reglab/housing_qa huggingface dataset:
NV Rev Stat § 695C.340 (2021)
2021 Nevada Revised Statutes|Chapter 695C - Health Maintenance Organizations|NRS 695C.340 - Disciplinary proceedings: Notice; hearing; judicial review.

  1. When the Commissioner has cause to believe that grounds for the denial of an application for a certificate of authority exist, or that grounds for the suspension or revocation of a certificate of authority exist, the Commissioner shall notify the health maintenance organization in writing specifically stating the grounds for denial, suspension or revocation and fixing a time at least 30 days thereafter for a hearing on the matter.  2. After the hearing, or upon the failure of the health maintenance organization to appear at the hearing, the Commissioner shall take action as is deemed advisable on written findings which must be mailed to the health maintenance organization. The action of the Commissioner is subject to review by the First Judicial District Court of the State of Nevada in and for Carson City. The court may, in disposing of the issue before it, modify, affirm or reverse the order of the Commissioner in whole or in part.  (Added to NRS by 1973, 1256; A 1981, 107; 2013, 3649)
NV Rev Stat § 695C.350 (2021)
2021 Nevada Revised Statutes|Chapter 695C - Health Maintenance Organizations|NRS 695C.350 - Violations: Remedies; penalties.

  1. The Commissioner may, in lieu of suspension or revocation of a certificate of authority under NRS 695C.330, levy an administrative penalty in an amount not more than $2,500 for each act or violation, if reasonable notice in writing is given of the intent to levy the penalty.  2. Any person who violates the provisions of this chapter is guilty of a misdemeanor.  3. If the Commissioner for any reason has cause to believe that any violation of this chapter has occurred or is threatened, the Commissioner may give notice to the health maintenance organization and to the representatives, or other persons who appear to be involved in the suspected violation, to arrange a conference with the alleged violators or their authorized representatives to attempt to determine the facts relating to the suspected violation, and, if it appears that any violation has occurred or is threatened, to arrive at an adequate and effective means of correcting or preventing the violation.  4. The proceedings conducted pursuant to the provisions of subsection 3 must not be governed by any formal procedural requirements, and may be conducted in such manner as the Commissioner may deem appropriate under the circumstances.  5. The Commissioner may issue an order directing a health maintenance organization or a representative of a health maintenance organization to cease and desist from engaging in any act or practice in violation of the provisions of this chapter.  6. Within 30 days after service of the order to cease and desist, the respondent may request a hearing on the question of whether acts or practices in violation of this chapter have occurred. The hearing must be conducted pursuant to the provisions of chapter 233B of NRS and judicial review must be available as provided therein.  7. In the case of any violation of the provisions of this chapter, if the Commissioner elects not to issue a cease and desist order, or in the event of noncompliance with a cease and desist order issued pursuant to subsection 5, the Commissioner may institute a proceeding to obtain injunctive relief, or seek other appropriate relief in the district court of the judicial district of the county in which the violator resides.  (Added to NRS by 1973, 1257; A 1999, 2817; 2013, 3649)
NV Rev Stat § 695D.010 (2021)
2021 Nevada Revised Statutes|Chapter 695D - Plans for Dental Care|NRS 695D.010 - Definitions.

As used in this chapter, unless the context otherwise requires, the words and terms defined in NRS 695D.020 to 695D.080, inclusive, have the meanings ascribed to them in those sections.  (Added to NRS by 1983, 2021)
NV Rev Stat § 695D.020 (2021)
2021 Nevada Revised Statutes|Chapter 695D - Plans for Dental Care|NRS 695D.020 - "Commissioner" defined.

Commissioner means the Commissioner of Insurance.  (Added to NRS by 1983, 2021)
NV Rev Stat § 695D.030 (2021)
2021 Nevada Revised Statutes|Chapter 695D - Plans for Dental Care|NRS 695D.030 - "Dental care" defined.

Dental care means the services ordinarily provided by dentists and includes appliances, drugs, medicines, supplies, prosthetic appliances, orthodontic appliances, and metal, ceramic or other restorations customarily used or provided by a dentist.  (Added to NRS by 1983, 2021)
NV Rev Stat § 695D.040 (2021)
2021 Nevada Revised Statutes|Chapter 695D - Plans for Dental Care|NRS 695D.040 - "Dentist" defined.

Dentist includes a dental hygienist.  (Added to NRS by 1983, 2021)
NV Rev Stat § 695D.050 (2021)
2021 Nevada Revised Statutes|Chapter 695D - Plans for Dental Care|NRS 695D.050 - "Member" defined.

Member includes the person enrolled in a plan for dental care and the person’s dependents who may also be enrolled in the plan.  (Added to NRS by 1983, 2021)
NV Rev Stat § 695D.060 (2021)
2021 Nevada Revised Statutes|Chapter 695D - Plans for Dental Care|NRS 695D.060 - "Organization for dental care" defined.

Organization for dental care means any person who agrees to provide coverage for dental care through one or more plans for dental care.  (Added to NRS by 1983, 2021)
NV Rev Stat § 695D.070 (2021)
2021 Nevada Revised Statutes|Chapter 695D - Plans for Dental Care|NRS 695D.070 - "Plan for dental care" defined.

Plan for dental care means any agreement in which a person agrees to provide or arrange for dental care or pay for or reimburse any part of the cost of that care and the member agrees to prepay, make periodic payments or pay through insurance for that care.  (Added to NRS by 1983, 2021; A 1985, 2098)
NV Rev Stat § 695D.080 (2021)
2021 Nevada Revised Statutes|Chapter 695D - Plans for Dental Care|NRS 695D.080 - "Policy" defined.

Policy means the document given to a member which describes the dental care to which the member is entitled under a plan for dental care and the obligations of the member to the organization for dental care.  (Added to NRS by 1983, 2021)
NV Rev Stat § 695D.090 (2021)
2021 Nevada Revised Statutes|Chapter 695D - Plans for Dental Care|NRS 695D.090 - Applicability.

  1. Except as otherwise specifically provided in this chapter or elsewhere in this title, the provisions of this title other than this chapter do not apply to organizations for dental care. This exemption does not apply to any insurer authorized pursuant to any other provision of this title except with respect to those activities authorized and regulated by this chapter.  2. The provisions of this chapter do not apply to:  (a) Any person, corporation or organization which must be authorized by the Commissioner to transact the business of insurance pursuant to chapter 680A, 695B or 695C of NRS.  (b) Any plan established to provide health and welfare benefits to employees pursuant to a collective bargaining agreement.  (Added to NRS by 1983, 2021)
NV Rev Stat § 695D.095 (2021)
2021 Nevada Revised Statutes|Chapter 695D - Plans for Dental Care|NRS 695D.095 - Applicability of other provisions to organizations for dental care.

  1. An organization for dental care is not exempt from the provisions of NRS 679B.700. If an organization is an admitted health insurer, as that term is defined in NRS 449.450, it is not exempt from the fees imposed pursuant to NRS 449.465.  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."  (Added to NRS by 1987, 470; A 2017, 2397)
NV Rev Stat § 695D.100 (2021)
2021 Nevada Revised Statutes|Chapter 695D - Plans for Dental Care|NRS 695D.100 - Regulations of Commissioner.

The Commissioner may adopt any regulations necessary to carry out the provisions of this chapter.  (Added to NRS by 1983, 2022)
NV Rev Stat § 695D.102 (2021)
2021 Nevada Revised Statutes|Chapter 695D - Plans for Dental Care|NRS 695D.102 - Summary of coverage: Contents of disclosure; approval by Commissioner.

  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.  (Added to NRS by 1989, 1254)
NV Rev Stat § 695D.104 (2021)
2021 Nevada Revised Statutes|Chapter 695D - Plans for Dental Care|NRS 695D.104 - Summary of coverage: Copy to be provided before policy issued; policy not to be offered unless summary approved by Commissioner.

An organization for dental care shall provide to the group policyholder to whom it offers a plan for dental care a copy of the disclosure approved for that plan pursuant to NRS 695D.102 before the policy is issued. An organization for dental care shall not offer a plan for dental care unless the disclosure for that plan has been approved by the Commissioner.  (Added to NRS by 1989, 1254)
NV Rev Stat § 695D.110 (2021)
2021 Nevada Revised Statutes|Chapter 695D - Plans for Dental Care|NRS 695D.110 - Certificate of authority: Required for plan for dental care.

No person may establish or operate a plan for dental care, act as an administrator of such a plan or sell or offer to sell such a plan without first obtaining a certificate of authority from the Commissioner.  (Added to NRS by 1983, 2022)
NV Rev Stat § 695D.120 (2021)
2021 Nevada Revised Statutes|Chapter 695D - Plans for Dental Care|NRS 695D.120 - Certificate of authority: Application.

Each application for a certificate of authority must be filed with the Commissioner on a form prescribed by the Commissioner, must be verified by an officer or authorized representative of the organization for dental care and must include:  1. A copy of any organizational document for the organization and all amendments to that document.  2. A copy of any bylaws, rules or regulations governing the internal affairs of the organization.  3. A list of the names, addresses and official positions of the persons responsible for operating the organization, including the members of the board of directors, board of trustees, executive committee, principal officers or partners.  4. A copy of the contracts made or proposed to be made between the applicant and those persons listed in subsection 3 and the dentists.  5. A statement describing the applicant’s plan for dental care, its facilities and personnel.  6. A copy of the policy to be issued to its members.  7. A copy of any contract for groups to be issued to employers, unions, trustees or other organizations.  8. Certified financial statements showing the applicant’s assets, liabilities and sources of support. A copy of the applicant’s most recent certified financial statement satisfies this requirement unless the Commissioner requests additional information from the applicant.  9. A description of the method to be used to market the plan for dental care, including a financial statement, a projection for the initial 5 years of operation of the plan and a statement of the sources of capital for the organization.  10. A power of attorney executed by the applicant or its officers, which appoints the Commissioner as the attorney for the applicant upon whom service of process may be made in this State.  11. A statement describing the geographic area or areas to be served by the applicant.  12. A statement indicating that all the dentists for the plan are licensed pursuant to chapter 631 of NRS.  13. Any other information requested by the Commissioner.  (Added to NRS by 1983, 2022)
NV Rev Stat § 695D.130 (2021)
2021 Nevada Revised Statutes|Chapter 695D - Plans for Dental Care|NRS 695D.130 - Certificate of authority: Issuance.

The Commissioner shall issue a certificate of authority to an organization for dental care after the organization has paid an application fee of $2,450 and, in addition to any other fee or charge, all applicable fees required pursuant to NRS 680C.110, and the Commissioner is satisfied that:  1. The persons responsible for operating the organization are competent, trustworthy, have not been convicted of a felony and have good reputations.  2. The plan for dental care includes care which is appropriate for the plan and the plan is appropriate for providing that care.  3. The organization is financially responsible and may reasonably be expected to meet its obligations to its members. To determine financial responsibility the Commissioner may consider:  (a) The organization’s arrangements for dental care and the schedule of charges to be used;  (b) The agreements with an insurer, government or any other organizations for ensuring payment for the dental care;  (c) Any provisions for alternative coverage if the plan for dental care is discontinued; and  (d) The agreements with the dentists providing dental care to the organization’s members.  4. The appropriate deposits or bonds have been filed with the Commissioner by the organization and its officers.  (Added to NRS by 1983, 2023; A 1991, 1634; 2009, 1819)
NV Rev Stat § 695D.140 (2021)
2021 Nevada Revised Statutes|Chapter 695D - Plans for Dental Care|NRS 695D.140 - Certificate of authority: Notice of change of information; application for amendment; fee; approval.

  1. Except as otherwise provided in subsection 2, every organization issued a certificate of authority by the Commissioner shall notify the Commissioner of any change in the information provided to obtain its certificate of authority within 10 days after the change.  2. Every such organization that wishes to make a change in the geographic areas which it serves, or to make any other material modification of the operations described in the information required by NRS 695D.120, shall file with the Commissioner an application for the amendment of the certificate of authority and pay to the Commissioner an application fee of $100. If the Commissioner does not disapprove the application within 30 days after filing, it shall be deemed approved.  (Added to NRS by 1983, 2023; A 1991, 2205)
NV Rev Stat § 695D.150 (2021)
2021 Nevada Revised Statutes|Chapter 695D - Plans for Dental Care|NRS 695D.150 - Certificate of authority: Expiration; renewal; fees.

A certificate of authority expires at midnight on March 1 following the date it was issued or previously renewed. The Commissioner shall renew the certificate of any organization for dental care which:  1. Continues to comply with the provisions of this chapter; and  2. Pays the fee for renewal of $2,450 and, in addition to any other fee or charge, all applicable fees required pursuant to NRS 680C.110.  (Added to NRS by 1983, 2023; A 1987, 470; 1991, 1635; 1993, 614; 2009, 1819)
NV Rev Stat § 695D.153 (2021)
2021 Nevada Revised Statutes|Chapter 695D - Plans for Dental Care|NRS 695D.153 - Capital account: Minimum amount; requirements.

  1. Each organization for dental care which receives a certificate of authority shall maintain a capital account with a net worth of not less than $500,000 unless a lesser amount is permitted in writing by the Commissioner.   2. An organization for dental care which has been issued a certificate of authority pursuant to this chapter shall maintain a capital account with a net worth in an amount which is not less than the greater of:  (a) The amount of risk-based capital required by regulations adopted by the Commissioner pursuant to NRS 681B.550; or  (b) The following applicable amount, according to the number of members in the organization: Number of members Net worth Less than 2,500.................................................................................................. $50,000 At least 2,500 but not more than 5,000............................................................. 75,000 More than 5,000................................................................................................. 125,000  3. The account must not be obligated for any accrued liabilities and must consist of cash, securities or a combination thereof which is acceptable to the Commissioner.  (Added to NRS by 2017, 2397; A 2019, 1720)
NV Rev Stat § 695D.157 (2021)
2021 Nevada Revised Statutes|Chapter 695D - Plans for Dental Care|NRS 695D.157 - Hazardous financial condition: Regulations; determination; powers of Commissioner.

  1. The Commissioner may adopt regulations to define when an organization for dental care is considered to be in a hazardous financial condition and to set forth the standards to be considered by the Commissioner in determining whether the continued operation of an organization for dental care transacting business in this State may be considered to be hazardous to its members or creditors or to the general public.  2. If the Commissioner determines after a hearing that any organization for dental care is in a hazardous financial condition, the Commissioner may, instead of suspending or revoking the certificate of authority of the organization, limit the certificate of authority as the Commissioner deems reasonably necessary to correct, eliminate or remedy any conduct, condition or ground that is deemed to be a cause of the hazardous financial condition.  3. An order or decision of the Commissioner under this section is subject to review in accordance with NRS 679B.310 to 679B.370, inclusive, at the request of any party to the proceedings whose interests are substantially affected.  (Added to NRS by 2017, 2397)
NV Rev Stat § 695D.160 (2021)
2021 Nevada Revised Statutes|Chapter 695D - Plans for Dental Care|NRS 695D.160 - Composition of board of directors for organization for dental care.

If an organization for dental care is a corporation, its board of directors must include:  1. Dentists who have contracted with the organization to provide dental care to its members; and  2. Members of the plan for dental care, who must comprise at least one-third of the membership of the board by the end of its first year of operation.  (Added to NRS by 1983, 2023)
NV Rev Stat § 695D.180 (2021)
2021 Nevada Revised Statutes|Chapter 695D - Plans for Dental Care|NRS 695D.180 - Bond payable to State; cancellation.

  1. A bond by any organization for dental care or its officers under this chapter must be payable to the State of Nevada and must be conditioned on compliance with the provisions of this chapter. The surety shall pay all damages to any person by reason of any misstatement, misrepresentation, fraud or deceit, or any wrongful act or omission of any person or organization made, committed or omitted in the plan for dental care or caused by any other violation of the provisions of this chapter.  2. The organization must give notice to the Commissioner at least 90 days before such a bond may be cancelled.  (Added to NRS by 1983, 2024)
NV Rev Stat § 695D.190 (2021)
2021 Nevada Revised Statutes|Chapter 695D - Plans for Dental Care|NRS 695D.190 - Fiduciary responsibilities; disciplinary action.

Any director, officer, partner or employee of an organization for dental care who receives, collects, disburses or invests money in connection with the activities of that organization is responsible for that money and has a fiduciary duty and relationship to the members of the organization. Any dentist who breaches this fiduciary duty or fails to satisfy his or her contractual obligation to the organization or the members thereof is subject to disciplinary action pursuant to NRS 631.350.  (Added to NRS by 1983, 2024)
NV Rev Stat § 695D.200 (2021)
2021 Nevada Revised Statutes|Chapter 695D - Plans for Dental Care|NRS 695D.200 - Policy: Issuance; form and contents; notice of change.

  1. An organization for dental care shall:  (a) Hold a meeting for all prospective members to review fully the policy being offered and describe the coverage under the plan for dental care before any contract is executed between the parties.  (b) Provide to each member a copy of the policy describing his or her coverage under the plan for dental care.  2. The Commissioner must approve every policy and amendment to it before they are distributed to the members or any other person. If the Commissioner does not disapprove the policy within 30 days after it is filed with the Commissioner, it shall be deemed to be approved. If the Commissioner disapproves a policy, the Commissioner shall notify the organization of the reasons for disapproval. The Commissioner shall grant a hearing on any disapproval of a policy or amendment within 15 days after the organization requests, in writing, a hearing on the matter.  3. A policy must contain a clear and complete statement of the contract between the parties or a summary of the contract which describes:  (a) The dental care and other benefits to which the member is entitled;  (b) Any limitations on the care to be provided, including any deductibles or copayments to be paid by a member;  (c) Where information is available and how dental care may be obtained; and  (d) The member’s obligations for payment under the plan for dental care.  4. The organization must give notice to the Commissioner and every member 30 days before any change is made in the member’s policy.  (Added to NRS by 1983, 2025)
NV Rev Stat § 695D.203 (2021)
2021 Nevada Revised Statutes|Chapter 695D - Plans for Dental Care|NRS 695D.203 - Group plan issued to replace discontinued policy or coverage: Requirements; notice of reduction of benefits; statement of benefits; applicability to self-insured employer.

  1. A group plan for dental care issued by an organization for dental care to replace any discontinued policy or coverage for dental care must:  (a) Provide coverage for all persons who were covered under the previous policy or coverage on the date it was discontinued; and  (b) Except as otherwise provided in subsection 2, provide benefits which are at least as extensive as the benefits provided by the previous policy or coverage, except that benefits may be reduced or excluded to the extent that such a reduction or exclusion was permissible under the terms of the previous policy or coverage,  if that plan is issued within 60 days after the date on which the previous policy or coverage was discontinued.  2. If an employer obtains a replacement plan pursuant to subsection 1 to cover the employees of the employer, any benefits provided by the previous policy or coverage may be reduced if notice of the reduction is given to the employees pursuant to NRS 608.1577.  3. Any organization for dental care which issues a replacement plan pursuant to subsection 1 may submit a written request to the insurer which provided the previous policy or coverage for a statement of benefits which were provided under that policy or coverage. Upon receiving such a request, the insurer shall give a written statement to the organization indicating what benefits were provided and what exclusions or reductions were in effect under the previous policy or coverage.  4. The provisions of this section apply to a self-insured employer who provides benefits to the employees of the self-insured employer for dental care and replaces those benefits with a group plan for dental care.  (Added to NRS by 1987, 851)