reglab/housing_qa huggingface dataset:
NV Rev Stat § 695B.193 (2021)
2021 Nevada Revised Statutes|Chapter 695B - Nonprofit Corporations for Hospital, Medical and Dental Service|NRS 695B.193 - Required provision concerning coverage for newly born and adopted children and children placed for adoption. [Effective January 1, 2020.]

  1. All individual and group service or indemnity-type contracts issued by a nonprofit corporation which provide coverage for a family member of the subscriber must as to such coverage provide that the health benefits applicable for children are payable with respect to:  (a) A newly born child of the subscriber from the moment of birth;  (b) An adopted child from the date the adoption becomes effective, if the child was not placed in the home before adoption; and  (c) A child placed with the subscriber for the purpose of adoption from the moment of placement as certified by the public or private agency making the placement. The coverage of such a child ceases if the adoption proceedings are terminated as certified by the public or private agency making the placement.  The contracts must provide the coverage specified in subsection 3, and must not exclude premature births.  2. The contract may require that notification of:  (a) The birth of a newly born child;  (b) The effective date of adoption of a child; or  (c) The date of placement of a child for adoption,  and payments of the required fees, if any, must be furnished to the nonprofit service corporation within 31 days after the date of birth, adoption or placement for adoption in order to have the coverage continue beyond the 31-day period.  3. The coverage for newly born and adopted children and children placed for adoption consists of coverage of injury or sickness, including the necessary care and treatment of medically diagnosed congenital defects and birth abnormalities and, within the limits of the policy, necessary transportation costs from place of birth to the nearest specialized treatment center under major medical policies, and with respect to basic policies to the extent such costs are charged by the treatment center.  4. For covered services provided to the child, the corporation 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 1975, 1110; A 1989, 741; 1995, 2434; 1997, 2956; 2019, 306, effective January 1, 2020)
NV Rev Stat § 695B.1931 (2021)
2021 Nevada Revised Statutes|Chapter 695B - Nonprofit Corporations for Hospital, Medical and Dental Service|NRS 695B.1931 - Required provision concerning coverage relating to treatment of temporomandibular joint.

  1. Except as otherwise provided in this section, no contract for hospital or medical service may be delivered or issued for delivery in this state if it contains an exclusion of coverage of the treatment of the temporomandibular joint whether by specific language in the contract or by a claims settlement practice. A contract for hospital or medical service may exclude coverage of those methods of treatment which are recognized as dental procedures, including, but not limited to, the extraction of teeth and the application of orthodontic devices and splints.  2. Pursuant to a contract for hospital or medical service, a corporation may limit its liability on the treatment of the temporomandibular joint to:  (a) No more than 50 percent of the usual and customary charges for such treatment actually received by a subscriber, but in no case more than 50 percent of the maximum benefits provided by the contract for such treatment; and  (b) Treatment which is medically necessary.  3. Any provision of a contract subject to the provisions of this chapter and issued or delivered on or after January 1, 1990, which is in conflict with this section is void.  (Added to NRS by 1989, 2138)
NV Rev Stat § 695B.1932 (2021)
2021 Nevada Revised Statutes|Chapter 695B - Nonprofit Corporations for Hospital, Medical and Dental Service|NRS 695B.1932 - Required provision concerning coverage for early refills of topical ophthalmic products.

  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.  (Added to NRS by 2015, 207)
NV Rev Stat § 695B.1942 (2021)
2021 Nevada Revised Statutes|Chapter 695B - Nonprofit Corporations for Hospital, Medical and Dental Service|NRS 695B.1942 - Required provision concerning coverage for prostate cancer screening.

  1. A policy of health insurance issued by a hospital or medical service corporation that provides coverage for the treatment of prostate cancer must provide coverage for prostate cancer screening in accordance with:  (a) The guidelines concerning prostate cancer screening which are published by the American Cancer Society; or  (b) Other guidelines or reports concerning prostate cancer screening which are published by nationally recognized professional organizations and which include current or prevailing supporting scientific data.  2. A policy of health insurance issued by a hospital or medical service corporation that provides coverage for the treatment of prostate cancer must not require an insured to obtain prior authorization for any service provided pursuant to subsection 1.  3. A policy of health insurance issued by a hospital or medical service corporation that provides coverage for the treatment of prostate cancer which is delivered, issued for delivery or renewed on or after July 1, 2007, has the legal effect of including the coverage required by subsection 1, and any provision of the policy or the renewal which is in conflict with subsection 1 is void.  (Added to NRS by 2007, 3238)
NV Rev Stat § 695B.1944 (2021)
2021 Nevada Revised Statutes|Chapter 695B - Nonprofit Corporations for Hospital, Medical and Dental Service|NRS 695B.1944 - Required provision concerning coverage for employee or member on leave without pay as result of total disability.

  1. As used in this section, "total disability" and "totally disabled" mean the continuing inability of the employee or member, because of an injury or illness, to perform substantially the duties related to his or her employment for which the employee or member is otherwise qualified.  2. No group subscriber contract for hospital, medical or dental service may be delivered or issued for delivery in this state unless it provides continuing coverage for an employee or member and dependents of the employee or member who are otherwise covered by the policy while the employee or member is on leave without pay as a result of a total disability. The coverage must be for any injury or illness suffered by the employee or member which is not related to the total disability or for any injury or illness suffered by a dependent of the employee or member. The coverage for such injury or illness must be equal to or greater than the coverage otherwise provided by the policy.  3. The coverage required pursuant to subsection 2 must continue until:  (a) The date on which the employment of the employee or member is terminated;  (b) The date on which the employee or member obtains another policy of health insurance;  (c) The date on which the group subscriber contract is terminated; or  (d) After a period of 12 months in which benefits under such coverage are provided to the employee or member,  whichever occurs first.  (Added to NRS by 1989, 1251)
NV Rev Stat § 695B.1948 (2021)
2021 Nevada Revised Statutes|Chapter 695B - Nonprofit Corporations for Hospital, Medical and Dental Service|NRS 695B.1948 - Contract that includes coverage for maternity care must not deny coverage for gestational carrier; status of child in relation to intended parent. [Effective January 1, 2020.]

  1. An insurer that offers or issues a contract for hospital or medical services that includes coverage for maternity care shall not deny, limit or seek reimbursement for maternity care because the insured is acting as a gestational carrier.  2. If an insured acts as a gestational carrier, the child shall be deemed to be a child of the intended parent, as defined in NRS 126.590, for purposes related to the contract for hospital or medical services.  3. As used in this section, "gestational carrier" has the meaning ascribed to it in NRS 126.580.  (Added to NRS by 2019, 1006, effective January 1, 2020)
NV Rev Stat § 695B.1951 (2021)
2021 Nevada Revised Statutes|Chapter 695B - Nonprofit Corporations for Hospital, Medical and Dental Service|NRS 695B.1951 - Reimbursement for treatment by podiatrist.

  1. If any contract for hospital or medical services provides coverage for treatment of an illness which is within the authorized scope of practice of a qualified podiatrist, the insured is entitled to reimbursement for treatments by a podiatrist who is licensed pursuant to chapter 635 of NRS.  2. The terms of the policy must not limit:  (a) Coverage for treatments by a podiatrist to a number less than for treatments by other physicians.  (b) Reimbursement for treatments by a podiatrist to an amount less than that reimbursed for similar treatments by other physicians.  (Added to NRS by 2007, 1046)
NV Rev Stat § 695B.1955 (2021)
2021 Nevada Revised Statutes|Chapter 695B - Nonprofit Corporations for Hospital, Medical and Dental Service|NRS 695B.1955 - Reimbursement for treatment by licensed clinical alcohol and drug abuse counselor.

If any contract for hospital or medical service provides coverage for treatment of an illness which is within the authorized scope of practice of a licensed clinical alcohol and drug abuse counselor, the insured is entitled to reimbursement for treatment by a clinical alcohol and drug abuse counselor who is licensed pursuant to chapter 641C of NRS unless the clinical alcohol and drug abuse counselor must be directly reimbursed pursuant to:  1. An assignment of benefits described in NRS 687B.409; or  2. Any other applicable assignment of benefits.  (Added to NRS by 2007, 3094; A 2017, 2210)
NV Rev Stat § 695B.196 (2021)
2021 Nevada Revised Statutes|Chapter 695B - Nonprofit Corporations for Hospital, Medical and Dental Service|NRS 695B.196 - Reimbursement for acupuncture.

If any contract for hospital or medical services provides coverage for acupuncture performed by a physician, the insured is entitled to reimbursement for acupuncture performed by a person who is licensed pursuant to chapter 634A of NRS.  (Added to NRS by 1991, 1134)
NV Rev Stat § 695B.197 (2021)
2021 Nevada Revised Statutes|Chapter 695B - Nonprofit Corporations for Hospital, Medical and Dental Service|NRS 695B.197 - Reimbursement for treatment by licensed psychologist.

If any contract for hospital or medical service 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 treatments by a licensed psychologist.  (Added to NRS by 1981, 576; A 1989, 1553; 2017, 935)
NV Rev Stat § 695B.1973 (2021)
2021 Nevada Revised Statutes|Chapter 695B - Nonprofit Corporations for Hospital, Medical and Dental Service|NRS 695B.1973 - Reimbursement for treatment by licensed marriage and family therapist or licensed clinical professional counselor.

If any contract for hospital or medical service provides coverage for treatment of an illness which is within the authorized scope of practice of a licensed marriage and family therapist or licensed clinical professional counselor, the insured is entitled to reimbursement for treatment by a marriage and family therapist or clinical professional counselor who is licensed pursuant to chapter 641A of NRS.  (Added to NRS by 1987, 2133; A 2007, 3094)
NV Rev Stat § 695B.1975 (2021)
2021 Nevada Revised Statutes|Chapter 695B - Nonprofit Corporations for Hospital, Medical and Dental Service|NRS 695B.1975 - Reimbursement for treatment by licensed associate in social work, social worker, independent social worker or clinical social worker.

If any contract for hospital or medical service provides coverage for treatment of an illness which is within the authorized scope of the practice of a licensed associate in social work, social worker, independent social worker or clinical social worker, the insured is entitled to reimbursement for treatment by an associate in social work, social worker, independent social worker or clinical social worker who is licensed pursuant to chapter 641B of NRS.  (Added to NRS by 1987, 1123)
NV Rev Stat § 695B.198 (2021)
2021 Nevada Revised Statutes|Chapter 695B - Nonprofit Corporations for Hospital, Medical and Dental Service|NRS 695B.198 - Reimbursement for treatment by chiropractor.

  1. If any contract for hospital or medical service provides coverage for treatment of an illness which is within the authorized scope of practice of a qualified chiropractor, the insured is entitled to reimbursement for treatments by a chiropractor who is licensed pursuant to chapter 634 of NRS.  2. The terms of the policy must not limit:  (a) Coverage for treatments by a chiropractor to a number less than for treatments by other physicians.  (b) Reimbursement for treatments by a chiropractor to an amount less than that charged for similar treatments by other physicians.  (Added to NRS by 1981, 930; A 1983, 328)
NV Rev Stat § 695B.199 (2021)
2021 Nevada Revised Statutes|Chapter 695B - Nonprofit Corporations for Hospital, Medical and Dental Service|NRS 695B.199 - Reimbursement for services provided by certain nurses; prohibited limitations; exception.

  1. If any contract for medical service provides coverage for services which are within the authorized scope of practice of a registered nurse who is authorized pursuant to chapter 632 of NRS to perform additional acts in an emergency or under other special conditions as prescribed by the State Board of Nursing, and which are reimbursed when provided by another provider of health care, the insured is entitled to reimbursement for services provided by such a registered nurse.  2. The terms of the contract must not limit:  (a) Coverage for services provided by such a registered nurse to a number of occasions less than for services provided by another provider of health care.  (b) Reimbursement for services provided by such a registered nurse to an amount less than that reimbursed for similar services provided by another provider of health care.  3. An insurer is not required to pay for services provided by such a registered nurse which duplicate services provided by another provider of health care.  (Added to NRS by 1985, 1447)
NV Rev Stat § 695B.1995 (2021)
2021 Nevada Revised Statutes|Chapter 695B - Nonprofit Corporations for Hospital, Medical and Dental Service|NRS 695B.1995 - Reimbursement to provider of medical transportation.

  1. Except as otherwise provided in subsection 3, every contract for medical service amended, delivered or issued for delivery in this State after October 1, 1989, that provides coverage for medical transportation, must contain a provision for the direct reimbursement of a provider of medical transportation for covered services if that provider does not receive reimbursement from any other source.  2. The subscriber or the provider may submit the claim for reimbursement. The provider shall not demand payment from the subscriber until after that reimbursement has been granted or denied.  3. Subsection 1 does not apply to any agreement between a corporation for medical service and a provider of medical transportation for the direct payment by the corporation for the provider’s services.  (Added to NRS by 1989, 1274)
NV Rev Stat § 695B.200 (2021)
2021 Nevada Revised Statutes|Chapter 695B - Nonprofit Corporations for Hospital, Medical and Dental Service|NRS 695B.200 - Group contracts written under master contract: Conditions required for issuance.

Group hospital or group medical or dental service contracts written under a master hospital or medical or dental service contract may be issued to cover groups of two or more persons, formed for a purpose other than of obtaining insurance.  (Added to NRS by 1971, 1871)
NV Rev Stat § 695B.210 (2021)
2021 Nevada Revised Statutes|Chapter 695B - Nonprofit Corporations for Hospital, Medical and Dental Service|NRS 695B.210 - Group master service contract: Required provisions.

Every group master hospital or group medical or dental service contract issued shall contain the following provisions:  1. A provision that the contract, the application of the employer, or executive officer or trustee of any association or trustees, and the individual applications, if any, of the employees or members covered shall constitute the entire contract between the parties, and that all statements made by the employer, or the executive officer, or trustee or trustees, or by the individual employee or member shall, in the absence of fraud, be deemed representations and not warranties, and that no such statement shall be used in defense to a claim under the contract, unless it is contained in a written application.  2. A provision that the corporation will issue to the employer or to the executive officer or trustee of the association or to the trustees, for delivery to each of the employees or members who are covered under such contract, an individual certificate setting forth a statement as to the hospital or medical or dental service to which he or she is entitled.  3. A provision that to the group or class thereof originally covered shall be added from time to time all new employees of the employer or members of the association eligible to and applying for coverage in such group or class.  4. A statement that such contract is not in lieu of workers’ compensation insurance.  5. Such provisions as may be promulgated by the Commissioner from time to time.  (Added to NRS by 1971, 1871)
NV Rev Stat § 695B.220 (2021)
2021 Nevada Revised Statutes|Chapter 695B - Nonprofit Corporations for Hospital, Medical and Dental Service|NRS 695B.220 - Blanket service contracts: Issuance to college, school or school personnel; pupils not to be compelled to accept service.

Blanket hospital or blanket medical or dental service contracts may be issued to a college or school or to the head or principal thereof or to the governing board of any school district providing for services to pupils of such schools when such services are required as the result of accident or motor vehicle crash to such pupils while they are required to be in or on buildings or other premises of the school or district during the time they are required to be therein or thereon by reason of their attendance upon a college or regular day school or any regular day school of a school district or while being transported to and from school or other place of instruction. No pupil shall be compelled to accept such service without the consent of a parent or guardian of the pupil.  (Added to NRS by 1971, 1871; A 2015, 1697)
NV Rev Stat § 695B.225 (2021)
2021 Nevada Revised Statutes|Chapter 695B - Nonprofit Corporations for Hospital, Medical and Dental Service|NRS 695B.225 - Policies of group insurance: Order of benefits.

A policy of group insurance determines its order of benefits using the first of the following which applies:  1. A policy that does not coordinate with other policies is always the primary policy.  2. The benefits of the policy which covers a person as an employee, member or subscriber, other than a dependent, is the primary policy. The policy which covers the person as a dependent is the secondary policy.  3. When more than one policy covers the same child as a dependent of different parents who are not divorced or separated, the primary policy is the policy of the parent whose birthday falls earlier in the year. The secondary policy is the policy of the parent whose birthday falls later in the year. If both parents have the same birthday, the benefits of the policy which covered the parent the longer is the primary policy. The policy which covered the parent the shorter time is the secondary policy.  4. If more than one policy covers a person as a dependent child of divorced or separated parents, benefits for the child are determined in the following order:  (a) First, the policy of the parent with custody of the child;  (b) Second, the policy of the spouse of the parent with custody; and  (c) Third, the policy of the parent without custody of the child,  unless the specific terms of a court decree state that one parent is responsible for the health care expenses of the child, in which case, the policy of that parent is the primary policy. A parent responsible for the health care pursuant to a court decree shall notify the insurer of the terms of the decree.  5. The primary policy is the policy which covers a person as an employee who is neither laid off nor retired, or that employee’s dependent. The secondary policy is the policy which covers that person as a laid off or retired employee, or that employee’s dependent.  6. If none of the rules in subsections 1 to 5, inclusive, determines the order of benefits, the primary policy is the policy which covered an employee, member or subscriber longer. The secondary policy is the policy which covered that person the shorter time.  When a policy is determined to be a secondary policy it acts to provide benefits in excess of those provided by the primary policy. The secondary policy may not reduce benefits based upon payments by the primary policy, except that this provision does not require duplication of benefits.  (Added to NRS by 1989, 514)