reglab/housing_qa huggingface dataset:
NV Rev Stat § 687B.460 (2021)
2021 Nevada Revised Statutes|Chapter 687B - Contracts of Insurance|NRS 687B.460 - Certificates of insurance for property or casualty insurance.

A certificate of insurance issued regarding a contract or policy of property or casualty insurance, other than a group master policy, which is delivered or issued for delivery in this State:  1. Does not constitute any part of the contract or policy of insurance; and  2. Does not amend any term or alter or extend any coverage, exclusion or condition of the contract or policy of insurance.  (Added to NRS by 2011, 1834)
NV Rev Stat § 687B.470 (2021)
2021 Nevada Revised Statutes|Chapter 687B - Contracts of Insurance|NRS 687B.470 - "Health benefit plan" defined. [Effective through December 31, 2019.]

  1. As used in NRS 687B.470 to 687B.500, inclusive, "health benefit plan" means a policy, contract, certificate or agreement offered by a carrier to provide for, deliver payment for, arrange for the payment of, pay for or reimburse any of the costs of health care services. Except as otherwise provided in this section, the term includes catastrophic health insurance policies and a policy that pays on a cost-incurred basis.   2. The term does not include:  (a) Coverage that is only for accident or disability income insurance, or any combination thereof;  (b) Coverage issued as a supplement to liability insurance;  (c) Liability insurance, including general liability insurance and automobile liability insurance;  (d) Workers’ compensation or similar insurance;  (e) Coverage for medical payments under a policy of automobile insurance;  (f) Credit insurance;  (g) Coverage for on-site medical clinics;  (h) Other similar insurance coverage specified pursuant to the Health Insurance Portability and Accountability Act of 1996, Public Law 104-191, under which benefits for medical care are secondary or incidental to other insurance benefits;  (i) Coverage under a short-term health insurance policy; and  (j) Coverage under a blanket student accident and health insurance policy.  3. The term does not include the following benefits if the benefits are provided under a separate policy, certificate or contract of insurance or are otherwise not an integral part of a health benefit plan:  (a) Limited-scope dental or vision benefits;  (b) Benefits for long-term care, nursing home care, home health care or community-based care, or any combination thereof; and  (c) Such other similar benefits as are specified in any federal regulations adopted pursuant to the Health Insurance Portability and Accountability Act of 1996, Public Law 104-191.  4. The term does not include the following benefits if the benefits are provided under a separate policy, certificate or contract, there is no coordination between the provisions of the benefits and any exclusion of benefits under any group health plan maintained by the same plan sponsor, and the benefits are paid for a claim without regard to whether benefits are provided for such a claim under any group health plan maintained by the same plan sponsor:  (a) Coverage that is only for a specified disease or illness; and  (b) Hospital indemnity or other fixed indemnity insurance.  5. The term does not include any of the following, if offered as a separate policy, certificate or contract of insurance:  (a) Medicare supplemental health insurance as defined in section 1882(g)(1) of the Social Security Act, 42 U.S.C. § 1395ss, as that section existed on July 16, 1997;  (b) Coverage supplemental to the coverage provided pursuant to the Civilian Health and Medical Program of Uniformed Services, CHAMPUS, 10 U.S.C. §§ 1071 et seq.; and   (c) Similar supplemental coverage provided under a group health plan.  (Added to NRS by 2013, 3606; A 2017, 2354)
NV Rev Stat § 687B.480 (2021)
2021 Nevada Revised Statutes|Chapter 687B - Contracts of Insurance|NRS 687B.480 - Availability. [Effective through December 31, 2019.]

All health benefit plans must be made available in the manner required by 45 C.F.R. § 147.104.  (Added to NRS by 2013, 3607; A 2019, 1440)
NV Rev Stat § 687B.480 (2021)
2021 Nevada Revised Statutes|Chapter 687B - Contracts of Insurance|NRS 687B.480 - Availability; required notice; regulations. [Effective January 1, 2020.]

  1. All health benefit plans must be made available in the manner required by 45 C.F.R. § 147.104.  2. Except as otherwise provided in this subsection, a carrier offering a health benefit plan for individuals that is not being purchased on the Silver State Health Insurance Exchange established by NRS 695I.210 must include on its enrollment Internet website and printed enrollment information a notice to inform consumers that consumers may be eligible for financial assistance with their health insurance premiums or other out-of-pocket expenses by enrolling on the Silver State Health Insurance Exchange established by NRS 695I.210. A carrier is not required to provide the notice required by this subsection if such financial assistance is not available. The notice required by this subsection must contain the following statement: You can also enroll in a health insurance plan for you and your family through the Silver State Health Insurance Exchange (Nevada’s state-based health insurance exchange). The Silver State Health Insurance Exchange allows you to get quotes from different insurance companies that are available on the Exchange. You can compare different plans, get quotes and find out if you qualify for financial assistance. The Silver State Health Insurance Exchange is the only way to receive financial assistance for your health insurance. You can enroll online by visiting www.nevadahealthlink.com or by calling 1-800-547-2927 TTY 711.  3. The Commissioner may adopt regulations to carry out the provisions of subsection 2, including, without limitation, regulations to require additional information to be provided in the notice required by subsection 2.  (Added to NRS by 2013, 3607; A 2019, 1428, 1440, effective January 1, 2020)
NV Rev Stat § 687B.500 (2021)
2021 Nevada Revised Statutes|Chapter 687B - Contracts of Insurance|NRS 687B.500 - Basis for premium rate; exceptions.

  1. The premium rate charged by a health insurer for health benefit plans offered in the individual or small employer group market may vary with respect to the particular plan or coverage involved based solely on these characteristics:  (a) Whether the plan or coverage applies to an individual or a family;  (b) Geographic rating area;  (c) Tobacco use, except that the rate shall not vary by a ratio of more than 1.5 to 1 for like individuals who vary in tobacco use; and  (d) Age, except that the rate must not vary by a ratio of more than 3 to 1 for like individuals of different age who are age 21 years or older and that the variation in rate must be actuarially justified for individuals who are under the age of 21 years, consistent with the uniform age rating curve established in the Federal Act. For the purpose of identifying the appropriate age adjustment under this paragraph and the age band defined in the Federal Act to a specific enrollee, the enrollee’s age as of the date of policy issuance or renewal must be used.  2. The provisions of subsection 1:  (a) Apply to a fraternal benefit society organized under chapter 695A of NRS; and  (b) Do not apply to grandfathered plans.  3. As used in this section, "small employer" has the meaning ascribed to it in NRS 689C.095.  (Added to NRS by 2013, 3608; A 2017, 2356)
NV Rev Stat § 687B.600 (2021)
2021 Nevada Revised Statutes|Chapter 687B - Contracts of Insurance|NRS 687B.600 - Definitions.

As used in NRS 687B.600 to 687B.850, inclusive, unless the context otherwise requires, the words and terms defined in NRS 687B.605 to 687B.665, inclusive, have the meanings ascribed to them in those sections.  (Added to NRS by 2017, 2349; A 2019, 298, 1605)
NV Rev Stat § 687B.605 (2021)
2021 Nevada Revised Statutes|Chapter 687B - Contracts of Insurance|NRS 687B.605 - "Covered person" defined.

Covered person means a policyholder, subscriber, enrollee or other person participating in a network plan.  (Added to NRS by 2017, 2349)
NV Rev Stat § 687B.607 (2021)
2021 Nevada Revised Statutes|Chapter 687B - Contracts of Insurance|NRS 687B.607 - "Direct notification" defined. [Effective January 1, 2020.]

Direct notification means a written or electronic communication from a health carrier to a provider of health care documenting third-party access to a network.  (Added to NRS by 2019, 1602, effective January 1, 2020)
NV Rev Stat § 687B.610 (2021)
2021 Nevada Revised Statutes|Chapter 687B - Contracts of Insurance|NRS 687B.610 - "Evidence of coverage" defined.

Evidence of coverage means any certificate, agreement or contract issued to a covered person by a health carrier setting forth the coverage to which the covered person is entitled pursuant to a network plan.  (Added to NRS by 2017, 2349)
NV Rev Stat § 687B.615 (2021)
2021 Nevada Revised Statutes|Chapter 687B - Contracts of Insurance|NRS 687B.615 - "Health benefit plan" defined.

Health benefit plan has the meaning ascribed to it in NRS 695G.019.  (Added to NRS by 2017, 2349)
NV Rev Stat § 687B.620 (2021)
2021 Nevada Revised Statutes|Chapter 687B - Contracts of Insurance|NRS 687B.620 - "Health care services" defined.

Health care services has the meaning ascribed to it in NRS 695G.022.  (Added to NRS by 2017, 2349)
NV Rev Stat § 687B.625 (2021)
2021 Nevada Revised Statutes|Chapter 687B - Contracts of Insurance|NRS 687B.625 - "Health carrier" defined.

Health carrier has the meaning ascribed to it in NRS 695G.024.  (Added to NRS by 2017, 2349)
NV Rev Stat § 687B.630 (2021)
2021 Nevada Revised Statutes|Chapter 687B - Contracts of Insurance|NRS 687B.630 - "Intermediary" defined.

Intermediary means a person authorized to negotiate and execute a contract between a provider of health care and a health carrier entered into for the purposes of a network plan, whether the person acts on behalf of the provider of health care or the health carrier.  (Added to NRS by 2017, 2349)
NV Rev Stat § 687B.635 (2021)
2021 Nevada Revised Statutes|Chapter 687B - Contracts of Insurance|NRS 687B.635 - "Medically necessary" defined.

Medically necessary has the meaning ascribed to it in NRS 695G.055.  (Added to NRS by 2017, 2349)
NV Rev Stat § 687B.640 (2021)
2021 Nevada Revised Statutes|Chapter 687B - Contracts of Insurance|NRS 687B.640 - "Network" defined.

Network means a defined set of providers of health care who are under contract with a health carrier to provide health care services pursuant to a network plan offered or issued by the health carrier.  (Added to NRS by 2017, 2349)
NV Rev Stat § 687B.645 (2021)
2021 Nevada Revised Statutes|Chapter 687B - Contracts of Insurance|NRS 687B.645 - "Network plan" defined.

Network plan means a health benefit plan offered or issued by a health carrier under which the financing and delivery of health care services, including, without limitation, items and services paid for as health care services, are provided, in whole or in part, through a defined set of providers of health care under contract with the health carrier. The term does not include an arrangement for the financing of premiums.  (Added to NRS by 2017, 2349)
NV Rev Stat § 687B.650 (2021)
2021 Nevada Revised Statutes|Chapter 687B - Contracts of Insurance|NRS 687B.650 - "Participating provider of health care" defined.

Participating provider of health care means a provider of health care who, under a contract with a health carrier, has agreed to provide health care services to covered persons pursuant to a network plan with an expectation of receiving payment, other than coinsurance, copayments or deductibles, directly or indirectly from the health carrier.  (Added to NRS by 2017, 2349)
NV Rev Stat § 687B.655 (2021)
2021 Nevada Revised Statutes|Chapter 687B - Contracts of Insurance|NRS 687B.655 - "Primary care physician" defined.

Primary care physician has the meaning ascribed to it in NRS 695G.060.  (Added to NRS by 2017, 2350)
NV Rev Stat § 687B.658 (2021)
2021 Nevada Revised Statutes|Chapter 687B - Contracts of Insurance|NRS 687B.658 - "Provider network contract" defined. [Effective January 1, 2020.]

Provider network contract means a contract between a health carrier and a provider of health care specifying the rights and responsibilities of the health carrier and the provider of health care for delivery of health care services pursuant to a network plan.  (Added to NRS by 2019, 1602, effective January 1, 2020)
NV Rev Stat § 687B.660 (2021)
2021 Nevada Revised Statutes|Chapter 687B - Contracts of Insurance|NRS 687B.660 - "Provider of health care" defined.

Provider of health care has the meaning ascribed to it in NRS 695G.070.  (Added to NRS by 2017, 2350)
NV Rev Stat § 687B.664 (2021)
2021 Nevada Revised Statutes|Chapter 687B - Contracts of Insurance|NRS 687B.664 - "Third party" defined. [Effective January 1, 2020.]

Third party means an organization that enters into a contract with a health carrier or with another third party to gain access to a provider network contract.  (Added to NRS by 2019, 1602, effective January 1, 2020)
NV Rev Stat § 687B.665 (2021)
2021 Nevada Revised Statutes|Chapter 687B - Contracts of Insurance|NRS 687B.665 - "Utilization review" defined.

Utilization review has the meaning ascribed to it in NRS 695G.080.  (Added to NRS by 2017, 2350)
NV Rev Stat § 687B.670 (2021)
2021 Nevada Revised Statutes|Chapter 687B - Contracts of Insurance|NRS 687B.670 - Requirements to offer or issue network plan.

If a health carrier offers or issues a network plan, the health carrier shall, with regard to that network plan:  1. Comply with all applicable requirements set forth in NRS 687B.600 to 687B.850, inclusive;  2. As applicable, ensure that each contract entered into for the purposes of the network plan between a participating provider of health care and the health carrier complies with the requirements set forth in NRS 687B.600 to 687B.850, inclusive; and  3. As applicable, ensure that the network plan complies with the requirements set forth in NRS 687B.600 to 687B.850, inclusive.  (Added to NRS by 2017, 2350; A 2019, 298)
NV Rev Stat § 687B.675 (2021)
2021 Nevada Revised Statutes|Chapter 687B - Contracts of Insurance|NRS 687B.675 - Provision of information to the Office for Consumer Health Assistance. [Effective January 1, 2020.]

  1. A health carrier which offers or issues a network plan shall:  (a) Provide to the Office for Consumer Health Assistance at least annually the telephone number and electronic mail address of a navigator, case manager or facilitator employed by the health carrier and update that information when the information changes.  (b) On or before December 31 of each year, submit to the Office for Consumer Health Assistance, for the immediately preceding 12 months, for each type of provider of health care in the applicable network:  (1) The number of times covered persons reported difficulty accessing health care services;  (2) The number of times covered persons used a navigator, case manager or facilitator to assist in accessing health care services;  (3) The number of cases described in subparagraph (2) that were resolved by navigators, case managers or facilitators; and  (4) The average period between when a covered person reports difficulty accessing health care services to the resolution of the case by a navigator, case manager or facilitator.  2. As used in this section:  (a) "Navigator, case manager or facilitator" means an employee of a health carrier whose duties include assisting covered persons in accessing health care services.  (b) "Office for Consumer Health Assistance" means the Office for Consumer Health Assistance established by NRS 232.458.  (Added to NRS by 2019, 297, effective January 1, 2020)
NV Rev Stat § 687B.680 (2021)
2021 Nevada Revised Statutes|Chapter 687B - Contracts of Insurance|NRS 687B.680 - Health carrier to notify participating providers of health care of services covered by network plan.

A health carrier which offers or issues a network plan shall, with regard to that network plan, establish a mechanism by which each participating provider of health care in the network will be notified on an ongoing basis of the specific health care services which are covered by the network plan and for which the participating provider of health care will be responsible, including, without limitation, any restrictions or conditions on the health care services.  (Added to NRS by 2017, 2350)
NV Rev Stat § 687B.690 (2021)
2021 Nevada Revised Statutes|Chapter 687B - Contracts of Insurance|NRS 687B.690 - Required provisions in contract between participating provider of health care and health carrier.

Each contract entered into for the purposes of a network plan between a participating provider of health care and the health carrier must include, without limitation, a provision which is substantially similar to the following: Provider of health care agrees that in no event, including but not limited to, nonpayment by the health carrier or intermediary, insolvency of the health carrier or intermediary or breach of this agreement, shall the provider of health care bill, charge, collect a deposit from, seek compensation, remuneration or reimbursement from, or have any recourse against, a covered person or a person (other than the health carrier or intermediary) acting on behalf of the covered person for health care services provided pursuant to this agreement. This agreement does not prohibit the provider of health care from collecting coinsurance, deductibles or copayments, as specifically provided in the evidence of coverage, or fees for uncovered services delivered on a fee-for-service basis to covered persons. This agreement does not prohibit a provider of health care (except for a provider of health care who is employed full-time on the staff of the health carrier and has agreed to provide health care services exclusively to the health carrier’s covered persons and no others) and a covered person from agreeing to continue health care services solely at the expense of the covered person, as long as the provider of health care has clearly informed the covered person that the health carrier may not cover or continue to cover a specific health care service or health care services. Except as provided herein, this agreement does not prohibit the provider of health care from pursuing any available legal remedy.  (Added to NRS by 2017, 2350)
NV Rev Stat § 687B.693 (2021)
2021 Nevada Revised Statutes|Chapter 687B - Contracts of Insurance|NRS 687B.693 - Access to services and contractual discounts of a provider of health care: Inapplicability of provisions. [Effective January 1, 2020.]

NRS 687B.693 to 687B.697, inclusive, do not apply:  1. To provider network contracts for health care services provided to covered persons under Medicare or the State Plan for Medicaid, or the Children’s Health Insurance Program.  2. In circumstances where access to the provider network contract is granted to an entity operating under the same brand license program as the contracting entity.  3. To a health benefit plan which provides:  (a) Coverage that is only for accident or disability income insurance, or any combination thereof.  (b) Coverage issued as a supplement to liability insurance.  (c) Coverage for on-site medical clinics.  (d) Coverage under a blanket student accident and health insurance policy.  (e) Other similar insurance coverage specified pursuant to the Health Insurance Portability and Accountability Act of 1996, Public Law 104-191, under which benefits for medical care are secondary or incidental to other insurance benefits.  4. To credit insurance.  5. To the following benefits if the benefits are provided under a separate policy, certificate or contract of insurance or are otherwise not an integral part of a health benefit plan:  (a) Limited-scope vision benefits;  (b) Benefits for long-term care, nursing home care, home health care or community-based care, or any combination thereof; and  (c) Such other similar benefits as are specified in any federal regulations adopted pursuant to the Health Insurance Portability and Accountability Act of 1996, Public Law 104-191.  6. To the following benefits if the benefits are provided under a separate policy, certificate or contract, there is no coordination between the provisions of the benefits and any exclusion of benefits under any group health plan maintained by the same plan sponsor, and the benefits are paid for a claim without regard to whether benefits are provided for such a claim under any group health plan maintained by the same plan sponsor:  (a) Coverage that is only for a specified disease or illness; and  (b) Hospital indemnity or other fixed indemnity insurance.  7. To any of the following, if offered as a separate policy, certificate or contract of insurance:  (a) Medicare supplemental health insurance as defined in section 1882(g)(1) of the Social Security Act, 42 U.S.C. § 1395ss, as that section existed on July 16, 1997;  (b) Coverage supplemental to the coverage provided pursuant to the Civilian Health and Medical Program of Uniformed Services, TRICARE, 10 U.S.C. §§ 1071 et seq.; and   (c) Similar supplemental coverage provided under a group health plan.  (Added to NRS by 2019, 1602, effective January 1, 2020)
NV Rev Stat § 687B.695 (2021)
2021 Nevada Revised Statutes|Chapter 687B - Contracts of Insurance|NRS 687B.695 - Access to services and contractual discounts of a provider of health care: Access by third parties. [Effective January 1, 2020.]

  1. A third party, having itself been granted access to services and contractual discounts of a provider of health care pursuant to a provider network contract, that subsequently grants access to another third party, is obligated to comply with the rights and responsibilities imposed on contracting entities pursuant to NRS 687B.694 and 687B.696.  2. A third party that enters into a contract with another third party to access services and contractual discounts of a provider of health care pursuant to a provider network contract is obligated to comply with the rights and responsibilities imposed on third parties under this section.  (Added to NRS by 2019, 1604, effective January 1, 2020)
NV Rev Stat § 687B.696 (2021)
2021 Nevada Revised Statutes|Chapter 687B - Contracts of Insurance|NRS 687B.696 - Access to services and contractual discounts of a provider of health care: Information required to be provided by third parties. [Effective January 1, 2020.]

  1. A third party shall inform the health carrier and providers of health care under the provider network contract of the health carrier of the location of a website, toll-free number, or other readily available mechanism to identify the name of a person or entity to which the third party subsequently grants access to the services and contractual discounts of the provider of health care pursuant to the provider network contract.  2. The website must be updated on a routine basis when additional persons or entities are granted access. The website must be updated every 90 days to reflect all current persons and entities with access. Upon request, a health carrier shall make access to information available to a provider of health care via telephone or through direct notification.  (Added to NRS by 2019, 1604, effective January 1, 2020)