reglab/housing_qa huggingface dataset:
NV Rev Stat § 695D.205 (2021)
2021 Nevada Revised Statutes|Chapter 695D - Plans for Dental Care|NRS 695D.205 - Copayments and deductibles.

  1. Each copayment and deductible required to be paid by a member must be reasonable and reasonably related to the cost of the particular service.  2. Every organization for dental care shall submit to the Commissioner for approval any proposal for copayment or deductible before it is imposed on the members. The Commissioner shall approve or disapprove the proposal within 30 days after it is submitted to the Commissioner. If the Commissioner disapproves a copayment or deductible, the Commissioner shall notify the organization of the reasons for disapproval. The Commissioner shall grant a hearing on any such disapproval within 15 days after the organization requests, in writing, a hearing on the matter.  3. The Commissioner may adopt regulations to define:  (a) "Reasonable" as it relates to copayments and deductibles; and  (b) A "reasonable relationship" between the cost of particular services and the amount of related copayments and deductibles.  (Added to NRS by 1987, 1783)
NV Rev Stat § 695D.210 (2021)
2021 Nevada Revised Statutes|Chapter 695D - Plans for Dental Care|NRS 695D.210 - Coverage for newly born and adopted children and children placed for adoption.

  1. Any policy which provides coverage for a dependent of a member must provide that benefits for children are payable for a member’s newly born child, adopted child or child placed with the member for the purpose of adoption to the same extent that the coverage applies to other dependents.  2. The policy may require that to have coverage for the newly born child, adopted child or child placed for adoption continued beyond 31 days after the child’s birth, adoption or placement, the member must notify the organization for dental care within 31 days after the birth, adoption or placement.  3. For covered services provided to the child, the organization for dental care shall reimburse noncontracted providers of health care to an amount equal to the average amount of payment for which the organization has agreements, contracts or arrangements for those covered services.  (Added to NRS by 1983, 2025; A 1989, 742)
NV Rev Stat § 695D.215 (2021)
2021 Nevada Revised Statutes|Chapter 695D - Plans for Dental Care|NRS 695D.215 - Claims: Approval or denial; request for additional information; payment; interest on unpaid claim.

  1. Except as otherwise provided in subsection 2, an organization for dental care shall approve or deny a claim relating to a plan for dental care within 30 days after the organization for dental care receives the claim. If the claim is approved, the organization for dental care shall pay the claim within 30 days after it is approved. If the approved claim is not paid within that period, the organization for dental care shall pay interest on the claim at the rate of interest established pursuant to NRS 99.040. The interest must be calculated from the date the payment is due until the claim is paid.  2. If the organization for dental care requires additional information to determine whether to approve or deny the claim, it shall notify the claimant of its request for the additional information within 20 days after it receives the claim. The organization for dental care shall notify the provider of dental care of the reason for the delay in approving or denying the claim. The organization for dental care shall approve or deny the claim within 30 days after receiving the additional information. If the claim is approved, the organization for dental care shall pay the claim within 30 days after it receives the additional information. If the approved claim is not paid within that period, the organization for dental care shall pay interest on the claim in the manner prescribed in subsection 1.  (Added to NRS by 1991, 1332)
NV Rev Stat § 695D.216 (2021)
2021 Nevada Revised Statutes|Chapter 695D - Plans for Dental Care|NRS 695D.216 - Required provision concerning coverage for services provided through telehealth.

  1. A plan for dental care must include coverage for services provided to a member through telehealth to the same extent as though provided in person or by other means.   2. An organization for dental care shall not:  (a) Require a member to establish a relationship in person with a provider of health care or provide any additional consent to or reason for obtaining services through telehealth as a condition to providing the coverage described in subsection 1;  (b) Require a provider of health care to demonstrate that it is necessary to provide services to a member through telehealth or receive any additional type of certification or license to provide services through telehealth as a condition to providing the coverage described in subsection 1;  (c) Refuse to provide the coverage described in subsection 1 because of the distant site from which a provider of health care provides services through telehealth or the originating site at which a member receives services through telehealth; or  (d) Require covered services to be provided through telehealth as a condition to providing coverage for such services.  3. A plan for dental care must not require a member to obtain prior authorization for any service provided through telehealth that is not required for the service when provided in person. A plan for dental care may require prior authorization for a service provided through telehealth if such prior authorization would be required if the service were provided in person or by other means.  4. The provisions of this section do not require an organization for dental care to:  (a) Ensure that covered services are available to a member through telehealth at a particular originating site;  (b) Provide coverage for a service that is not a covered service or that is not provided by a covered provider of health care; or  (c) Enter into a contract with any provider of health care or cover any service if the organization for dental care is not otherwise required by law to do so.  5. A plan for dental care subject to the provisions of this chapter that is delivered, issued for delivery or renewed on or after July 1, 2015, has the legal effect of including the coverage required by this section, and any provision of the plan or the renewal which is in conflict with this section is void.  6. As used in this section:  (a) "Distant site" has the meaning ascribed to it in NRS 629.515.  (b) "Originating site" has the meaning ascribed to it in NRS 629.515.  (c) "Provider of health care" has the meaning ascribed to it in NRS 439.820.  (d) "Telehealth" has the meaning ascribed to it in NRS 629.515.  (Added to NRS by 2015, 645)
NV Rev Stat § 695D.217 (2021)
2021 Nevada Revised Statutes|Chapter 695D - Plans for Dental Care|NRS 695D.217 - Organization for dental care prohibited from denying coverage solely because person was victim of domestic violence.

An organization for dental care shall not deny a claim, refuse to issue a policy or cancel a policy solely because the claim involves an act that constitutes domestic violence pursuant to NRS 33.018, or because the person applying for or covered by the policy was the victim of such an act of domestic violence, regardless of whether the insured or applicant contributed to any loss or injury.  (Added to NRS by 1997, 1097)
NV Rev Stat § 695D.219 (2021)
2021 Nevada Revised Statutes|Chapter 695D - Plans for Dental Care|NRS 695D.219 - Organization for dental care prohibited from denying coverage solely because member was intoxicated or under the influence of controlled substance; exceptions.

  1. Except as otherwise provided in subsection 2, an organization for dental care shall not:  (a) Deny a claim under a plan for dental care solely because the claim involves an injury sustained by a member as a consequence of being intoxicated or under the influence of a controlled substance.  (b) Cancel participation under a plan for dental care solely because a member has made a claim involving an injury sustained by the member as a consequence of being intoxicated or under the influence of a controlled substance.  (c) Refuse participation under a plan for dental care to an eligible applicant solely because the applicant has made a claim involving an injury sustained by the applicant as a consequence of being intoxicated or under the influence of a controlled substance.  2. The provisions of this section do not prohibit an organization for dental care from enforcing a provision included in a plan for dental care to:  (a) Deny a claim which involves an injury to which a contributing cause was the insured’s commission of or attempt to commit a felony;  (b) Cancel participation under a plan for dental care solely because of such a claim; or  (c) Refuse participation under a plan for dental care to an eligible applicant solely because of such a claim.  (Added to NRS by 2005, 2346)
NV Rev Stat § 695D.220 (2021)
2021 Nevada Revised Statutes|Chapter 695D - Plans for Dental Care|NRS 695D.220 - Licensing of agents.

  1. The provisions of chapter 683A of NRS apply to the licensing of agents for an organization for dental care.  2. As used in this section, "agent" means any person who is associated, directly or indirectly, with the organization and engages in soliciting or enrolling members.  (Added to NRS by 1983, 2027)
NV Rev Stat § 695D.225 (2021)
2021 Nevada Revised Statutes|Chapter 695D - Plans for Dental Care|NRS 695D.225 - Contracts between organization for dental care and dentist: Modification; submission of schedule of payments upon request.

  1. Except as otherwise provided in NRS 695D.227, a contract between an organization for dental care and a dentist may be modified:  (a) At any time pursuant to a written agreement executed by both parties.  (b) Except as otherwise provided in this paragraph, by the organization for dental care upon giving to the dentist 45 days’ written notice of the modification of the organization for dental care’s schedule of payments, including any changes to the fee schedule applicable to the dentist’s practice. If the dentist fails to object in writing to the modification within the 45-day period, the modification becomes effective at the end of that period. If the dentist objects in writing to the modification within the 45-day period, the modification must not become effective unless agreed to by both parties as described in paragraph (a).  2. If an organization for dental care contracts with a dentist, the organization for dental care shall:  (a) If requested by the dentist at the time the contract is made, submit to the dentist the schedule of payments applicable to the dentist; or  (b) If requested by the dentist at any other time, submit to the dentist the schedule of payments, including any changes to the fee schedule applicable to the dentist’s practice, specified in paragraph (a) within 7 days after receiving the request.  3. The provisions of this section do not apply to an organization for dental care that provides services to recipients of Medicaid under the State Plan for Medicaid or insurance pursuant to the Children’s Health Insurance Program pursuant to a contract with the Division of Health Care Financing and Policy of the Department of Health and Human Services. This subsection does not exempt an organization for dental care from any provision of this chapter for services provided pursuant to any other contract.  (Added to NRS by 2011, 2536; A 2013, 1240)
NV Rev Stat § 695D.227 (2021)
2021 Nevada Revised Statutes|Chapter 695D - Plans for Dental Care|NRS 695D.227 - Prohibition of setting of fees by plan or organization for dental care other than covered services to members.

  1. No plan for dental care and no contract between an organization for dental care and a dentist may require, directly or indirectly, that the dentist provide dental care to a member at a fee set by or subject to the approval of the organization for dental care unless the dental care is a covered service.   2. An organization for dental care or any other person providing services as a third-party administrator shall not make available any dentists in its network of dentists to a plan for dental care that sets fees for any dental care except covered services.  3. As used in this section, "covered service" means dental care for which reimbursement is available under a member’s policy, or for which reimbursement would be available but for the application of a contractual limitation, including, without limitation, any deductible, copayment, coinsurance, waiting period, annual or lifetime maximum, frequency limitation, alternative benefit payment or any other limitation.  (Added to NRS by 2013, 1239)
NV Rev Stat § 695D.230 (2021)
2021 Nevada Revised Statutes|Chapter 695D - Plans for Dental Care|NRS 695D.230 - Approval of advertising or materials used to solicit members.

  1. Every organization for dental care must submit any advertising, or other materials to be used to enroll or solicit members, to the Commissioner for approval by the Commissioner before they are used by the organization.  2. If the Commissioner does not disapprove the advertising or other materials within 30 days after they are filed with the Commissioner, they shall be deemed to be approved. If the Commissioner disapproves any of the advertising or other materials because they are false, deceptive, or misleading, the Commissioner shall notify the organization of the reasons for disapproving them. The Commissioner shall grant a hearing on the matter within 15 days after the organization requests, in writing, a hearing on the matter.  3. If any advertising or other materials are circulated, issued, displayed or used in any manner to enroll or solicit members before they are approved by the Commissioner or after the Commissioner has disapproved them, the Commissioner may withdraw approval, if any, of the policy and plan for dental care proposed by the organization or take any other disciplinary action permitted by this chapter against the organization.  (Added to NRS by 1983, 2025)
NV Rev Stat § 695D.240 (2021)
2021 Nevada Revised Statutes|Chapter 695D - Plans for Dental Care|NRS 695D.240 - Limitation on expenses for marketing and administration.

  1. The organization for dental care shall use not more than 25 percent of its prepaid charges or premiums for marketing and administrative expenses, including all costs to solicit members or dentists.  2. The Commissioner may adopt regulations which define "marketing and administrative expenses" for the purposes of subsection 1.  (Added to NRS by 1983, 2026; A 1993, 2401)
NV Rev Stat § 695D.250 (2021)
2021 Nevada Revised Statutes|Chapter 695D - Plans for Dental Care|NRS 695D.250 - Reserves; regulations.

  1. An organization for dental care shall set aside a reserve equal to 3 percent of the premiums collected from its members up to a total of $500,000. This reserve is in addition to the bond or deposit filed with the Commissioner.  2. This section does not apply to organizations receiving money from federal, state or municipal governments or their political subdivisions or another comparable resource which have had their deposit or bond reduced by the Commissioner.  3. Every organization shall maintain the reserves required by NRS 681B.080, unless a larger amount is required by subsection 1 of this section.  4. The reserve required by subsection 1 is held by the organization in a fiduciary capacity. The organization must deposit the reserve in an interest-bearing trust account established in a bank, credit union, savings and loan association or savings bank in this state that is federally insured or insured by a private insurer approved pursuant to NRS 672.755. The account must be separate from all other accounts maintained by the organization.  5. Any person who diverts or appropriates reserves held in a fiduciary capacity pursuant to this section for the person’s own use is guilty of embezzlement.  6. The Commissioner may adopt reasonable regulations related to the adequacy of a reserve required by this section and the establishment and maintenance of a trust account pursuant to this section.  (Added to NRS by 1983, 2026; A 1993, 2401; 1999, 1554)
NV Rev Stat § 695D.260 (2021)
2021 Nevada Revised Statutes|Chapter 695D - Plans for Dental Care|NRS 695D.260 - Annual report, financial statement and tax; quarterly statement; administrative penalty for failure to file report or statement; extension of time.

  1. Every organization for dental care shall file with the Commissioner on or before March 1 of each year a report covering its activities for the preceding calendar year. The report must be verified by at least two officers of the organization.  2. The report must be on a form prescribed by the Commissioner and must include:  (a) A financial statement of the organization, including its balance sheet and receipts and disbursements for the preceding calendar year.  (b) Any material changes in the information given in the previous report.  (c) The number of members enrolled in that year, the number of members whose coverage has been terminated in that year and the total number of members at the end of the year.  (d) The costs of all goods, services and dental care provided that year.  (e) Any other information relating to the plan for dental care requested by the Commissioner.  3. Every organization for dental care shall file with the Commissioner annually an audited financial statement in accordance with the provisions of subsection 1 of NRS 680A.265.  4. Every organization for dental care shall file with the Commissioner and the National Association of Insurance Commissioners a quarterly statement in the form most recently adopted by the National Association of Insurance Commissioners for that type of insurer. The quarterly statement must be:  (a) Prepared in accordance with the instructions which are applicable to that form, including, without limitation, the required date of submission for the form; and  (b) Filed by electronic means.  5. If an organization fails to file timely a report or financial statement required by this section, it shall pay an administrative penalty of $100 per day until the report or statement is filed, except that the total penalty must not exceed $3,000. The Attorney General shall recover the penalty in the name of the State of Nevada.  6. The Commissioner may grant a reasonable extension of time for filing any report or statement required by this section, if the request for an extension is submitted in writing and shows good cause.  7. The organization shall pay the Department of Taxation the annual tax, any penalty for nonpayment or delinquent payment of the tax imposed in chapter 680B of NRS, and a filing fee of $25 to the Commissioner, at the time the annual report is filed.  (Added to NRS by 1983, 2026; A 1987, 471; 1991, 2206; 1993, 1923; 1995, 1633, 2682; 2019, 1720)
NV Rev Stat § 695D.270 (2021)
2021 Nevada Revised Statutes|Chapter 695D - Plans for Dental Care|NRS 695D.270 - Examination of organization by Commissioner.

  1. The Commissioner shall, not less frequently than once every 3 years, conduct an examination of an organization for dental care pursuant to NRS 679B.250 to 679B.300, inclusive.  2. The Commissioner may examine any organization which holds a certificate of authority from this State or another state at any other time the Commissioner deems necessary. For those organizations transacting business in this State which are not organized in this State, the Commissioner may accept a full report of the last examination of the organization certified by the state officer who supervises those organizations in the other state, if that examination is equivalent to an examination conducted by the Commissioner.  3. The Commissioner shall, in like manner, examine all organizations applying for a certificate of authority.  (Added to NRS by 1983, 2027; A 2007, 3330)
NV Rev Stat § 695D.280 (2021)
2021 Nevada Revised Statutes|Chapter 695D - Plans for Dental Care|NRS 695D.280 - Rehabilitation, liquidation or conservation.

Any rehabilitation, liquidation or conservation of an organization for dental care shall be deemed to be the rehabilitation, liquidation or conservation of an insurer and must be conducted pursuant to chapter 696B of NRS.  (Added to NRS by 1983, 2027)
NV Rev Stat § 695D.290 (2021)
2021 Nevada Revised Statutes|Chapter 695D - Plans for Dental Care|NRS 695D.290 - Trade practices and frauds.

The provisions of NRS 686A.010 to 686A.310, inclusive, relating to trade practices and frauds apply to organizations for dental care.  (Added to NRS by 1983, 2027)
NV Rev Stat § 695D.300 (2021)
2021 Nevada Revised Statutes|Chapter 695D - Plans for Dental Care|NRS 695D.300 - Disciplinary actions; penalties.

  1. The Commissioner may suspend or revoke any certificate of authority issued to an organization for dental care or impose a fine of not more than $500 for each violation if the Commissioner finds that:  (a) The organization is operating contrary to the information it submitted to the Commissioner for its certificate of authority;  (b) The organization issued a policy to a member which was not approved by the Commissioner;  (c) The plan for dental care does not provide basic services appropriate for such a plan;  (d) The organization can no longer meet its obligations to members or prospective members;  (e) The organization or any person on its behalf has advertised its plan in an untrue, misleading, deceptive or unfair manner; or  (f) The organization has failed to comply substantially with this chapter or the regulations of the Commissioner.  2. If the certificate of authority of an organization is suspended, the organization shall not, during the period of the suspension, accept any new members and shall not advertise for or solicit any new members.  3. If the certificate of authority of an organization is revoked, the organization shall proceed, immediately following the order, to terminate its affairs and shall conduct no other business. The Commissioner, by written order, may approve the continued operation of the organization for a specified time if the Commissioner finds that the members need that time to obtain coverage for dental care from another organization or insurer.  (Added to NRS by 1983, 2027)
NV Rev Stat § 695D.310 (2021)
2021 Nevada Revised Statutes|Chapter 695D - Plans for Dental Care|NRS 695D.310 - Notice of disciplinary action; hearing; order.

  1. If the Commissioner believes that grounds for denying a certificate of authority or for suspending or revoking a certificate exist, the Commissioner shall notify the organization for dental care in writing, specifying the grounds for the denial, suspension or revocation and fix a time for a hearing on the matter within 30 days after the notice.  2. After the hearing or upon the failure of the organization to appear at the hearing, the Commissioner shall enter a written order of the decision of the Commissioner which must be mailed by certified mail to the organization.  (Added to NRS by 1983, 2028)
NV Rev Stat § 695E.010 (2021)
2021 Nevada Revised Statutes|Chapter 695E - Liability Risk Retention|NRS 695E.010 - Statement of purpose.

The purpose of this chapter is to regulate the formation and operation in this state of organizations formed pursuant to the provisions of the Liability Risk Retention Act of 1986.  (Added to NRS by 1987, 1327)
NV Rev Stat § 695E.020 (2021)
2021 Nevada Revised Statutes|Chapter 695E - Liability Risk Retention|NRS 695E.020 - Definitions.

As used in this chapter, the words and terms defined in NRS 695E.030 to 695E.110, inclusive, have the meanings ascribed to them in those sections.  (Added to NRS by 1987, 1327)
NV Rev Stat § 695E.030 (2021)
2021 Nevada Revised Statutes|Chapter 695E - Liability Risk Retention|NRS 695E.030 - "Completed operations liability" defined.

  1. "Completed operations liability" means liability arising out of the installation, maintenance or repair of any product at a site that is not owned or controlled by:  (a) Any person who performs the work; or  (b) Any person who hires an independent contractor to perform the work.  2. The term includes liability for activities that are completed or abandoned before the occurrence giving rise to the liability.  (Added to NRS by 1987, 1328)