NAC689B.110. Disclosure of points at which insured’s payment for coinsurance is no longer required; sample calculation of claim; limitation on approval of policy.

     1. The point at which an insured’s payment for coinsurance is no longer required to be paid for preferred providers of health care and for providers who are not preferred in a policy of group health insurance pursuant to subsection 6 of NRS 689B.061 must be disclosed to the insured and included in the disclosure filed pursuant to NRS 689B.027.

     2. Each form of policy filed with the Commissioner must include a sample calculation of a claim using the method of calculation selected by the insurer.

     3. The Commissioner will not approve a policy if the point at which an insured’s payment for coinsurance is no longer required to be paid for preferred providers of health care and for providers who are not preferred is misleading or deceptively affects the risk purported to be assumed.

     (Added to NAC by Comm’r of Insurance, eff. 6-1-88; A 6-20-90; 9-16-92)