity contract issued before January 1, 1972. (d) Transactions in this State relative to a policy issued or to be issued outside this State involving insurance on vessels, craft or hulls, cargoes, marine builder's risk, marine protection and indemnity or other risk, including strikes and war risks commonly insured under ocean or wet marine forms of policy.

3. Any of the following acts in this State effected by mail or otherwise by or on behalf of an unauthorized insurer constitutes the transaction of an insurance business in this State: (a) The making of or proposing to make, as an insurer, an insurance contract. (b) The making of or proposing to make, as guarantor or surety, any contract of guaranty or suretyship as a vocation and not merely incidental to any other legitimate business or activity of the guarantor or surety. (c) The taking or receiving of any application for insurance. (d) The receiving or collection of any premium, commission, membership fees, assessments, dues or other consideration for any insurance or any part thereof. (e) The issuance or delivery of contracts of insurance to residents of this State or to persons authorized to do business in this State. (f) Directly or indirectly acting as an agent for or otherwise representing or aiding on behalf of another any person or insurer in the solicitation, negotiation, procurement or effectuation of insurance or renewals thereof or in the dissemination of information as to coverage or rates, or forwarding of applications, or delivery of policies or contracts, or inspection of risks, a fixing of rates or investigation or adjustment of claims or losses or in the transaction of matters after effectuation of the contract and arising out of it, or in any other manner representing or assisting a person or insurer in the transaction of insurance with respect to subjects of insurance that are resident, located or to be performed in this State. The provisions of this paragraph do not prohibit full-time salaried employees of a corporate insured from acting in the capacity of an insurance manager or buyer in placing insurance on behalf of such an employer. (g) The transaction of any kind of insurance business specifically recognized as transacting an insurance business within the meaning of the statutes relating to insurance. (h) The transacting or proposing to transact any insurance business in substance equivalent to any of the provisions of paragraphs (a) to (g), inclusive, in a manner designed to evade the provisions of the statutes.

4. The venue of an act committed by mail is at the point where the matter transmitted by mail is delivered and takes effect.

5. The failure of an insurer transacting insurance business in this State to obtain a certificate of authority does not impair the validity of any act or contract of the insurer and does not prevent the insurer from defending any action at law or suit in equity in any court of this State, except that no insurer transacting insurance business in this State without a certificate of authority may maintain an action in any court of this State to enforce any right, claim or demand arising out of the transaction of such business until the insurer has obtained a certificate of authority. In the event of a failure by an unauthorized insurer to pay any claim or loss within the provisions of an insurance contract, any person who assisted or in any manner aided directly or indirectly in the procurement of the insurance contract is liable to the insured for the full amount of the claim or loss in the manner provided by the provisions of the insurance contract.
Nev. Rev. Stat. § 689A.040 — NV Code / Title 57 / Chapter 689A / Section 689A.040
Contents of policy; substitution of provisions; captions; omission or modification of provisions
Status: in_force

1. Except as otherwise provided in subsection 2, each such policy delivered or issued for delivery to any person in this State must contain the provisions specified in NRS 689A.050 to 689A.170 , inclusive, in the words in which the provisions appear, except that the insurer may, at its option, substitute for one or more of the provisions corresponding provisions of different wording approved by the Commissioner which are in each instance not less favorable in any respect to the insured or the beneficiary. Each such provision must be preceded individually by the applicable caption shown or, at the option of the insurer, by such appropriate individual or group captions or subcaptions as the Commissioner may approve.

2. If any such provision is in whole or in part inapplicable to or inconsistent with the coverage provided by a particular form of policy, the insurer, with the approval of the Commissioner, may omit from the policy any inapplicable provision or part of a provision, and shall modify any inconsistent provision or part of a provision in such a manner as to make the provision as contained in the policy consistent with the coverage provided by the policy.
Nev. Rev. Stat. § 695A.1875 — NV Code / Title 57 / Chapter 695A / Section 695A.1875
Coverage for certain services, screenings and tests relating to wellness required; prohibited acts
Status: in_force

1. A society that offers or issues a benefit contract shall include in the contract coverage for: (a) Counseling, support and supplies for breastfeeding, including breastfeeding equipment, counseling and education during the antenatal, perinatal and postpartum period for not more than 1 year; (b) Screening and counseling for interpersonal and domestic violence for women at least annually with initial intervention services consisting of education, strategies to reduce harm, supportive services or a referral for any other appropriate services; (c) Behavioral counseling concerning sexually transmitted diseases from a provider of health care for sexually active women who are at increased risk for such diseases; (d) Hormone replacement therapy; (e) Such prenatal screenings and tests as recommended by the American College of Obstetricians and Gynecologists or its successor organization; (f) Screening for blood pressure abnormalities and diabetes, including gestational diabetes, after at least 24 weeks of gestation or as ordered by a provider of health care; (g) Screening for cervical cancer at such intervals as are recommended by the American College of Obstetricians and Gynecologists or its successor organization; (h) Screening for depression; (i) Screening and counseling for the human immunodeficiency virus consisting of a risk assessment, annual education relating to prevention and at least one screening for the virus during the lifetime of the insured or as ordered by a provider of health care; (j) Smoking cessation programs for an insured who is 18 years of age or older consisting of not more than two cessation attempts per year and four counseling sessions per year; (k) All vaccinations recommended by the Advisory Committee on Immunization Practices of the Centers for Disease Control and Prevention of the United States Department of Health and Human Services or its successor organization; and (l) Such well-woman preventative visits as recommended by the Health Resources and Services Administration, which must include at least one such visit per year beginning at 14 years of age.

2. A society must ensure that the benefits required by subsection 1 are made available to an insured through a provider of health care who participates in the network plan of the society.

3. Except as otherwise provided in subsection 5, a society that offers or issues a benefit contract shall not: (a) Require an insured to pay a higher deductible, any copayment or coinsurance or require a longer waiting period or other condition to obtain any benefit provided in the benefit contract pursuant to subsection 1; (b) Refuse to issue a benefit contract or cancel a benefit contract solely because the person applying for or covered by the contract uses or may use any such benefit; (c) Offer or pay any type of material inducement or financial incentive to an insured to discourage the insured from obtaining any such benefit; (d) Penalize a provider of health care who provides any such benefit to an insured, including, without limitation, reducing the reimbursement of the provider of health care; (e) Offer or pay any type of material inducement, bonus or other financial incentive to a provider of health care to deny, reduce, withhold, limit or delay access to any such benefit to an insured; or (f) Impose any other restrictions or delays on the access of an insured to any such benefit.

4. A benefit contract subject to the provisions of this chapter that is delivered, issued for delivery or renewed on or after January 1, 2018, has the legal effect of including the coverage required by subsection 1, and any provision of the benefit contract or the renewal which is in conflict with this section is void.

5. Except as otherwise provided in this section and federal law, a society may use medical management techniques, including, without limitation, any available clinical evidence, to determine the frequency of or treatment relating to any benefit required by this section or the type of provider of health care to use for such treatment.

6. As used in this section: (a) “ Medical management technique ” means a practice which is used to control the cost or utilization of health care services or prescription drug use. The term includes, without limitation, the use of step therapy, prior authorization or categorizing drugs and devices based on cost, type or method of administration. (b) “ Network plan ” means a benefit contract offered by a society under which the financing and delivery of medical care, including items and services paid for as medical care, are provided, in whole or in part, through a defined set of providers under contract with the society. The term does not include an arrangement for the financing of premiums. (c) “Provider of health care” has the meaning ascribed to it in NRS 629.031 .
Nev. Rev. Stat. § 692C.050 — NV Code / Title 57 / Chapter 692C / Section 692C.050
“Control” defined
Status: in_force

1. “ Control ” means the possession, direct or indirect, of the power to direct or cause the direction of the management and policies of a person, whether through the ownership of voting securities, by contract other than a commercial contract for goods or nonmanagement services or otherwise, unless the power is the result of an official position with or corporate office held by the person.

2. Control shall be presumed to exist if any person directly or indirectly owns, controls, holds with the power to vote or holds proxies representing 10 percent or more of the voting securities of any other person. This presumption may be rebutted by a showing made in the manner provided by NRS 692C.330 that control does not exist in fact.

3. The Commissioner may determine, after furnishing all persons in interest notice and opportunity to be heard and making specific findings of fact to support such determination, that control exists in fact, notwithstanding the absence of a presumption to that effect.
Nev. Rev. Stat. § 682A.428 — NV Code / Title 57 / Chapter 682A / Section 682A.428
Exempted personal property under lease
Status: in_force

Nothing in NRS 682A.420 to 682A.428 , inclusive, applies to tangible personal property lease arrangements between an insurer and its subsidiaries and affiliates in accordance with a cost-sharing arrangement or agreement permitted in accordance with the provisions of chapter 692C of NRS .
Nev. Rev. Stat. § 689B.390 — NV Code / Title 57 / Chapter 689B / Section 689B.390
“Group health plan” defined
Status: in_force

1. “Group health plan” means an employee welfare benefit plan, as defined in section 3(1) of the Employee Retirement Income Security Act of 1974, as that section existed on July 16, 1997, to the extent that the plan provides medical care to employees or their dependents as defined under the terms of the plan directly, or through insurance, reimbursement or otherwise.

2. The term does not include: (a) Coverage that is only for accident or disability income insurance, or any combination thereof; (b) Coverage issued as a supplement to liability insurance; (c) Liability insurance, including general liability insurance and automobile liability insurance; (d) Workers' compensation or similar insurance; (e) Coverage for medical payments under a policy of automobile insurance; (f) Credit insurance; (g) Coverage for on-site medical clinics; and (h) Other similar insurance coverage specified in federal regulations adopted pursuant to Public Law 104-191 under which benefits for medical care are secondary or incidental to other insurance benefits.

3. The term does not include the following benefits if the benefits are provided under a separate policy, certificate or contract of insurance or are otherwise not an integral part of a health benefit plan: (a) Limited-scope dental or vision benefits; (b) Benefits for long-term care, nursing home care, home health care or community-based care, or any combination thereof; and (c) Such other similar benefits as are specified in any federal regulations adopted pursuant to Public Law 104-191.

4. The term does not include the following benefits if the benefits are provided under a separate policy, certificate or contract of insurance, there is no coordination between the provision of the benefits and any exclusion of benefits under any group health plan maintained by the same plan sponsor, and such benefits are paid for a claim without regard to whether benefits are provided for such a claim under any group health plan maintained by the same plan sponsor: (a) Coverage that is only for a specified disease or illness; and (b) Hospital indemnity or other fixed indemnity insurance.

5. The term does not include any of the following, if offered as a separate policy, certificate or contract of insurance: (a) Medicare supplemental health insurance as defined in section 1882(g)(1) of the Social Security Act, as that section existed on July 16, 1997; (b) Coverage supplemental to the coverage provided pursuant to chapter 55 of Title 10, United States Code (Civilian Health and Medical Program of Uniformed Services (CHAMPUS)); and (c) Similar supplemental coverage provided under a group health plan.
Nev. Rev. Stat. § 686B.280 — NV Code / Title 57 / Chapter 686B / Section 686B.280
Conversion into domestic stock insurer: Filing and contents of notice of intent to qualify
Status: in_force

1. An essential insurance association shall, whenever requested to do so by the Commissioner, file a notice of intent to qualify as a domestic stock insurer. In the absence of a request by the Commissioner, an essential insurance association may file such a notice whenever it considers it appropriate.

2. The notice must be filed with the Commissioner at least 4 months before the date the association is to become a domestic stock insurer and must contain: (a) An application prepared pursuant to chapter 680A of NRS for a certificate of authority to transact business in Nevada as a domestic stock insurer; (b) A valuation of capital and surplus according to both market and amortized value based on the association's annual financial statement for the previous year; (c) The value and number of shares of stock to which each insured is entitled; and (d) The terms of any proposal offering money or its equivalent in lieu of issuing fractional shares.
Nev. Rev. Stat. § 692C.180 — NV Code / Title 57 / Chapter 692C / Section 692C.180
Acquisition or merger: Filing requirements; approval by Commissioner; regulations
Status: in_force

1. No person other than the issuer may make a tender for or a request or invitation for tenders of, or enter into any agreement to exchange securities for, seek to acquire or acquire in the open market or otherwise, any voting security of a domestic insurer if, after the consummation thereof, the person would directly or indirectly, or by conversion or by exercise of any right to acquire, be in control of the insurer, nor may any person enter into an agreement to merge with or otherwise acquire control of a domestic insurer, unless, at the time any such offer, request or invitation is made or any such agreement is entered into, or before the acquisition of those securities if no offer or agreement is involved, the person has filed with the Commissioner and has sent to the insurer, and the insurer has sent to its shareholders, a statement containing the information required by NRS 692C.180 to 692C.250 , inclusive, and, except as otherwise provided in subsection 4, the offer, request, invitation, agreement or acquisition has been approved by the Commissioner in the manner prescribed in this chapter.

2. The pre-acquisition statement required by subsection 1 must be filed with the Commissioner at least 60 days before the proposed date of the acquisition. The statement must set forth, without limitation, the information required by NRS 692C.254 . A person who fails to comply with this subsection is subject to the penalties set forth in subsections 6 and 7 of NRS 692C.258 .

3. A person controlling a domestic insurer who is seeking to divest his or her controlling interest in the domestic insurer shall file with the Commissioner, and send to the insurer, notice of the proposed divestiture at least 30 days before the proposed divestiture, unless a pre-acquisition statement has been filed pursuant to subsection 1 concerning the proposed transaction. Notice filed pursuant to this subsection is confidential until the conclusion, if any, of the divestiture unless the Commissioner determines that such confidentiality will interfere with the enforcement of this section.

4. Upon receiving a pre-acquisition statement or notice pursuant to this section by a person seeking to acquire a controlling interest in a domestic insurer or divest a controlling interest in a domestic insurer, the Commissioner shall determine whether or not the person will be required to file for and obtain the approval of the Commissioner for the acquisition or divestiture. As soon as practicable after making that determination, the Commissioner shall notify the person of the results of the determination.

5. For purposes of this section, a domestic insurer includes any other person controlling a domestic insurer unless the other person is directly or through affiliates primarily engaged in a business other than the business of insurance. If a person is directly or through affiliates primarily engaged in a business other than the business of insurance, the person shall, at least 60 days before the proposed effective date of the acquisition, file a notice of intent to acquire with the Commissioner setting forth the information required by NRS 692C.254 .

6. If a transaction is governed by the provisions of this section, the acquiring person shall also file a pre-acquisition notification with the Commissioner which must contain the information set forth in subsection 1. The Commissioner shall specify by regulation the period within which the notification must be filed. A person who fails to comply with this subsection or any regulations adopted pursuant thereto may be subject to the penalties set forth in subsection 7 of NRS 692C.258 .

7. As used in this section, “person” does not include a securities broker who, in the regular course of business as a broker, holds less than 20 percent of the voting securities of an insurer or of any person who controls an insurer.
Nev. Rev. Stat. § 694B.150 — NV Code / Title 57 / Chapter 694B / Section 694B.150
Financial condition: Method of determining
Status: in_force

In determining the financial condition of a reciprocal insurer the Commissioner shall apply the following rules:

1. The Commissioner shall charge as liabilities the same reserves as are required of incorporated insurers issuing nonassessable policies on a reserve basis.

2. The surplus deposits of subscribers shall be allowed as assets, except that any premium deposits delinquent for 90 days shall first be charged against such surplus deposit.

3. The surplus deposits of subscribers shall not be charged as a liability.

4. All premium deposits delinquent less than 90 days shall be allowed as assets.

5. An assessment levied upon subscribers, and not collected, shall not be allowed as an asset.

6. The contingent liability of subscribers shall not be allowed as an asset.

7. The computation of reserves shall be based upon premium deposits other than membership fees and without any deduction for expenses and the compensation of the attorney.
Nev. Rev. Stat. § 695C.1709 — NV Code / Title 57 / Chapter 695C / Section 695C.1709
Required provision in group insurance policy concerning continuing coverage for enrollee on leave without pay as result of total disability
Status: in_force

1. As used in this section, “total disability” and “totally disabled” mean the continuing inability of the enrollee, because of an injury or illness, to perform substantially the duties related to his or her employment for which the enrollee is otherwise qualified.

2. No policy of group insurance to which an enrollee is entitled under a health care plan provided by a health maintenance organization may be delivered or issued for delivery in this state unless it provides continuing coverage for an enrollee and dependents of the enrollee who are otherwise covered by the policy while the enrollee is on leave without pay as a result of a total disability. The coverage must be for any injury or illness suffered by the enrollee which is not related to the total disability or for any injury or illness suffered by a dependent of the enrollee. The coverage must be equal to or greater than the coverage otherwise provided by the policy.

3. The coverage required pursuant to subsection 2 must continue until: (a) The date on which the employment of the enrollee is terminated; (b) The date on which the enrollee obtains another policy of health insurance; (c) The date on which the policy of group insurance is terminated; or (d) After a period of 12 months in which benefits under such coverage are provided to the enrollee, whichever occurs first.
Nev. Rev. Stat. § 695B.316 — NV Code / Title 57 / Chapter 695B / Section 695B.316
Corporation prohibited from denying coverage solely because claim involves act that constitutes domestic violence or applicant or insured was victim of domestic violence
Status: in_force

A corporation shall not deny a claim, refuse to issue a contract for hospital, medical or dental services or cancel a contract for hospital, medical or dental services solely because the claim involves an act that constitutes domestic violence pursuant to NRS 33.018 , or because the person applying for or covered by the contract was the victim of such an act of domestic violence, regardless of whether the insured or applicant contributed to any loss or injury.
Nev. Rev. Stat. § 695A.198 — NV Code / Title 57 / Chapter 695A / Section 695A.198
Society prohibited from discriminating against person with respect to participation or coverage on basis of gender identity or expression
Status: in_force

A society that issues a benefit contract shall not discriminate against any person with respect to participation or coverage under the contract on the basis of actual or perceived gender identity or expression. Prohibited discrimination includes, without limitation:

1. Denying, cancelling, limiting or refusing to issue or renew a benefit contract on the basis of the actual or perceived gender identity or expression of a person or a family member of the person;

2. Imposing a payment or premium that is based on the actual or perceived gender identity or expression of an insured or a family member of the insured;

3. Designating the actual or perceived gender identity or expression of a person or a family member of the person as grounds to deny, cancel or limit participation or coverage; and

4. Denying, cancelling or limiting participation or coverage on the basis of actual or perceived gender identity or expression, including, without limitation, by limiting or denying coverage for health care services that are: (a) Related to gender transition, provided that there is coverage under the contract for the services when the services are not related to gender transition; or (b) Ordinarily or exclusively available to persons of any sex.
Nev. Rev. Stat. § 690D.035 — NV Code / Title 57 / Chapter 690D / Section 690D.035
“Creditor” defined
Status: in_force

“ Creditor ” means a person to whom money is owed pursuant to a finance agreement, including, without limitation, the assignee of such an agreement.
Nev. Rev. Stat. § 692C.3542 — NV Code / Title 57 / Chapter 692C / Section 692C.3542
Sharing of information by Commissioner not delegation of regulatory authority or rulemaking
Status: in_force

The sharing of documents, materials and other information by the Commissioner pursuant to NRS 692C.351 to 692C.3548 , inclusive, does not constitute a delegation of regulatory authority or rulemaking, and the Commissioner is solely responsible for the administration, execution and enforcement of the provisions of NRS 692C.351 to 692C.3548 , inclusive.
Nev. Rev. Stat. § 683A.187 — NV Code / Title 57 / Chapter 683A / Section 683A.187
Billing, collecting and remitting charges by licensee; compensation for licensee from supervising entity for sales, billing and collection services; money collected by licensee from enrolled customer held in trust
Status: in_force

1. If a customer purchases personal property storage insurance from the licensee, the licensee may bill and collect the charges for the personal property storage insurance.

2. A licensee which bills and collects charges for personal property storage insurance coverage on behalf of an insurer is not required to maintain such money in a segregated account if the licensee: (a) Is authorized by the insurer to hold such money in an alternative manner; and (b) Remits such amounts to the supervising entity within 60 days after receipt.

3. A licensee may receive compensation from a supervising entity for sales, billing and collection services. Such compensation may be dependent on the sale of the types of coverage described in NRS 683A.181 to 683A.189 , inclusive.

All money collected by a licensee from an enrolled customer for the sale of personal property storage insurance shall be deemed to be held in trust by the licensee in a fiduciary capacity for the benefit of the insurer, and the insurer shall be deemed to have received the premium from the enrolled customer upon payment of the premium by the enrolled customer to the licensee.
Nev. Rev. Stat. § 691D.510 — NV Code / Title 57 / Chapter 691D / Section 691D.510
Administrative fines; suspension of privilege of vendor, employee or authorized representative to sell or offer portable electronics insurance; suspension or revocation of license
Status: in_force

If a vendor or an employee or authorized representative of a vendor violates any provision of this chapter or an order or regulation of the Commissioner issued or adopted pursuant thereto, the Commissioner may, after notice and an opportunity for a hearing:

1. Impose an administrative fine pursuant to NRS 683A.461 for each violation, which must not exceed $50,000 in the aggregate;

2. Suspend a vendor's privilege of engaging in the sale or offering of coverage under a policy of portable electronics insurance at a particular location where the vendor does business;

3. Suspend or revoke the privilege of an employee or authorized representative of a vendor to sell or offer coverage under a policy of portable electronics insurance; or

4. Suspend or revoke the license issued by the Commissioner to the vendor as a licensed producer of insurance.
Nev. Rev. Stat. § 686B.1762 — NV Code / Title 57 / Chapter 686B / Section 686B.1762
“Willful” defined
Status: in_force

“Willful” or “willfully” in relation to an act or omission which constitutes a violation of this chapter means with actual knowledge or belief that the act or omission constitutes a violation and with specific intent to commit the violation.
Nev. Rev. Stat. § 683A.087 — NV Code / Title 57 / Chapter 683A / Section 683A.087
Advertising
Status: in_force

An administrator may advertise the insurance which he or she administers only after the administrator receives the approval of the insurer who underwrites the business involved.
Nev. Rev. Stat. § 681A.080 — NV Code / Title 57 / Chapter 681A / Section 681A.080
“Revised Statutes Title insurance” defined
Status: in_force

“Title insurance” means insuring, guaranteeing or indemnifying owners of property or holders of liens, encumbrances or security interests on the property, and others interested therein, against loss or damage suffered by reason of:

1. Liens, encumbrances, security interests and defects in, or the unmarketability of, the title to the property; or

2. Invalidity or unenforceability of liens, encumbrances or security interests on the property,

and any other activity substantially equivalent to these activities.
Nev. Rev. Stat. § 695D.225 — NV Code / Title 57 / Chapter 695D / Section 695D.225
Contracts between organization for dental care and dentist: Modification; submission of schedule of payments upon request; exceptions
Status: in_force

1. Except as otherwise provided in NRS 695D.227 , a contract between an organization for dental care and a dentist may be modified: (a) At any time pursuant to a written agreement executed by both parties. (b) Except as otherwise provided in this paragraph, by the organization for dental care upon giving to the dentist 45 days' written notice of the modification of the organization for dental care's schedule of payments, including any changes to the fee schedule applicable to the dentist's practice. If the dentist fails to object in writing to the modification within the 45-day period, the modification becomes effective at the end of that period. If the dentist objects in writing to the modification within the 45-day period, the modification must not become effective unless agreed to by both parties as described in paragraph (a).

2. If an organization for dental care contracts with a dentist, the organization for dental care shall: (a) If requested by the dentist at the time the contract is made, submit to the dentist the schedule of payments applicable to the dentist; or (b) If requested by the dentist at any other time, submit to the dentist the schedule of payments, including any changes to the fee schedule applicable to the dentist's practice, specified in paragraph (a) within 7 days after receiving the request.

3. The provisions of this section do not apply to an organization for dental care that provides services to recipients of Medicaid under the State Plan for Medicaid or insurance pursuant to the Children's Health Insurance Program pursuant to a contract with the Division of Health Care Financing and Policy of the Department of Health and Human Services. This subsection does not exempt an organization for dental care from any provision of this chapter for services provided pursuant to any other contract.
Nev. Rev. Stat. § 695B.1951 — NV Code / Title 57 / Chapter 695B / Section 695B.1951
Reimbursement for treatment by podiatrist
Status: in_force

1. If any contract for hospital or medical services provides coverage for treatment of an illness which is within the authorized scope of practice of a qualified podiatrist, the insured is entitled to reimbursement for treatments by a podiatrist who is licensed pursuant to chapter 635 of NRS .

2. The terms of the policy must not limit: (a) Coverage for treatments by a podiatrist to a number less than for treatments by other physicians. (b) Reimbursement for treatments by a podiatrist to an amount less than that reimbursed for similar treatments by other physicians.
Nev. Rev. Stat. § 689.500 — NV Code / Title 57 / Chapter 689 / Section 689.500
Permit: Issuance; denial
Status: in_force

1. If the Commissioner finds that the application is complete, that the cemetery authority is in compliance with all requirements therefor, that the applicant otherwise qualifies under the provisions of NRS 689.450 to 689.595 , inclusive, and upon satisfactory evidence that a burial merchandise and service trust fund has been established, the Commissioner shall issue a seller's permit to the applicant.

2. The Commissioner shall refuse to issue a seller's permit to any applicant who does not comply with or otherwise meet the requirements of NRS 689.450 to 689.595 , inclusive. Upon such refusal, the Commissioner shall give written notice thereof to the applicant setting forth the reasons for the refusal.
Nev. Rev. Stat. § 679B.122 — NV Code / Title 57 / Chapter 679B / Section 679B.122
Entry into or compliance with cooperative or coordination agreements; sharing or receipt of confidential documents
Status: in_force

1. In addition to the authority conferred upon him or her pursuant to NRS 679B.120 , the Commissioner may: (a) Enter into and comply with any cooperative or coordination agreement with any governmental entity within or outside this state relating to the regulation and administration of insurance and persons who are materially involved in the business of insurance; (b) Share any document, material or other information, including any document, material or information that is confidential or privileged, with any state, federal or international regulatory, law enforcement or legislative agency, and the National Association of Insurance Commissioners and any of its affiliates or subsidiaries, if the recipient of the document, material or other information agrees: (1) To ensure that the document, material or other information remains confidential and privileged; and (2) To submit to the jurisdiction of the courts of this state if the recipient violates a provision of subparagraph (1); and (c) Receive any document, material or other information from any agency, association, affiliate or subsidiary specified in paragraph (b). The Commissioner shall ensure that any document, material or information received pursuant to this paragraph remains confidential if the document, material or information is provided to the Commissioner with a notice or the understanding that it is confidential or privileged under the laws of the jurisdiction from which it is submitted.

2. The sharing or receipt of any document, material or other information by the Commissioner pursuant to this section does not waive any applicable privilege or claim of confidentiality in the document, material or other information.
Nev. Rev. Stat. § 684A.010 — NV Code / Title 57 / Chapter 684A / Section 684A.010
Applicability; short title
Status: in_force

This chapter applies to adjusters only as defined in NRS 684A.020 , and does not apply to any person who adjusts or settles claims relating to life or health coverage or annuities. This chapter may be cited as the Nevada Insurance Adjusters Law.
Nev. Rev. Stat. § 695C.311 — NV Code / Title 57 / Chapter 695C / Section 695C.311
Examinations by Commissioner: Financial condition of health maintenance organization; application for initial certificate of authority; exception
Status: in_force

1. For the purpose of determining its financial condition, fulfillment of its contractual obligations and compliance with law, the Commissioner shall, as often as the Commissioner deems advisable, examine the affairs, transactions, accounts, records and assets of a health maintenance organization and of any person as to any matter relevant to the financial affairs of the health maintenance organization or to the examination. Except as otherwise provided in this Code, the Commissioner shall examine each health maintenance organization at least once every 3 years.

2. The Commissioner shall examine each health maintenance organization applying for an initial certificate of authority.

3. In lieu of making his or her own examination, the Commissioner may, in the discretion of the Commissioner, accept a full report of the last recent examination of a foreign or alien health maintenance organization, certified to by the supervisory officer of insurance of another state.

4. To the extent that it is practical, the examination of a foreign or alien health maintenance organization must be made in cooperation with the insurance supervisory officers of other states in which the organization transacts business.
Nev. Rev. Stat. § 695G.180 — NV Code / Title 57 / Chapter 695G / Section 695G.180
Quality assurance program: Requirements; written description; informing providers; necessary staff; review; responsibility for activities
Status: in_force

1. Each managed care organization shall establish a quality assurance program designed to direct, evaluate and monitor the effectiveness of health care services provided to its insureds. The program must include, without limitation: (a) A method for analyzing the outcomes of health care services; (b) Peer review; (c) A system to collect and maintain information related to the health care services provided to insureds; (d) Recommendations for remedial action; and (e) Written guidelines that set forth the procedures for remedial action when problems related to quality of care are identified.

2. Each managed care organization shall: (a) Maintain a written description of the quality assurance program established pursuant to subsection 1, including, without limitation, the specific actions used by the managed care organization to promote adequate quality of health care services provided to insureds and the persons responsible for such actions; (b) Provide information to each provider of health care whom it employs or with whom it contracts to provide health care services to insureds regarding the manner in which the quality assurance program functions; (c) Provide the necessary staff to implement the quality assurance program and to evaluate the effectiveness of the program; and (d) At least one time each year, review the continuity and effectiveness of the quality assurance program, review any findings of the quality improvement committee established pursuant to NRS 695G.190 and take any reasonable actions to improve the program.

3. Each managed care organization is responsible for an activity conducted pursuant to its quality assurance program, regardless of whether the managed care organization or another entity performs the activity.
Nev. Rev. Stat. § 693A.510 — NV Code / Title 57 / Chapter 693A / Section 693A.510
Unlawful acquisition of securities: Seizure or sequestration of securities
Status: in_force

In any case where a person has acquired or is proposing to acquire any voting securities in violation of NRS 693A.400 to 693A.540 , inclusive, or any regulation or order of the Commissioner, the First Judicial District Court in and for Carson City may, upon the application of the Commissioner or the new stock insurer, and on such notice as the court determines appropriate, seize or sequester any voting securities of the new stock insurer or an institution that owns a majority of the voting securities of the new stock insurer owned directly or indirectly by such a person and issue any order with respect thereto as the court determines appropriate to effectuate the provisions of NRS 693A.400 to 693A.540 , inclusive. Notwithstanding any other provision of law, for the purposes of NRS 693A.400 to 693A.540 , inclusive, the situs of the ownership of such securities shall be deemed to be in this state.
Nev. Rev. Stat. § 681B.0052 — NV Code / Title 57 / Chapter 681B / Section 681B.0052
“Policyholder behavior” defined
Status: in_force

“ Policyholder behavior ” includes any action a policyholder, contract holder or any other person with the right to elect options, such as a certificate holder, may take pursuant to a policy or contract subject to this chapter, including, without limitation, lapse, withdrawal, transfer, deposit, premium payment, loan, annuitization or benefit elections prescribed by the policy or contract. The term does not include events of mortality or morbidity that result in benefits prescribed in their essential aspects by the terms of the policy or contract.
Nev. Rev. Stat. § 682A.552 — NV Code / Title 57 / Chapter 682A / Section 682A.552
Foreign currency exposure
Status: in_force

1. Subject to the limitations of NRS 682A.512 , 682A.514 and 682A.516 , an insurer may acquire investments, or engage in investment practices denominated in foreign currencies, whether or not they are foreign investments acquired as described in NRS 682A.550 , or additional foreign currency exposure as a result of the termination or expiration of a hedging transaction with respect to investments denominated in a foreign currency if: (a) The aggregate amount of investments held by the insurer in accordance with this section denominated in foreign currencies does not exceed 15 percent of its admitted assets; and (b) The aggregate amount of investments held by the insurer in accordance with this section denominated in the foreign currency of a single foreign jurisdiction does not exceed 10 percent of its admitted assets as to a foreign jurisdiction that has a sovereign debt rating of SVO 1 or 5 percent of its admitted assets as to any other foreign jurisdiction.

2. An investment must not be considered denominated in a foreign currency if the acquiring insurer enters into one or more contracts in transactions allowed under NRS 682A.560 to 682A.568 , inclusive, and the business entity counterparty agrees, in accordance with the contract or contracts, to exchange all payments made on the foreign currency denominated investment for United States currency at a rate which effectively insulates the investment cash flows against future changes in currency exchange rates during the period the contract or contracts are in effect.
Nev. Rev. Stat. § 695B.270 — NV Code / Title 57 / Chapter 695B / Section 695B.270
Disapproval of forms; issuance unlawful
Status: in_force

If the Commissioner notifies the corporation, in writing, that the filed form does not comply with the requirements of law, specifying the reasons for his or her opinion, it is unlawful for the corporation thereafter to issue any contract in such form.
Nev. Rev. Stat. § 684A.090 — NV Code / Title 57 / Chapter 684A / Section 684A.090
Application for license; penalty
Status: in_force

<See notes for changes to this section effective under certain conditions. >

1. The applicant for a license as an adjuster shall file a written application therefor with the Commissioner on forms prescribed and furnished by the Commissioner. As part of, or in connection with, the application, the applicant shall furnish information as to his or her identity, personal history, experience, financial responsibility, business record and other pertinent matters as reasonably required by the Commissioner to determine the applicant's eligibility and qualifications for the license.

2. If the applicant is a natural person, the application must include the social security number of the applicant and include a completed copy of the Uniform Individual Application.

3. If the applicant is a business entity, the application must identify the natural person designated pursuant to paragraph (b) of subsection 1 of NRS 684A.080 and must include: (a) A completed copy of the Uniform Business Entity Application; (b) The name of each member, officer and director of the business entity, as applicable; (c) The name of each executive officer and director who owns more than 10 percent of the outstanding voting securities of the applicant; and (d) The name of any other individual who owns more than 10 percent of the outstanding voting securities of the applicant. Each such member, officer, director and individual shall furnish information to the Commissioner as though applying for an individual license.

4. If the applicant is a nonresident of this state, the application must be accompanied by an appointment of the Commissioner as process agent and agreement to appear pursuant to NRS 684A.200 .

5. The application must be accompanied by the applicable license fee as specified in NRS 680B.010 and subsection 2 of NRS 684A.050 and, in addition to any other fee or charge, all applicable fees required pursuant to NRS 680C.110 and subsection 2 of NRS 684A.050 .

6. No applicant for such a license may willfully misrepresent or withhold any fact or information called for in the application form or in connection therewith. A violation of this subsection is a gross misdemeanor.

7. If the Commissioner determines that the information contained in a Uniform Individual Application or Uniform Business Entity Application submitted with an application pursuant to this section is not true, correct and complete to the best of the applicant's knowledge and belief, the Commissioner may refuse to issue a license to the applicant or suspend or revoke the applicant's license.
Nev. Rev. Stat. § 681B.0049 — NV Code / Title 57 / Chapter 681B / Section 681B.0049
“Operative date of the Valuation Manual” defined
Status: in_force

“ Operative date of the Valuation Manual ” means the date determined pursuant to subsection 2 of NRS 681B.300 .
Nev. Rev. Stat. § 681A.490 — NV Code / Title 57 / Chapter 681A / Section 681A.490
Managers: Transactions with reinsurer; termination; duties
Status: in_force

1. Transactions between a manager for reinsurance and the reinsurer he or she represents must only be entered into pursuant to a written contract which specifies the responsibilities of each party and is approved by the board of directors of the reinsurer. At least 30 days before a reinsurer assumes or cedes insurance, a copy of the contract must be filed with the Commissioner for approval.

2. The reinsurer may terminate the contract for cause upon written notice to the manager for reinsurance and the reinsurer may suspend the authority of the manager for reinsurance to assume or cede insurance during the pendency of any dispute regarding the cause for termination.

3. The manager for reinsurance shall: (a) Render accounts to the reinsurer accurately detailing all material transactions, including information necessary to support all commissions, charges and other fees received by or owing to him or her; and (b) Remit all money due pursuant to the contract to the reinsurer monthly.

4. All money collected for the account of the reinsurer must be held by the manager for reinsurance, in a fiduciary capacity, in a bank or credit union which is a qualified financial institution. The manager for reinsurance may retain no more than the total of 3 months' estimated payments on claims and allocated expenses of adjusting losses. The manager for reinsurance shall maintain a separate account in a bank or credit union for each reinsurer that he or she represents.

5. The contract must not be assigned in whole or in part by the manager for reinsurance.
Nev. Rev. Stat. § 695C.190 — NV Code / Title 57 / Chapter 695C / Section 695C.190
Commissioner authorized to require submission of information necessary to determine approval or disapproval of filing
Status: in_force

The Commissioner may require the submission of whatever relevant information the Commissioner deems necessary in determining whether to approve or disapprove a filing made pursuant to NRS 695C.170 to 695C.200 , inclusive.
Nev. Rev. Stat. § 687B.670 — NV Code / Title 57 / Chapter 687B / Section 687B.670
Requirements to offer or issue network plan
Status: in_force

If a health carrier offers or issues a network plan, the health carrier shall, with regard to that network plan:

1. Comply with all applicable requirements set forth in NRS 687B.600 to 687B.850 , inclusive;

2. As applicable, ensure that each contract entered into for the purposes of the network plan between a participating provider of health care and the health carrier complies with the requirements set forth in NRS 687B.600 to 687B.850 , inclusive; and

3. As applicable, ensure that the network plan complies with the requirements set forth in NRS 687B.600 to 687B.850 , inclusive.
Nev. Rev. Stat. § 694C.386 — NV Code / Title 57 / Chapter 694C / Section 694C.386
Alien captive insurer: Issuance of certificate related to branch operations; registration
Status: in_force

An alien captive insurer licensed as a branch captive insurer shall petition the Commissioner to issue a certificate setting forth the finding of the Commissioner that, after considering the character, reputation, financial responsibility, insurance experience and business qualifications of the officers and directors of the alien captive insurer, the licensing and maintenance of the branch operations will promote the general welfare of the State. The alien captive insurer may register to do business in this State after the certificate is issued by the Commissioner.
Nev. Rev. Stat. § 688D.080 — NV Code / Title 57 / Chapter 688D / Section 688D.080
Insurer required to request information sufficient to ensure payment of benefits upon death of insured
Status: in_force

On or before the effective date of a policy of life insurance, annuity or benefit contract or on or before the date of the establishment of a retained asset account, and upon any change in an insured, an owner or a beneficiary, an insurer shall request information sufficient to ensure that all benefits are distributed to the appropriate beneficiary upon the death of the insured.
Nev. Rev. Stat. § 683A.0863 — NV Code / Title 57 / Chapter 683A / Section 683A.0863
Payments to administrator
Status: in_force

1. Payment by or on behalf of an insured to an administrator shall be deemed to have been received by the insurer.

2. Payment to the administrator by the insurer of return premiums or claim settlements shall not be deemed to be payment to the insured or claimant until the money is received by the insured or claimant.

3. This section does not limit any right of the insurer against the administrator resulting from a failure to make payments to an insurer, insured or claimant.
Nev. Rev. Stat. § 690B.150 — NV Code / Title 57 / Chapter 690B / Section 690B.150
Filing of annual and quarterly statements
Status: in_force

An insurer who issues policies of insurance for home protection, other than casualty insurance, shall file:

1. The annual statement required by NRS 680A.270 in the form prescribed by the Commissioner on or before March 1 of each year to cover the preceding calendar year; and

2. The quarterly statements required by NRS 680A.270 in accordance with the provisions of subsection 5 of that section.
Nev. Rev. Stat. § 688D.120 — NV Code / Title 57 / Chapter 688D / Section 688D.120
Order of Commissioner: Authorization to search only electronically; approval of timeline to make files searchable electronically; exemption from requirements; approval of plan for compliance
Status: in_force

The Commissioner may, after notice and a hearing, issue an order:

1. Authorizing an insurer to limit its comparison against the Death Master File pursuant to NRS 688D.090 to its files that are searchable electronically.

2. Approving a timeline by which an insurer must convert its files into a form that is searchable electronically.

3. Exempting an insurer from any requirement of NRS 688D.090 , including authorizing an insurer to perform a comparison against the Death Master File less frequently than semiannually, upon a demonstration of financial hardship by the insurer.

4. Approving the plan of an insurer to comply with the requirements of this chapter during the period and in the manner set forth in the plan.
Nev. Rev. Stat. § 679A.140 — NV Code / Title 57 / Chapter 679A / Section 679A.140
Purposes; construction
Status: in_force

1. The purposes of this Code are to: (a) Protect policyholders and all having an interest under insurance policies; (b) Implement the public interest in the business of insurance; (c) Provide adequate standards of solidity of insurers, and of integrity and competence in conduct of their affairs in the home offices and in the field; (d) Improve and thereby preserve state regulation of insurance; (e) Insure that policyholders, claimants and insurers are treated fairly and equitably; (f) Encourage full cooperation of the office of Commissioner with other regulatory bodies, both of this and other states and of the Federal Government; (g) Insure that the State has an adequate and healthy insurance market characterized by competitive conditions and the exercise of initiative; (h) Prevent misleading, unfair and monopolistic practices in insurance operations; and (i) Continue to provide the State of Nevada with a comprehensive, modern and adequate body of law, in response to the McCarran Act (Public Law 15, 79th Congress, 15 U.S.C. §§ 1011 to 1015 , inclusive), for the effective regulation and supervision of insurance business transacted within, or affecting interests of the people of this state.

2. The provisions of this Code shall be given reasonable and liberal construction for the fulfillment of these purposes.
Nev. Rev. Stat. § 689.148 — NV Code / Title 57 / Chapter 689 / Section 689.148
Regulations
Status: in_force

The Commissioner may adopt such regulations as may be necessary to carry out the purposes and provisions of this chapter.
Nev. Rev. Stat. § 686A.340 — NV Code / Title 57 / Chapter 686A / Section 686A.340
Engaging in business of company without license prohibited; exception
Status: in_force

Except as provided in NRS 686A.350 , a person shall not engage in the business of a company or hold himself or herself out as a company without first having received a license from the Commissioner to engage in the business of a company.
Nev. Rev. Stat. § 683A.211 — NV Code / Title 57 / Chapter 683A / Section 683A.211
Persons exempt from licensing
Status: in_force

The following persons need not be licensed as producers of insurance:

1. An officer, director or employee of an insurer or of a producer of insurance if the officer, director or employee does not receive any commission on policies written or sold to insure risks residing, located or to be performed in this state and: (a) The officer, director or employee's activities are executive, administrative, managerial or clerical, or a combination thereof, and are only indirectly related to the sale, solicitation or negotiation of insurance; (b) The officer, director or employee's function relates to underwriting, control of losses, inspection or the processing, adjusting, investigating or settling of claims on contracts of insurance; or (c) The officer, director or employee is acting in the capacity of a special agent or supervisor of an agency assisting producers of insurance where his or her activities are limited to providing technical advice and assistance to licensed producers and do not include sale, solicitation or negotiation of insurance.

2. A person who secures and furnishes information for the purpose of group life insurance, group property and casualty insurance, group annuities, or group or blanket accident and health insurance, or for the purpose of enrolling natural persons under plans, issuing certificates under plans or otherwise assisting in administering plans, or who performs administrative services related to mass marketed property and casualty insurance, if no commission is paid to the person for the service and the person does not sell, solicit or negotiate insurance. As used in this subsection, “ blanket accident and health insurance ” has the meaning ascribed to it in NRS 689B.070 .

3. An employer or association or its officers, directors or employees, or the trustees of an employees' trust plan, to the extent that the employer, association, officers, directors, employees or trustees are engaged in the administration or operation of a program of employees' benefits for the employer's or association's own employees or the employees of its subsidiaries or affiliates, if the program involves the use of insurance issued by an insurer and the employer, association, officers, directors, employees or trustees are not compensated by the insurer issuing the contracts.

4. Employees of insurers or organizations employed by insurers who are engaged in the inspection, rating or classification of risks or in the supervision of the training of producers of insurance and are not individually engaged in the sale, solicitation or negotiation of insurance.

5. A person whose activities in this state are limited to advertising, without the intent to solicit insurance in this state, through communications in printed publications or electronic mass media whose distribution is not limited to residents of this state, if the person does not sell, solicit or negotiate insurance of risks residing, located or to be performed in this state.

6. A salaried full-time employee who counsels or advises his or her employer concerning the interests of the employer, or of the subsidiaries or affiliates of the employer, in insurance, if the employee does not sell or solicit insurance or receive a commission.

7. An employee of a producer of insurance or an insurer who responds to requests from holders of policies previously issued, if the employee is not directly compensated according to the volume of premiums that may result from those services and does not solicit insurance or offer advice concerning terms or conditions of policies.
Nev. Rev. Stat. § 683A.500 — NV Code / Title 57 / Chapter 683A / Section 683A.500
Insurer prohibited from permitting person whose license has been revoked or suspended to transact insurance
Status: in_force

A person licensed to transact insurance in this state shall not knowingly permit any other person whose license to transact insurance in this state has been revoked or suspended to transact insurance or in any manner participate in the transaction of insurance in this state.
Nev. Rev. Stat. § 690B.410 — NV Code / Title 57 / Chapter 690B / Section 690B.410
“Driver” defined
Status: in_force

“ Driver ” has the meaning ascribed to it in NRS 706A.040 .
Nev. Rev. Stat. § 694C.215 — NV Code / Title 57 / Chapter 694C / Section 694C.215
Application: Sponsored captive insurer required to file certain information with Commissioner
Status: in_force

In addition to the information required pursuant to NRS 694C.210 , each sponsored captive insurer shall file with the Commissioner:

1. Information demonstrating the manner in which the applicant will account for the loss and expense experience of each protected cell, at a level of detail deemed sufficient by the Commissioner, and the method of reporting such information;

2. A written acknowledgment that all financial records of the sponsored captive insurer, including, but not limited to, records pertaining to any protected cells, must be made available for inspection or examination by the Commissioner or a designee of the Commissioner;

3. All contracts entered into between the sponsored captive insurer and any participant, including, but not limited to, participant contracts; and

4. Evidence satisfactory to the Commissioner indicating that expenses will be allocated to each protected cell in a fair and equitable manner.
Nev. Rev. Stat. § 695C.329 — NV Code / Title 57 / Chapter 695C / Section 695C.329
Penalty for failure of health maintenance organization to comply with certain requirements for electronic maintenance, transmittal and exchange of health information
Status: in_force

1. If the Commissioner receives notification from the Department of Health and Human Services pursuant to NRS 439.5895 that a health maintenance organization is not in compliance with the requirements of subsection 4 of NRS 439.589 , the Commissioner may, after notice and the opportunity for a hearing in accordance with the provisions of this chapter, require corrective action or impose an administrative fine in the amount prescribed by NRS 695C.350 .

2. The Commissioner shall not suspend or revoke the certificate of authority of a health maintenance organization for failure to comply with the requirements of subsection 4 of NRS 439.589 .
Nev. Rev. Stat. § 695G.085 — NV Code / Title 57 / Chapter 695G / Section 695G.085
“Utilization review organization” defined
Status: in_force

“ Utilization review organization ” means an entity designated by a health carrier to conduct utilization reviews.
Nev. Rev. Stat. § 695A.152 — NV Code / Title 57 / Chapter 695A / Section 695A.152
Society required to comply with certain provisions concerning portability and availability of health insurance
Status: in_force

1. To the extent reasonably applicable, a fraternal benefit society shall comply with the provisions of NRS 689B.340 to 689B.580 , inclusive, and chapter 689C of NRS relating to the portability and availability of health insurance offered by the society to its members. If there is a conflict between the provisions of this chapter and the provisions of NRS 689B.340 to 689B.580 , inclusive, and chapter 689C of NRS , the provisions of NRS 689B.340 to 689B.580 , inclusive, and chapter 689C of NRS control.

2. For the purposes of subsection 1, unless the context requires that a provision apply only to a group health plan or a carrier that provides coverage under a group health plan, any reference in those sections to “group health plan” or “carrier” must be replaced by “fraternal benefit society.”
Nev. Rev. Stat. § 691C.050 — NV Code / Title 57 / Chapter 691C / Section 691C.050
“Credit agreement” defined
Status: in_force

“ Credit agreement ” means the written document that sets forth the terms of the credit transaction and includes the security agreement.
Nev. Rev. Stat. § 690C.150 — NV Code / Title 57 / Chapter 690C / Section 690C.150
Required to issue, sell or offer for sale service contracts
Status: in_force

A provider shall not issue, sell or offer for sale service contracts in this state unless the provider has been issued a certificate of registration pursuant to the provisions of this chapter.
Nev. Rev. Stat. § 695B.1948 — NV Code / Title 57 / Chapter 695B / Section 695B.1948
Contract covering maternity care: Prohibited acts by insurer if insured is acting as gestational carrier; child deemed child of intended parent for purposes of contract
Status: in_force

1. An insurer that offers or issues a contract for hospital or medical services that includes coverage for maternity care shall not deny, limit or seek reimbursement for maternity care because the insured is acting as a gestational carrier.

2. If an insured acts as a gestational carrier, the child shall be deemed to be a child of the intended parent, as defined in NRS 126.590 , for purposes related to the contract for hospital or medical services.

3. As used in this section, “ gestational carrier ” has the meaning ascribed to it in NRS 126.580 .
Nev. Rev. Stat. § 690A.120 — NV Code / Title 57 / Chapter 690A / Section 690A.120
Delivery or issuance of policies and certificates of consumer credit insurance: Authorized entities
Status: in_force

All policies and certificates of consumer credit insurance may be delivered or issued for delivery in this State only by an insurer authorized to do an insurance business in this State, and may be issued only through holders of licenses or certificates of authority issued by the Commissioner.
Nev. Rev. Stat. § 695I.350 — NV Code / Title 57 / Chapter 695I / Section 695I.350
Subcommittees and advisory committees
Status: in_force

1. The Board may appoint subcommittees and advisory committees composed of members of the Board, former members of the Board and members of the general public who have experience with or knowledge of matters relating to health care to consider specific problems or other matters within the scope of the powers, duties and functions of the Board.

2. To the extent practicable, the members of such a subcommittee or advisory committee must be representative of the various geographic areas and ethnic groups of this State.

3. A member of a subcommittee or an advisory committee will not be compensated or reimbursed for travel or other expenses relating to any duties as a member of the subcommittee or advisory committee.
Nev. Rev. Stat. § 680B.0352 — NV Code / Title 57 / Chapter 680B / Section 680B.0352
General tax on premiums: Payment on premiums for travel insurance
Status: in_force

1. An insurer shall pay the tax imposed by NRS 680B.027 on all premiums for travel insurance paid by any of the following persons: (a) A primary policyholder who is a resident of this State. (b) A primary certificate holder who is a resident of this State and who elects coverage under a policy of group travel insurance. (c) Subject to any apportionment rules which apply to the insurer across multiple taxing jurisdictions or that allow the insurer to allocate premium on an apportioned basis in a reasonable and equitable manner in those jurisdictions, a policyholder of blanket travel insurance: (1) Who is a resident of this State; (2) Whose principal place of business is in this State; or (3) Whose affiliate or subsidiary has a principal place of business in this State, if the affiliate or subsidiary has purchased blanket travel insurance in this State for members of an eligible group.

2. An insurer shall: (a) Document the state of residence or principal place of business of each primary policyholder, primary certificate holder or policyholder of blanket travel insurance described in subsection 1; and (b) Report as premium only the amount allocable to travel insurance and not any amount received by the insurer for travel assistance services or cancellation fee waivers.

3. As used in this section: (a) “ Blanket travel insurance ” has the meaning ascribed to it in NRS 691E.030 . (b) “ Cancellation fee waiver ” has the meaning ascribed to it in NRS 691E.040 . (c) “ Eligible group ” has the meaning ascribed to it in NRS 691E.050 . (d) “ Group travel insurance ” has the meaning ascribed to it in NRS 691E.070 . (e) “ Primary certificate holder ” means a person who elects and purchases travel insurance under a policy of group travel insurance. (f) “ Primary policyholder ” means a person who elects and purchases an individual policy of travel insurance. (g) “ Travel assistance services ” has the meaning ascribed to it in NRS 691E.150 . (h) “ Travel insurance ” has the meaning ascribed to it in NRS 691E.160 .
Nev. Rev. Stat. § 682A.029 — NV Code / Title 57 / Chapter 682A / Section 682A.029
“Capital and surplus” defined
Status: in_force

“ Capital and surplus ” means the sum of the capital and surplus of the insurer which is required to be shown on the statutory financial statement of the insurer most recently required to be filed with the Commissioner.
Nev. Rev. Stat. § 686B.1787 — NV Code / Title 57 / Chapter 686B / Section 686B.1787
Insurer or advisory organization authorized to request hearing before Commissioner related to order made or action taken by Commissioner without hearing
Status: in_force

Any insurer or advisory organization, to which is directed any order made or action taken by the Commissioner without a hearing, may request a hearing before the Commissioner.
Nev. Rev. Stat. § 695A.110 — NV Code / Title 57 / Chapter 695A / Section 695A.110
Unincorporated or voluntary association prohibited from transacting business as society
Status: in_force

No unincorporated or voluntary association may transact business in this state as a fraternal benefit society.
Nev. Rev. Stat. § 685A.100 — NV Code / Title 57 / Chapter 685A / Section 685A.100
Coverage from unauthorized insurer valid
Status: in_force

Insurance contracts procured as nonadmitted coverage from unauthorized insurers in accordance with this chapter shall be fully valid and enforceable as to all parties, and shall be given recognition in all matters and respects to the same effect as like contracts issued by authorized insurers.
Nev. Rev. Stat. § 695C.220 — NV Code / Title 57 / Chapter 695C / Section 695C.220
Applications, filings and reports open to public inspection; exception
Status: in_force

All applications, filings and reports required under this chapter shall be treated as public documents except as otherwise provided in this chapter.
Nev. Rev. Stat. § 696A.220 — NV Code / Title 57 / Chapter 696A / Section 696A.220
Service contract: Solicitation for club without certificate of authority prohibited
Status: in_force

A person shall not solicit or aid in the solicitation of another person to purchase a service contract issued by a club not having a certificate of authority procured pursuant to this chapter.
Nev. Rev. Stat. § 684B.100 — NV Code / Title 57 / Chapter 684B / Section 684B.100
Records
Status: in_force

1. Each motor vehicle physical damage appraiser shall keep at the business address shown on his or her license a record of all transactions under the license.

2. The record shall include: (a) A copy of all appraisals undertaken. (b) A statement of any fee, commission or other compensation received or to be received by the appraiser on account of such appraisal.

3. The appraiser shall make such records available for examination by the Commissioner at all times, and shall retain the records for at least 3 years.
Nev. Rev. Stat. § 682A.145 — NV Code / Title 57 / Chapter 682A / Section 682A.145
“Mutual fund” defined
Status: in_force

“ Mutual fund ” means an investment company or, in the case of an investment company that is organized as a series company, an investment company series, that, in either case, is registered with the United States Securities and Exchange Commission in accordance with the provisions of the Investment Company Act of 1940, 15 U.S.C. §§ 80a-1 et seq., as amended.
Nev. Rev. Stat. § 686A.290 — NV Code / Title 57 / Chapter 686A / Section 686A.290
Applications for insurance: False or fraudulent statements or representations prohibited; penalties
Status: in_force

1. A producer of insurance, examining physician, applicant or other person shall not knowingly or willfully make any false or fraudulent statement or representation in or with reference to any application for insurance.

2. A person who violates this section is guilty of a category D felony and shall be punished as provided in NRS 193.130 . In addition to any other penalty, the court shall order the person to pay restitution.
Nev. Rev. Stat. § 696A.240 — NV Code / Title 57 / Chapter 696A / Section 696A.240
Service contract: Contrary to provisions of chapter valid and binding
Status: in_force

Any service contract made, issued or delivered contrary to any provision of this chapter, shall nevertheless be valid and binding on the club.
Nev. Rev. Stat. § 683A.1828 — NV Code / Title 57 / Chapter 683A / Section 683A.1828
“Personal property storage insurance” defined
Status: in_force

“ Personal property storage insurance ” means insurance coverage described in paragraphs (a) and (b) of subsection 1 of NRS 683A.1855 .
Nev. Rev. Stat. § 695I.020 — NV Code / Title 57 / Chapter 695I / Section 695I.020
“Board” defined
Status: in_force

“ Board ” means the Board of Directors of the Exchange.
Nev. Rev. Stat. § 687B.117 — NV Code / Title 57 / Chapter 687B / Section 687B.117
Control of cost of health care: Insurer required to use three or more practices that control cost in administering benefits
Status: in_force

The Commissioner shall not approve any proposed policy of health insurance unless the Commissioner determines that the insurer has adopted and is using three or more practices in administering benefits that control or reduce the cost of health care.
Nev. Rev. Stat. § 695D.170 — NV Code / Title 57 / Chapter 695D / Section 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
Status: in_force

1. Except as otherwise provided in this section, before a certificate of authority may be issued to an organization for dental care: (a) The officers responsible for operating the organization must file with the Commissioner a collective fidelity bond for $1,000,000; and (b) The organization must file with the Commissioner a surety bond in the sum of $500,000 or deposit with the Commissioner cash or securities acceptable to the Commissioner in the sum of $500,000, to guarantee the organization's performance pursuant to this chapter.

2. If the bond is furnished in: (a) Cash, the Commissioner shall deposit the money in the State Treasury for credit to the Fund for Bonds of Organizations for Dental Care which is hereby created as a trust fund. (b) Negotiable securities, the principal must be placed without restriction at the disposal of the Commissioner, but any income must inure to the benefit of the organization.

3. The Commissioner may reduce the required amount of the organization's surety bond or deposit: (a) To $125,000, if the obligations assumed by the organization under the plan can be satisfied for less than $125,000. (b) To any amount if the organization demonstrates that it has commitments of money from federal, state or municipal governments or their political subdivisions or other comparable resources which are sufficient to ensure the ability of the organization to satisfy its obligations.

4. The Commissioner may increase the required amount of the organization's surety bond or deposit to any amount the Commissioner determines to be appropriate pursuant to subsection 5 if the Commissioner determines that the current level of the surety bond or deposit is insufficient to provide protection to the members in the event of: (a) Insolvency; or (b) A determination by the Commissioner that the organization is in a hazardous financial condition.

5. When determining the appropriate amount of an increase pursuant to subsection 4, the Commissioner must base his or her determination on the type, volume and nature of premiums written and premiums assumed by the organization.

6. The amount of the organization's surety bond or deposit required pursuant to this section: (a) Is in addition to any reserve required by this chapter and any reserve established by the organization according to good business and accounting practices for incurred but unreported claims and other similar claims; (b) May increase the amount of net worth required pursuant to this chapter; and (c) May increase the amount of risk-based capital required pursuant to NRS 681B.550 .

7. Any final judgment against the organization which is unpaid is a lien on the surety bond or deposit and is subject to execution 30 days after entry of the judgment. Any surety bond or deposit which is reduced by this lien must be increased by the organization to the amount required by this section within 90 days after the judgment is paid.

8. If an organization is dissolved, liquidated or otherwise terminated: (a) That amount of the surety bond or deposit which is necessary to satisfy the outstanding obligations of the organization may not be withdrawn for at least 3 years after the certificate of authority has been terminated. (b) Any balance remaining after money has been withheld to pay the organization's debts and liens must be paid to the organization by the Commissioner no later than 90 days after the certificate of authority has been terminated.
Nev. Rev. Stat. § 687B.010 — NV Code / Title 57 / Chapter 687B / Section 687B.010
Scope
Status: in_force

This chapter applies to all insurance contracts and annuity contracts other than:

1. Reinsurance.

2. Policies or contracts not issued for delivery in this state nor delivered in this state.

3. Wet marine and transportation insurance.
Nev. Rev. Stat. § 689A.130 — NV Code / Title 57 / Chapter 689A / Section 689A.130
Payment of claims
Status: in_force

1. There shall be a provision as follows: Payment of Claims: Indemnity for loss of life will be payable in accordance with the beneficiary designation and the provisions respecting such payment which may be prescribed herein and effective at the time of payment. If no such designation or provision is then effective, such indemnity shall be payable to the estate of the insured. Any other accrued indemnities unpaid at the insured's death may, at the option of the insurer, be paid either to such beneficiary or to such estate. All other indemnities will be payable to the insured.

2. The following provisions, or either of them, may be included with the provision in subsection 1 at the option of the insurer: If any indemnity of this policy shall be payable to the estate of the insured, or to an insured or beneficiary who is a minor or otherwise not competent to give a valid release, the insurer may pay such indemnity, up to an amount not exceeding $ _____ (insert an amount which shall not exceed $1,000), to any relative by blood or connection by marriage of the insured or beneficiary who is deemed by the insurer to be equitably entitled thereto. Any payment made by the insurer in good faith pursuant to this provision shall fully discharge the insurer to the extent of such payment. Subject to any written direction of the insured in the application or otherwise all or a portion of any indemnities provided by this policy on account of hospital, nursing, medical or surgical services may, at the insurer's option and unless the insured requests otherwise in writing not later than the time of filing proofs of such loss, be paid directly to the hospital or person rendering such services; but it is not required that the service be rendered by a particular hospital or person.
Nev. Rev. Stat. § 695F.156 — NV Code / Title 57 / Chapter 695F / Section 695F.156
Evidence of coverage covering prescription drugs prohibited from limiting or excluding coverage for certain prescription drugs previously approved for medical condition of enrollee; exceptions
Status: in_force

1. Except as otherwise provided in this section, evidence of coverage which provides coverage for prescription drugs must not limit or exclude coverage for a drug if the drug: (a) Had previously been approved for coverage by the prepaid limited health service organization for a medical condition of an enrollee and the enrollee's provider of health care determines, after conducting a reasonable investigation, that none of the drugs which are otherwise currently approved for coverage are medically appropriate for the enrollee; and (b) Is appropriately prescribed and considered safe and effective for treating the medical condition of the enrollee.

2. The provisions of subsection 1 do not: (a) Apply to coverage for any drug that is prescribed for a use that is different from the use for which that drug has been approved for marketing by the Food and Drug Administration; (b) Prohibit: (1) The organization from charging a deductible, copayment or coinsurance for the provision of benefits for prescription drugs to the enrollee or from establishing, by contract, limitations on the maximum coverage for prescription drugs; (2) A provider of health care from prescribing another drug covered by the evidence of coverage that is medically appropriate for the enrollee; or (3) The substitution of another drug pursuant to NRS 639.23286 or 639.2583 to 639.2597 , inclusive; or (c) Require any coverage for a drug after the term of the evidence of coverage.

3. Any provision of an evidence of coverage subject to the provisions of this chapter that is delivered, issued for delivery or renewed on or after October 1, 2001, which is in conflict with this section is void.
Nev. Rev. Stat. § 696B.420 — NV Code / Title 57 / Chapter 696B / Section 696B.420
Order of distribution of claims from estate of insurer on liquidation
Status: in_force

1. The order of distribution of claims from the estate of the insurer on liquidation of the insurer must be as set forth in this section. Each claim in each class must be paid in full or adequate money retained for the payment before the members of the next class receive any payment. No subclasses may be established within any class. Except as otherwise provided in subsection 2, the order of distribution and of priority must be as follows: (a) Administration costs and expenses, including, but not limited to, the following: (1) The actual and necessary costs of preserving or recovering the assets of the insurer; (2) Compensation for any services rendered in the liquidation; (3) Any necessary filing fees; (4) The fees and mileage payable to witnesses; and (5) Reasonable attorney's fees. (b) All claims under policies, any claims against an insured for liability for bodily injury or for injury to or destruction of tangible property which are covered claims under policies, including any such claims of the Federal Government or any state or local government, and any claims of the Nevada Insurance Guaranty Association, the Nevada Life and Health Insurance Guaranty Association and other similar statutory organizations in other jurisdictions. Any claims under life insurance and annuity policies, whether for death proceeds, annuity proceeds or investment values, must be treated as loss claims. That portion of any loss for which indemnification is provided by other benefits or advantages recovered or recoverable by the claimant may not be included in this class, other than benefits or advantages recovered or recoverable in discharge of familial obligations of support or because of succession at death or as proceeds of life insurance, or as gratuities. No payment made by an employer to an employee of the employer may be treated as a gratuity. (c) Unearned premiums and small loss claims, including claims under nonassessable policies for unearned premiums or other premium refunds. (d) Except as otherwise provided in paragraph (b), claims of the Federal Government. (e) Except as otherwise provided in paragraph (b), claims of any state or local government, including, but not limited to, a claim of a state or local government for a penalty or forfeiture. (f) Wage debts due employees for services performed, not to exceed an amount equal to 2 months of monetary compensation for each employee for services performed within 6 months before the filing of the petition for liquidation or, if rehabilitation preceded liquidation, within 1 year before the filing of the petition for rehabilitation. Officers of the insurer are not entitled to the benefit of this priority. The priority set forth in this paragraph must be in lieu of any other similar priority authorized by law as to wages or compensation of employees. (g) Residual classification, including any other claims not falling within other classes pursuant to the provisions of this section. Claims for a penalty or forfeiture must be allowed in this class only to the extent of the pecuniary loss sustained from the act, transaction or proceeding out of which the penalty or forfeiture arose, with reasonable and actual costs occasioned thereby. The remainder of the claims must be postponed to the class of claims specified in paragraph (j). (h) Judgment claims based solely on judgments. If a claimant files a claim and bases the claim on the judgment and on the underlying facts, the claim must be considered by the liquidator, who shall give the judgment such weight as the liquidator deems appropriate. The claim as allowed must receive the priority it would receive in the absence of the judgment. If the judgment is larger than the allowance on the underlying claim, the remaining portion of the judgment must be treated as if it were a claim based solely on a judgment. (i) Interest on claims already paid, which must be calculated at the legal rate compounded annually on any claims in the classes specified in paragraphs (a) to (h), inclusive, from the date of the petition for liquidation or the date on which the claim becomes due, whichever is later, until the date on which the dividend is declared. The liquidator, with the approval of the court, may: (1) Make reasonable classifications of claims for purposes of computing interest; (2) Make approximate computations; and (3) Ignore certain classifications and periods as de minimis. (j) Miscellaneous subordinated claims, with interest as provided in paragraph (i): (1) Claims subordinated by NRS 696B.430 ; (2) Claims filed late; (3) Portions of claims subordinated pursuant to the provisions of paragraph (g); (4) Claims or portions of claims the payment of which is provided by other benefits or advantages recovered or recoverable by the claimant; and (5) Claims not otherwise provided for in this section. (k) Preferred ownership claims, including surplus or contribution notes, or similar obligations, and premium refunds on assessable policies. Interest at the legal rate must be added to each claim, as provided in paragraphs (i) and (j). (l) Proprietary claims of shareholders or other owners.

2. If there are no existing or potential claims of the government against the estate, claims for wages have priority over any claims set forth in paragraphs (c) to (k), inclusive, of subsection 1. The provisions of this subsection must not be construed to require the accumulation of interest for claims as described in paragraph (i) of subsection 1.
Nev. Rev. Stat. § 695C.17333 — NV Code / Title 57 / Chapter 695C / Section 695C.17333
Plan covering prescription drug for treatment of cancer or cancer symptom that is part of step therapy protocol: Health maintenance organization required to allow enrollee or attending practitioner to apply for exemption from step therapy protocol in certain circumstances; procedure for applying for and granting exemption
Status: in_force

1. A health maintenance organization that offers or issues a health care plan which provides coverage of a prescription drug for the treatment of cancer or any symptom of cancer that is part of a step therapy protocol shall allow an enrollee who has been diagnosed with stage 3 or 4 cancer or the attending practitioner of the enrollee to apply for an exemption from the step therapy protocol. The application process for such an exemption must: (a) Allow the enrollee or attending practitioner, or a designated advocate for the enrollee or attending practitioner, to present to the health maintenance organization the clinical rationale for the exemption and any relevant medical information. (b) Clearly prescribe the information and supporting documentation that must be submitted with the application, the criteria that will be used to evaluate the request and the conditions under which an expedited determination pursuant to subsection 4 is warranted. (c) Require the review of each application by at least one physician, registered nurse or pharmacist.

2. The information and supporting documentation required pursuant to paragraph (b) of subsection 1: (a) May include, without limitation: (1) The medical history or other health records of the enrollee demonstrating that the enrollee has: (I) Tried other drugs included in the pharmacological class of drugs for which the exemption is requested without success; or (II) Taken the requested drug for a clinically appropriate amount of time to establish stability in relation to the cancer and the guidelines of the prescribing practitioner; and (2) Any other relevant clinical information. (b) Must not include any information or supporting documentation that is not necessary to make a determination about the application.

3. Except as otherwise provided in subsection 4, a health maintenance organization that receives an application for an exemption pursuant to subsection 1 shall: (a) Make a determination concerning the application if the application is complete or request additional information or documentation necessary to complete the application not later than 72 hours after receiving the application; and (b) If it requests additional information or documentation, make a determination concerning the application not later than 72 hours after receiving the requested information or documentation.

4. If, in the opinion of the attending practitioner, a step therapy protocol may seriously jeopardize the life or health of the enrollee, a health maintenance organization that receives an application for an exemption pursuant to subsection 1 must make a determination concerning the application as expeditiously as necessary to avoid serious jeopardy to the life or health of the enrollee.

5. A health maintenance organization shall disclose to the enrollee or attending practitioner who submits an application for an exemption from a step therapy protocol pursuant to subsection 1 the qualifications of each person who will review the application.

6. A health maintenance organization must grant an exemption from a step therapy protocol in response to an application submitted pursuant to subsection 1 if: (a) Any treatment otherwise required under the step therapy or any drug in the same pharmacological class or having the same mechanism of action as the drug for which the exemption is requested has not been effective at treating the cancer or symptom of the enrollee when prescribed in accordance with clinical indications, clinical guidelines or other peer-reviewed evidence; (b) Delay of effective treatment would have severe or irreversible consequences for the enrollee and the treatment otherwise required under the step therapy is not reasonably expected to be effective based on the physical or mental characteristics of the enrollee and the known characteristics of the treatment; (c) Each treatment otherwise required under the step therapy: (1) Is contraindicated for the enrollee or has caused or is likely, based on peer-reviewed clinical evidence, to cause an adverse reaction or other physical harm to the enrollee; or (2) Has prevented or is likely to prevent the enrollee from performing the responsibilities of his or her occupation or engaging in activities of daily living, as defined in 42 C.F.R. § 441.505 ; (d) The condition of the enrollee is stable while being treated with the prescription drug for which the exemption is requested and the enrollee has previously received approval for coverage of that drug; or (e) Any other condition for which such an exemption is required by regulation of the Commissioner is met.

7. If a health maintenance organization approves an application for an exemption from a step therapy protocol pursuant to this section, the health maintenance organization must cover the prescription drug to which the exemption applies in accordance with the terms of the applicable health care plan. The health maintenance organization may initially limit the coverage to a 1-week supply of the drug for which the exemption is granted. If the attending practitioner determines after 1 week that the drug is effective at treating the cancer or symptom for which it was prescribed, the health maintenance organization must continue to cover the drug for as long as it is necessary to treat the enrollee for the cancer or symptom. The health maintenance organization may conduct a review not more frequently than once each quarter to determine, in accordance with available medical evidence, whether the drug remains necessary to treat the enrollee for the cancer or symptom. The health maintenance organization shall provide a report of the review to the enrollee.

8. A health maintenance organization shall post in an easily accessible location on an Internet website maintained by the health maintenance organization a form for requesting an exemption pursuant to this section.

9. A health care plan subject to the provisions of this chapter that is delivered, issued for delivery or renewed on or after January 1, 2022, has the legal effect of including the coverage required by this section, and any provision of the health care plan that conflicts with this section is void.

10. As used in this section, “ attending practitioner ” means the practitioner, as defined in NRS 639.0125 , who has primary responsibility for the treatment of the cancer or any symptom of such cancer of an enrollee.
Nev. Rev. Stat. § 683A.1785 — NV Code / Title 57 / Chapter 683A / Section 683A.1785
Prohibited acts relating to 340B Program; applicability
Status: in_force

1. A pharmacy benefit manager shall not: (a) Discriminate against a covered entity, a contract pharmacy or a 340B drug in the amount of reimbursement for any item or service or the procedures for obtaining such reimbursement; (b) Assess any fee, chargeback, clawback or adjustment against a covered entity or contract pharmacy on the basis that the covered entity or contract pharmacy dispenses a 340B drug or otherwise limit the ability of a covered entity or contract pharmacy to receive the full benefit of purchasing the 340B drug at or below the ceiling price, as calculated pursuant to 42 U.S.C. § 256b(a)(1) ; (c) Exclude a covered entity or contract pharmacy from any network because the covered entity or contract pharmacy dispenses a 340B drug; (d) Restrict the ability of a person to receive a 340B drug, including, without limitation, by imposing a copayment, coinsurance, deductible or other cost-sharing obligation on the drug that is different from a similar drug on the basis that the drug is a 340B drug; (e) Restrict the methods by which a covered entity or contract pharmacy may dispense or deliver a 340B drug or the entity through which a covered entity may dispense or deliver such a drug in a manner that does not apply to drugs that are not 340B drugs; or (f) Prohibit a covered entity or contract pharmacy from purchasing a 340B drug or interfere with the ability of a covered entity or contract pharmacy to purchase a 340B drug.

2. This section does not: (a) Apply to a pharmacy benefit manager that has entered into a contract with the Department of Health and Human Services pursuant to NRS 422.4053 when the pharmacy benefit manager is managing prescription drug benefits under Medicaid, including, without limitation, where such benefits are delivered through a Medicaid managed care organization. (b) Prohibit the Department of Health and Human Services, the Division of Health Care Financing and Policy of the Department of Health and Human Services or a Medicaid managed care organization from taking such actions as are necessary to: (1) Prevent duplicate discounts or rebates where prohibited by 42 U.S.C. § 256b(a)(5)(A) ; or (2) Ensure the financial stability of the Medicaid program, including, without limitation, by including or enforcing provisions in any contract with a pharmacy benefit manager entered into pursuant to NRS 422.4053 .

3. As used in this section: (a) “ 340B drug ” means a prescription drug that is purchased by a covered entity under the 340B Program. (b) “ 340B Program ” means the drug pricing program established by the United States Secretary of Health and Human Services pursuant to section 340B of the Public Health Service Act, 42 U.S.C. § 256b , as amended. (c) “ Contract pharmacy ” means a pharmacy that enters into a contract with a covered entity to dispense 340B drugs and provide related pharmacy services to the patients of the covered entity. (d) “ Covered entity ” has the meaning ascribed to it in 42 U.S.C. § 256b(a)(4) . (e) “ Medicaid managed care organization ” has the meaning ascribed to it in 42 U.S.C. § 1396b(m) . (f) “ Network ” means a defined set of providers of health care who are under contract with a pharmacy benefit manager or third party to provide health care services to covered persons.
Nev. Rev. Stat. § 684A.170 — NV Code / Title 57 / Chapter 684A / Section 684A.170
Place of business; display of license
Status: in_force

1. Every adjuster who is a resident of this State shall have and maintain in this state a place of business accessible to the public and from which the licensee principally conducts transactions under his or her license. The address of such place shall appear upon the application for a license and upon the license, when issued, and the licensee shall promptly notify the Commissioner in writing of any change thereof. Nothing in this section shall prohibit the maintenance of such place in the licensee's residence in this state.

2. The license of the licensee shall be conspicuously displayed in such place of business in a part thereof customarily open to the public.