Nevada Administrative Code (Last Updated: January 6, 2015) |
Chapter695C Health Maintenance Organizations; Provider-Sponsored Organizations |
ADMINISTRATION OF ORGANIZATION |
NAC695C.295. Disclosures in advertising and sales materials; inclusion of certain information in health care plan.
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1. As part of the disclosure required by NRS 695C.193, an organization shall disclose in the advertising and sales materials that the organization provides to employers:
(a) The term of the contract applicable to the premium rates;
(b) A general description of the underwriting factors that the organization used to calculate premiums; and
(c) A description of the class of business in which the employer is included.
2. An organization shall include a copy of the information described in paragraph (c) of subsection 1 in the health care plan that the organization provides to an enrollee.
(Added to NAC by Comm’r of Insurance by R009-02, eff. 5-23-2002; A by R009-02, 7-11-2002)
Notation
REVISER’S NOTE.
The regulation of the Commissioner of Insurance filed with the Secretary of State on July 11, 2002 (LCB File No. R009-02), the source of this section (section 19 of the regulation), contains the following provision not included in NAC:
“Sec. 20. Sections 6, 13, 16 and 19 of this regulation [NAC 689B.205, 689C.172, 695B.035 and 695C.295] apply to any disclosures given for health insurance, group contracts for hospital or medical service and group health care plans offered by insurers, nonprofit corporations for hospital, medical or dental services and health maintenance organizations that are offered or issued on or after July 10, 2002.”