Nev. Rev. Stat. § 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.
Nevada Revised Statutes Chapter 695J — Persons Who Facilitate Enrollment in Certain Qualified Health Plans
Nevada · statute · Nev. Rev. Stat. ch. 695J · 26 active provisions
Nev. Rev. Stat. § 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.
Nev. Rev. Stat. § 695J.030
“Assister” defined
“Assister” has the meaning ascribed to it by regulations adopted by the Board of Directors of the Exchange pursuant to NRS 695I.370.
Nev. Rev. Stat. § 695J.040
“Exchange” defined
“Exchange” means the Silver State Health Insurance Exchange established by NRS 695I.200.
Nev. Rev. Stat. § 695J.050
“Exchange enrollment facilitator” defined
“Exchange enrollment facilitator” means a person certified pursuant to this chapter who is engaged in the business of facilitating enrollment in qualified health plans offered by the Exchange.
Nev. Rev. Stat. § 695J.060
“Navigator” defined
“Navigator” means a person or entity that meets the requirements of 45 C.F.R. § 155.210 and any other requirements of the Exchange.
Nev. Rev. Stat. § 695J.070
“Qualified health plan” defined
“Qualified health plan” has the meaning ascribed to it in NRS 695I.080.
Nev. Rev. Stat. § 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 repla…
Nev. Rev. Stat. § 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 es…
Nev. Rev. Stat. § 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,…
Nev. Rev. Stat. § 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 exami…
Nev. Rev. Stat. § 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 th…
Nev. Rev. Stat. § 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 Social Services of the Department of Human Services pursuant to NRS 425.520. The statement must be completed and signed by the applicant.…
Nev. Rev. Stat. § 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 Commission…
Nev. Rev. Stat. § 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.
Nev. Rev. Stat. § 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 hold…
Nev. Rev. Stat. § 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 sp…
Nev. Rev. Stat. § 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.
Nev. Rev. Stat. § 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…
Nev. Rev. Stat. § 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…
Nev. Rev. Stat. § 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…
Nev. Rev. Stat. § 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 i…
Nev. Rev. Stat. § 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…
Nev. Rev. Stat. § 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 fa…
Nev. Rev. Stat. § 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) Esta…
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