Nevada · statute · Nev. Rev. Stat. ch. 689C · 120 active provisions
Except as otherwise provided in this chapter, as used in this chapter, unless the context otherwise requires, the words and terms defined in NRS 689C.017 to 689C.106, inclusive, have the meanings ascribed to them in those sections.
“Affiliated” means any entity or person who directly, or indirectly through one or more intermediaries, controls or is controlled by or is under common control with a specified entity or person.
“Affiliation period” means a period, not to exceed 60 days for new enrollees and 90 days for late enrollees, during which no premiums may be collected from, and coverage issued would not become effective for, a small employer or an eligible employee or a dependent of the eligible employee, if the affiliation period is…
“Bona fide association” has the meaning ascribed to it in NRS 689A.485.
“Carrier” means any person who provides health insurance in this state, including a fraternal benefit society, a health maintenance organization, a nonprofit hospital and health service corporation, a health insurance company and any other person providing a plan of health insurance or health benefits subject to this t…
“Class of business” means all or a distinct grouping of small employers as shown in the records of a carrier serving small employers.
“Control” has the meaning ascribed to it in NRS 692C.050.
“Creditable coverage” means health benefits or coverage provided to a person pursuant to: 1. A group health plan; 2. A health benefit plan; 3. Part A or Part B of Title XVIII of the Social Security Act, 42 U.S.C. §§ 1395c et seq., also known as Medicare; 4. Title XIX of the Social Security Act, 42 U.S.C. §§ 1396 et seq…
“Dependent” means a spouse, a domestic partner as defined in NRS 122A.030, or a child on or before the last day of the month in which the child attains 26 years of age.
1. “Eligible employee” means a permanent employee who has a regular working week of 30 or more hours. 2. The term includes a sole proprietor, a partner of a partnership or an employee of a professional employer organization, if the sole proprietor, partner or employee of the professional employer organization is includ…
“Geographic rating area” means an area established by the Commissioner for use in adjusting the rates for a health benefit plan.
“Geographic service area” means a geographic area, as approved by the Commissioner, within which the carrier is authorized to provide coverage.
1. “Group health plan” means an employee welfare benefit plan, as defined in section 3(1) of the Employee Retirement Income Security Act of 1974, as that section existed on July 16, 1997, to the extent that the plan provides medical care to employees or their dependents as defined under the terms of the plan directly,…
“Health benefit plan” has the meaning ascribed to it in NRS 687B.470.
“Network plan” means a health benefit plan offered by a health carrier under which the financing and delivery of medical care, including items and services paid for as medical care, are provided, in whole or in part, through a defined set of providers under contract with the carrier. The term does not include an arrang…
“Open enrollment” means the period designated for enrollment in a health benefit plan.
“Plan for coverage of a bona fide association” has the meaning ascribed to it in NRS 689A.570.
“Plan sponsor” has the meaning ascribed to it in section 3(16)(B) of the Employee Retirement Income Security Act of 1974, as that section existed on July 16, 1997.
“Producer” means an agent or broker licensed pursuant to this title.
“Professional employer organization” has the meaning ascribed to it in NRS 611.400.
“Rating period” means the period for which premium rates established by a carrier are assumed to be in effect.
“Small employer” has the meaning ascribed to it in 42 U.S.C. § 18024(b)(2).
“Voluntary purchasing group” means the employers and their eligible employees and dependents who form a group pursuant to NRS 689C.360 to 689C.600, inclusive, and hold a certificate of registration issued by the Commissioner pursuant to NRS 689C.510.
“Waiting period” means the period established by a plan of health insurance that must pass before a person who is an eligible participant or beneficiary in a plan is covered for benefits under the terms of the plan. The term includes the period from the date a person submits an application to an individual carrier for…
The provisions of this chapter apply to health benefit plans that provide coverage to the employees of small employers in this state and to carriers that offer those health benefit plans if: 1. A portion of the premium or benefits are paid by or on behalf of the small employer; 2. An eligible employee or a dependent of…