Nevada Administrative Code (Last Updated: January 6, 2015) |
Chapter689B Group and Blanket Health Insurance |
USE OF PREFERRED PROVIDERS OF HEALTH CARE |
NAC689B.140. Filing of information with Division.
- Each insurer offering a policy of group health insurance pursuant to NRS 689B.061 shall file with the Division:
1. A copy of each standard agreement made with each preferred provider of health care and a list of the preferred providers of health care used by the insurer according to their specialties.
2. A copy of any agreement made with a third party to act as an administrator for the payment of claims or the collection of premiums. A copy of the rates or payments to be made to the administrator by the insurer may be omitted.
3. A copy of any contracts requiring a preauthorization review or procedures for obtaining authorization for care which may be separate from the policy.
4. A copy of any contracts entered into with persons who conduct utilization reviews or a brief description of the standards or guidelines used for a utilization review and the assurance of quality which may be separate from the policy.
(Added to NAC by Comm’r of Insurance, 7-19-90, eff. 10-1-90; A 5-27-92)