Nev. Rev. Stat. § 692C.170 — NV Code / Title 57 / Chapter 692C / Section 692C.170
Cessation of control: Disposal of investment required; exception
Status: in_force

If an insurer ceases to control a subsidiary, it shall dispose of any investment therein made pursuant to NRS 692C.140 within 3 years from the time of the cessation of control or within such further time as the Commissioner may prescribe, unless any such investment shall have met the requirements for investment under any other section of this chapter, and the insurer has notified the Commissioner thereof.
Nev. Rev. Stat. § 682A.295 — NV Code / Title 57 / Chapter 682A / Section 682A.295
Qualifications for special rated credit instruments
Status: in_force

1. To qualify as a special rated credit instrument the instrument must be: (a) An instrument that is structured so that, if it is held until retired by or on behalf of the issuer, its rate of return, based on its purchase cost and any cash flow stream possible in accordance with the structure of the transaction, may become negative because of reasons other than the credit risk associated with the issuer of the instrument. A rated credit instrument is not a special rated credit instrument for the purposes of this section if it is: (1) A share in a class one bond mutual fund; (2) An instrument, other than an asset-backed security, with payments of par value fixed as to amount and timing, or callable but in any event payable only at par or greater, and interest or dividend cash flows that are based on either a fixed or variable rate determined by reference to a specified rate or index; (3) An instrument, other than an asset-backed security, that has a par value and is purchased at a price not more than 110 percent of par; (4) An instrument, including an asset-backed security, whose rate of return would become negative only as a result of a prepayment due to casualty, condemnation, economic obsolescence of collateral or change of law; (5) An asset-backed security that relies on collateral that meets the requirements of subparagraph (2), the par value of which collateral: (I) Is not allowed to be paid sooner than one-half of the remaining term to maturity from the date of acquisition; (II) Is allowed to be paid before maturity only at a premium sufficient to provide a yield to maturity for the investment, considering the amount prepaid and reinvestment rates at the time of early repayment, at least equal to the yield to maturity of the initial investment; or (III) Is allowed to be paid before maturity at a premium at least equal to the yield of a treasury issue of comparable remaining life; or (6) An asset-backed security that relies on cash flows from assets that are not prepayable at any time at par, but is not otherwise governed by subparagraph (5), if the asset-backed security has a par value reflecting principal payments to be received if held until retired by or on behalf of the issuer and is purchased at a price not more than 105 percent of such par amount. (b) An asset-backed security that: (1) Relies on cash flows from assets that are prepayable at par at any time; (2) Does not make payments of par that are fixed as to amount and timing; and (3) Has a negative rate of return at the time of acquisition if a prepayment threshold assumption is used. As used in this subsection, “ prepayment threshold assumption ” includes: (I) Two times the prepayment expectation reported by a recognized, publicly available source as being the median of expectations contributed by broker dealers or other entities, except insurers, engaged in the business of selling or evaluating such securities or assets. The prepayment expectation used in this calculation is, at the insurer's election, the prepayment expectation for pass-through securities of the Federal National Mortgage Association, the Federal Home Loan Mortgage Corporation or the Government National Mortgage Association, or, for other assets of the same type as the assets that underlie the asset-backed security, in either case with a gross weighted average coupon of the assets that underlie the asset-backed security. (II) Another prepayment threshold assumption specified by the Commissioner by regulation adopted pursuant to NRS 682A.388 .

2. For the purposes of paragraph (b) of subsection 1, if the asset-backed security is purchased in combination with one or more other asset-backed securities that are supported by identical underlying collateral, the insurer may calculate the rate of return for these specific combined asset-backed securities in combination. The insurer shall maintain documentation demonstrating that such securities were acquired and are continuing to be held in combination.
Nev. Rev. Stat. § 689C.1684 — NV Code / Title 57 / Chapter 689C / Section 689C.1684
Plan covering prescription drug for treatment of cancer or cancer symptom that is part of step therapy protocol: Carrier required to allow insured or attending practitioner to apply for exemption from step therapy protocol in certain circumstances; procedure for applying for and granting exemption
Status: in_force

1. A carrier that offers or issues a health benefit 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 insured who has been diagnosed with stage 3 or 4 cancer or the attending practitioner of the insured to apply for an exemption from the step therapy protocol. The application process for such an exemption must: (a) Allow the insured or attending practitioner, or a designated advocate for the insured or attending practitioner, to present to the carrier 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 insured demonstrating that the insured 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 carrier 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 insured, a carrier 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 insured.

5. A carrier shall disclose to the insured 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 carrier 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 insured 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 insured 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 insured and the known characteristics of the treatment; (c) Each treatment otherwise required under the step therapy: (1) Is contraindicated for the insured or has caused or is likely, based on peer-reviewed clinical evidence, to cause an adverse reaction or other physical harm to the insured; or (2) Has prevented or is likely to prevent the insured 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 insured is stable while being treated with the prescription drug for which the exemption is requested and the insured 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 carrier approves an application for an exemption from a step therapy protocol pursuant to this section, the carrier must cover the prescription drug to which the exemption applies in accordance with the terms of the applicable health benefit plan. The carrier 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 carrier must continue to cover the drug for as long as it is necessary to treat the insured for the cancer or symptom. The carrier 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 insured for the cancer or symptom. The carrier shall provide a report of the review to the insured.

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

9. A health benefit 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 policy 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 insured.
Nev. Rev. Stat. § 689A.230 — NV Code / Title 57 / Chapter 689A / Section 689A.230
Coordination of benefits: All coverages
Status: in_force

1. There may be a provision as follows: Coordination of Benefits: If, with respect to a person covered under this policy, benefits for allowable expense incurred during a claim determination period under this policy, together with benefits for allowable expense during such period under all other valid coverage (without giving effect to this provision or to any “coordination of benefits provision” applying to such other valid coverage), exceed the total of such person's allowable expense during such period, this insurer shall be liable only for such proportionate amount of the benefits for allowable expense under this policy during such period as (a) the total allowable expense during such period bears to (b) the total amount of benefits payable during such period for such expense under this policy and all other valid coverage (without giving effect to this provision or to any “coordination of benefits provision” applying to such other valid coverage) less in both (a) and (b) any amount of benefits for allowable expense payable under other valid coverage which does not contain a “coordination of benefits provision.” In no event shall this provision operate to increase the amount of benefits for allowable expense payable under this policy with respect to a person covered under this policy above the amount which would have been paid in the absence of this provision. This insurer may pay benefits to any insurer providing other valid coverage in the event of overpayment by such insurer. Any such payment shall discharge the liability of this insurer as fully as if the payment had been made directly to the insured or the assignee or beneficiary of the insured. If this insurer pays benefits to the insured or the assignee or beneficiary of the insured, in excess of the amount which would have been payable if the existence of other valid coverage had been disclosed, this insurer shall have a right of action against the insured or the assignee or beneficiary of the insured to recover the amount which would not have been paid had there been a disclosure of the existence of the other valid coverage. The amount of other valid coverage which is on a provision of service basis shall be computed as the amount the services rendered would have cost in the absence of such coverage. For the purposes of this provision: (1) “ Allowable expense ” means 100 percent of any necessary, reasonable and customary item of expense which is covered, in whole or in part, as a hospital, surgical, medical or major medical expense under this policy or under any other valid coverage. (2) “ Claim determination period ” with respect to any covered person means the initial period of __________ (insert period of not less than 30 days) and each successive period of a like number of days, during which allowable expense covered under this policy is incurred on account of such person. The first such period begins on the date when the first such expense is incurred, and successive periods shall begin when such expense is incurred after expiration of a prior period. or, in lieu thereof: (2) “ Claim determination period ” with respect to any covered person means each __________ (insert calendar or policy period of not less than a month) during which allowable expense covered under this policy is incurred on account of such person. (3) “ Coordination of benefits provision ” means this provision and any other provision which may reduce an insurer's liability because of the existence of benefits under other valid coverage.

2. The foregoing policy provisions may be inserted in all policies providing hospital, surgical, medical or major medical benefits for which the application includes a question as to other coverages subject to this provision. If the policy provision stated in subsection 1 is included in a policy which also contains the policy provision stated in NRS 689A.240 , there shall be added to the caption of the provision stated in subsection 1 of the phrase “expense-incurred benefits.” The insurer may make this provision applicable to either or both: (a) Other valid coverage with other insurers; and (b) Other valid coverage with the same insurer. The insurer shall include in this provision a definition of “other valid coverage” approved as to form by the Commissioner. Such term may include hospital, surgical, medical or major medical benefits provided by individual or family-type coverage, government programs or workers' compensation. Such term shall not include any automobile medical payments or third-party liability coverage. The insurer shall not include a subrogation clause in the policy. The insurer may require, as part of the proof of claim, the information necessary to administer this provision.

3. If by application of any of the foregoing provisions the insurer effects a material reduction of benefits otherwise payable under the policy, the insurer shall refund to the insured any premium unearned on the policy by reason of such reduction of coverage during the policy year current and that next preceding at the time the loss commenced, subject to the insurer's right to provide in the policy that no such reduction of benefits or refund will be made unless the unearned premium to be so refunded amounts to $5 or such larger sum as the insurer may so specify.
Nev. Rev. Stat. § 695J.040 — NV Code / Title 57 / Chapter 695J / Section 695J.040
“Exchange” defined
Status: in_force

“ Exchange ” means the Silver State Health Insurance Exchange established by NRS 695I.200 .
Nev. Rev. Stat. § 695A.400 — NV Code / Title 57 / Chapter 695A / Section 695A.400
Service of process on society
Status: in_force

1. Every society authorized to do business in this state shall appoint in writing the Commissioner as attorney-in-fact upon whom all lawful process in any action or proceeding against it must be served, and shall agree in the writing that any lawful process against it which is served on the Commissioner is of the same legal force and validity as if served upon the society, and that the authority continues in force so long as any liability remains outstanding in this state. A copy of the appointment, certified by the Commissioner, constitutes sufficient evidence of the appointment and must be admitted in evidence with the same validity as the original.

2. Service of process against a society must be made in accordance with NRS 680A.260 .

3. No such service may require a society to file its answer, pleading or defense in less than 30 days from the date the copy of the service was forwarded to the society.

4. Legal process must not be served upon a society except in the manner provided in this section.
Nev. Rev. Stat. § 689C.111 — NV Code / Title 57 / Chapter 689C / Section 689C.111
Professional employer organization deemed large employer in certain circumstances
Status: in_force

A professional employer organization which has more than 50 employees, including leased employees at client locations, and which sponsors a fully insured health benefit plan for those employees shall be deemed to be a large employer for the purposes of this chapter.
Nev. Rev. Stat. § 681A.024 — NV Code / Title 57 / Chapter 681A / Section 681A.024
“Covered agreement” defined
Status: in_force

“ Covered agreement ” means an agreement entered into pursuant to the Dodd-Frank Wall Street Reform and Consumer Protection Act, 31 U.S.C. §§ 313 and 314 , that is currently in effect or in a period of provisional application and addresses the elimination, under specified conditions, of collateral requirements as a condition for entering into any reinsurance agreement with a ceding insurer domiciled in this State or for allowing the ceding insurer to recognize credit for reinsurance.
Nev. Rev. Stat. § 695A.030 — NV Code / Title 57 / Chapter 695A / Section 695A.030
“Premiums” defined
Status: in_force

“ Premiums ” means premiums, rates, dues or other required contributions by whatever name known, which are payable under the certificate.
Nev. Rev. Stat. § 689.565 — NV Code / Title 57 / Chapter 689 / Section 689.565
Prepaid contracts: Distributions to seller from trust fund; required amounts for reserve and liabilities in trust fund; filing of financial reports by trustee; fee and penalty related to such reports; determination of total value of trust
Status: in_force

1. Not more than 60 percent of the earnings of such investments, including capital gains, as they accrue and are received, may be disbursed by the trustee to the seller or his or her designee. The remainder of any earnings must be held by the trustee to establish a reserve for securities valuation until the reserve equals 40 percent of the total trust liabilities.

2. The trustee shall maintain in the trust fund an amount of money equal to 125 percent of the total trust liabilities.

3. If money in the trust fund is invested or reinvested in: (a) Securities which are issued or guaranteed by the United States of America; (b) Bonds of this state or the bonds of any other state; (c) Bonds of counties or municipalities of any state; (d) Deposits in any bank, credit union, savings and loan association or savings bank that is federally insured or insured by a private insurer approved pursuant to NRS 672.755 ; or (e) With the written approval of the Commissioner, any investment which has guaranteed liquidity, then no earnings of those investments, including capital gains, if any, as such earnings accrue and are received, may be disbursed by the trustee to the seller or his or her designee which would reduce the corpus of the trust fund below 100 percent of the required value of the trust. Earnings in excess of 100 percent of the required value of the trust or 125 percent of the total trust liability, whichever is appropriate, may be distributed annually.

4. Earnings are defined as any sum remaining in the trust fund after deducting costs of administration over and above 100 percent of the required value of the trust.

5. Every trustee handling money in a trust fund pursuant to NRS 689.450 to 689.595 , inclusive, shall file with the Commissioner, within 15 days after the first day of each calendar quarter, a financial statement showing the activity of all trusts required to be maintained by any seller and the total market value of each trust as of the first day of the calendar quarter. The statement for the fourth quarter must be a summary of all transactions involving the account. The statement must be on forms prescribed and adopted by the Commissioner. Every quarterly report must be accompanied by a fee of $10. If the statement is not received by the Commissioner as required, the Commissioner may, after giving the seller 10 days' written notice, revoke the seller's permit.

6. The trust must be valued quarterly and averaged annually to determine the total value of the trust. If the average market value of the trust as of December 31 of each year is below 100 percent of the required value of the trust or 125 percent of the total trust liability, the Commissioner may suspend the seller's permit until the deficiency is made up.
Nev. Rev. Stat. § 696A.260 — NV Code / Title 57 / Chapter 696A / Section 696A.260
License: Contents of application
Status: in_force

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

1. An application for a license as a club agent must be submitted to the Commissioner upon forms prescribed and furnished by the Commissioner. If the applicant is a natural person, the application must include the social security number of the applicant. As a part of, or in connection with, any application, the applicant shall furnish information concerning his or her identity, personal history, experience, business record and other pertinent facts which the Commissioner may reasonably require.

2. If the applicant is a firm, partnership or corporation, the application, in addition to the requirements of subsection 1, shall: (a) Contain the names of all members and officers of the firm, partnership or corporation; and (b) Designate who is to exercise the powers to be conferred by the license on the firm, partnership or corporation.

3. The Commissioner shall require each natural person of a firm, partnership or corporation to furnish information to the Commissioner as though applying for an individual license.

4. Any person willfully misrepresenting any fact required to be disclosed in any application is subject to the penalties provided in NRS 696A.350 .
Nev. Rev. Stat. § 689.355 — NV Code / Title 57 / Chapter 689 / Section 689.355
Prepaid contracts: Termination upon notice from buyer or demise of beneficiary; action by trustee or seller
Status: in_force

1. Except as otherwise provided in subsection 2, if the buyer moves to another geographic area beyond the normal facilities of the seller and performers under the prepaid contract, the contract automatically terminates upon the buyer's written notice to the seller and trustee of the buyer’s move and of the buyer’s desire to terminate the contract. The trustee, as soon as reasonably possible after receipt of the notice, shall refund to the buyer all money in the trust fund, including earned interest, held for the buyer's account.

2. If the contract continues in force and the buyer is not in default thereunder, upon the demise of the contract beneficiary, the contract automatically terminates. Upon termination, the seller shall refund to the buyer or to the representative or estate of the buyer, or transfer to a substituted performer, if any, all money paid on the contract.
Nev. Rev. Stat. § 680A.120 — NV Code / Title 57 / Chapter 680A / Section 680A.120
Required capital
Status: in_force

1. Except as provided in subsections 2 and 5, to qualify for authority to transact any one kind of insurance as defined in NRS 681A.010 to 681A.080 , inclusive, or combinations of kinds of insurance as shown below, an insurer shall possess and thereafter maintain unimpaired paid-in capital stock, if a stock insurer, or unimpaired basic surplus, if a mutual or a reciprocal insurer, and free surplus not less than 100 percent of the minimum required capital stock or minimum required basic surplus, and when first so authorized shall possess initial free surplus, all in amounts not less than as determined from the following table: STOCK INSURERS FOREIGN MUTUAL INSURERS RECIPROCAL INSURERS Kind or Kinds of Insurance Minimum Required Capital Stock Initial Free Surplus Minimum Required Basic Surplus Initial Free Surplus Minimum Required Basic Surplus Initial Free Surplus Life․․․․․․․․․․․․․․․․․ 500,000 1,000,000 500,000 1,000,000 N/A N/A Health, Property, Casualty, Surety, Marine & Transportation Multiple line․․․․․․․․․․․․․․․․ 500,000 1,000,000 500,000 1,000,000 500,000 1,000,000 Title․․․․․․․․․․․․․․․․ 500,000 750,000 N/A N/A N/A N/A Financial Guarantee․․ 10,000,000 40,000,000 N/A N/A N/A N/A

2. At the discretion of the Commissioner, a domestic insurer holding a valid certificate of authority to transact insurance in this state immediately prior to January 1, 1992, may, if otherwise qualified therefor, continue to be so authorized while possessing the amount of paid-in capital stock, if a stock insurer, or surplus, if a mutual insurer, required by the laws of this state for such authority immediately before January 1, 1992, for a period not to exceed 2 years. On or before January 1, 1994, the insurer shall meet the requirements of subsection 1. The Commissioner shall not grant such an insurer authority to transact any other or additional kinds of insurance unless it then fully complies with the requirements as to capital and surplus, as applied to all kinds of insurance which it then proposes to transact, as provided by this section for like foreign insurers applying for original certificates of authority pursuant to this Code.

3. Capital and surplus requirements are based upon all the kinds of insurance transacted by the insurer in any and all areas in which it operates or proposes to operate, whether or not only a portion of such kinds are to be transacted in this state.

4. As to surplus required for qualification to transact one or more kinds of insurance and thereafter to be maintained, domestic mutual insurers are governed by chapter 693A of NRS and domestic reciprocal insurers are governed by chapter 694B of NRS .

5. An insurer who transacts financial guaranty insurance in this state must transact only one kind of insurance and possess and maintain the minimum capital and surplus requirements pursuant to subsection 1.
Nev. Rev. Stat. § 684A.055 — NV Code / Title 57 / Chapter 684A / Section 684A.055
Licensing of or ownership of licensed business entity by person in business of repairing bodies of automobiles prohibited
Status: in_force

No person who is engaged in the business of repairing the bodies of automobiles may:

1. Be licensed pursuant to this chapter.

2. Own a controlling interest in a business entity licensed pursuant to NRS 684A.080 .
Nev. Rev. Stat. § 689B.550 — NV Code / Title 57 / Chapter 689B / Section 689B.550
Carrier prohibited from imposing restriction on participation inconsistent with chapter; restrictions on rules of eligibility that may be established
Status: in_force

1. A carrier shall not place any restriction on a person or a dependent of the person as a condition of being a participant in or a beneficiary of a policy of blanket accident and health insurance or group health insurance that is inconsistent with the provisions of this chapter.

2. A carrier that offers coverage under a policy of blanket accident and health insurance or group health insurance pursuant to this chapter shall not establish rules of eligibility which conflict with the provisions of NRS 689B.500 , including rules which define applicable waiting periods, for the initial or continued enrollment under a group health plan offered by the carrier that are based on the following factors relating to the employee or a dependent of the employee: (a) Health status. (b) Medical condition, including physical and mental illnesses, or both. (c) Claims experience. (d) Receipt of health care. (e) Medical history. (f) Genetic information. (g) Evidence of insurability, including conditions which arise out of acts of domestic violence. (h) Disability.

3. Except as otherwise provided in NRS 689B.500 , the provisions of subsection 1 do not: (a) Require a carrier to provide particular benefits other than those that would otherwise be provided under the terms of the blanket health and accident insurance or group health insurance or coverage; or (b) Prevent a carrier from establishing limitations or restrictions on the amount, level, extent or nature of the benefits or coverage for similarly situated persons.

4. This section does not: (a) Restrict the amount that an employer or employee may be charged for coverage by a carrier; (b) Prevent a carrier from establishing premium discounts or rebates or from modifying otherwise applicable copayments or deductibles in return for adherence by the insured person to programs of health promotion and disease prevention; or (c) Preclude a carrier from establishing rules relating to employer contribution or group participation when offering health insurance coverage to small employers in this state.
Nev. Rev. Stat. § 687A.031 — NV Code / Title 57 / Chapter 687A / Section 687A.031
“Association” defined
Status: in_force

“ Association ” means the Nevada Insurance Guaranty Association created pursuant to NRS 687A.040 .
Nev. Rev. Stat. § 696B.570 — NV Code / Title 57 / Chapter 696B / Section 696B.570
Federal receivership
Status: in_force

1. If the Commissioner believes that rehabilitation or liquidation of a domestic insurer or alien insurer domiciled in this state upon grounds for such rehabilitation or liquidation set forth in this chapter would thereby be facilitated, and whether or not delinquency proceedings against the insurer are already pending in the courts of this state, the Commissioner may cause or consent to the filing of a petition in a federal district court in another state for the appointment of a federal receiver of the insurer. The Commissioner may intervene in any such action, and may accept appointment as the federal receiver if so designated. Upon the designation of a federal receiver in any such action, the courts of this state shall relinquish jurisdiction of the rehabilitation or liquidation of the insurer upon the Commissioner's motion therefor.

2. The provisions of this chapter relating to delinquency proceedings in courts of this state shall apply to such a federal receivership to the extent applicable and appropriate.

3. If the Commissioner is appointed a federal receiver under this section, the Commissioner shall comply with any requirements necessary to give the Commissioner title to and control over the insurer's assets and affairs.
Nev. Rev. Stat. § 695D.095 — NV Code / Title 57 / Chapter 695D / Section 695D.095
Applicability of chapter and certain other provisions to organizations for dental care
Status: in_force

1. An organization for dental care is subject to the provisions of this chapter and to the provisions set forth in this section, to the extent reasonably applicable. Organizations for dental care are subject to the provisions of NRS 449.465 , 679B.700, subsections 7 and 8 of NRS 680A.270, subsections 2 , 4, 17, 18 and 30 of NRS 680B.010 , NRS 680B.020 to 680B.060 , inclusive, chapters 681B and 686A of NRS, NRS 686B.010 to 686B.175 , inclusive, and chapters 687B, 692C and 695G of NRS.

2. For the purposes of this section and the provisions set forth in subsection 1, an organization for dental care is included in the meaning of the term “insurer.”
Nev. Rev. Stat. § 680A.520 — NV Code / Title 57 / Chapter 680A / Section 680A.520
“Party” defined
Status: in_force

“ Party ” means any recipient of a notice or document required to be provided as part of an insurance transaction, including, without limitation, an applicant, insured, policyholder or holder of an annuity contract.
Nev. Rev. Stat. § 696B.150 — NV Code / Title 57 / Chapter 696B / Section 696B.150
“Reciprocal state” defined
Status: in_force

“ Reciprocal state ” means any state other than this state in which in substance and effect the provisions of the Uniform Insurers Liquidation Act or the Insurer Receivership Model Act are in force, including provisions requiring that the commissioner of insurance or the equivalent insurance supervisory officer be the receiver of a delinquent insurer, and in which effective provisions exist for avoidance of fraudulent conveyances and unlawful preferential transfers.
Nev. Rev. Stat. § 687A.095 — NV Code / Title 57 / Chapter 687A / Section 687A.095
Claim against person insured by insolvent insurer which is not covered claim
Status: in_force

A claim asserted against a person insured by an insurer which has become insolvent which, if it were not a claim by or for the benefit of a reinsurer, insurer, insurance pool, underwriting association, health maintenance organization, hospital plan corporation, professional health service corporation or self-insurer, would be a covered claim, may be filed directly with the receiver of the insolvent insurer. These claims may not be asserted in any action against the insured of the insolvent insurer.
Nev. Rev. Stat. § 697.360 — NV Code / Title 57 / Chapter 697 / Section 697.360
Applicability of other provisions
Status: in_force

Licensed bail agents, bail solicitors and bail enforcement agents, and general agents are also subject to the following provisions of this Code, to the extent reasonably applicable:

1. Chapter 679A of NRS .

2. Chapter 679B of NRS .

3. NRS 683A.261 .

4. NRS 683A.301 .

5. NRS 683A.311 .

6. NRS 683A.331 .

7. NRS 683A.341 .

8. NRS 683A.361 .

9. NRS 683A.400 .

10. NRS 683A.451 .

11. NRS 683A.461 .

12. NRS 683A.500 .

13. NRS 683A.520 .

14. NRS 686A.010 to 686A.310 , inclusive.
Nev. Rev. Stat. § 692A.160 — NV Code / Title 57 / Chapter 692A / Section 692A.160
Unearned premium reserve
Status: in_force

1. Each domestic title insurer shall establish and maintain an unearned premium reserve composed of the unearned portions of premiums due or received, which shall be charged as a reserve liability of the insurer in determining its financial condition.

2. The unearned premium reserve shall be retained and held by the title insurer for the protection of holders of policies which have not expired. Except as provided in this section, assets equal in value to the unearned premium reserve are not subject to distribution among depositors or other creditors or stockholders of the insurer until all claims of policyholders or holders of other title insurance contracts have been paid in full, and all liability on the policies or other title insurance has been paid in full and discharged or lawfully reinsured.

3. Income from the unearned premium reserve need not be added to that reserve.

4. Each title insurer shall place in its unearned premium reserve: (a) The amount held in unearned premium reserve on July 1, 1977; and (b) A sum equal to 5 percent of title insurance premiums collected in each calendar year.

5. A title insurer shall release from the unearned premium reserve and restore to net profits a sum equal to 5 percent of the amount added to the reserve during a calendar year on July 1 of the year following the year in which the sum was added, and an additional 5 percent shall be released from the reserve on each succeeding July 1 until the entire amount for that year has been restored to net profits.
Nev. Rev. Stat. § 688C.110 — NV Code / Title 57 / Chapter 688C / Section 688C.110
“Terminally ill” defined
Status: in_force

“ Terminally ill ” means having an illness that can reasonably be expected to result in death within 24 months.
Nev. Rev. Stat. § 692A.028 — NV Code / Title 57 / Chapter 692A / Section 692A.028
“Escrow officer” defined
Status: in_force

“ Escrow officer ” means a person employed by a title insurer or title agent to handle escrows, settlements and closings.
Nev. Rev. Stat. § 682A.542 — NV Code / Title 57 / Chapter 682A / Section 682A.542
Income-producing real estate
Status: in_force

1. An insurer may acquire, manage and dispose of real estate situated in a domestic jurisdiction either directly or indirectly through limited partnership interests and general partnership interests not otherwise prohibited by paragraph (d) of subsection 1 of NRS 682A.380 , joint ventures, stock of an investment subsidiary or membership interests in a limited-liability company, trust certificates or other similar interests. The real estate must be income producing or intended for improvement or development for investment purposes under an existing program, in which case the real estate shall be deemed to be income producing.

2. The real estate may be subject to mortgages, liens or other encumbrances, the amount of which must, to the extent that the obligations secured by the mortgages, liens or encumbrances are without recourse to the insurer, be deducted from the amount of the investment of the insurer in the real estate for purposes of determining compliance with subsections 2 and 3 of NRS 682A.546 .
Nev. Rev. Stat. § 695E.120 — NV Code / Title 57 / Chapter 695E / Section 695E.120
Requirements
Status: in_force

A purchasing group that intends to conduct business in this state shall register with the Commissioner and:

1. Furnish notice to the Commissioner that: (a) Identifies the state in which the group is domiciled; (b) Specifies the lines and classifications of liability insurance that the purchasing group intends to purchase; (c) Identifies the insurer from which the group intends to purchase its insurance and the domicile of the insurer; (d) Identifies the principal place of business of the group; (e) Identifies all other states in which the group intends to do business; (f) Specifies the method by which insurance will be offered to its members whose risks are resident, located or to be performed in this State; (g) Provides the name, address and telephone number of each person, if any, through whom insurance will be offered to its members whose risks are resident, located or to be performed in this State; and (h) Provides such other information as the Commissioner requires to verify and determine: (1) Its qualification as a purchasing group; (2) Where the purchasing group is located; and (3) The appropriate tax treatment of the purchasing group; and

2. Appoint the Commissioner as its agent solely to receive service of legal process, and pay the fee for filing a power of attorney required by subsection 4 of NRS 680B.010 , except that this subsection does not apply to a purchasing group that: (a) Was domiciled before April 1, 1986, and on and after October 27, 1986, in any state; (b) Before and after October 27, 1986, purchased its insurance from an insurer licensed in any state; (c) Was a purchasing group under the requirements of the Product Liability Risk Retention Act of 1981 1 before October 27, 1986; and (d) Does not purchase insurance that was not authorized for an exemption under that act, as in effect before October 27, 1986.

1 15 U.S.C.A. § 3901 et seq.
Nev. Rev. Stat. § 689B.0319 — NV Code / Title 57 / Chapter 689B / Section 689B.0319
Required provision concerning coverage for certain drugs and services related to substance use disorder and opioid use disorder; reimbursement of pharmacists and pharmacies for certain services; prohibited acts
Status: in_force

1. An insurer that offers or issues a policy of group health insurance shall include in the policy coverage for: (a) All drugs approved by the United States Food and Drug Administration to support safe withdrawal from substance use disorder, including, without limitation, lofexidine. (b) All drugs approved by the United States Food and Drug Administration to provide medication-assisted treatment for opioid use disorder, including, without limitation, buprenorphine, methadone and naltrexone. (c) The services described in NRS 639.28079 when provided by a pharmacist or pharmacy that participates in the network plan of the insurer. The Commissioner shall adopt regulations governing the provision of reimbursement for such services. (d) Any service for the treatment of substance use disorder 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.

2. An insurer that offers or issues a policy of group health insurance shall reimburse a pharmacist or pharmacy that participates in the network plan of the insurer for the services described in NRS 639.28074 at a rate equal to the rate of reimbursement provided to a physician, physician assistant or advanced practice registered nurse for similar services.

3. An insurer shall provide the coverage required by paragraphs (a) and (b) of subsection 1 regardless of whether the drug is included in the formulary of the insurer.

4. Except as otherwise provided in this subsection, an insurer shall not subject the benefits required by paragraphs (a), (b) and (c) of subsection 1 to medical management techniques, other than step therapy. An insurer may subject the benefits required by paragraphs (b) and (c) of subsection 1 to other reasonable medical management techniques when the benefits are provided by a pharmacist in accordance with NRS 639.28079 .

5. An insurer shall not: (a) Limit the covered amount of a drug described in paragraph (a) or (b) of subsection 1; or (b) Refuse to cover a drug described in paragraph (a) or (b) of subsection 1 because the drug is dispensed by a pharmacy through mail order service.

6. An insurer 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 insurer.

7. A policy of group health insurance 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 policy that conflicts with the provisions of this section is void.

8. 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 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. (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. § 686A.020 — NV Code / Title 57 / Chapter 686A / Section 686A.020
Unfair methods of competition and unfair or deceptive acts or practices prohibited
Status: in_force

A person shall not engage in this state in any practice which is defined in NRS 686A.010 to 686A.310 , inclusive, as, or determined pursuant to NRS 686A.170 to be, an unfair method of competition or an unfair or deceptive act or practice in the business of insurance.
Nev. Rev. Stat. § 695H.110 — NV Code / Title 57 / Chapter 695H / Section 695H.110
Required disclosures
Status: in_force

1. The following disclosures must be made in writing to any prospective member of a medical discount plan and must be in clear language and prominently displayed in any advertisements, marketing materials and brochures relating to a medical discount plan: (a) That the medical discount plan is not a policy of health insurance; (b) That the medical discount plan provides discounts from providers of health care who provide health care or medical services to members; (c) That the medical discount plan does not make payments directly to the providers of health care; (d) That the member will be required to pay for all health care or medical services but will receive a discount from those providers of health care who have contracted with the medical discount plan; (e) The corporate name of the person offering the medical discount plan and the location and address of each office for the medical discount plan; and (f) A telephone number where the member may obtain information and answers to questions or complaints.

2. The disclosures required pursuant to this section may be provided orally or electronically if written disclosures are provided not later than the earlier of: (a) Ten business days after the prospective member elects to accept the medical discount plan; or (b) The date on which any other written material is provided by the medical discount plan to the member.
Nev. Rev. Stat. § 694C.370 — NV Code / Title 57 / Chapter 694C / Section 694C.370
Insurer not required to join rating organization
Status: in_force

A captive insurer is not required to join a rating organization.
Nev. Rev. Stat. § 695G.320 — NV Code / Title 57 / Chapter 695G / Section 695G.320
Provision of health care services to recipients of Medicaid or enrollees in Children’s Health Insurance Program: Requirement to contract with hospital with certain endorsement for inclusion in network of providers
Status: in_force

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 shall negotiate in good faith to enter into a contract with a hospital with an endorsement as a crisis stabilization center pursuant to NRS 449.0915 to include the hospital in the network of providers under contract with the managed care organization to provide services to recipients of Medicaid or insureds in the Children's Health Insurance Program, as applicable.
Nev. Rev. Stat. § 687B.790 — NV Code / Title 57 / Chapter 687B / Section 687B.790
Health carrier required to notify participating providers of health care of obligation to collect coinsurance, copayment or deductible or notify covered person of obligation for services not covered
Status: in_force

A health carrier which offers or issues a network plan shall notify the participating providers of health care in the network of his or her obligations, if any, to collect applicable coinsurance, copayments or deductibles from a covered person pursuant to the evidence of coverage, or of the obligations, if any, of the participating provider of health care to notify a covered person of the personal financial obligations of the covered person for health care services that are not covered.
Nev. Rev. Stat. § 693B.030 — NV Code / Title 57 / Chapter 693B / Section 693B.030
Change of location of principal office; notice to Commissioner
Status: in_force

Any domestic organization, without complying with any provision of law requiring approval, or application for approval, of a change of location of its principal office may from time to time change the location thereof during an acute emergency to a suitable location within the United States, and may carry on its business at such new location during such acute emergency and for a reasonable time thereafter. Any organization which changes the location of its principal office during an acute emergency shall notify the Commissioner thereof in writing as soon as practicable, stating the address of the new location, the address of the former location, and the dates when business is ceasing at the former location and commencing at the latter location.
Nev. Rev. Stat. § 695G.261 — NV Code / Title 57 / Chapter 695G / Section 695G.261
Review of documents by independent review organization; decision of independent review organization
Status: in_force

1. Except as otherwise provided in NRS 695G.271 and 695G.275 , upon receipt of a request for an external review pursuant to NRS 695G.251 , the independent review organization shall, within 5 days after receiving the request: (a) Review the request and the documents and materials submitted pursuant to NRS 695G.251 ; and (b) Notify the covered person, the physician of the covered person and the health carrier if any additional information is required to conduct a review of the adverse determination. Such additional information must be provided within 5 days after receiving notice that the information is required to conduct a review of the adverse determination. The independent review organization shall forward to the health carrier, within 1 business day after receipt, any information received from a covered person or the physician of a covered person.

2. Except as otherwise provided in NRS 695G.271 and 695G.275 , the independent review organization shall approve, modify or reverse the adverse determination within 15 days after it receives the information required to make that determination pursuant to this section. The independent review organization shall submit a copy of its determination, including the reasons therefor, to: (a) The covered person; (b) The physician of the covered person; (c) The authorized representative of the covered person, if any; and (d) The health carrier.
Nev. Rev. Stat. § 692B.160 — NV Code / Title 57 / Chapter 692B / Section 692B.160
Filing of articles of incorporation; rights under permit
Status: in_force

Upon issuance to it by the Commissioner of its solicitation permit, a newly formed proposed domestic stock or mutual insurer shall file with the Commissioner a copy of its articles of incorporation as filed with the Secretary of State and proceed to the offer and sale of its securities and insurance policies as provided for in the permit.
Nev. Rev. Stat. § 695B.2575 — NV Code / Title 57 / Chapter 695B / Section 695B.2575
Converted contract delivered outside Nevada: Form
Status: in_force

A converted contract which is to be delivered outside this state must be in such form as would be deliverable in the other jurisdiction as a converted contract if the group contract had been issued in that jurisdiction.
Nev. Rev. Stat. § 695G.026 — NV Code / Title 57 / Chapter 695G / Section 695G.026
“Independent review organization” defined
Status: in_force

“ Independent review organization ” means an entity that:

1. Conducts an independent external review of an adverse determination; and

2. Is certified by the Commissioner in accordance with NRS 683A.3715 and 683A.372 .
Nev. Rev. Stat. § 681B.0045 — NV Code / Title 57 / Chapter 681B / Section 681B.0045
“NAIC” defined
Status: in_force

“ NAIC ” means the National Association of Insurance Commissioners or its successor organization.
Nev. Rev. Stat. § 692B.110 — NV Code / Title 57 / Chapter 692B / Section 692B.110
Issuance and terms of permit; compliance
Status: in_force

1. Upon filing any bond (or making the deposit in lieu of bond) required under NRS 692B.150 or 692B.210 , and upon filing with the Commissioner an executed copy of any required escrow agreement, the Commissioner shall issue a permit to the applicant if the applicant is entitled thereto under NRS 692B.100 .

2. Every such permit shall contain provisions, as applicable, as follows: (a) It shall state the securities which are to be offered, the number and selling price; or identify the insurance policy or policies for which applications are to be solicited in the case of the formation of a new domestic mutual insurer. (b) It shall require that all premiums and the purchase price of securities shall be payable only in lawful money of the United States of America, or, in the case of sale of securities, in such other securities as may be specified by class or description in the permit. (c) It shall require that all securities to be offered or sold shall be so offered and sold at the same price to all parties, subject, at the option of the issuer in the case of subscriptions to be paid in installments, to a reasonable additional charge to cover expenses and loss of interest earnings attributable to such installment subscriptions. (d) It shall limit the portion of funds received on account of the sale of securities under the permit which may be used for organization, securities sales and promotion expenses to such amount as the Commissioner deems reasonably adequate under the proposed plan of solicitation, but in no event to exceed 15 percent of such funds as and when the funds are actually received. (e) If the Commissioner believes the same desirable for the protection of the public or for any other reasonable purpose, the permit may: (1) Require the founders, promoters, incorporators or other persons directly involved in the proposed offering, to subscribe and pay for immediately and in cash, at the proposed public offering price, a reasonable proportion of the same securities as proposed to be offered under the permit. (2) Prohibit, limit or control the granting of options, to such founders, promoters, incorporators or other persons, to buy the securities. (3) Prohibit, by any founder, promoter, incorporator or other person associated or to be associated under the permit, the resale or transfer for a period terminating 1 year after expiration or other termination of the permit, of his or her interest in any security, right or interest of the kind proposed to be offered under the permit, or of any other security, interest or right which he or she may have in or as to the same issuing entity, or the granting of any option or lien as to any such security, right or interest. The Commissioner may, in the discretion of the Commissioner, require that any security, right or interest the resale or transfer of which is prohibited in this subparagraph, shall be deposited and held in escrow for the prescribed period. This subparagraph does not prohibit the sale or transfer of any such security, right or interest by the personal representative of a deceased founder, promoter or incorporator, or of any other deceased person associated under the permit. (4) Contain other reasonable provisions. (f) If the permit is issued in connection with the solicitation of qualifying applications for insurance policies of a proposed mutual insurer, it shall limit the portion of funds received therefor which may be used for organization and sales expense to a reasonable commission related to the kind of insurance policy involved, and provide that no such commissions shall be deemed earned or be paid until the insurer has received its certificate of authority and the policies so applied for have been actually issued, delivered to and accepted by the respective insureds. (g) The permit shall expire at the expiration of a period stated therein, which period shall be not more than 2 years after its date of issue, unless earlier terminated by the Commissioner, but subject to the right of the Commissioner, for good cause shown, to grant an extension for an additional reasonable period. (h) The permit shall contain such other reasonable conditions relative to accounting, reports, deposits and other matters consistent with this chapter as the Commissioner deems advisable for the protection of existing or prospective investors or policyholders.

3. The holder of the permit, and its directors, officers, employees, agents, founders, promoters, incorporators and representatives shall comply with the terms of the permit.
Nev. Rev. Stat. § 694B.240 — NV Code / Title 57 / Chapter 694B / Section 694B.240
Subscribers' share in assets upon liquidation
Status: in_force

Upon the liquidation of a domestic reciprocal insurer, its assets remaining after the discharge of its indebtedness and policy obligations, the return of any contributions of the attorney or other persons to its surplus, and the return of any unused premiums, savings or credits then standing on subscribers' accounts shall be distributed to its subscribers who were such within the 12 months prior to the last termination of its certificate of authority, according to such reasonable formula as the Commissioner may approve.
Nev. Rev. Stat. § 696B.560 — NV Code / Title 57 / Chapter 696B / Section 696B.560
Summary proceedings: Penalty for refusal to deliver property and records
Status: in_force

Any person having possession or custody of and refusing to deliver to the Commissioner or a representative of the Commissioner upon request any of the property, books, accounts, documents or other records of an insurer against which a seizure order or a summary order has been issued by the Commissioner or by the court, as provided in NRS 696B.500 to 696B.550 , inclusive, is guilty of a misdemeanor.
Nev. Rev. Stat. § 690C.270 — NV Code / Title 57 / Chapter 690C / Section 690C.270
Cancellation: Grounds; effective date
Status: in_force

1. No service contract that has been in effect for at least 70 days may be cancelled by the provider before the expiration of the agreed term or 1 year after the effective date of the service contract, whichever occurs first, except on any of the following grounds: (a) Failure by the holder to pay an amount when due; (b) Conviction of the holder of a crime which results in an increase in the service required under the service contract; (c) Discovery of fraud or material misrepresentation by the holder in obtaining the service contract, or in presenting a claim for service thereunder; (d) Discovery of: (1) An act or omission by the holder; or (2) A violation by the holder of any condition of the service contract, which occurred after the effective date of the service contract and which substantially and materially increases the service required under the service contract; or (e) A material change in the nature or extent of the required service or repair which occurs after the effective date of the service contract and which causes the required service or repair to be substantially and materially increased beyond that contemplated at the time that the service contract was issued or sold.

2. No cancellation of a service contract may become effective until at least 15 days after the notice of cancellation is mailed to the holder.
Nev. Rev. Stat. § 695H.180 — NV Code / Title 57 / Chapter 695H / Section 695H.180
Penalties
Status: in_force

A person who violates any provision of this chapter or an order or regulation of the Commissioner issued or adopted pursuant thereto may be assessed an administrative penalty by the Commissioner of not more than $2,000 for each act or violation.
Nev. Rev. Stat. § 688A.080 — NV Code / Title 57 / Chapter 688A / Section 688A.080
Incontestability
Status: in_force

There shall be a provision that the policy shall be incontestable after it has been in force during the lifetime of the insured for a period of not more than 2 years after its date of issue, except for nonpayment of premiums, and, at the insurer's option, provisions relating to benefits in the event of total and permanent disability and provisions granting additional benefits specifically against death by accident or accidental means.
Nev. Rev. Stat. § 687B.404 — NV Code / Title 57 / Chapter 687B / Section 687B.404
Adherence by insurer or organization providing health coverage to certain federal laws regarding mental health and addiction data request; submission of data or report to Commissioner; confidentiality of information; report by Commissioner; regulations
Status: in_force

1. An insurer or other organization providing health coverage pursuant to chapter 689A, 689B, 689C, 695A, 695B, 695C, 695F or 695G of NRS , including, without limitation, a health maintenance organization or managed care organization that provides health care services through managed care to recipients of Medicaid under the State Plan for Medicaid, shall adhere to the applicable provisions of the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008, 1 Public Law 110-343 , Division C, Title V, Subtitle B, and any federal regulations issued pursuant thereto.

2. On or before July 1 of each year, the Commissioner shall prescribe and provide to each insurer or other organization providing health coverage subject to the provisions of subsection 1 a data request that solicits information necessary to evaluate the compliance of an insurer or other organization with the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008, Public Law 110-343 , Division C, Title V, Subtitle B, including, without limitation, the comparative analyses specified in 42 U.S.C. § 300gg-26(a)(8) .

3. On or before October 1 of each year, each insurer or other organization providing health coverage subject to the provisions of subsection 1 shall: (a) Complete and submit to the Commissioner the data request prescribed pursuant to subsection 2; or (b) Submit to the Commissioner a copy of a report submitted by the insurer or other organization to the Federal Government demonstrating compliance with the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008, Public Law 110-343 , Division C, Title V, Subtitle B, including, without limitation, the comparative analyses specified in 42 U.S.C. § 300gg-26(a)(8) . The Commissioner may request from an insurer or other organization who submits a copy of such a report any supplemental information necessary to determine whether the insurer or other organization is in compliance with that federal law.

4. Any information provided by an insurer or other organization to the Commissioner pursuant to subsection 3 is confidential.

5. On or before December 31 of each year, the Commissioner shall compile a report summarizing the information submitted to the Commissioner pursuant to this section and submit the report to: (a) The Patient Protection Commission created by NRS 439.908 ; (b) The Governor; and (c) The Director of the Legislative Counsel Bureau for transmittal to: (1) In even-numbered years, the next regular session of the Legislature; and (2) In odd-numbered years, the Joint Interim Standing Committee on Health and Human Services.

6. The Commissioner may adopt any regulations necessary to carry out the provisions of this section.

1 26 U.S.C.A. § 9812, 29 U.S.C.A. § 1185a, and 42 U.S.C.A. § 300gg-5.
Nev. Rev. Stat. § 686B.360 — NV Code / Title 57 / Chapter 686B / Section 686B.360
Conversion into domestic mutual insurer or domestic reciprocal insurer: Notice to insurers and insured; hearing; compliance with certain provisions for qualification
Status: in_force

1. At the time the association files a notice of intent to qualify as a domestic mutual insurer or domestic reciprocal insurer, it must give a notice of intent to all participating insurers and all insureds on a form approved by the Commissioner.

2. Any participating insurer or insured may, within 30 days after the date of the notice, apply to the Division for a hearing concerning the association's ability to qualify as a domestic mutual insurer or domestic reciprocal insurer.

3. An association must comply with the provisions of: (a) Chapter 692B of NRS , as applicable to mutual insurers, to qualify as a domestic mutual insurer; or (b) Chapter 694B of NRS , as applicable to reciprocal insurers, to qualify as a domestic reciprocal insurer.
Nev. Rev. Stat. § 681A.213 — NV Code / Title 57 / Chapter 681A / Section 681A.213
List of reciprocal jurisdictions
Status: in_force

1. The Commissioner shall timely create and publish a list of reciprocal jurisdictions.

2. The Commissioner's list: (a) Must include, without limitation, any reciprocal jurisdiction which meets the requirements of subsection 1 or 2 of NRS 681A.062 ; (b) May include, without limitation, any other reciprocal jurisdiction which is included on an applicable list of reciprocal jurisdictions published by the NAIC; and (c) May include, without limitation, a reciprocal jurisdiction that does not appear on an applicable list of reciprocal jurisdictions published by the NAIC if the Commissioner has approved the reciprocal jurisdiction pursuant to applicable law or in accordance with applicable criteria published by the NAIC.

3. The Commissioner may remove a jurisdiction from the list of reciprocal jurisdictions upon a determination that the jurisdiction no longer meets one or more of the requirements of a reciprocal jurisdiction, as provided by applicable law or in accordance with an applicable process published by the NAIC, except that the Commissioner must not remove from the list a reciprocal jurisdiction which meets the requirements of subsection 1 or 2 of NRS 681A.062 . Upon removal of a reciprocal jurisdiction from the Commissioner's list, credit for reinsurance ceded to an assuming insurer which has its home office or is domiciled in that jurisdiction must be allowed if otherwise allowed pursuant to NRS 681A.110 to 681A.240 , inclusive.
Nev. Rev. Stat. § 694C.080 — NV Code / Title 57 / Chapter 694C / Section 694C.080
“Division” defined
Status: in_force

“ Division ” means the Division of Insurance of the Department of Business and Industry.
Nev. Rev. Stat. § 681A.1555 — NV Code / Title 57 / Chapter 681A / Section 681A.1555
Certified reinsurer: Required security
Status: in_force

1. For a domestic ceding insurer to qualify for full financial statement credit for reinsurance ceded to a certified reinsurer, the certified reinsurer shall maintain security in a form acceptable to the Commissioner and consistent with the provisions of NRS 681A.240 or, in a multi-beneficiary trust, pursuant to NRS 681A.180 and 681A.190 , except as otherwise provided in NRS 681A.155 to 681A.1557 , inclusive.

2. If a certified reinsurer maintains a trust to fully secure its obligations subject to NRS 681A.180 and 681A.190 , and chooses to secure its obligations incurred as a certified reinsurer in the form of a multi-beneficiary trust, the certified reinsurer shall maintain separate trust accounts for its obligations incurred under reinsurance agreements issued or renewed as a certified reinsurer with reduced security as permitted by this section or comparable laws of other jurisdictions in the United States and for its obligations subject to NRS 681A.180 and 681A.190 . It is a condition of the grant of certification pursuant to NRS 681A.155 to 681A.1557 , inclusive, that the certified reinsurer shall have bound itself, by the language of the trust and agreement with the commissioner of insurance of the state with principal regulatory authority over each trust account, to fund, upon termination of any such trust account, out of the remaining surplus of such trust any deficiency of any other such trust account.

3. The minimum trusteed surplus requirements provided in NRS 681A.180 and 681A.190 are not applicable with respect to a multi-beneficiary trust maintained by a certified reinsurer for the purpose of securing obligations incurred pursuant to NRS 681A.155 to 681A.1557 , inclusive, except that the trust shall maintain a minimum trusteed surplus of $10,000,000.

4. With respect to obligations incurred by a certified reinsurer pursuant to NRS 681A.155 to 681A.1557 , inclusive, if the security is insufficient, the Commissioner shall reduce the allowable credit by an amount proportionate to the deficiency and may impose further reductions in allowable credit upon finding that there is a material risk that the certified reinsurer's obligations will not be paid in full when due.

5. For the purposes of NRS 681A.155 to 681A.1557 , inclusive, a certified reinsurer whose certification has been terminated for any reason shall be treated as a certified reinsurer required to secure 100 percent of its obligations.

6. If the Commissioner continues to assign a higher rating as permitted by other provisions of NRS 681A.150 to 681A.190 , inclusive, this requirement does not apply to a certified reinsurer in inactive status or to a reinsurer whose certification has been suspended.

7. A certified reinsurer shall secure obligations assumed from ceding insurers in the United States under this section at a level consistent with the rating of the certified reinsurer, as specified in regulations adopted by the Commissioner.

8. As used in this section, “ terminated ” means the revocation, suspension, voluntary surrender or inactive status of a reinsurer's certification.
Nev. Rev. Stat. § 695G.190 — NV Code / Title 57 / Chapter 695G / Section 695G.190
Quality improvement committee: Administration; duties
Status: in_force

1. As part of a quality assurance program established pursuant to NRS 695G.180 , each managed care organization shall create a quality improvement committee directed by a physician who is licensed to practice medicine in the State of Nevada pursuant to chapter 630 or 633 of NRS .

2. Each managed care organization shall: (a) Establish written guidelines setting forth the procedure for selecting the members of the committee; (b) Select members pursuant to such guidelines; and (c) Provide staff to assist the committee.

3. The committee shall: (a) Select and review appropriate medical records of insureds and other data related to the quality of health care provided to insureds by providers of health care; (b) Review the clinical processes used by providers of health care in providing services; (c) Identify any problems related to the quality of health care provided to insureds; and (d) Advise providers of health care regarding issues related to quality of care.
Nev. Rev. Stat. § 681A.300 — NV Code / Title 57 / Chapter 681A / Section 681A.300
“Cession” defined
Status: in_force

“Cession” means the unit of insurance passed to a reinsurer by a primary company which issued a policy to the original insured.
Nev. Rev. Stat. § 681B.106 — NV Code / Title 57 / Chapter 681B / Section 681B.106
Valuation of other securities
Status: in_force

1. Except as otherwise provided in subsection 4, securities, other than those specified in NRS 681B.105 , held by an insurer must be valued, in the discretion of the Commissioner, at their market value, or at their appraised value, or at prices determined by the Commissioner as representing their fair market value.

2. Preferred or guaranteed stocks or shares while paying full dividends may be carried at a fixed value in lieu of market value, at the discretion of the Commissioner and in accordance with a method of computation approved by the Commissioner.

3. The stock of a subsidiary of an insurer must be valued on the basis of the value of only those assets of the subsidiary as would constitute lawful investments of the insurer if acquired or held directly by the insurer.

4. A valuation determined pursuant to this section must not be inconsistent with any applicable valuation or method then currently formulated or approved by the NAIC.
Nev. Rev. Stat. § 689.585 — NV Code / Title 57 / Chapter 689 / Section 689.585
Records of seller; examination by Commissioner
Status: in_force

1. Every seller shall keep: (a) Accurate accounts, books and records of all transactions; (b) Copies of all agreements and dates and amounts of payments made and accepted; (c) The names and addresses of the contracting parties; and (d) The persons for whose benefit the payments are accepted and the names of the depositories in which the payments are deposited.

2. The seller shall keep within this State, at the address shown upon the permit of the seller, complete records of all transactions under the permit. Those records and the affairs of the seller are subject to audit and examination by the Commissioner at any reasonable time. Any costs incurred by the Commissioner to conduct an audit or examination must be paid by the seller.

3. The seller shall keep such records for not less than 5 years after the completion of all transactions to which they relate.
Nev. Rev. Stat. § 691C.360 — NV Code / Title 57 / Chapter 691C / Section 691C.360
Open-end credit transactions: Rating plan required to address certain expected variance; requirements for accounts
Status: in_force

For open-end credit transactions, the rating plan of the insurer must address, by the grouping of similar accounts, the expected variance in the ratio of goods purchased that are covered under the credit personal property insurance and goods that are not covered by that insurance. Accounts must be separated into groups that have or are expected to have a similar ratio of goods purchased that are covered under the credit personal property insurance and goods that are not covered by that insurance.
Nev. Rev. Stat. § 686C.152 — NV Code / Title 57 / Chapter 686C / Section 686C.152
Duties regarding insolvent insurers
Status: in_force

If a member insurer is an insolvent insurer, the Association shall:

1. Guarantee, assume, reissue or reinsure, or cause to be guaranteed, assumed, reissued or reinsured, the policies or contracts of the insolvent insurer; or

2. Ensure payment of the contractual obligations of the insolvent insurer and: (a) Provide such money, pledges, loans, notes, guarantees or other means as are reasonably necessary to discharge its duties; or (b) Provide benefits and coverages in accordance with NRS 686C.153 and 686C.154 .
Nev. Rev. Stat. § 682A.450 — NV Code / Title 57 / Chapter 682A / Section 682A.450
Derivative transactions
Status: in_force

An insurer may, directly or indirectly through an investment subsidiary, engage in derivative transactions as described in NRS 682A.450 to 682A.458 , inclusive, pursuant to the following conditions:

1. An insurer may use derivative instruments under NRS 682A.450 to 682A.458 , 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 the transactions through cash flow testing or other appropriate analyses.
Nev. Rev. Stat. § 692B.190 — NV Code / Title 57 / Chapter 692B / Section 692B.190
License to sell securities
Status: in_force

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

1. No person may in this State solicit subscription to or purchase of any security covered by a solicitation permit issued under this chapter, unless then licensed therefor by the Commissioner.

2. Such a license may be issued only to natural persons, and the Commissioner shall not license any person found by the Commissioner to be: (a) Dishonest or untrustworthy; (b) Financially irresponsible; (c) Of unfavorable personal or business history or reputation; or (d) For any other cause, reasonably unsuited for fulfillment of the responsibilities of such a licensee.

3. The applicant for such a license must file a written application therefor with the Commissioner, on forms and containing inquiries as designated and required by the Commissioner. The application must include or be accompanied by: (a) The social security number of the applicant; (b) An endorsement by the holder of the permit under which the securities are proposed to be sold; and (c) The application fee specified in NRS 680B.010 .

4. The Commissioner shall promptly cause an investigation to be made of the identity and qualifications of the applicant.

5. The license, if issued, must be for the period of the permit, and must automatically be extended if the permit is extended.

6. The Commissioner shall revoke the license if at any time after issuance the Commissioner has found that the license was obtained through misrepresentation or concealment of facts, or that the licensee is no longer qualified therefor, or that the licensee has misrepresented the securities offered, or has otherwise conducted himself or herself in or with respect to transactions under the license in a manner injurious to the permit holder or to subscribers or prospects or the public.

7. This section does not apply to securities broker-dealers registered as such under the Securities Exchange Act of 1934, 1 or with respect to securities the sale of which is underwritten, other than on a best efforts basis, by such a broker-dealer.

8. With respect to solicitation of subscriptions to or purchase of securities covered by a solicitation permit issued by the Commissioner, the license required by this section is in lieu of a license or permit otherwise required of the solicitor under any other law of this State.

9. An applicant who is a resident of this State must, as part of his or her application and at the applicant's own expense: (a) Arrange to have a complete set of his or her fingerprints taken by a law enforcement agency or other authorized entity acceptable to the Commissioner; and (b) Submit to the Commissioner: (1) A completed fingerprint card and written permission authorizing the Commissioner to submit the applicant's fingerprints to the Central Repository for Nevada Records of Criminal History for submission to the Federal Bureau of Investigation for a report on the applicant's background and to such other law enforcement agencies as the Commissioner deems necessary; or (2) Written verification, on a form prescribed by the Commissioner, stating that the fingerprints of the applicant were taken and directly forwarded electronically or by another means to the Central Repository and that the applicant has given written permission to the law enforcement agency or other authorized entity taking the fingerprints to submit the fingerprints to the Central Repository for submission to the Federal Bureau of Investigation for a report on the applicant's background and to such other law enforcement agencies as the Commissioner deems necessary.

10. The Commissioner may: (a) Unless the applicant's fingerprints are directly forwarded pursuant to subparagraph (2) of paragraph (b) of subsection 9, submit those fingerprints to the Central Repository for submission to the Federal Bureau of Investigation and to such other law enforcement agencies as the Commissioner deems necessary; and (b) Request from each such agency any information regarding the applicant's background as the Commissioner deems necessary.

1 15 USCA § 78a et seq.
Nev. Rev. Stat. § 692A.190 — NV Code / Title 57 / Chapter 692A / Section 692A.190
Circumstances in which premiums and charges from personal and controlled insurance constitute unlawful rebates
Status: in_force

1. If the premiums and charges received from any one source through personal or controlled insurance exceed 25 percent of the total premiums and charges received by a title insurer during a calendar year, or if the premiums and charges received from all personal and controlled insurance exceed 50 percent of the total premiums and charges received by the title insurer during the calendar year, the excess of those percentages is an unlawful rebate under NRS 686A.130 .

2. “ Personal or controlled insurance ” means a policy of title insurance under which one of the following is an insured, or the loss is payable to one of the following: (a) The title insurer who issued the policy or any of the following: (1) Any person who owns or controls a majority of the voting stock or a controlling interest, directly or indirectly, in the title insurer; (2) A corporation which is directly or indirectly controlled by a person who also controls the title insurer; or (3) A corporation which makes consolidated returns for federal income tax purposes with a title insurer or with a corporation which is listed in subparagraph (1) or (2) of this paragraph. (b) A title insurance agent who is a natural person, a spouse of the title insurance agent, any person related to the title insurance agent within the second degree by blood or marriage, and: (1) If the employer of the title insurance agent is a natural person, the employer, the employer's spouse and any person related to the employer within the second degree by blood or marriage; (2) If the employer of the title insurance agent is a corporation, any person who owns or controls a majority of the voting stock or a controlling interest in the corporation, either directly or indirectly; or (3) If the employer of the title insurance agent is a partnership or association, any person owning an interest in the partnership or association. (c) A title insurance agent which is a corporation, and: (1) Any person who owns or controls, directly or indirectly, a majority of the voting stock or controlling interest in the corporation; (2) Any corporation which is directly or indirectly controlled by a person who also controls the title insurance agent; or (3) Any corporation which makes consolidated returns for federal income tax purposes with any corporation described in subparagraph (1) or (2) of this paragraph.

3. Interest which is held by an entity in a fiduciary capacity for the true or beneficial owner of the property need not be included in determinations of which insurance is personal or controlled.
Nev. Rev. Stat. § 684B.140 — NV Code / Title 57 / Chapter 684B / Section 684B.140
Administrative fine: Levy in addition to or in lieu of suspension, revocation or refusal to renew license; revocation of license for nonpayment; recovery; deposit
Status: in_force

1. In addition to or in lieu of the suspension, revocation or refusal to renew any motor vehicle physical damage appraiser's license for any of the causes referred to in NRS 684B.110 (suspension, limitation, revocation of license: Grounds), after hearing thereon or upon waiver of hearing by the licensee, the Commissioner may levy upon the licensee an administrative fine in any amount not less than $25 nor more than $250.

2. In his or her order levying the fine the Commissioner shall specify a period of not less than 15 days nor more than 30 days from the date of the order within which the fine shall be paid in full.

3. If the fine is not paid when due, the Commissioner shall revoke the license involved, if not already revoked, and the fine shall be recovered in a civil action brought by the Attorney General in the Commissioner's behalf.

4. The Commissioner shall deposit any fine collected by the Commissioner hereunder with the State Treasurer for credit to the General Fund.
Nev. Rev. Stat. § 679A.170 — NV Code / Title 57 / Chapter 679A / Section 679A.170
Particular provisions prevail
Status: in_force

Provisions of this Code relative to a particular kind of insurance or type of insurer or particular matter shall prevail over provisions relating to insurance in general or insurers in general or to such matter in general.
Nev. Rev. Stat. § 681A.170 — NV Code / Title 57 / Chapter 681A / Section 681A.170
Reinsurance ceded to assuming alien insurer
Status: in_force

1. Except as otherwise provided in subsection 2, credit must be allowed if reinsurance is ceded to an assuming insurer which is domiciled and licensed in, or in the case of a branch in the United States of an alien assuming insurer is entered through, a state which employs standards regarding credit for reinsurance substantially similar to those applicable under this chapter and the assuming insurer or branch in the United States of an alien assuming insurer: (a) Maintains a surplus as regards policyholders in an amount not less than $20,000,000; (b) Submits to the authority of this state to examine its books and records; and (c) Files with the Commissioner a properly executed Form AR-1, provided on the Internet website of the Division, as evidence of its submission to this State's jurisdiction.

2. The requirement of paragraph (a) of subsection 1 does not apply to reinsurance ceded and assumed pursuant to pooling among insurers affiliated with the same holding company.
Nev. Rev. Stat. § 695C.150 — NV Code / Title 57 / Chapter 695C / Section 695C.150
Fiduciary responsibilities
Status: in_force

Any director, officer, partner, member or employee of a health maintenance organization who receives, collects, disburses or invests funds in connection with the activities of such organization shall be responsible for such funds in a fiduciary relationship to the enrollees.
Nev. Rev. Stat. § 691D.500 — NV Code / Title 57 / Chapter 691D / Section 691D.500
Regulations
Status: in_force

The Commissioner may adopt such regulations as necessary to carry out the provisions of this chapter.
Nev. Rev. Stat. § 687B.220 — NV Code / Title 57 / Chapter 687B / Section 687B.220
Forms for proof of loss required to be furnished by insurer to insured claimant
Status: in_force

Upon receiving due notice of a claim of loss under an insurance contract issued or assumed by it, an insurer shall promptly furnish to the insured claimant such forms of proof of loss as it may require, for completion by such person, but such insurer shall not, by reason of the requirement so to furnish forms, have any responsibility for or with reference to the completion of such proof or the manner of any such completion or attempted completion.
Nev. Rev. Stat. § 695C.16945 — NV Code / Title 57 / Chapter 695C / Section 695C.16945
Plan covering prescription drugs: Required actions by health maintenance organization related to acquisition of prescription drugs for certain insureds residing in area for which emergency or disaster has been declared
Status: in_force

1. If the Governor or the Legislature proclaims the existence of a state of emergency or issues a declaration of disaster pursuant to NRS 414.070 , a health maintenance organization that has issued a health care plan which provides coverage for prescription drugs shall, notwithstanding any provision of the health care plan to the contrary: (a) Waive any provision of the health care plan restricting the time within which an enrollee may refill a covered prescription if the enrollee: (1) Has not exceeded the number of refills authorized by the prescribing practitioner; (2) Resides in the area for which the emergency or disaster has been declared; and (3) Requests the refill not later than the end of the state of emergency or disaster or 30 days after the issuance of the proclamation or declaration, whichever is later; and (b) Authorize payment for, and may apply a copayment, coinsurance or deductible to, a supply of a covered prescription drug for up to 30 days for an enrollee who requests a refill pursuant to paragraph (a).

2. The Commissioner may extend the time periods prescribed by subsection 1 in increments of 15 or 30 days as he or she determines to be necessary.

3. As used in this section, “practitioner” has the meaning ascribed to it in NRS 639.0125 .
Nev. Rev. Stat. § 695E.150 — NV Code / Title 57 / Chapter 695E / Section 695E.150
Statement of registration; plan of operation; appointment of Commissioner as agent for service of process; filing fee; transmission of revisions of plan of operation by Commissioner
Status: in_force

1. Before transacting insurance in this state, a risk retention group must submit to the Commissioner: (a) A statement of registration identifying: (1) Each state in which the risk retention group is chartered or licensed as a liability insurer; (2) The date of its charter; (3) Its principal place of business; and (4) Such other information, including information concerning its membership, as the Commissioner requires to verify its qualification as a risk retention group; (b) A copy of its plan of operation and any revisions of the plan submitted to its state of domicile, except with respect to any line or classification of liability that was: (1) Defined in the Product Liability Risk Retention Act of 1981 1 before October 27, 1986; and (2) Offered before that date by a risk retention group that had been chartered and operating for not less than 3 years before that date; and (c) A statement appointing the Commissioner as its agent for service of process pursuant to NRS 680A.250 , together with the fee for filing a power of attorney required by subsection 4 of NRS 680B.010 .

2. The Commissioner shall, upon receipt of any revisions of a plan of operation provided by a risk retention group pursuant to paragraph (b) of subsection 1, transmit a copy of those revisions to the National Association of Insurance Commissioners.

1 15 U.S.C.A. § 3901 et seq.
Nev. Rev. Stat. § 690B.400 — NV Code / Title 57 / Chapter 690B / Section 690B.400
Definitions
Status: in_force

As used in NRS 690B.400 to 690B.495 , inclusive, the words and terms defined in NRS 690B.410 to 690B.430 , inclusive, have the meanings ascribed to them in those sections.
Nev. Rev. Stat. § 696B.100 — NV Code / Title 57 / Chapter 696B / Section 696B.100
“Impairment” defined
Status: in_force

“ Impairment ” exists as to:

1. A stock insurer when the insurer's assets do not at least equal the sum of its liabilities, including also its paid-in capital stock account and the minimum surplus required to be maintained under this Code for authority to transact the kinds of insurance transacted.

2. A mutual insurer when the insurer's assets do not at least equal the sum of the insurer's liabilities and the minimum surplus required under this Code to be maintained for authority to transact the kinds of insurance transacted.
Nev. Rev. Stat. § 681B.230 — NV Code / Title 57 / Chapter 681B / Section 681B.230
Opinion required to be supported by memorandum; Commissioner authorized to cause independent actuary to review opinion under certain circumstances; regulations; applicability
Status: in_force

1. Each opinion required by NRS 681B.220 must be supported by memorandum, in form and substance acceptable to the Commissioner as specified by regulation.

2. If an insurer fails to provide a supporting memorandum at the request of the Commissioner within a period specified by regulation, or the Commissioner determines that the supporting memorandum provided by the insurer fails to meet the standards prescribed by the regulations or is otherwise unacceptable to the Commissioner, the Commissioner may engage a qualified actuary at the expense of the insurer to review the opinion and the basis for the opinion and prepare such supporting memorandum as is required by the Commissioner.

3. Except as otherwise provided in NRS 681B.310 , the provisions of this section apply only before the operative date of the Valuation Manual .
Nev. Rev. Stat. § 681A.055 — NV Code / Title 57 / Chapter 681A / Section 681A.055
“NAIC” defined
Status: in_force

“ NAIC ” means the National Association of Insurance Commissioners or its successor organization.
Nev. Rev. Stat. § 695B.170 — NV Code / Title 57 / Chapter 695B / Section 695B.170
Acquisition costs and administrative expenses; effect of finding of excess costs
Status: in_force

All acquisition costs in connection with the solicitation of subscribers to such hospital, medical or dental service plan shall at all times be subject to the approval of the Commissioner, and the administrative expenses for any calendar year, excluding the first full year of operation, of any such corporation, including acquisition costs, shall be limited to 25 percent of the aggregate amount of rates, dues, fees and other periodic charges actually received during that year. If the Commissioner finds that acquisition costs of any corporation operating under the provisions of this chapter are excessive, or that the administrative expenses exceed the amount above stated, such finding shall be sufficient ground to justify the Commissioner in revoking the consent of the Commissioner to the establishment, maintenance and operation by such corporation of the hospital, medical or dental service plan.
Nev. Rev. Stat. § 690D.220 — NV Code / Title 57 / Chapter 690D / Section 690D.220
Inspection of records by Commissioner
Status: in_force

A creditor shall, within 14 business days after a request by the Commissioner, make available to the Commissioner for inspection any accounts, books and records concerning any guaranteed asset protection waiver sold or offered for sale by the creditor which are reasonably necessary to enable the Commissioner to determine whether the creditor is in compliance with the provisions of this chapter.
Nev. Rev. Stat. § 694C.085 — NV Code / Title 57 / Chapter 694C / Section 694C.085
“Dormant captive insurer” defined
Status: in_force

“ Dormant captive insurer ” means any captive insurer that has been issued a certificate of dormancy by the Commissioner pursuant to NRS 694C.259 .
Nev. Rev. Stat. § 691E.230 — NV Code / Title 57 / Chapter 691E / Section 691E.230
Acting as travel retailer without being listed on register of producers of limited lines travel insurance prohibited; conditions under which travel retailer authorized to offer and disseminate travel insurance
Status: in_force

1. A person shall not act as a travel retailer unless the person is listed on the register maintained by a producer of limited lines travel insurance pursuant to NRS 691E.220 .

2. A travel retailer may offer and disseminate travel insurance under the license of a producer of limited lines travel insurance issued pursuant to NRS 691E.200 if the following conditions are met: (a) The producer of limited lines travel insurance or travel retailer provides to each purchaser of travel insurance: (1) A description of the material terms, or the actual material terms, of the travel insurance coverage; (2) A description of the process for filing a claim; (3) A description of the review or cancellation process for the policy of travel insurance; and (4) The identity and contact information of the insurer and the producer of limited lines travel insurance; (b) The travel retailer is listed on the register maintained by the producer of limited lines travel insurance pursuant to NRS 691E.220 ; (c) The producer of limited lines travel insurance has designated a natural person who is employed by the producer of limited lines travel insurance and who is a licensed producer of insurance to be responsible for the compliance of the producer of limited lines travel insurance with the provisions of this title and any rules and regulations adopted pursuant thereto; (d) The person designated pursuant to paragraph (c), the officers of the producer of limited lines travel insurance and any other person who directs or controls the insurance operations of the producer of limited lines travel insurance have complied with any requirements relating to fingerprinting which are applicable to producers of insurance in the home state of the producer of limited lines travel insurance; (e) The producer of limited lines travel insurance has paid all licensing fees applicable to a producer of insurance pursuant to chapter 683A of NRS ; and (f) The producer of limited lines travel insurance requires each employee and authorized representative of the travel retailer whose duties include offering and disseminating travel insurance to receive a program of instruction or training.

3. A program of instruction or training described in paragraph (f) of subsection 2 is subject to review and approval by the Commissioner. The training materials provided as part of such a program must, at a minimum, contain adequate instructions on the types of travel insurance offered, ethical sales practices and required disclosures to prospective purchasers.
Nev. Rev. Stat. § 689B.038 — NV Code / Title 57 / Chapter 689B / Section 689B.038
Reimbursement for treatments by licensed psychologist
Status: in_force

If any policy of group health insurance provides coverage for treatment of an illness which is within the authorized scope of the practice of a qualified psychologist, the insured is entitled to reimbursement for treatment by a licensed psychologist.
Nev. Rev. Stat. § 689C.166 — NV Code / Title 57 / Chapter 689C / Section 689C.166
Coverage for alcohol or substance use disorder: Required in group health insurance policy
Status: in_force

Each group health insurance policy must contain in substance a provision for benefits payable for expenses incurred for the treatment of alcohol or substance use disorder, as provided in NRS 689C.1665 and 689C.167 .
Nev. Rev. Stat. § 695B.1932 — NV Code / Title 57 / Chapter 695B / Section 695B.1932
Policy covering prescription drugs: Denial of coverage prohibited for early refills of otherwise covered topical ophthalmic products
Status: in_force

1. A hospital or medical service corporation which offers or issues a policy of health insurance that provides coverage for prescription drugs shall not deny coverage for a topical ophthalmic product which is otherwise approved for coverage by the hospital or medical service corporation when the insured, pursuant to NRS 639.2395 , receives a refill of the product: (a) After 21 days or more but before 30 days after receiving any 30-day supply of the product; (b) After 42 days or more but before 60 days after receiving any 60-day supply of the product; or (c) After 63 days or more but before 90 days after receiving any 90-day supply of the product.

2. The provisions of this section do not affect any deductibles, copayments or coinsurance authorized or required pursuant to the policy of health insurance.

3. A policy of health insurance subject to the provisions of this chapter which provides coverage for prescription drugs and that is delivered, issued for delivery or renewed on or after January 1, 2016, has the legal effect of including the coverage required by this section, and any provision of the policy or renewal which is in conflict with this section is void.

4. As used in this section, “ topical ophthalmic product ” means a liquid prescription drug which is applied directly to the eye from a bottle or by means of a dropper.
Nev. Rev. Stat. § 681B.0055 — NV Code / Title 57 / Chapter 681B / Section 681B.0055
“Principle-based valuation” defined
Status: in_force

“ Principle-based valuation ” means a reserve valuation that uses one or more methods or one or more assumptions determined by the insurer and is required to comply with NRS 681B.360 , 681B.370 and 681B.380 , and as may further be specified in the Valuation Manual .
Nev. Rev. Stat. § 682A.143 — NV Code / Title 57 / Chapter 682A / Section 682A.143
“Multilateral development bank” defined
Status: in_force

“ Multilateral development bank ” means an international development organization of which the United States is a member.
Nev. Rev. Stat. § 682A.035 — NV Code / Title 57 / Chapter 682A / Section 682A.035
“Class one bond mutual fund” defined
Status: in_force

“ Class one bond mutual fund ” means a mutual fund that at all times qualifies for investment using the bond class one reserve factor contained in the Purposes and Procedures Manual of the SVO.
Nev. Rev. Stat. § 697.055 — NV Code / Title 57 / Chapter 697 / Section 697.055
“Bail enforcement agent” defined
Status: in_force

“ Bail enforcement agent ” means a person who has contracted with or is employed by a surety or bail agent as a special agent to enforce the terms and conditions of a defendant's release from custody on bail in a criminal proceeding, to locate a defendant and to apprehend a defendant or surrender a defendant to custody, or both, if appropriate.
Nev. Rev. Stat. § 695D.102 — NV Code / Title 57 / Chapter 695D / Section 695D.102
Summary of coverage: Contents of disclosure; approval by Commissioner; regulations
Status: in_force

1. The Commissioner shall adopt regulations which require an organization for dental care to file with the Commissioner, for approval by the Commissioner, a disclosure summarizing the coverage provided by each plan for dental care offered by the organization for dental care. The disclosure must include: (a) Any significant exception, reduction or limitation that applies to the plan; and (b) Any other information, that the Commissioner finds necessary to provide for full and fair disclosure of the provisions of the plan.

2. The disclosure must be written in language which is easily understood and must include a statement that the disclosure is a summary of the policy only, and that the policy itself should be read to determine the governing contractual provisions.

3. The Commissioner shall not approve any proposed disclosure submitted to the Commissioner pursuant to this section which does not comply with the requirements of this section and the applicable regulations.
Nev. Rev. Stat. § 691D.200 — NV Code / Title 57 / Chapter 691D / Section 691D.200
License required to sell or offer portable electronics insurance; contents of application; maintenance of schedule of business locations by licensee required
Status: in_force

1. A vendor shall not sell or offer coverage under a policy of portable electronics insurance unless the vendor holds a license as a producer of insurance in portable electronics insurance as a limited line issued by the Commissioner pursuant to NRS 683A.261 or 683A.271 .

2. In addition to the information required pursuant to NRS 683A.251 , an application for a license as a producer of insurance in portable electronics insurance must include: (a) A schedule which identifies each location at which the vendor does business; and (b) The physical address of the home office of the vendor.

3. A natural person who is designated by a vendor pursuant to paragraph (b) of subsection 2 of NRS 683A.251 is not required to be a principal, officer or employee of the vendor.

4. A vendor who is licensed as a producer of insurance in portable electronics insurance shall maintain the schedule described in paragraph (a) of subsection 2 and make the schedule available for inspection by the Commissioner upon request.
Nev. Rev. Stat. § 686B.290 — NV Code / Title 57 / Chapter 686B / Section 686B.290
Conversion into domestic stock insurer: Notice to insurers and insureds; hearing
Status: in_force

1. At the time the association files a notice of intent to qualify as a domestic stock insurer, it must give notice of its intent to all participating insurers and all insureds on a form approved by the Commissioner. The notice to each insured must state the total amount of stock to be issued and the amount of shares to which the insured is entitled.

2. Any participating insurer or insured may, within 30 days after the date of the notice, apply to the Division for a hearing concerning the association's ability to qualify as a domestic insurer, the valuation of capital and surplus, or the proposed number and distribution of shares of stock.
Nev. Rev. Stat. § 694C.300 — NV Code / Title 57 / Chapter 694C / Section 694C.300
Authorized and prohibited types of insurance
Status: in_force

1. Except as otherwise provided in this section, a captive insurer licensed pursuant to this chapter may transact any form of insurance described in NRS 681A.020 to 681A.080 , inclusive.

2. A captive insurer licensed pursuant to this chapter: (a) Shall not directly provide personal motor vehicle or homeowners' insurance coverage, or any component thereof. (b) Shall not accept or cede reinsurance, except as otherwise provided in NRS 694C.350 . (c) May provide excess workers' compensation insurance to its parent and affiliated companies, unless otherwise prohibited by the laws of the state in which the insurance is transacted. (d) May reinsure workers' compensation insurance provided pursuant to a program of self-funded insurance of its parent and affiliated companies if: (1) The parent or affiliated company which is providing the self-funded insurance is certified as a self-insured employer by the Commissioner, if the insurance is being transacted in this State; or (2) The program of self-funded insurance is otherwise qualified pursuant to, or in compliance with, the laws of the state in which the insurance is transacted.

3. A pure captive insurer shall not insure any risks other than those of its parent and affiliated companies or controlled unaffiliated businesses.

4. An association captive insurer shall not insure any risks other than those of the member organizations of its association and the affiliated companies of the member organizations.

5. A state-chartered risk retention group shall not insure any risks other than those of the members of its association.

6. An agency captive insurer shall not insure any risks other than those of the policies that are placed by or through the insurance agency or brokerage that owns the captive insurer.

7. A rental captive insurer shall not insure any risks other than those of the policyholders or associations that have entered into agreements with the rental captive insurer for the insurance of those risks. Such agreements must be in a form which has been approved by the Commissioner.

8. A sponsored captive insurer shall not insure any risks other than those of its participants.

9. As used in this section, “ excess workers' compensation insurance ” means insurance in excess of the specified per-incident or aggregate limit, if any, established by: (a) The Commissioner, if the insurance is being transacted in this State; or (b) The chief regulatory officer for insurance in the state in which the insurance is being transacted.
Nev. Rev. Stat. § 692C.3508 — NV Code / Title 57 / Chapter 692C / Section 692C.3508
Retention of third-party consultants; agreements with National Association of Insurance Commissioners and third-party consultants governing sharing and use of information
Status: in_force

To assist the performance of the Commissioner's regulatory duties, the Commissioner:

1. May retain, at the expense of the insurer or insurance group, third-party consultants, including, without limitation, attorneys, actuaries, accountants and other experts who are not part of the staff of the Commissioner, as may be reasonably necessary to assist the Commissioner in reviewing a corporate governance annual disclosure and related information or the compliance of an insurer or insurance group with NRS 692C.3501 to 692C.3509 , inclusive, if: (a) Any third-party consultant so retained is under the direction and control of the Commissioner and acts in a purely advisory capacity; (b) The third-party consultant is subject to the same confidentiality standards and requirements as the Commissioner; and (c) The third-party consultant verifies to the Commissioner before being retained, and provides notice to the insurer or insurance group, as applicable, that he or she does not have a conflict of interest and has internal procedures in place to monitor the existence of a conflict of interest and to comply with the confidentiality standards and requirements of NRS 692C.3501 to 692C.3509 , inclusive.

2. Shall enter into a written agreement with the National Association of Insurance Commissioners and with any third-party consultant retained by the Commissioner which governs the sharing and use of information provided pursuant to NRS 692C.3501 to 692C.3509 , inclusive. Such a written agreement must: (a) Contain specific procedures and protocols for maintaining the confidentiality and security of information relating to a corporate governance annual disclosure which is shared with the National Association of Insurance Commissioners or third-party consultant, including, without limitation, procedures and protocols for sharing by the National Association of Insurance Commissioners only with other state regulators from states in which an insurance group has domiciled insurers; (b) Provide that the recipient of documents, materials or other information relating to a corporate governance annual disclosure agrees in writing to maintain the confidentiality and privileged status of such items and has verified in writing the legal authority to maintain confidentiality; (c) Specify that ownership of any information relating to a corporate governance annual disclosure shared with the National Association of Insurance Commissioners or third-party consultant remains with the Commissioner and the use of the information by the National Association of Insurance Commissioners or third-party consultant is subject to the discretion of the Commissioner; (d) Prohibit the National Association of Insurance Commissioners or third-party consultant from storing the shared information in a permanent database after the underlying analysis is completed; (e) Require the National Association of Insurance Commissioners or third-party consultant to provide prompt notice to the Commissioner and to the insurer or insurance group, as applicable, regarding any subpoena, request for disclosure or request for production of the information relating to the corporate governance annual disclosure of the insurer or insurance group, as applicable; and (f) Require the National Association of Insurance Commissioners or third-party consultant to consent to intervention by an insurer or insurance group in any judicial or administrative action in which the National Association of Insurance Commissioners or third-party consultant may be required to disclose confidential information about the insurer or insurance group which is shared with the National Association of Insurance Commissioners or third-party consultant.
Nev. Rev. Stat. § 679A.210 — NV Code / Title 57 / Chapter 679A / Section 679A.210
Prohibited provisions in policy of liability insurance relating to costs of defense, legal costs and fees and other expenses for claims
Status: in_force

Notwithstanding any other provision of law, an insurer, including, without limitation, an insurer listed in NRS 679A.160 , shall not issue or renew a policy of liability insurance that contains a provision that:

1. Reduces the limit of liability stated in the policy by the costs of defense, legal costs and fees and other expenses for claims; or

2. Otherwise limits the availability of coverage for the costs of defense, legal costs and fees and other expenses for claims.
Nev. Rev. Stat. § 682B.200 — NV Code / Title 57 / Chapter 682B / Section 682B.200
Statement of trustee: Filing; disciplinary action for failure to file timely
Status: in_force

1. The trustee of trusteed assets shall from time to time file with the Commissioner statements, in such forms as the Commissioner may designate and request in writing, certifying the character of such assets and the amounts and market value thereof.

2. If the trustee fails to file the statement within a reasonable time after request therefor by the Commissioner, the Commissioner may suspend or revoke the certificate of authority of the insurer.
Nev. Rev. Stat. § 695J.160 — NV Code / Title 57 / Chapter 695J / Section 695J.160
Suspension of certificate for failure to pay child support or comply with certain subpoenas or warrants; reinstatement of certificate
Status: in_force

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

1. If the Commissioner receives a copy of a court order issued pursuant to NRS 425.540 that provides for the suspension of all professional, occupational and recreational licenses, certificates and permits issued to a person who is the holder of a certificate to act as an exchange enrollment facilitator, the Commissioner shall deem the certificate issued to that person to be suspended at the end of the 30th day after the date on which the court order was issued unless the Commissioner receives a letter issued to the holder of the certificate by the district attorney or other public agency pursuant to NRS 425.550 stating that the holder of the certificate has complied with the subpoena or warrant or has satisfied the arrearage pursuant to NRS 425.560 .

2. The Commissioner shall reinstate a certificate to act as an exchange enrollment facilitator that has been suspended by a district court pursuant to NRS 425.540 if the Commissioner receives a letter issued by the district attorney or other public agency pursuant to NRS 425.550 to the person whose certificate was suspended stating that the person whose certificate was suspended has complied with the subpoena or warrant or has satisfied the arrearage pursuant to NRS 425.560 .
Nev. Rev. Stat. § 695A.070 — NV Code / Title 57 / Chapter 695A / Section 695A.070
Organization: Solicitation of members; collection of advance premiums; reports to Commissioner
Status: in_force

1. Upon receipt of a preliminary certificate of authority from the Commissioner, the society: (a) May solicit members for the purpose of completing its organization; (b) Shall collect from each applicant the amount of not less than one regular monthly premium in accordance with its table of rates; and (c) Shall issue to each applicant a receipt for the amount collected.

2. A society shall not incur any liability other than for the return of an advance premium, or issue any certificate, or pay, allow, or offer or promise to pay or allow, any death or disability benefit to any person until: (a) Actual bona fide applications for benefits have been secured aggregating at least $500,000 on not less than 500 applicants, and all required evidence of insurability has been furnished to and approved by the society; (b) Not less than 10 subordinate lodges have been established into which the 500 applicants have been admitted; (c) There has been submitted to the Commissioner, under oath of the president or secretary, or corresponding officer of the society, a list of the applicants, giving their names and addresses, the date each was admitted, the name and number of the subordinate lodge of which each applicant is a member, the amount of benefits to be granted and the premiums therefor; and (d) It has been shown to the Commissioner, by sworn statement of the treasurer or corresponding officer of the society, that at least 500 applicants have each paid in cash at least one regular monthly premium as provided in this chapter, which premiums in the aggregate must amount to at least $150,000.

3. The advance premiums provided for in subsection 2 must be held in trust during the period of organization and if the society has not qualified for a permanent certificate of authority within 1 year, as provided in this chapter, the premiums must be returned to the applicants.
Nev. Rev. Stat. § 680B.025 — NV Code / Title 57 / Chapter 680B / Section 680B.025
General tax on premiums: Definitions
Status: in_force

For the purposes of NRS 680B.025 to 680B.039 , inclusive:

1. “Total income derived from direct premiums written”: (a) Does not include premiums written or considerations received from life insurance policies or annuity contracts issued in connection with the funding of a pension, annuity or profit-sharing plan qualified or exempt pursuant to sections 401 , 403 , 404 , 408 , 457 or 501 of the United States Internal Revenue Code as renumbered from time to time. (b) Does not include payments received by an insurer from the Secretary of Health and Human Services pursuant to a contract entered into pursuant to section 1876 of the Social Security Act, 42 U.S.C. § 1395mm . (c) As to title insurance, consists of the total amount charged by the company for the sale of policies of title insurance.

2. Money accepted by a life insurer pursuant to an agreement which provides for an accumulation of money to purchase annuities at future dates may be considered as “total income derived from direct premiums written” either upon receipt or upon the actual application of the money to the purchase of annuities, but any interest credited to money accumulated while under the latter alternative must also be included in “total income derived from direct premiums written,” and any money taxed upon receipt, including any interest later credited thereto, is not subject to taxation upon the purchase of annuities. Each life insurer shall signify on its return covering premiums for the calendar year 1971 or for the first calendar year it transacts business in this State, whichever is later, its election between those two alternatives. Thereafter an insurer shall not change his or her election without the consent of the Commissioner. Any such money taxed as “total income derived from direct premiums written” is, in the event of withdrawal of the money before its actual application to the purchase of annuities, eligible to be included as “return premiums” pursuant to the provisions of NRS 680B.030 .
Nev. Rev. Stat. § 684B.080 — NV Code / Title 57 / Chapter 684B / Section 684B.080
Period of validity, expiration and renewal of license; fees
Status: in_force

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

1. Each license issued or renewed under this chapter continues in force for 3 years unless it is suspended, revoked or otherwise terminated. A license may be renewed upon payment of all applicable fees for renewal to the Commissioner and submission of the statement required pursuant to NRS 684B.083 if the licensee is a natural person. The statement, if required, must be submitted and all applicable fees must be paid on or before the renewal date for the license.

2. Any license not so renewed expires on the renewal date. The Commissioner may accept a request for renewal received by the Commissioner within 30 days after the expiration of the license 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 , and the statement required pursuant to NRS 684B.083 if the person requesting renewal is a natural person.

3. As used in this section, “ renewal date ” means: (a) For the first renewal of the license, the last day of the month which is 3 years after the month in which the Commissioner originally issued the license. (b) For each renewal after the first renewal of the license, the last day of the month which is 3 years after the month in which the license was last due to be renewed.
Nev. Rev. Stat. § 695C.16947 — NV Code / Title 57 / Chapter 695C / Section 695C.16947
Plan covering prescription drugs: Submission to step therapy for drug to treat psychiatric condition prohibited in certain circumstances
Status: in_force

1. A health care plan which provides coverage for prescription drugs must not require an enrollee 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 enrollee, if: (a) The drug has been approved by the Food and Drug Administration with indications for the psychiatric condition of the enrollee 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 enrollee 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 maintenance organization is located 60 miles or more from the residence of the enrollee; and (c) The practitioner listed in paragraph (b) who prescribed the drug knows, based on the medical history of the enrollee, 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 care 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 care plan offered by a health maintenance organization 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 maintenance organization. The term does not include an arrangement for the financing of premiums. (c) “ Step therapy protocol ” means a procedure that requires an enrollee 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 enrollee before his or her health care plan provides coverage for the recommended drug.
Nev. Rev. Stat. § 683A.173 — NV Code / Title 57 / Chapter 683A / Section 683A.173
“Pharmacy” defined
Status: in_force

“Pharmacy” has the meaning ascribed to it in NRS 639.012 .
Nev. Rev. Stat. § 692A.024 — NV Code / Title 57 / Chapter 692A / Section 692A.024
“Escrow” defined
Status: in_force

“ Escrow ” means any transaction wherein one person, for the purpose of effecting the sale, transfer, encumbering or leasing of real or personal property to another person, delivers any written instrument, money, evidence of title to real or personal property, or other thing of value to a third person until the happening of a specified event or the performance of a prescribed condition, when it is then to be delivered by the third person to a grantee, grantor, promisee, promisor, obligee, obligor, bailee, bailor or any agent or employee of any of them. The term includes the collection of payments and the performance of related services by a third person in connection with a loan secured by a lien on real property.
Nev. Rev. Stat. § 695F.120 — NV Code / Title 57 / Chapter 695F / Section 695F.120
Review of application; issuance of certificate
Status: in_force

1. The Commissioner shall review each application and notify the applicant of any deficiency contained in the application.

2. The Commissioner shall issue a certificate of authority to an applicant if: (a) The applicant has complied with the requirements set forth in NRS 695F.110 ; (b) The persons responsible for conducting the applicant's affairs are competent, trustworthy and possess good reputations, and have the appropriate experience, training or education; (c) The applicant is financially responsible and may reasonably be expected to carry out its obligations to enrollees and prospective enrollees; and (d) The agreements with providers for the limited health service include the provisions required by NRS 695F.220 .

3. The Commissioner may, when determining whether an applicant complies with the requirements of paragraph (c) of subsection 2, consider: (a) The financial soundness of the applicant's arrangements for the provision of a limited health service and the schedule of rates, deductibles, copayments and other charges used in connection therewith; (b) The adequacy of working capital, any other sources of funding and any provisions for contingencies; (c) Any agreement for paying the cost of a limited health service or for alternative coverage if the prepaid limited health service organization becomes insolvent; and (d) The applicant's manner of compliance with the requirements of NRS 695F.200 .
Nev. Rev. Stat. § 683A.490 — NV Code / Title 57 / Chapter 683A / Section 683A.490
Authority of Commissioner to inform district attorney of violation; penalty for violation of provision of chapter
Status: in_force

1. The Commissioner may inform the appropriate district attorney of any violation of any provision of this chapter.

2. In addition to any other penalty provided in this chapter any person violating any provision of this chapter is guilty of a misdemeanor.
Nev. Rev. Stat. § 689B.015 — NV Code / Title 57 / Chapter 689B / Section 689B.015
Contracts between insurer and provider of health care: Prohibiting insurer from charging provider of health care fee for inclusion on list of providers given to insureds; insurer required to use form to obtain information on provider of health care; modification; submission by insurer of schedule of payments to providers
Status: in_force

1. An insurer that issues a policy of group health insurance shall not charge a provider of health care a fee to include the name of the provider on a list of providers of health care given by the insurer to its insureds.

2. An insurer specified in subsection 1 shall not contract with a provider of health care to provide health care to an insured unless the insurer uses the form prescribed by the Commissioner pursuant to NRS 629.095 to obtain any information related to the credentials of the provider of health care.

3. A contract between an insurer specified in subsection 1 and a provider of health care 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 insurer upon giving to the provider 45 days' written notice of the modification of the insurer's schedule of payments, including any changes to the fee schedule applicable to the provider's practice. If the provider 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 provider 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).

4. If an insurer specified in subsection 1 contracts with a provider of health care to provide health care to an insured, the insurer shall: (a) If requested by the provider of health care at the time the contract is made, submit to the provider of health care the schedule of payments applicable to the provider of health care; or (b) If requested by the provider of health care at any other time, submit to the provider of health care the schedule of payments, including any changes to the fee schedule applicable to the provider's practice, specified in paragraph (a) within 7 days after receiving the request.

5. As used in this section, “ provider of health care ” means a provider of health care who is licensed pursuant to chapter 630, 631, 632 or 633 of NRS .
Nev. Rev. Stat. § 686C.306 — NV Code / Title 57 / Chapter 686C / Section 686C.306
Notice to other insurance commissioners of certain actions by Commissioner; reports by Commissioner of certain information to Board of Directors
Status: in_force

1. The Commissioner shall notify the commissioners of insurance of all the other states within 30 days after the Commissioner takes any of the following actions against a member insurer: (a) Revokes a member insurer's license; (b) Suspends a member insurer's license; or (c) Makes any formal order that a member insurer is to restrict its premium writing, obtain additional contributions to surplus, withdraw from the state, reinsure all or any part of its business, or increase capital, surplus, or any other account for the security of the owners of its policies or contracts or its creditors.

2. The Commissioner shall report to the Board of Directors when the Commissioner has taken any of the actions set forth in subsection 1, or has received a report from any other commissioner indicating that any such action has been taken in another state. The report to the Board must contain all significant details of the action taken or the report received from another commissioner.

3. The Commissioner shall report to the Board of Directors when the Commissioner has reasonable cause to believe from an examination of a member insurer, whether completed or in process, that the insurer may be impaired or insolvent.

4. The Commissioner shall furnish to the Board the ratios of the “Insurance Regulatory Information System” developed by the National Association of Insurance Commissioners and listings of companies not included in those ratios, and the Board may use the information contained therein in carrying out its duties and responsibilities under this chapter. Such reports and the information contained therein must be kept confidential by the Board until such time as made public by the Commissioner or other lawful authority.
Nev. Rev. Stat. § 683C.130 — NV Code / Title 57 / Chapter 683C / Section 683C.130
Notice and effect of suspension, limitation or revocation of license
Status: in_force

1. Upon suspension, limitation or revocation of the license of an insurance consultant, the Commissioner shall immediately notify the licensee in person or by mail addressed to the licensee at his or her most recent address of record with the Division. Notice by mail is effective when mailed.

2. The Commissioner shall not again issue a license under this chapter to any natural person whose license has been revoked until at least 1 year after the revocation has become final, and thereafter not until the person again qualifies for it under this chapter. A person whose license has been revoked twice is not eligible for any license under this title.

3. If the license of a business organization is suspended, limited or revoked, no member, officer or director of the organization may be licensed, or designated in a license to exercise its powers, during the period of suspension or revocation, unless the Commissioner determines, by a preponderance of the evidence, that the member, officer or director was not personally at fault and did not knowingly aid, abet, assist or acquiesce in the matter for which the license was suspended or revoked.

4. As used in this section, “preponderance of the evidence” has the meaning ascribed to it in NRS 233B.0375 .
Nev. Rev. Stat. § 696B.332 — NV Code / Title 57 / Chapter 696B / Section 696B.332
Reporting and filing requirements of receiver; extension or modification of time
Status: in_force

1. Not later than 1 year after the date of entry of an order appointing a receiver in delinquency proceedings for an insurer pursuant to this chapter, and not less frequently than annually thereafter, the receiver shall comply with all requirements for financial reporting for a receivership as specified by the National Association of Insurance Commissioners. The reports required pursuant to this subsection include, without limitation, a statement of: (a) The assets and liabilities of the insurer; (b) Changes in those assets and liabilities; and (c) All funds received and disbursed by the receiver during the period since the last such report.

2. The receiver may: (a) Qualify any report and provide notes to any statement for further explanation; and (b) Provide any additional information required pursuant to an order of the court or as the receiver deems appropriate.

3. In addition to satisfying any filing requirements established by the National Association of Insurance Commissioners, the receiver shall file the reports, statements and other documents required by this section with the court that has jurisdiction over the receivership.

4. For good cause shown, the court may grant an extension or modification of time to comply with subsection 1 or such other relief as may be appropriate.
Nev. Rev. Stat. § 695A.130 — NV Code / Title 57 / Chapter 695A / Section 695A.130
Consolidation; merger
Status: in_force

1. A domestic society that wishes to consolidate or merge with any other society must file with the Commissioner: (a) A certified copy of the written contract containing in full the terms and conditions of the consolidation or merger; (b) A sworn statement by the president and secretary or corresponding officers of each society showing the financial condition thereof on a date fixed by the Commissioner, but not earlier than December 31, next preceding the date of the contract; (c) The certification of such officers, duly verified by their respective oaths, that the consolidation or merger has been approved by a two-thirds vote of the supreme governing body of each society at a regular or special meeting of such bodies or, if permitted by the laws of the society, by mail; and (d) Evidence that at least 60 days before the action of the supreme governing body of each society, the text of the contract was furnished to all members of each society either by mail or by publication in full in the official publication of each society.

2. If the Commissioner finds that the contract containing in full the terms and conditions of the consolidation or merger is in conformity with the provisions of this section, that the financial statements are correct and that the consolidation or merger is just and equitable to the members of each society, the Commissioner shall approve the contract and issue a certification of that fact.

3. The contract becomes effective upon approval by the Commissioner unless any society which is a party to the contract is incorporated under the laws of any other state or territory, in which case the consolidation or merger does not become effective unless: (a) It is approved as provided by the laws of the other state or territory and a certificate of such approval has been filed with the Commissioner of this state; or (b) If the laws of the other state or territory do not provide for such approval, it is approved by the officer responsible for supervising the business of insurance in the other state or territory and a certificate of such approval has been filed with the Commissioner of this state.

4. Upon the consolidation or merger becoming effective as provided in this chapter, all the rights, franchises and interests of the consolidated or merged societies in and to every species of property, real, personal or mixed, and things in action belonging thereto are vested in the society resulting from or remaining after the consolidation or merger without any other instrument, except that conveyances of real property may be evidenced by proper deeds. The title to any real property or interest therein, vested under the laws of this state in any of the societies consolidated or merged, does not revert and is not in any way impaired by the consolidation or merger but vests absolutely in the society resulting from or remaining after the consolidation or merger.

5. The affidavit of any officer of the society or of anyone authorized by it to mail any notice or document, stating that the notice or document has been duly addressed and mailed, is prima facie evidence that the notice or document has been furnished the addressees.
Nev. Rev. Stat. § 687B.345 — NV Code / Title 57 / Chapter 687B / Section 687B.345
Annual review of coverage and benefits provided in policy
Status: in_force

Each insurer who delivers a policy in this state which is effective for 1 year or more may, for the period in which the policy is effective, review annually with the policyholder to whom the policy is delivered the coverage and benefits provided in the policy.
Nev. Rev. Stat. § 683C.100 — NV Code / Title 57 / Chapter 683C / Section 683C.100
Obligations
Status: in_force

An insurance consultant is obligated under his or her license to:

1. Serve with objectivity and complete loyalty the interests of his or her client; and

2. Render to his or her client information, counsel and service which, to the best of the consultant's knowledge, understanding and opinion, best serves the client's insurance needs and interests.
Nev. Rev. Stat. § 689C.1685 — NV Code / Title 57 / Chapter 689C / Section 689C.1685
Plan covering prescription drugs: Denial of coverage prohibited for early refills of otherwise covered topical ophthalmic products
Status: in_force

1. A carrier who offers or issues a health benefit plan which provides coverage for prescription drugs shall not deny coverage for a topical ophthalmic product which is otherwise approved for coverage by the carrier when the insured, pursuant to NRS 639.2395 , receives a refill of the product: (a) After 21 days or more but before 30 days after receiving any 30-day supply of the product; (b) After 42 days or more but before 60 days after receiving any 60-day supply of the product; or (c) After 63 days or more but before 90 days after receiving any 90-day supply of the product.

2. The provisions of this section do not affect any deductibles, copayments or coinsurance established by the health benefit plan.

3. A health benefit plan subject to the provisions of this chapter which provides coverage for prescription drugs and that is delivered, issued for delivery or renewed on or after January 1, 2016, has the legal effect of including the coverage required by this section, and any provision of the plan or renewal which is in conflict with this section is void.

4. As used in this section, “ topical ophthalmic product ” means a liquid prescription drug which is applied directly to the eye from a bottle or by means of a dropper.
Nev. Rev. Stat. § 690C.260 — NV Code / Title 57 / Chapter 690C / Section 690C.260
Contents; false or misleading statement prohibited; authority of Commissioner to require amendment of false or misleading statement
Status: in_force

1. A service contract must: (a) Be written in language that is understandable and printed in a typeface that is easy to read. (b) Indicate that it is insured by a contractual liability insurance policy if it is so insured, and include the name and address of the issuer of the policy or that it is backed by the full faith and credit of the provider if the service contract is not insured by a contractual liability insurance policy. (c) Include the amount of any deductible that the holder is required to pay. (d) Include the name and address of the provider and, if applicable: (1) The name and address of the administrator; and (2) The name of the holder, if provided by the holder. The names and addresses of such persons are not required to be preprinted on the service contract and may be added to the service contract at the time of the sale. (e) Include the purchase price of the service contract. The purchase price must be determined pursuant to a schedule of fees established by the provider. The purchase price is not required to be preprinted on the service contract and may be negotiated with the holder and added to the service contract at the time of sale. (f) Include a description of the goods covered by the service contract. (g) Specify the duties of the provider and any limitations, exceptions or exclusions. (h) If the service contract covers a motor vehicle, indicate whether replacement parts that are not made for or by the original manufacturer of the motor vehicle may be used to comply with the terms of the service contract. (i) Include any restrictions on transferring or renewing the service contract. (j) Include the terms, restrictions or conditions for cancelling the service contract before it expires and the procedure for cancelling the service contract. The conditions for cancelling the service contract must include, without limitation, the provisions of NRS 690C.270 . (k) Include the duties of the holder under the contract, including, without limitation, the duty to protect against damage to the goods covered by the service contract or to comply with any instructions included in the owner's manual for the goods. (l) Indicate whether the service contract authorizes the holder to recover consequential damages. (m) Indicate whether any defect in the goods covered by the service contract existing on the date the contract is purchased is not covered under the service contract.

2. A provider shall not allow, make or cause to be made a false or misleading statement in any of the service contracts of the provider or intentionally omit a material statement that causes a service contract to be misleading. The Commissioner may require the provider to amend any service contract that the Commissioner determines is false or misleading.
Nev. Rev. Stat. § 686A.510 — NV Code / Title 57 / Chapter 686A / Section 686A.510
Penalties
Status: in_force

1. A person who violates the provisions of NRS 686A.340 shall be punished by a fine of not more than $200 per day or $500 per agreement per day for every day the violation continues, whichever is greater.

2. A person who violates any other provision of NRS 686A.330 to 686A.520 , inclusive, shall be punished by a fine of not more than $1,000.

3. A person who fails or refuses to comply with an order issued by the Commissioner pursuant to NRS 686A.330 to 686A.520 , inclusive, shall be punished by a fine of not more than $1,000.
Nev. Rev. Stat. § 695C.265 — NV Code / Title 57 / Chapter 695C / Section 695C.265
Required procedure for arbitration of disputes concerning independent medical, dental or chiropractic evaluations
Status: in_force

1. If a health maintenance organization, for any final determination of benefits or care, requires an independent evaluation of the medical, dental or chiropractic care of any person for whom such care is provided under the evidence of coverage: (a) The evidence of coverage must include a procedure for binding arbitration to resolve disputes concerning independent medical evaluations pursuant to the rules of the American Arbitration Association; and (b) Only a physician, dentist or chiropractic physician who is certified to practice in the same field of practice as the primary treating physician, dentist or chiropractic physician or who is formally educated in that field may conduct the independent evaluation.

2. The independent evaluation must include a physical examination of the patient, unless the patient is deceased, and a personal review of all X-rays and reports prepared by the primary treating physician, dentist or chiropractic physician. A certified copy of all reports of findings must be sent to the primary treating physician, dentist or chiropractic physician and the insured person within 10 working days after the evaluation. If the insured person disagrees with the finding of the evaluation, the insured person must submit an appeal to the insurer pursuant to the procedure for binding arbitration set forth in the evidence of coverage within 30 days after the insured person receives the finding of the evaluation. Upon its receipt of an appeal, the insurer shall so notify in writing the primary treating physician, dentist or chiropractic physician.

3. The insurer shall not limit or deny coverage for care related to a disputed claim while the dispute is in arbitration, except that, if the insurer prevails in the arbitration, the primary treating physician, dentist or chiropractic physician may not recover any payment from either the insurer, insured person or the patient for services that the primary treating physician, dentist or chiropractic physician provided to the patient after receiving written notice from the insurer pursuant to subsection 2 concerning the appeal of the insured person.
Nev. Rev. Stat. § 686C.110 — NV Code / Title 57 / Chapter 686C / Section 686C.110
“Premiums” defined
Status: in_force

“ Premiums ” means amounts received in any calendar year on covered policies or contracts less premiums, considerations and deposits returned thereon, and less dividends and credits for experience thereon. The term does not include:

1. Any amounts received for policies or contracts or for the portions of policies or contracts for which coverage is not provided under NRS 686C.030 except that the assessable premium is not reduced on account of paragraph (c) of subsection 1 of NRS 686C.035 relating to limitations on interest and subsection 2 or paragraph (b) of subsection 1 of NRS 686C.210 relating to limitations with respect to any one life.

2. Premiums for an unallocated annuity contract, except those issued in accordance with the provisions of a governmental retirement plan, established under section 401 , 403(b) or 457 of the Internal Revenue Code , 26 U.S.C. §§ 401 , 403(b) and 457 , respectively, or the trustees of such a plan.

3. Premiums that exceed $5,000,000 for several nongroup policies of life insurance owned by one owner, regardless of: (a) Whether the owner is a natural person, firm, corporation or other person; (b) Whether any person insured under the policies is an officer, manager, employee or other person; or (c) The number of policies or contracts held by the owner.
Nev. Rev. Stat. § 697.188 — NV Code / Title 57 / Chapter 697 / Section 697.188
Renewal of license as general agent, bail agent or bail solicitor
Status: in_force

A person who is licensed as a general agent, bail agent or bail solicitor on October 1, 1997, is entitled to renew his or her license after that date if the person is otherwise qualified to be issued such a license and submits to the Commissioner a letter from a local law enforcement agency in his or her county of residence which indicates that the person:

1. Has not, on or after October 1, 1997, 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; and

2. Has not, on or after October 1, 1997, been convicted of an offense involving moral turpitude or the unlawful use, sale or possession of a controlled substance.
Nev. Rev. Stat. § 687B.710 — NV Code / Title 57 / Chapter 687B / Section 687B.710
Certain provisions included in contract required to be construed in favor of covered person, survive termination of contract and supersede certain contrary agreements
Status: in_force

The provisions included in a contract to comply with the requirements set forth in NRS 687B.690 and 687B.700 shall be construed in favor of the covered person, shall survive the termination of the contract regardless of the reason for the termination, including, without limitation, the insolvency of the health carrier or any applicable intermediary, and shall supersede any oral or written contrary agreement between a participating provider of health care and a covered person or the representative of a covered person if the contrary agreement is inconsistent with provisions included in the contract to comply with the requirements set forth in NRS 687B.690 and 687B.700 .
Nev. Rev. Stat. § 696B.030 — NV Code / Title 57 / Chapter 696B / Section 696B.030
Definitions
Status: in_force

As used in this chapter, unless the context otherwise requires, the words and terms defined in NRS 696B.040 to 696B.180 , inclusive, shall have the meanings ascribed to them in NRS 696B.040 to 696B.180 , inclusive.
Nev. Rev. Stat. § 689C.1673 — NV Code / Title 57 / Chapter 689C / Section 689C.1673
Coverage for screening, genetic counseling and testing related to BRCA gene required in certain circumstances
Status: in_force

1. A carrier that issues a health benefit plan shall provide coverage for screening, genetic counseling and testing for harmful mutations in the BRCA gene for women under circumstances where such screening, genetic counseling or testing, as applicable, is required by NRS 457.301 .

2. 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.

3. A health benefit 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 subsection 1, and any provision of the plan that conflicts with the provisions of this section is void.

4. As used in this section, “ provider of health care ” has the meaning ascribed to it in NRS 629.031 .
Nev. Rev. Stat. § 687B.385 — NV Code / Title 57 / Chapter 687B / Section 687B.385
Refusal to issue, cancellation, nonrenewal or increase in premium of policy of motor vehicle insurance due to claims for which insured was not at fault, claims for which insurer made no payment or recovered entirety of payment or inquiries relating to a claim prohibited
Status: in_force

An insurer shall not refuse to issue, cancel, refuse to renew or increase the premium for renewal of a policy of motor vehicle insurance covering private passenger cars or commercial vehicles as a result of any:

1. Claims made under any policy of insurance with respect to which the insured was not at fault;

2. Claims made under any policy of insurance for which the insurer has not made any payment or for which the insurer recovered the entirety of the insurer's payment on the claim by means of salvage, subrogation or another mechanism; or

3. Inquiries made regarding an actual or potential claim under any policy of insurance regarding: (a) The existence of insurance coverage for any matter; or (b) Any hypothetical or informational matter pertaining to insurance.
Nev. Rev. Stat. § 686C.260 — NV Code / Title 57 / Chapter 686C / Section 686C.260
Refund to member insurers
Status: in_force

The Board of Directors may, by an equitable method as established in the plan of operation, refund to member insurers, in proportion to the contribution of each member insurer to that account, the amount by which the assets of the account exceed the amount the Board finds is necessary to carry out during the coming year the obligations of the Association with regard to that account, including assets accruing from assignment, subrogation, net realized gains and income from investments. A reasonable amount may be retained in any account to provide funds for the continuing expenses of the Association and for future claims.
Nev. Rev. Stat. § 685A.220 — NV Code / Title 57 / Chapter 685A / Section 685A.220
Applicability of other provisions
Status: in_force

In addition to those referred to in other provisions of this chapter, the following provisions of chapter 683A of NRS , to the extent applicable and not inconsistent with the express provisions of this chapter, also apply to surplus lines brokers:

1. NRS 683A.341 ;

2. NRS 683A.361 ;

3. NRS 683A.400 ;

4. NRS 683A.451 ;

5. NRS 683A.461 ;

6. NRS 683A.490 ; and

7. NRS 683A.520 .
Nev. Rev. Stat. § 695G.1719 — NV Code / Title 57 / Chapter 695G / Section 695G.1719
Required provision concerning coverage for certain drugs and services related to substance use disorder and opioid use disorder; reimbursement of pharmacists and pharmacies for certain services; prohibited acts
Status: in_force

1. A managed care organization that offers or issues a health care plan shall include in the plan coverage for: (a) All drugs approved by the United States Food and Drug Administration to support safe withdrawal from substance use disorder, including, without limitation, lofexidine. (b) All drugs approved by the United States Food and Drug Administration to provide medication-assisted treatment for opioid use disorder, including, without limitation, buprenorphine, methadone and naltrexone. (c) The services described in NRS 639.28079 when provided by a pharmacist or pharmacy that participates in the network plan of the managed care organization. The Commissioner shall adopt regulations governing the provision of reimbursement for such services. (d) Any service for the treatment of substance use disorder 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.

2. A managed care organization that offers or issues a health care plan shall reimburse a pharmacist or pharmacy that participates in the network plan of the managed care organization for the services described in NRS 639.28079 at a rate equal to the rate of reimbursement provided to a physician, physician assistant or advanced practice registered nurse for similar services.

3. A managed care organization shall provide the coverage required by paragraphs (a) and (b) of subsection 1 regardless of whether the drug is included in the formulary of the managed care organization.

4. Except as otherwise provided in this subsection, a managed care organization shall not subject the benefits required by paragraphs (a), (b) and (c) of subsection 1 to medical management techniques, other than step therapy. A managed care organization may subject the benefits required by paragraphs (b) and (c) of subsection 1 to other reasonable medical management techniques when the benefits are provided by a pharmacist in accordance with NRS 639.28079 .

5. A managed care organization shall not: (a) Limit the covered amount of a drug described in paragraph (a) or (b) of subsection 1; or (b) Refuse to cover a drug described in paragraph (a) or (b) of subsection 1 because the drug is dispensed by a pharmacy through mail order service.

6. A managed care organization 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 managed care organization.

7. 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 subsection 1, and any provision of the plan that conflicts with the provisions of this section is void.

8. 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 care plan offered by a managed care organization 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 managed care organization. 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. § 693A.260 — NV Code / Title 57 / Chapter 693A / Section 693A.260
Impairment of capital, surplus or assets: Notice; time to cure; restrictions
Status: in_force

1. If at any time the amount of assets of a domestic stock or mutual insurer are less than the sum of its liabilities plus its paid-in capital stock and minimum surplus required to be maintained (in the case of a stock insurer), or the minimum surplus required to be maintained (in the case of a mutual insurer), under this Code for authority to transact the kinds of insurance being transacted, the Commissioner shall at once determine the amount of the deficiency and give written notice to the insurer of the amount of impairment and require that the impairment be cured and proof thereof filed with the Commissioner within such period, not less than 30 days nor more than 90 days from date of the notice, as the Commissioner may designate.

2. If the impairment of assets is 10 percent or less of the combined required paid-in capital stock and surplus (as to a stock insurer) or surplus (as to a mutual insurer), and the Commissioner believes that the impairment might be made good by an extension of time, the Commissioner may extend the time within which the impairment may be cured by not to exceed an additional 90 days.

3. The Commissioner shall require such restriction of, or arrangements as to, operations of the insurer while the impairment exists as the Commissioner deems advisable for the protection of policyholders, the insurer or the public.
Nev. Rev. Stat. § 695C.176 — NV Code / Title 57 / Chapter 695C / Section 695C.176
Required provision concerning coverage for hospice care
Status: in_force

Each health care plan must provide benefits for hospice care.
Nev. Rev. Stat. § 693A.600 — NV Code / Title 57 / Chapter 693A / Section 693A.600
Abandonment of plan of reorganization
Status: in_force

A mutual insurer may, by not less than a two-thirds vote of the members of its board of directors and with the approval of the Commissioner, abandon a plan of reorganization at any time before the issuance of the certificate of authority by the Commissioner pursuant to NRS 693A.605 . Upon abandonment, all rights and obligations arising out of the plan of reorganization terminate and the mutual insurer shall continue to conduct its business as a domestic mutual insurer as though no plan of reorganization had ever been adopted.
Nev. Rev. Stat. § 693A.160 — NV Code / Title 57 / Chapter 693A / Section 693A.160
Dividends to policyholders
Status: in_force

1. The directors of a domestic mutual insurer may from time to time apportion and pay or credit to its members dividends only out of that part of its surplus funds which represents net realized savings, net realized earnings and net realized capital gains, all in excess of the surplus required by law to be maintained by the insurer.

2. Subject to NRS 688A.380 (participating, nonparticipating policies; accounting, allocations, dividends), a domestic stock insurer may pay dividends to holders of its participating policies out of its available surplus.

3. No such dividend shall be paid which is inequitable, or which unfairly discriminates between classifications of policies or policies within the same classification.
Nev. Rev. Stat. § 694B.180 — NV Code / Title 57 / Chapter 694B / Section 694B.180
Subscribers' liability
Status: in_force

1. The liability of each subscriber, other than as to a nonassessable policy, for the obligations of the reciprocal insurer shall be an individual, several and proportionate liability, and not joint.

2. Except as to a nonassessable policy, each subscriber shall have a contingent assessment liability, in the amount provided for in the power of attorney or in the subscribers' agreement, for payment of actual losses and expenses incurred while the policy of the subscriber was in force. Such contingent liability may be at the rate of not less than one nor more than 10 times the premium or premium deposit stated in the policy, and the maximum aggregate thereof shall be computed in the manner set forth in NRS 694B.220 .

3. Each assessable policy issued by the insurer shall contain a statement of the contingent liability, set in type of the same prominence as the insuring clause.
Nev. Rev. Stat. § 684B.020 — NV Code / Title 57 / Chapter 684B / Section 684B.020
License required; automatic qualification of certain appraisers; exemptions; administrative fine
Status: in_force

1. No person may act as a motor vehicle physical damage appraiser for motor vehicle physical damage claims on behalf of any insurance company or business organization engaged in the adjustment or appraisal of motor vehicle claims unless the person has: (a) Secured a license from the Commissioner. (b) Paid all applicable license fees.

2. Any person who has been engaged in the business as a motor vehicle physical damage appraiser for a period of 2 consecutive years immediately before January 1, 1972, is entitled to a license upon application to the Commissioner without further qualification.

3. The provisions of this section do not apply to: (a) A licensed insurance adjuster. (b) An employee of any authorized insurer, motor club, motor vehicle dealer or automobile body repair shop.

4. A person who acts as a motor vehicle physical damage appraiser in this state without a license, unless exempt under subsection 3, is subject to an administrative fine of not more than $1,000 for each violation.
Nev. Rev. Stat. § 697.120 — NV Code / Title 57 / Chapter 697 / Section 697.120
Exemptions
Status: in_force

This chapter does not:

1. Prevent a producer of insurance from writing bail bonds for any insurer authorized to write surety for which he or she is an appointed agent, but he or she is subject to and governed by all laws and regulations relating to bail agents when engaged in the activities thereof.

2. Affect the negotiation for or the execution or delivery of a bail bond which is authorized by chapter 696A of NRS .
Nev. Rev. Stat. § 685A.070 — NV Code / Title 57 / Chapter 685A / Section 685A.070
Eligible insurers
Status: in_force

1. A broker shall not knowingly place surplus lines insurance with an insurer which is unsound financially or ineligible pursuant to this section.

2. With respect to nonadmitted insurance for insureds for which this State is the home state, except as otherwise provided in this section, an insurer is not eligible to accept surplus lines or independently procured risks pursuant to this chapter unless it has capital and surplus or its equivalent in an amount of not less than $15,000,000 or the minimum capital and surplus requirements pursuant to NRS 680A.120 , whichever is greater.

3. The requirements of subsections 2 and 4 and of subsection 1 of NRS 685A.072 may be satisfied by an insurer possessing less than the minimum capital and surplus upon an affirmative finding of acceptability by the Commissioner. The finding must be based upon such factors as quality of management, capital and surplus of any parent company, company underwriting profit and investment income trends, market availability and company record and reputation within the industry. The Commissioner shall not make an affirmative finding of acceptability when the insurer's capital and surplus is less than $4,500,000.

4. A broker shall not place surplus lines insurance with a domestic surplus lines insurer, and a domestic surplus lines insurer is not eligible to accept surplus lines, unless: (a) The domestic surplus lines insurer possesses capital and surplus of not less than $15,000,000; or (b) The Commissioner has made an affirmative finding of acceptability pursuant to subsection 3.

5. A broker shall not place surplus lines insurance with an alien insurer, unless the alien insurer is listed on the Quarterly Listing of Alien Insurers maintained by the International Insurers Department of the National Association of Insurance Commissioners or, if the alien insurer is not listed on the Quarterly Listing of Alien Insurers, it has and maintains in a bank or trust company which is a member of the United States Federal Reserve System a trust fund established pursuant to terms that are reasonably adequate to protect all of its policyholders in the United States. Such a trust fund must not have an expiration date which is at any time less than 5 years in the future, on a continuing basis. In the case of: (a) A single alien insurer, such a trust fund must not be less than the greater of $5,400,000 or 30 percent of the gross liabilities of the alien insurer for surplus lines in the United States, excluding any liabilities for aviation, wet marine and transportation insurance, not to exceed $60,000,000, to be determined annually on the basis of accounting practices and procedures that are substantially equivalent to the accounting practices and procedures applicable in this State as of December 31 of the year immediately preceding the date of the determination where: (1) The liabilities are maintained in an irrevocable trust account in a qualified financial institution in the United States, on behalf of policyholders in the United States, consisting of cash, securities, letters of credit or any other investments of substantially the same character and quality as investments that are eligible investments pursuant to chapter 682A of NRS for the capital and statutory reserves of admitted insurers to write like kinds of insurance in this State. The trust fund, which must be included in any calculation of capital and surplus or its equivalent, must comply with the requirements set forth in the Standard Trust Agreement required for listing with the International Insurers Department of the National Association of Insurance Commissioners; (2) The alien insurer may request approval by the Commissioner to use the trust fund to pay any valid claim against a surplus line if the balance of the trust fund is not, during any period, less than $5,400,000 or 30 percent of the alien insurer's current gross liabilities for surplus lines in the United States, excluding any liabilities for aviation, wet marine and transportation insurance; and (3) In calculating the amount of the trust fund required by this subsection, credit must be given for any deposits for any surplus lines that are separately required and maintained within a state or territory of the United States, not to exceed the amount of the alien insurer's loss and loss adjustment reserves maintained in that state or territory. (b) A group of insurers which includes individual unincorporated insurers, such a trust fund must not be less than $100,000,000. (c) A group of incorporated insurers under common administration, such a trust fund must not be less than $100,000,000. Each insurer within the group must individually maintain capital and surplus of not less than $25,000,000. The group of incorporated insurers must: (1) Operate under the supervision of the Department of Trade and Industry of the United Kingdom or its successor agency; (2) Possess aggregate policyholders surplus of $10,000,000,000, which must consist of money in trust in an amount not less than the assuming insurers' liabilities attributable to insurance written in the United States; and (3) Maintain a joint trusteed surplus of which $100,000,000 must be held jointly for the benefit of United States ceding insurers of any member of the group.

6. A foreign insurer must be: (a) Authorized in the state of its domicile to write the kinds of insurance which it intends to write in Nevada and for which this State is the home state of the insured; or (b) A domestic surplus lines insurer in the state of its domicile.
Nev. Rev. Stat. § 694A.020 — NV Code / Title 57 / Chapter 694A / Section 694A.020
Beneficial owner, director or officer required to file statements concerning equity securities with Commissioner
Status: in_force

Every person who is directly or indirectly the beneficial owner of more than 10 percent of any class of any equity security of a domestic stock insurer, or who is a director or an officer of such insurer, shall:

1. File in the Office of the Commissioner within 10 days after the person becomes such beneficial owner, director or officer, a statement, in such form as the Commissioner may prescribe, of the amount of all equity securities of such insurer of which the person is the beneficial owner; and

2. Within 10 days after the close of each calendar month thereafter, if there has been a change in such ownership during such month, file in the Office of the Commissioner a statement, in such form as the Commissioner may prescribe, indicating the person’s ownership at the close of the calendar month and such changes in the person’s ownership as have occurred during such calendar month.
Nev. Rev. Stat. § 690A.095 — NV Code / Title 57 / Chapter 690A / Section 690A.095
Filing of revised schedule of premium rates
Status: in_force

Except as otherwise provided in NRS 690A.093 , if an insurer revises its schedule of premium rates, the insurer shall file the revised schedule with the Commissioner pursuant to NRS 690A.085 . An insurer shall not issue consumer credit insurance for which the premium rates differ from the rates determined by the schedule approved by the Commissioner.
Nev. Rev. Stat. § 682A.434 — NV Code / Title 57 / Chapter 682A / Section 682A.434
Real estate for accommodation of business operations
Status: in_force

1. An insurer may acquire, manage and dispose of real estate for the convenient accommodation of the insurer's, and its affiliates’, business operations, including home office, branch office and field office operations.

2. Real estate acquired as described in this section may include excess space for rent to others, if the excess space, valued at its fair market value, would otherwise be an allowed investment in accordance with the provisions of NRS 682A.432 and is so qualified by the insurer.

3. The real estate acquired as described in this section may be subject to one or more mortgages, liens or other encumbrances, the amount of which must, to the extent that the obligations secured by the mortgages, liens or encumbrances are without recourse to the insurer, be deducted from the amount of the investment of the insurer in the real estate for purposes of determining compliance with subsection 4 of NRS 682A.436 .

4. For the purposes of this section, business operations must not include that portion of real estate used for the direct provision of health care services by an accident and health insurer for its insureds. An insurer may acquire real estate used for these purposes under NRS 682A.432 .
Nev. Rev. Stat. § 679A.100 — NV Code / Title 57 / Chapter 679A / Section 679A.100
“Insurer” defined
Status: in_force

“Insurer” includes every person engaged as principal and as indemnitor, surety or contractor in the business of entering into contracts of insurance.
Nev. Rev. Stat. § 682B.040 — NV Code / Title 57 / Chapter 682B / Section 682B.040
Deposits through Commissioner required; exceptions; Account for the Division of Insurance; responsibilities of State
Status: in_force

1. Except as otherwise provided in NRS 682B.050 and 682B.055 , deposits made in this state pursuant to this Code must be made through the Commissioner. The Account for the Division of Insurance is hereby created in the State Agency Fund for Bonds. All money received by the Commissioner must be deposited with the State Treasurer to the credit of the Account. All claims against the Account must be paid as other claims against the State are paid.

2. The State of Nevada is responsible for the safekeeping of all securities or other assets deposited with the State Treasurer through the Commissioner pursuant to this Code, and shall bear the costs of the depository.
Nev. Rev. Stat. § 689A.04043 — NV Code / Title 57 / Chapter 689A / Section 689A.04043
Policy 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; granting of request; applicability of provisions
Status: in_force

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

2. An insurer that offers or issues a policy of health insurance 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 insured and his or her attending practitioner may: (1) Request an exemption for the insured from the step therapy protocol; and (2) Appeal a decision made by the insurer 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 insurer; 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 insurer shall respond to the request or appeal within 24 hours after the request is made or the appeal is submitted, as applicable.

3. An insurer shall grant a request to exempt an insured from a step therapy protocol made in accordance with the process established pursuant to subsection 2 if the attending practitioner for the insured submits to the insurer a statement which provides an adequate justification for the exemption and any documentation necessary to support the statement. The insurer 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 insured; (2) Is expected to be ineffective based on the known clinical characteristics of the insured and the known characteristics of the required prescription drug; (3) Has been tried by the insured, regardless of whether the insured was covered by the current policy of health insurance 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 insured, based on medical necessity; or (b) The insured is stable on a prescription drug selected by his or her attending practitioner for the medical condition under consideration, regardless of whether the insured was covered by his or her current policy of health insurance at the time the attending practitioner selected the drug.

4. If an insurer 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 insurer shall immediately authorize coverage for and dispensing of the drug chosen by the attending practitioner for the insured.

6. A policy of health insurance 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 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 689A.04041 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. § 690B.240 — NV Code / Title 57 / Chapter 690B / Section 690B.240
“Professional liability insurance” defined
Status: in_force

“ Professional liability insurance ” means a policy of insurance covering the liability of a practitioner for a breach of his or her professional duty toward a patient.
Nev. Rev. Stat. § 687B.635 — NV Code / Title 57 / Chapter 687B / Section 687B.635
“Medically necessary” defined
Status: in_force

“ Medically necessary ” has the meaning ascribed to it in NRS 695G.055 .
Nev. Rev. Stat. § 686B.020 — NV Code / Title 57 / Chapter 686B / Section 686B.020
Definitions
Status: in_force

As used in NRS 686B.010 to 686B.1799 , inclusive, unless the context otherwise requires:

1. “ Advisory organization ,” except as limited by NRS 686B.1752 , means any person or organization which is controlled by or composed of two or more insurers and which engages in activities related to rate making. For the purposes of this subsection, two or more insurers with common ownership or operating in this State under common ownership constitute a single insurer. An advisory organization does not include: (a) A joint underwriting association; (b) An actuarial or legal consultant; or (c) An employee or manager of an insurer.

2. “ Market segment ” means any line or kind of insurance or, if it is described in general terms, any subdivision thereof or any class of risks or combination of classes.

3. “ Rate service organization ” means any person, other than an employee of an insurer, who assists insurers in rate making or filing by: (a) Collecting, compiling and furnishing loss or expense statistics; (b) Recommending, making or filing rates or supplementary rate information; or (c) Advising about rate questions, except as an attorney giving legal advice.

4. “ Supplementary rate information ” includes any manual or plan of rates, statistical plan, classification, rating schedule, minimum premium, policy fee, rating rule, rule of underwriting relating to rates and any other information prescribed by regulation of the Commissioner.
Nev. Rev. Stat. § 695G.300 — NV Code / Title 57 / Chapter 695G / Section 695G.300
Submission of complaint of covered person to independent review organization
Status: in_force

In lieu of resolving a complaint of a covered person in accordance with a system for resolving complaints established pursuant to the provisions of NRS 695G.200 , a health carrier may:

1. Submit the complaint to an independent review organization pursuant to the provisions of NRS 695G.241 to 695G.310 , inclusive; or

2. If a federal law or regulation provides a procedure for submitting the complaint for resolution that the Commissioner determines is substantially similar to the procedure for submitting the complaint to an independent review organization pursuant to NRS 695G.241 to 695G.310 , inclusive, submit the complaint for resolution in accordance with the federal law or regulation.
Nev. Rev. Stat. § 686C.123 — NV Code / Title 57 / Chapter 686C / Section 686C.123
“State” defined
Status: in_force

“ State ” means a state of the United States, the District of Columbia, Puerto Rico, the United States Virgin Islands or any territory or insular possession subject to the jurisdiction of the United States.
Nev. Rev. Stat. § 689.375 — NV Code / Title 57 / Chapter 689 / Section 689.375
Records of seller; examination by Commissioner
Status: in_force

1. Every seller shall keep: (a) Accurate accounts, books and records of all transactions; (b) Copies of all agreements and dates and amounts of payments made and accepted; (c) The names and addresses of the contracting parties; and (d) The persons for whose benefit the payments are accepted and the names of the depositories in which the payments are deposited.

2. The seller shall keep within this State, at the address shown upon the certificate of authority, complete records of all transactions made under the certificate of authority of the seller. Those records and the affairs of the seller are subject to audit and examination by the Commissioner at any reasonable time. The seller shall keep such records for not less than 5 years after the completion of all transactions to which they relate.
Nev. Rev. Stat. § 689.125 — NV Code / Title 57 / Chapter 689 / Section 689.125
“Seller” defined
Status: in_force

“ Seller ” means any person selling a prepaid contract.
Nev. Rev. Stat. § 692C.256 — NV Code / Title 57 / Chapter 692C / Section 692C.256
Order of Commissioner relating to acquisition: Issuance; competitive standard
Status: in_force

1. The Commissioner may issue an order pursuant to NRS 692C.258 relating to an acquisition if: (a) The effect of the acquisition may substantially lessen competition in any line of insurance in this state or tend to create a monopoly; or (b) The acquiring person fails to file sufficient materials or information pursuant to NRS 692C.254 .

2. In determining whether a proposed acquisition would violate the competitive standard, the Commissioner shall consider the following: (a) Any acquisition to which the provisions of NRS 692C.252 apply involving two or more insurers competing in the same market is prima facie evidence of a violation of the competitive standard if: (1) The market is highly concentrated and the involved insurers possess the following shares of the market: Insurer A Insurer B 4 percent 4 percent or more 10 percent 2 percent or more 15 percent 1 percent or more (2) The market is not highly concentrated and the involved insurers possess the following shares of the market: Insurer A Insurer B 5 percent 5 percent or more 10 percent 4 percent or more 15 percent 3 percent or more 19 percent 1 percent or more (b) There is a significant trend toward increased concentration when the aggregate market share of any grouping of the largest insurers in the market, from the two largest to the eight largest, has increased by 7 percent or more of the total market over a period of time extending from any base year 5 to 10 years before the acquisition up to the time of the acquisition. Any acquisition to which the provisions of NRS 692C.252 apply, involving two or more insurers competing in the same market is prima facie evidence of a violation of the competitive standard if: (1) There is a significant trend toward increased concentration in the market; (2) One of the insurers involved is one of the insurers in a grouping of large insurers showing the requisite increase in the market share; and (3) Another involved insurer's market share is 2 percent or more.

3. Percentages not shown in the tables in paragraph (a) of subsection 2 must be interpolated proportionately to the percentages that are shown.

4. If more than two insurers are involved in an acquisition, exceeding the total of the two columns in the relevant table of paragraph (a) of subsection 2 is prima facie evidence of a violation of the competitive standard. For the purposes of this subsection, the insurer with the largest market share shall be deemed to be Insurer A.

5. Irrespective of whether an acquisition constitutes a prima facie violation of the competitive standard set forth in this section, the Commissioner, or a party to the acquisition, may establish the presence or absence of the requisite anticompetitive effect based upon other substantial evidence, including, without limitation, market shares, volatility of ranking market leaders, the number of competitors, concentrations, trend concentration in the industry and ease of entry and exit in the market.

6. The Commissioner shall, before issuing an order specified in subsection 1, consider: (a) If: (1) The acquisition creates substantial economies of scale or economies in the use of resources that may not be created in any other manner; and (2) The public benefit received from those economies exceeds the public benefit received from not lessening competition; or (b) If: (1) The acquisition substantially increases the availability of insurance; and (2) The public benefit received by that increase exceeds the public benefit received from not lessening competition.

7. The public benefits set forth in subparagraph 2 of paragraphs (a) and (b) of subsection 6 may be considered together, as applicable, in assessing whether the public benefits received from the acquisition exceed any benefit to competition that would arise from disapproving the acquisition.

8. The Commissioner has the burden of establishing that the acquisition will result in a violation of the competitive standard set forth in subsection 1.

9. An order may not be entered in accordance with NRS 692C.258 if: (a) The acquisition will yield substantial economies of scale or economies in resource utilization that cannot be feasibly achieved in any other way, and the public benefits which would arise from such economies exceed the public benefits which would not arise from lessening competition; or (b) The acquisition will substantially increase the availability of insurance, and the public benefits of the increase exceed the public benefits which would arise from not lessening competition.

10. As used in this section: (a) “ Highly concentrated market ” means a market in which the combined market share of the four largest insurers totals 75 percent or more of the total market. (b) “ Insurer ” includes any company or group of companies under common management, ownership or control. (c) “ Market ” means the relevant product and geographical markets. In the absence of sufficient information to the contrary, the relevant product market is assumed to be the direct written insurance premium for a line of business, such line being that used in the annual statement required to be filed by an insurer doing business in this State and the relevant geographical market is assumed to be this State.
Nev. Rev. Stat. § 695G.410 — NV Code / Title 57 / Chapter 695G / Section 695G.410
Managed care organization prohibited from taking certain actions against provider solely because provider advocates on behalf of patient, assists patient or reports violation of law
Status: in_force

A managed care organization shall not terminate a contract with, demote, refuse to contract with or refuse to compensate a provider of health care solely because the provider, in good faith:

1. Advocates in private or in public on behalf of a patient;

2. Assists a patient in seeking reconsideration of a decision by the managed care organization to deny coverage for a health care service; or

3. Reports a violation of law to an appropriate authority.
Nev. Rev. Stat. § 689B.580 — NV Code / Title 57 / Chapter 689B / Section 689B.580
Plan sponsor of governmental plan authorized to elect to exclude governmental plan from compliance with certain statutes; duties of plan sponsor
Status: in_force

1. A plan sponsor of a governmental plan that is a group health plan to which the provisions of NRS 689B.340 to 689B.580 , inclusive, otherwise apply may elect to exclude the governmental plan from compliance with those sections. Such an election: (a) Must be made in such a form and in such a manner as the Commissioner prescribes by regulation. (b) Is effective for a single specified year of the plan or, if the plan is provided pursuant to a collective bargaining agreement, for the term of that agreement. (c) May be extended by subsequent elections. (d) Excludes the governmental plan from those provisions in this chapter that apply only to group health plans.

2. If a plan sponsor of a governmental plan makes an election pursuant to this section, the plan sponsor shall: (a) Annually and at the time of enrollment, notify the enrollees in the plan of the election and the consequences of the election; and (b) Provide certification and disclosure of creditable coverage under the plan with respect to those enrollees pursuant to NRS 689B.490 .

3. As used in this section, “ governmental plan ” has the meaning ascribed to in section 3(32) of the Employee Retirement Income Security Act of 1974, as that section existed on July 16, 1997.
Nev. Rev. Stat. § 680A.028 — NV Code / Title 57 / Chapter 680A / Section 680A.028
“Multiple employer welfare arrangement” defined
Status: in_force

“Multiple employer welfare arrangement” has the meaning ascribed to it in 29 U.S.C. § 1002(40) .
Nev. Rev. Stat. § 686B.1785 — NV Code / Title 57 / Chapter 686B / Section 686B.1785
Request for reconsideration of rates by Advisory Organization or insurer; appeal
Status: in_force

Any person aggrieved by any decision, action or omission of the Advisory Organization or an insurer regarding rates or other information filed with the Commissioner may request in writing that the Organization or insurer reconsider the decision, action or omission. Except as otherwise provided in NRS 616B.772 , 616B.775 and 616B.787 , if the request for reconsideration is rejected or is not acted upon within 30 days by the Organization or insurer, the person requesting reconsideration may, within 30 days thereafter, appeal from the decision, action or omission to the Commissioner by filing a written complaint and request for a hearing specifying the grounds relied upon.
Nev. Rev. Stat. § 679B.110 — NV Code / Title 57 / Chapter 679B / Section 679B.110
Delegation of powers
Status: in_force

1. The Commissioner may delegate to his or her deputy, examiner or an employee of the Division the exercise or discharge in the Commissioner's name of any power, duty or function, whether ministerial, discretionary or of whatever character, vested in or imposed upon the Commissioner.

2. The official act of any such person acting in the Commissioner's name and by his or her authority shall be deemed an official act of the Commissioner.
Nev. Rev. Stat. § 695G.012 — NV Code / Title 57 / Chapter 695G / Section 695G.012
“Adverse determination” defined
Status: in_force

“ Adverse determination ” means a determination by a health carrier or utilization review organization that an admission, availability of care, continued stay or other health care service that is a covered benefit has been reviewed and, based upon the information provided, does not meet the health carrier's requirements for medical necessity, appropriateness, health care setting, level of care or effectiveness, and the requested service or payment for the service is therefore denied, reduced or terminated.
Nev. Rev. Stat. § 679B.138 — NV Code / Title 57 / Chapter 679B / Section 679B.138
Regulations: Use of uniform claim forms and billing codes; transfer of electronic data
Status: in_force

1. The Commissioner shall adopt regulations which require the use of uniform claim forms and billing codes and the ability to make compatible electronic data transfers for all insurers and administrators authorized to conduct business in this state relating to a health care plan or health insurance or providing or arranging for the provision of health care services, including, without limitation, an insurer that issues a policy of health insurance, an insurer that issues a policy of group health insurance, a carrier serving small employers, a fraternal benefit society, a hospital or medical service corporation, a health maintenance organization, a plan for dental care and a prepaid limited health service organization. The regulations must include, without limitation, a uniform billing format to be used for the submission of claims to such insurers and administrators.

2. As used in this section: (a) “ Administrator ” has the meaning ascribed to it in NRS 683A.025 . (b) “ Health care plan ” means a policy, contract, certificate or agreement offered or issued by an insurer to provide, deliver, arrange for, pay for or reimburse any of the costs of health care services.
Nev. Rev. Stat. § 688A.305 — NV Code / Title 57 / Chapter 688A / Section 688A.305
Cash surrender value: Limitations on policies issued on or after January 1, 1987
Status: in_force

1. This section applies to all policies issued on or after January 1, 1987. Any cash surrender value available under the policy in the event of default in a premium payment due on any policy anniversary must be in an amount which does not differ by more than two-tenths of 1 percent of the amount of insurance, if the insurance is uniform in amount, or the average amount of insurance at the beginning of each of the first 10 policy years, from the sum of: (a) The greater of zero and the basic cash value specified in this section; and (b) The present value of any existing paid-up additions less the amount of any indebtedness to the company under the policy.

2. The basic cash value must be equal to the present value, on the anniversary, of the future guaranteed benefits which would have been provided by the policy, excluding any existing paid-up additions and before deduction of any indebtedness to the company, if there had been no default, less the present value of the nonforfeiture factors, as defined in NRS 688A.290 to 688A.360 , inclusive. The effects on the basic cash value of supplemental life insurance or annuity benefits or of family coverage, as described in this section or NRS 688A.300 or 688A.320 , whichever is applicable, must be the same as the effects specified in this section or NRS 688A.300 or 688A.320 , on the cash surrender values defined in the applicable section.

3. The nonforfeiture factor for each policy year must be an amount equal to a percentage of the adjusted premium for the policy year, as defined in NRS 688A.320 or 688A.325 , whichever is applicable. Except as is required in this subsection, the percentage must be: (a) The same for each policy year between the second policy anniversary and the later of: (1) The fifth policy anniversary; and (2) The first policy anniversary at which there is available under the policy a cash surrender value in an amount, before including any paid-up additions and before deducting any indebtedness, of at least two-tenths of 1 percent of the amount of insurance, if the insurance is uniform in amount, or the average amount of insurance at the beginning of each of the first 10 policy years; and (b) Such that no percentage after the later of the two policy anniversaries specified in paragraph (a) may apply to fewer than 5 consecutive policy years. No basic cash value may be less than the value which would be obtained if the adjusted premiums for the policy, as defined in NRS 688A.320 or 688A.325 , whichever is applicable, were substituted for the nonforfeiture factors in the calculation of the basic cash value.

4. All adjusted premiums and present values referred to in this section for a particular policy must be calculated on the same mortality and interest bases as are used in demonstrating the policy's compliance with NRS 688A.290 to 688A.360 , inclusive. The cash surrender values referred to in this section must include any endowment benefits provided for by the policy.

5. Any cash surrender value available other than in the event of default in a premium payment due on a policy anniversary, and the amount of any paid-up nonforfeiture benefit available under the policy in the event of default in a premium payment must be determined by methods consistent with those specified for determining the analogous minimum amounts in NRS 688A.290 , 688A.300 , 688A.310 , 688A.325 and 688A.350 . The amounts of any cash surrender values and of any paid-up nonforfeiture benefits granted in connection with additional benefits such as those listed in paragraphs (a) to (f), inclusive, of subsection 4 of NRS 688A.350 , must conform with the principles of this section.
Nev. Rev. Stat. § 691C.020 — NV Code / Title 57 / Chapter 691C / Section 691C.020
“Closed-end credit” defined
Status: in_force

“ Closed-end credit ” means a credit transaction that is not open-end credit.
Nev. Rev. Stat. § 680A.280 — NV Code / Title 57 / Chapter 680A / Section 680A.280
Annual or other required statement: Penalties for failure to file or false statements
Status: in_force

1. Any insurer failing, without just cause beyond the reasonable control of the insurer, to file a statement as required in NRS 680A.265 and 680A.270 shall be required to pay a penalty of $100 for each day's delay, but not to exceed $3,000 in aggregate amount, to be recovered in the name of the State of Nevada by the Attorney General.

2. Any director, officer, agent or employee of any 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. § 680B.0353 — NV Code / Title 57 / Chapter 680B / Section 680B.0353
General tax on premiums: Rate and payments by certain risk retention groups
Status: in_force

Each risk retention group which is chartered in a state other than this State and which is registered in this State pursuant to NRS 695E.140 to 695E.200 , inclusive, shall pay the tax imposed by NRS 680B.027 at a rate of 2 percent.