NAC689B.305. Restrictions on rules of eligibility and on premium and contribution rates.

     1. A group health plan and a carrier that issues group health insurance pursuant to chapter 689B of NRS shall not include or establish any rule of eligibility, including continued eligibility, for any individual to enroll for benefits under the terms of the group health plan or group health insurance that discriminates based upon any health status-related factor that relates to the individual or a dependent of the individual.

     2. A group health plan and a carrier that issues group health insurance pursuant to chapter 689B of NRS shall not include or establish any rule of eligibility, or set a premium or contribution rate, for any individual based on whether the individual is:

     (a) Confined to a hospital or other health care institution; or

     (b) Actively at work, including whether an individual is continuously employed, unless the group health plan or group health insurance treats absence from work because of a health factor as being actively at work.

     3. As used in this section, “rule of eligibility” includes, without limitation, any rule of eligibility relating to:

     (a) The effective date of coverage;

     (b) Waiting or affiliation periods;

     (c) Late and special enrollment periods; or

     (d) Eligibility for benefit packages, including rules pursuant to which individuals may change their selection among benefit packages.

     (Added to NAC by Comm’r of Insurance by R009-02, eff. 5-23-2002; A by R009-02, 7-11-2002)