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2023 Nevada Revised Statutes › Chapter 695I - Silver State Health Insurance Exchange › NRS 695I.350 - Subcommittees and advisory committees.

1. The Board may appoint subcommittees and advisory committees composed of members of the Board, former members of the Board and members of the general public who have experience with or knowledge of matters relating to health care to consider specific problems or other matters within the scope of the powers, duties and functions of the Board.
2. To the extent practicable, the members of such a subcommittee or advisory committee must be representative of the various geographic areas and ethnic groups of this State.
3. A member of a subcommittee or an advisory committee will not be compensated or reimbursed for travel or other expenses relating to any duties as a member of the subcommittee or advisory committee.
(Added to NRS by 2011, 2648)
2023 Nevada Revised Statutes › Chapter 695I - Silver State Health Insurance Exchange › NRS 695I.370 - Powers and duties of Board: Bylaws; reports; audits; regulations; contracts for services.

1. The Board shall:
(a) Adopt bylaws setting forth its procedures and governing its operations;
(b) On or before June 30 and December 31 of each year, submit a written fiscal and operational report to the Governor and the Legislature, which must include, without limitation, any recommendations concerning the Exchange;
(c) On or before December 31 of each year, prepare a report for the public summarizing the activities of the Board and the contributions of the Exchange to the health of the residents of Nevada during the previous year;
(d) Provide for an annual audit of its functions and operations;
(e) Submit all reports required by federal law to the appropriate federal agency and in a timely manner; and
(f) If the Federal Act is repealed or is held unconstitutional or otherwise invalid or unlawful, define by regulation "qualified health plan" for the purposes of this act.
2. The Board may:
(a) Adopt regulations to carry out the duties and powers of the Exchange;
(b) Prepare special reports concerning the Exchange for the Governor, the Legislature and the public; and
(c) Contract for the services of such legal, professional, technical and operational personnel and consultants as the execution of its duties and powers and the operation of the Exchange may require.
3. The Board is subject to Legislative and Executive Branch audits.
(Added to NRS by 2011, 2648)
2023 Nevada Revised Statutes › Chapter 695I - Silver State Health Insurance Exchange › NRS 695I.380 - Appointment, classification, qualifications and duties of Executive Director; appointment, classification and removal of other employees.

1. The Board shall appoint an Executive Director of the Exchange.
2. The Executive Director:
(a) Is in the unclassified service of the State;
(b) Is responsible to the Board and serves at the pleasure of the Board;
(c) Must have experience in the administration of health care or health insurance; and
(d) Is responsible for the administrative matters of the Board.
3. Subject to the limits of available funding, the Executive Director may, in accordance with chapter 284 of NRS, appoint and remove such employees of the Exchange as are necessary for the administration of the Exchange.
4. Employees of the Exchange appointed pursuant to subsection 3 are in either the classified or unclassified service of the State, in accordance with the historical manner of categorization.
(Added to NRS by 2011, 2648; A 2019, 1020)
2023 Nevada Revised Statutes › Chapter 695I - Silver State Health Insurance Exchange › NRS 695I.390 - Coordination with Medicaid, Children’s Health Insurance Program and other public programs.

1. The Board and the Department of Health and Human Services shall ensure that the Exchange coordinates with Medicaid, the Children’s Health Insurance Program and any other applicable state or local public programs to create a single point of entry for users of the Exchange who are eligible for such programs and to promote continuity of coverage and care.
2. As used in this section, "Children’s Health Insurance Program" has the meaning ascribed to it in NRS 422.021.
(Added to NRS by 2011, 2649)
2023 Nevada Revised Statutes › Chapter 695I - Silver State Health Insurance Exchange › NRS 695I.500 - State agencies to provide support to Exchange; intergovernmental agreements.

The Department of Health and Human Services, the Division of Insurance of the Department of Business and Industry and any other relevant state agency shall work with and provide support to the Exchange as it carries out its duties and powers, including, without limitation, entering into agreements to share information and intergovernmental agreements with the Exchange.
(Added to NRS by 2011, 2649)
2023 Nevada Revised Statutes › Chapter 695I - Silver State Health Insurance Exchange › NRS 695I.505 - Policies to meet unique needs of tradespersons: Application for federal waiver by Executive Director; requirements for offering policy on Exchange; criteria for eligibility for policy.

1. The Executive Director, in collaboration with the Director of the Department of Health and Human Services, shall apply to the Secretary of Health and Human Services for a waiver pursuant to 42 U.S.C. § 18052 to authorize an organization described in section 501(c)(5) of the Internal Revenue Code that processes health claims in this State to offer on the Exchange a policy of insurance to meet the unique needs of tradespersons, including, without limitation, persons who work temporary or seasonal jobs, that is capable of serving as an alternative to the continuation of group health benefits under the Consolidated Omnibus Budget Reconciliation Act of 1985.
2. The application for a waiver submitted pursuant to subsection 1 must include, without limitation, an application for a waiver of any provisions of federal law or regulations that would otherwise require a policy described in subsection 1 to meet the requirements of chapter 689A of NRS in order to be offered on the Exchange or for persons who purchase the plan on the Exchange to receive applicable federal subsidies.
3. To be offered on the Exchange, a policy of insurance described in subsection 1 must:
(a) Meet all requirements established by the Federal Act for a qualified health plan, to the extent that those requirements do not prevent an organization described in section 501(c)(5) of the Internal Revenue Code from offering such a policy; and
(b) Be certified by the Executive Director. Such certification must be renewed annually.
4. The Executive Director shall prescribe:
(a) Requirements for certification of a policy of insurance pursuant to paragraph (b) of subsection 3; and
(b) Criteria to determine when a person becomes eligible for a policy of insurance described in subsection 1. Those criteria must address:
(1) Persons who recently began employment but have not yet met the requirements concerning hours of work necessary to receive insurance through their employer; and
(2) Persons who have recently lost their jobs.
5. When performing the duties described in subsections 1 and 4, the Executive Director shall consult with organizations described in section 501(c)(5) of the Internal Revenue Code and other interested persons and entities concerning the requirements for certification of a policy of insurance described in subsection 1 and the criteria described in paragraph (b) of subsection 4.
(Added to NRS by 2021, 3625)
2023 Nevada Revised Statutes › Chapter 695I - Silver State Health Insurance Exchange › NRS 695I.510 - Temporary advance from State General Fund for authorized expenses of Exchange.

1. If the Executive Director determines that the current expenses of the Exchange exceed the amount of money available because of a delay in the receipt of money from federal grants or a delay in the receipt of revenue from other sources, the Executive Director may request from the Office of Finance an advance from the State General Fund for the payment of authorized expenses.
2. If the Director of the Office of Finance approves a request made pursuant to subsection 1, he or she shall notify the State Controller and the Fiscal Analysis Division of the Legislative Counsel Bureau of the amount of advance approved.
3. Upon receiving notification pursuant to subsection 2, the State Controller shall draw his or her warrant for payment of the approved amount.
4. An advance made pursuant to this section must not exceed 25 percent of the revenue expected to be received from any source other than legislative appropriation during the fiscal year in which the request is made.
5. Any money which is advanced pursuant to this section must be repaid by the Exchange to the State General Fund not later than August 31 immediately after the end of the fiscal year during which the advance is made.
(Added to NRS by 2011, 2649)
2023 Nevada Revised Statutes › Chapter 695J - Persons Who Facilitate Enrollment in Certain Qualified Health Plans › NRS 695J.010 - Definitions.

As used in this chapter, unless the context otherwise requires, the words and terms defined in NRS 695J.020 to 695J.070, inclusive, have the meanings ascribed to them in those sections.
(Added to NRS by 2013, 3590)
2023 Nevada Revised Statutes › Chapter 695J - Persons Who Facilitate Enrollment in Certain Qualified Health Plans › NRS 695J.020 - "Appointment" defined.

"Appointment" means a contract, agreement or other arrangement under which a person may act on behalf of the Exchange as an assister, navigator or any other designation authorized or required by the Federal Act.
(Added to NRS by 2013, 3590)
2023 Nevada Revised Statutes › Chapter 695J - Persons Who Facilitate Enrollment in Certain Qualified Health Plans › NRS 695J.100 - Applicability.

1. The provisions of NRS 683A.341 and 683A.351 apply to exchange enrollment facilitators.
2. For the purposes of subsection 1, unless the context requires that NRS 683A.341 or 683A.351 apply only to producers of insurance or insurers, any reference in those sections to "producer of insurance" or "insurer" must be replaced by a reference to "exchange enrollment facilitator."
(Added to NRS by 2013, 3590)
2023 Nevada Revised Statutes › Chapter 695J - Persons Who Facilitate Enrollment in Certain Qualified Health Plans › NRS 695J.110 - Application for initial certificate as exchange enrollment facilitator: Requirements; fee.

An applicant for an initial certificate as an exchange enrollment facilitator must:
1. Be a natural person of not less than 18 years of age;
2. Apply on a form prescribed by the Commissioner;
3. Pass a written examination established by the Commissioner by regulation;
4. Successfully complete a course of instruction established by the Commissioner by regulation;
5. Submit fingerprints as required pursuant to NRS 695J.120; and
6. Pay the nonrefundable:
(a) Application and certificate fee set forth in NRS 680B.010; and
(b) Initial fee set forth in NRS 680C.110.
(Added to NRS by 2013, 3590; A 2015, 2843)
2023 Nevada Revised Statutes › Chapter 695J - Persons Who Facilitate Enrollment in Certain Qualified Health Plans › NRS 695J.120 - Application for certificate as exchange enrollment facilitator: Form; fingerprints; period of validity of certificate.

1. The Commissioner shall prescribe the form for application for a certificate as an exchange enrollment facilitator. The form must require the applicant to declare, under penalty of refusal to issue, or suspension or revocation of, the certificate of the applicant, that the statements made in the application are true, correct and complete to the best of his or her knowledge and belief.
2. Before approving an application, the Commissioner must find that the applicant:
(a) Meets the requirements of NRS 695J.110.
(b) Has not committed any act that is a ground for refusal to issue, or suspension or revocation of a certificate pursuant to NRS 683A.451.
(c) Paid all applicable fees prescribed pursuant to NRS 695J.110.
(d) Meets the requirements of subsections 3 and 5.
3. An applicant must, as part of his or her application and at the applicant’s own expense:
(a) Arrange to have a complete set of his or her fingerprints taken by a law enforcement agency or other authorized entity acceptable to the Commissioner; and
(b) Submit to the Commissioner:
(1) A completed fingerprint card and written permission authorizing the Commissioner to submit the applicant’s fingerprints to the Central Repository for Nevada Records of Criminal History for submission to the Federal Bureau of Investigation for a report on the applicant’s background and to such other law enforcement agencies as the Commissioner deems necessary; or
(2) Written verification, on a form prescribed by the Commissioner, stating that the fingerprints of the applicant were taken and directly forwarded electronically or by another means to the Central Repository and that the applicant has given written permission to the law enforcement agency or other authorized entity taking the fingerprints to submit the fingerprints to the Central Repository for submission to the Federal Bureau of Investigation for a report on the applicant’s background and to such other law enforcement agencies as the Commissioner deems necessary.
4. The Commissioner may:
(a) Unless the applicant’s fingerprints are directly forwarded pursuant to subparagraph (2) of paragraph (b) of subsection 3, submit those fingerprints to the Central Repository for submission to the Federal Bureau of Investigation and to such other law enforcement agencies as the Commissioner deems necessary;
(b) Request from each such agency any information regarding the applicant’s background as the Commissioner deems necessary; and
(c) Adopt regulations concerning the procedures for obtaining the information described in paragraph (b).
5. The Commissioner may require from the applicant any document reasonably necessary to verify information contained in an application.
6. Except as otherwise provided in NRS 695J.250, a certificate issued pursuant to this chapter is valid for 3 years after the date of issuance unless it is suspended, revoked or otherwise terminated.
(Added to NRS by 2013, 3591)
2023 Nevada Revised Statutes › Chapter 695J - Persons Who Facilitate Enrollment in Certain Qualified Health Plans › NRS 695J.130 - Examination: Application; fee; failure to appear or pass.

1. A person taking the examination required pursuant to NRS 695J.110 must apply to the Commissioner to take the examination and pay a nonrefundable fee in an amount prescribed in the regulations adopted pursuant to NRS 695J.270.
2. A person who fails to appear for the examination as scheduled or fails to pass the examination must reapply for examination and pay the required fees in order to be scheduled for another examination.
(Added to NRS by 2013, 3592)
2023 Nevada Revised Statutes › Chapter 695J - Persons Who Facilitate Enrollment in Certain Qualified Health Plans › NRS 695J.140 - Renewal of certificate: Application; fees; waiver of time limit and fine or sanction; expiration.

1. A certificate may be renewed by submitting to the Commissioner an application for renewal and:
(a) If the application is made:
(1) On or before the renewal date of the certificate, all applicable renewal fees; or
(2) Except as otherwise provided in subsection 3:
(I) Not more than 30 days after the renewal date of the certificate, a renewal fee of 150 percent of all applicable renewal fees otherwise required, except for any fee required pursuant to NRS 680C.110; or
(II) More than 30 days but not more than 1 year after the renewal date of the certificate, all applicable renewal fees plus a penalty of twice all applicable renewal fees, except for any fee required pursuant to NRS 680C.110.
(b) Proof of the successful completion of appropriate courses of study required for renewal, as established by the Commissioner by regulation.
2. The fees specified in this section are not refundable.
3. An exchange enrollment facilitator who is unable to renew his or her certificate because of military service, extended medical disability or other extenuating circumstance may request a waiver of the time limit and of any fine or sanction otherwise required or imposed because of the failure to renew.
4. A certificate which:
(a) Is not renewed pursuant to this section on or before the renewal date expires on the renewal date.
(b) Is renewed pursuant to this section continues in effect until the next renewal date unless it is suspended, revoked or otherwise terminated.
5. As used in this section, "renewal date" means:
(a) For the first renewal of the certificate, the last day of the month which is 3 years after the month in which the Commissioner originally issued the certificate.
(b) For each renewal after the first renewal of the certificate, the last day of the month which is 3 years after the month in which the certificate was last due to be renewed.
(Added to NRS by 2013, 3592; A 2015, 2843; 2021, 2998)
2023 Nevada Revised Statutes › Chapter 695J - Persons Who Facilitate Enrollment in Certain Qualified Health Plans › NRS 695J.150 - Payment of child support: Statement by applicant for certificate; grounds for denial of certificate; duty of Commissioner. [Effective until the date of the repeal of 42 U.S.C. § 666, the federal law requiring each state to establish procedures for withholding, suspending and restricting the professional, occupational and recreational licenses for child support arrearages and for noncompliance with certain processes relating to paternity or child support proceedings.]

1. An applicant for the issuance or renewal of a certificate to act as an exchange enrollment facilitator shall submit to the Commissioner the statement prescribed by the Division of Welfare and Supportive Services of the Department of Health and Human Services pursuant to NRS 425.520. The statement must be completed and signed by the applicant.
2. The Commissioner shall include the statement required pursuant to subsection 1 in:
(a) The application or any other forms that must be submitted for the issuance or renewal of the certificate; or
(b) A separate form prescribed by the Commissioner.
3. A certificate to act as an exchange enrollment facilitator may not be issued or renewed by the Commissioner if the applicant is a natural person who:
(a) Fails to submit the statement required pursuant to subsection 1; or
(b) Indicates on the statement submitted pursuant to subsection 1 that the applicant is subject to a court order for the support of a child and is not in compliance with the order or a plan approved by the district attorney or other public agency enforcing the order for the repayment of the amount owed pursuant to the order.
4. If an applicant indicates on the statement submitted pursuant to subsection 1 that the applicant is subject to a court order for the support of a child and is not in compliance with the order or a plan approved by the district attorney or other public agency enforcing the order for the repayment of the amount owed pursuant to the order, the Commissioner shall advise the applicant to contact the district attorney or other public agency enforcing the order to determine the actions that the applicant may take to satisfy the arrearage.
(Added to NRS by 2013, 3592)
2023 Nevada Revised Statutes › Chapter 695J - Persons Who Facilitate Enrollment in Certain Qualified Health Plans › NRS 695J.160 - Suspension of certificate for failure to pay child support or comply with certain subpoenas or warrants; reinstatement of certificate. [Effective until the date of the repeal of 42 U.S.C. § 666, the federal law requiring each state to establish procedures for withholding, suspending and restricting the professional, occupational and recreational licenses for child support arrearages and for noncompliance with certain processes relating to paternity or child support proceedings.]

1. If the Commissioner receives a copy of a court order issued pursuant to NRS 425.540 that provides for the suspension of all professional, occupational and recreational licenses, certificates and permits issued to a person who is the holder of a certificate to act as an exchange enrollment facilitator, the Commissioner shall deem the certificate issued to that person to be suspended at the end of the 30th day after the date on which the court order was issued unless the Commissioner receives a letter issued to the holder of the certificate by the district attorney or other public agency pursuant to NRS 425.550 stating that the holder of the certificate has complied with the subpoena or warrant or has satisfied the arrearage pursuant to NRS 425.560.
2. The Commissioner shall reinstate a certificate to act as an exchange enrollment facilitator that has been suspended by a district court pursuant to NRS 425.540 if the Commissioner receives a letter issued by the district attorney or other public agency pursuant to NRS 425.550 to the person whose certificate was suspended stating that the person whose certificate was suspended has complied with the subpoena or warrant or has satisfied the arrearage pursuant to NRS 425.560.
(Added to NRS by 2013, 3593)
2023 Nevada Revised Statutes › Chapter 695J - Persons Who Facilitate Enrollment in Certain Qualified Health Plans › NRS 695J.170 - Application for certificate must include social security number of applicant. [Effective until the date of the repeal of 42 U.S.C. § 666, the federal law requiring each state to establish procedures for withholding, suspending and restricting the professional, occupational and recreational licenses for child support arrearages and for noncompliance with certain processes relating to paternity or child support proceedings.]

The application of a natural person who applies for the issuance or renewal of a certificate as an exchange enrollment facilitator must include the social security number of the applicant.
(Added to NRS by 2013, 3593)
2023 Nevada Revised Statutes › Chapter 695J - Persons Who Facilitate Enrollment in Certain Qualified Health Plans › NRS 695J.180 - Contents of certificate; holder required to make certificate available for public inspection and inform Commissioner of locations of business.

1. A certificate issued pursuant to this chapter must state the certificate holder’s name, address, personal identification number, the date of issuance and the date of expiration, and must contain any other information the Commissioner considers necessary. The certificate must be made available by the certificate holder for public inspection upon request.
2. A certificate holder shall inform the Commissioner of all locations from which he or she conducts business and of each change of business or residence address, in writing or by other means acceptable to the Commissioner, within 30 days after the date on which the change takes place. If a certificate holder changes his or her business or residence address without giving written notice and the Commissioner is unable to locate the certificate holder after diligent effort, the Commissioner may revoke the certificate without a hearing. The mailing of a letter by certified mail, return receipt requested, addressed to the certificate holder at his or her last mailing address appearing on the records of the Division, and the return of the letter undelivered, constitutes a diligent effort by the Commissioner.
(Added to NRS by 2013, 3593)
2023 Nevada Revised Statutes › Chapter 695J - Persons Who Facilitate Enrollment in Certain Qualified Health Plans › NRS 695J.190 - Temporary certificate as exchange enrollment facilitator.

1. If the Commissioner believes that a temporary certificate is necessary to carry on the business of facilitating selection of a qualified health plan, the Commissioner may issue a temporary certificate as an exchange enrollment facilitator for 180 days or less without requiring an examination to:
(a) The surviving spouse, personal representative or guardian of an exchange enrollment facilitator who dies or becomes incompetent or incapacitated, to allow adequate time for the sale of the business, the recovery or return of the exchange enrollment facilitator, or the training and certification of new personnel to operate the business;
(b) A member or employee of a business organization appointed by the Exchange, upon the death or disability of the natural person designated in its application or certificate;
(c) The designee of an exchange enrollment facilitator entering active service in the Armed Forces of the United States; or
(d) A person in any other circumstance in which the Commissioner believes that the public interest will be best served by issuing the certificate.
2. The Commissioner may by order limit the authority of a person who holds a temporary certificate as the Commissioner believes necessary to protect persons insured and the public. The Commissioner may require the person who holds a temporary certificate to have a suitable sponsor who is an exchange enrollment facilitator and who assumes responsibility for all acts of the person who holds the temporary certificate, and may impose similar requirements to protect persons insured and the public. The Commissioner may order revocation of a temporary certificate if the interests of persons insured or the public are endangered. A temporary certificate expires when the owner or the personal representative or guardian of the owner disposes of the business.
3. A temporary certificate issued pursuant to this section may be renewed for one additional period of 180 days if:
(a) The person who holds the temporary certificate, on or before a date specified by the Commissioner as the last day in which the temporary certificate is renewable, submits to the Commissioner a written request which includes, without limitation, sufficient justification for the renewal; and
(b) The Commissioner approves the request.
(Added to NRS by 2013, 3593; A 2023, 2644)
2023 Nevada Revised Statutes › Chapter 695J - Persons Who Facilitate Enrollment in Certain Qualified Health Plans › NRS 695J.200 - Natural person authorized to act for entity appointed by Exchange required to be exchange enrollment facilitator.

An entity other than a natural person that is appointed by the Exchange must require that each natural person who is authorized to act for the entity be an exchange enrollment facilitator. Each exchange enrollment facilitator must be named in the partnership’s or corporation’s appointment.
(Added to NRS by 2013, 3594)
2023 Nevada Revised Statutes › Chapter 695J - Persons Who Facilitate Enrollment in Certain Qualified Health Plans › NRS 695J.210 - Prohibited acts.

An exchange enrollment facilitator:
1. May not concurrently hold a license as a producer of insurance, an insurance consultant or a surplus lines broker’s license in any line.
2. Shall not:
(a) Sell, solicit or negotiate insurance;
(b) Receive any consideration, directly or indirectly, from any health insurance issuer or issuer of stop-loss insurance in connection with the enrollment of any individuals or employees in a qualified health plan or health insurance plan; or
(c) Employ, be employed by or be in partnership with, or receive any remuneration arising out of his or her activities as an exchange enrollment facilitator from, any licensed producer of insurance, insurance consultant or surplus lines broker or insurer.
(Added to NRS by 2013, 3594)
2023 Nevada Revised Statutes › Chapter 695J - Persons Who Facilitate Enrollment in Certain Qualified Health Plans › NRS 695J.220 - Responsibilities of exchange enrollment facilitator.

An exchange enrollment facilitator is obligated under his or her certificate to:
1. Serve with objectivity and complete loyalty the interests of his or her client; and
2. Render to his or her client information, counsel and service which, to the best of the exchange enrollment facilitator’s knowledge, understanding and opinion, best serves the client’s insurance needs and interests.
(Added to NRS by 2013, 3594)
2023 Nevada Revised Statutes › Chapter 695J - Persons Who Facilitate Enrollment in Certain Qualified Health Plans › NRS 695J.230 - Nonresident exchange enrollment facilitator: Service of process; agreement to appear.

1. A nonresident who is an exchange enrollment facilitator shall appoint the Commissioner, in writing, as his or her registered agent upon whom may be served all legal process issued in connection with any action or proceeding brought or pending in this State against or involving the nonresident certificate holder and relating to transactions under his or her Nevada certificate. The appointment is irrevocable and remains in force so long as such an action or proceeding exists or may arise. Duplicate copies of process must be served upon the Commissioner, or other person in apparent charge of the Division during the Commissioner’s absence, accompanied by payment of the fee for service of process. Promptly after any such service, the Commissioner shall forward a copy of the process by certified mail, return receipt requested, to the nonresident certificate holder at his or her business address of most recent record with the Division. Process so served and the copy so forwarded constitutes personal service upon the certificate holder for all purposes.
2. Each such nonresident certificate holder shall also file with the Commissioner a written agreement to appear before the Commissioner pursuant to notice of hearing, order to show cause or subpoena issued by the Commissioner and sent by certified mail to the certificate holder at his or her business address of most recent record with the Division, and that if the nonresident certificate holder fails to appear, the nonresident certificate holder thereby consents to any subsequent suspension, revocation or refusal to renew his or her certificate.
(Added to NRS by 2013, 3594)
2023 Nevada Revised Statutes › Chapter 695J - Persons Who Facilitate Enrollment in Certain Qualified Health Plans › NRS 695J.240 - Disciplinary action.

1. The Commissioner may place an exchange enrollment facilitator on probation, suspend his or her certificate for not more than 12 months, or revoke or refuse to renew his or her certificate, or may impose an administrative fine or take any combination of the foregoing actions, for one or more of the causes set forth in NRS 683A.451.
2. The provisions of NRS 683A.461 also apply to an exchange enrollment facilitator.
(Added to NRS by 2013, 3595)
2023 Nevada Revised Statutes › Chapter 695J - Persons Who Facilitate Enrollment in Certain Qualified Health Plans › NRS 695J.250 - Suspension, limitation or revocation of certificate.

1. Upon the suspension, limitation or revocation of the certificate of an exchange enrollment facilitator, the Commissioner shall immediately notify the certificate holder in person or by mail addressed to the certificate holder at his or her most recent address of record with the Division. Notice by mail is effective when mailed.
2. Upon the suspension, limitation or revocation of the certificate of an exchange enrollment facilitator, the Commissioner shall immediately notify the Executive Director of the Exchange. Upon receipt of such notification, the Executive Director shall immediately terminate the certificate holder’s appointment.
3. The Commissioner shall not again issue a certificate under this chapter to any natural person whose certificate has been revoked until at least 1 year after the revocation has become final, and thereafter not until the person again qualifies for a certificate under this chapter. A person whose certificate has been revoked twice is not eligible for any certificate under this title.
(Added to NRS by 2013, 3595)
2023 Nevada Revised Statutes › Chapter 695J - Persons Who Facilitate Enrollment in Certain Qualified Health Plans › NRS 695J.260 - Expiration of certificate in absence of appointment by Exchange; termination of appointment by Exchange; notice to Commissioner by Executive Director of Exchange.

1. If an exchange enrollment facilitator fails to obtain an appointment by the Exchange within 30 days after the date on which the certificate was issued, the exchange enrollment facilitator’s certificate expires.
2. If the Exchange terminates an exchange enrollment facilitator’s appointment, the exchange enrollment facilitator is prohibited from engaging in the business of an exchange enrollment facilitator.
3. Except as otherwise provided in subsection 4, if the Exchange terminates the appointment of an entity other than a natural person:
(a) The appointments of exchange enrollment facilitators named on the entity’s appointment also terminate; and
(b) The exchange enrollment facilitator is prohibited from engaging in the business of an exchange enrollment facilitator under his or her certificate.
4. The provisions of subsection 3 do not apply to any appointments the exchange enrollment facilitator may have individually or through an entity other than the terminated entity.
5. Upon the termination of an appointment for an entity or certificate holder, the Executive Director of the Exchange shall notify the Commissioner of the effective date of the termination and the grounds for termination.
(Added to NRS by 2013, 3595; A 2019, 1723, 3039)
2023 Nevada Revised Statutes › Chapter 695J - Persons Who Facilitate Enrollment in Certain Qualified Health Plans › NRS 695J.270 - Regulations; authority of Commissioner to contract for the performance of certain functions.

1. The Commissioner shall adopt regulations:
(a) For establishing and conducting an examination required by this chapter for the initial issuance and renewal of a certificate;
(b) For the establishment of a course of instruction as required by this chapter for the initial issuance and renewal of a certificate;
(c) Establishing the fee required by NRS 695J.130 for the administration of the examination; and
(d) For carrying out the provisions of this chapter.
2. The Commissioner may contract with a person to perform functions required by this chapter, including, without limitation:
(a) Administering examinations;
(b) Providing courses of instruction;
(c) Processing applications; and
(d) Collecting fees.
(Added to NRS by 2013, 3596; A 2015, 2844)
2023 Nevada Revised Statutes › Chapter 695J - Persons Who Facilitate Enrollment in Certain Qualified Health Plans › NRS 695J.280 - Engaging in business of exchange enrollment facilitator without certificate prohibited; penalty.

1. No person may engage in the business of an exchange enrollment facilitator unless a certificate has been issued to the person by the Commissioner.
2. A person who violates subsection 1 is subject to an administrative fine of not more than $1,000 for each act or violation.
(Added to NRS by 2013, 3596)
2023 Nevada Revised Statutes › Chapter 695K - Public Option › NRS 695K.010 - Purpose and policy of Legislature in enacting chapter. [Effective January 1, 2026.]

It is hereby declared to be the purpose and policy of the Legislature in enacting this chapter to:
1. Leverage the combined purchasing power of the State to lower premiums and costs relating to health insurance for residents of this State;
2. Improve access to high-quality, affordable health care for residents of this State, including residents of this State who are employed by small businesses;
3. Reduce disparities in access to health care and health outcomes and increase access to health care for historically marginalized communities; and
4. Increase competition in the market for individual health insurance in this State to improve the availability of coverage for residents of rural areas of this State.
(Added to NRS by 2021, 3616, effective January 1, 2026)
2023 Nevada Revised Statutes › Chapter 695K - Public Option › NRS 695K.020 - Definitions. [Effective January 1, 2026.]

As used in this chapter, unless the context otherwise requires, the words and terms defined in NRS 695K.030 to 695K.110, inclusive, have the meanings ascribed to them in those sections.
(Added to NRS by 2021, 3616, effective January 1, 2026)
2023 Nevada Revised Statutes › Chapter 695K - Public Option › NRS 695K.030 - "Certified community behavioral health clinic" defined. [Effective January 1, 2026.]

"Certified community behavioral health clinic" means a community behavioral health clinic certified in accordance with section 223 of the Protecting Access to Medicare Act of 2014, Public Law No. 113-93.
(Added to NRS by 2021, 3616, effective January 1, 2026)
2023 Nevada Revised Statutes › Chapter 695K - Public Option › NRS 695K.070 - "Federally qualified health center" defined. [Effective January 1, 2026.]

"Federally qualified health center" has the meaning ascribed to it in 42 C.F.R. § 405.2401.
(Added to NRS by 2021, 3617, effective January 1, 2026)
2023 Nevada Revised Statutes › Chapter 695K - Public Option › NRS 695K.230 - Duties of certain providers of health care; exception. [Effective January 1, 2026.]

1. Except as otherwise provided in subsection 2, each provider of health care who participates in the Public Employees’ Benefits Program established pursuant to subsection 1 of NRS 287.043 or the Medicaid program, or who provides care to an injured employee pursuant to the provisions of chapters 616A to 616D, inclusive, or chapter 617 of NRS, shall:
(a) Enroll as a participating provider in at least one network of providers established for the Public Option; and
(b) Accept new patients who are enrolled in the Public Option to the same extent as the provider or facility accepts new patients who are not enrolled in the Public Option.
2. The Director and the Executive Officer of the Public Employees’ Benefits Program may waive the requirements of subsection 1 when necessary to ensure that recipients of Medicaid and officers, employees and retirees of this State who receive benefits under the Public Employees’ Benefits Program have sufficient access to covered services.
(Added to NRS by 2021, 3620, effective January 1, 2026)
2023 Nevada Revised Statutes › Chapter 695K - Public Option › NRS 695K.240 - Establishment of networks and reimbursement of providers of health care: Requirements. [Effective January 1, 2026.]

1. In establishing networks for the Public Option and reimbursing providers of health care that participate in the Public Option, the Director shall, to the extent practicable:
(a) Ensure that care for persons who were previously covered by Medicaid or the Children’s Health Insurance Program and enroll in the Public Option is minimally disrupted;
(b) Encourage the use of payment models that increase value for persons enrolled in the Public Option and the State;
(c) Improve health outcomes for persons enrolled in the Public Option;
(d) Reward providers of health care and medical facilities for delivering high-quality services; and
(e) Lower the cost of care in both urban and rural areas of this State.
2. Except as otherwise provided in subsections 3 to 6, inclusive, reimbursement rates under the Public Option must be, in the aggregate, comparable to or better than reimbursement rates available under Medicare. For the purposes of this section, the aggregate reimbursement rate under Medicare:
(a) Includes any add-on payments or other subsidies that a provider receives under Medicare; and
(b) Does not include payments under Medicare for a patient encounter or a cost-based payment rate under Medicare.
3. If a provider of health care currently receives reimbursement under Medicare at rates that are cost-based, the reimbursement rates for that provider of health care under the Public Option must be comparable to or better than the cost-based reimbursement rates provided for that provider of health care by Medicare.
4. The reimbursement rates for a federally-qualified health center or a rural health clinic under the Public Option must be comparable to or better than the reimbursement rates established for patient encounters under the applicable Prospective Payment System established for Medicare by the Centers for Medicare and Medicaid Services of the United States Department of Health and Human Services.
5. The reimbursement rates for a certified community behavioral health clinic under the Public Option must be comparable to or better than the reimbursement rates established for community behavioral health clinics under the State Plan for Medicaid.
6. The requirements of subsections 2 to 5, inclusive, do not apply to a payment model described in paragraph (b) of subsection 1.
7. As used in this section, "Medicare" means the program of health insurance for aged persons and persons with disabilities established pursuant to Title XVIII of the Social Security Act, 42 U.S.C. §§ 1395 et seq.
(Added to NRS by 2021, 3621, effective January 1, 2026)
2023 Nevada Revised Statutes › Chapter 695K - Public Option › NRS 695K.300 - Creation; administration; sources of money; interest; nonreversion; uses.

1. There is hereby created in the State Treasury the Public Option Trust Fund as a nonreverting trust fund. The Trust Fund must be administered by the State Treasurer.
2. The Trust Fund consists of:
(a) Any money deposited in the Trust Fund pursuant to NRS 695K.210 and 695K.220;
(b) Any money appropriated by the Legislature for the purpose of carrying out the provisions of this chapter; and
(c) All income and interest earned on the money in the Trust Fund.
3. Any interest earned on money in the Trust Fund, after deducting any applicable charges, must be credited to the Trust Fund. Money that remains in the Trust Fund at the end of a fiscal year does not revert to the State General Fund, and the balance in the Trust Fund must be carried forward to the next fiscal year.
4. Except as otherwise provided in subsection 5, the money in the Trust Fund must be used to carry out the provisions of this chapter. Such money must not be used to pay administrative costs that are not directly related to the operations of the Public Option.
5. If the State Treasurer determines that there is sufficient money in the Trust Fund to carry out the provisions of this chapter for the current fiscal year, the Director may use a portion determined by the State Treasurer of any additional money in the Trust Fund to increase the affordability of the Public Option.
(Added to NRS by 2021, 3621)
2023 Nevada Revised Statutes › Chapter 696A - Motor Clubs › NRS 696A.020 - Definitions.

Except where the context otherwise requires, the terms used in this chapter shall be given the meanings set forth in NRS 696A.030 to 696A.070, inclusive, but such meaning shall not, merely by reason of the enactment of NRS 696A.030 to 696A.070, inclusive, govern the interpretation of any other provision of this Code.
(Added to NRS by 1971, 1876)
2023 Nevada Revised Statutes › Chapter 696A - Motor Clubs › NRS 696A.050 - "Motor club" defined.

"Motor club" means any person who in consideration of dues, assessments or periodic payments of money, promises its members or subscribers to assist them in matters relating to travel and the operation, use and maintenance of a motor vehicle in the supply of features or services or reimbursement thereof, which may include:
1. Such services as community traffic safety services, travel and touring service, theft or reward service, map service, towing service, buying and selling service, discount service, emergency road service, bail bond service and legal fee reimbursement service in the defense of traffic offenses, none of which enumerated services, if provided by motor club itself, shall be subject to the insurance laws of this state.
2. The purchase of accidental injury and death benefits insurance coverage, as provided by applicable statutes, by an insurer authorized to do business in this state.
3. Other features or services not deemed by the Commissioner to constitute the business of insurance.
(Added to NRS by 1971, 1876)
2023 Nevada Revised Statutes › Chapter 696A - Motor Clubs › NRS 696A.080 - Deposit and maintenance of security: Form; amount.

1. A person shall not render or agree to render motor club service without first depositing and thereafter continuously maintaining security in one of the following forms with the Commissioner:
(a) The sum of $100,000 in cash.
(b) Securities approved by the Commissioner, having a market value of $100,000 and being of a type approved by the Commissioner and legal for investment by admitted insurers issuing nonassessable policies on a reserve basis.
(c) A surety bond which complies with NRS 679B.175 and is in the principal sum of $100,000, with an admitted surety insurer as surety.
2. In lieu of the deposit required by subsection 1, a foreign or alien motor club may deposit evidence satisfactory to the Commissioner that it has on deposit with an officer of a state of the United States of America, authorized by the law of such state to accept such deposit:
(a) Securities which meet the requirements of paragraph (b) of subsection 1 of at least a like amount for the benefit and security of all members and creditors of such motor club; or
(b) A surety bond, in the principal sum of $100,000, which meets the requirements of NRS 696A.090, issued by a bonding company authorized to do business in the State of Nevada and in the state where the bond is posted.
(Added to NRS by 1971, 1877; A 2021, 2998)
2023 Nevada Revised Statutes › Chapter 696A - Motor Clubs › NRS 696A.090 - Purpose and conditions of security.

Such security shall:
1. Be for the protection, use and benefit of all persons whose applications for membership in a motor club have been accepted by such club or its representative.
2. Be subject to the following conditions and, if a bond, shall be so expressly conditioned:
(a) The club will faithfully furnish and render to such persons any and all of the motor club services sold or offered for sale by it.
(b) The club will pay any fines, fees or penalties imposed upon it under or pursuant to this chapter.
(Added to NRS by 1971, 1877)
2023 Nevada Revised Statutes › Chapter 696A - Motor Clubs › NRS 696A.100 - Persons authorized to sue on bond.

If such bond or evidence that such bond is filed in another state is filed, any person defrauded or injured by any wrongful act, misrepresentation or failure on the part of a motor club with respect to the selling or rendering of any of its services may bring suit on such bond in the person’s own name; but the aggregate liability of the surety for all such suits shall, in no event, exceed the sum of such bond.
(Added to NRS by 1971, 1877)
2023 Nevada Revised Statutes › Chapter 696A - Motor Clubs › NRS 696A.120 - Name of club: Submission to Commissioner for approval; rejection of similar name.

The name of a motor club shall be submitted to the Commissioner for approval pursuant to NRS 696A.140, before the commencement of business under the provisions of this chapter. The Commissioner may reject any name so submitted when the proposed name would interfere with the transactions of a motor club already doing business in this state or is so similar to one already appropriated as to confuse or is likely to mislead the public in any respect. In such case a name not liable to such objections shall be chosen.
(Added to NRS by 1971, 1878)
2023 Nevada Revised Statutes › Chapter 696A - Motor Clubs › NRS 696A.140 - Certificate of authority: Application and documents; fees; bond; name approval.

The Commissioner shall not issue a certificate of authority to any motor club until:
1. It files with the Commissioner the following:
(a) A formal application for the certificate in such form and detail as the Commissioner requires, executed under oath by its president or other principal officer.
(b) A certified copy of its charter or articles of incorporation and its bylaws.
2. It pays to the Commissioner the following:
(a) The fee specified in NRS 680B.010 for the filing of an application for the certificate;
(b) The fee specified in NRS 680B.010 for the issuance of the certificate; and
(c) In addition to any other fee or charge, all applicable fees required pursuant to NRS 680C.110.
3. It deposits the required cash, securities, bond or evidence of such a deposit in another state as provided in NRS 696A.080 with the Commissioner.
4. Its name is approved by the Commissioner pursuant to NRS 696A.120.
(Added to NRS by 1971, 1878; A 1987, 471; 1991, 2206; 2009, 1822; 2021, 2999)