Nev. Rev. Stat. § 689C.135
Effect of provision in health benefit plan for restricted network on determination of rates
Nevada · Nevada Revised Statutes Chapter 689C — Health Insurance for Small Employers · Status: effective
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- Citation
- Nev. Rev. Stat. § 689C.135, Effect of provision in health benefit plan for restricted network on determination of rates, Nevada, version 1 as recorded 2026-10-03, yourstate.us, https://yourstate.us/provision/2147909
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Full text
1. For the purposes of determining rates charged for health benefit plans, a health benefit plan that contains a provision for a restricted network is not similar coverage to a health benefit plan that does not contain such a provision if the restriction of benefits results in material differences in cost of claims.
2. As used in this section, “provision for a restricted network” means any provision of a group health benefit plan that conditions the payment of benefits, in whole or in part, on the use of providers of health care who have entered into a contractual arrangement with the carrier to provide health care to persons covered by the plan.