NAC689C.170. Contents of disclosure form.

The disclosure required to be filed with the Commissioner pursuant to NRS 689C.270 must be on a form which is in at least 10-point type and include:

     1. The name, address and telephone number of the carrier;

     2. The name, address and telephone number of the agent, broker and administrator, if applicable;

     3. A statement describing the principal benefits and the type of coverage provided; and

     4. A description of any provision of the policy which significantly excludes, eliminates, reduces or limits the payment of benefits, including limitations on access to an emergency room, requirements concerning prior authorization, and limitations relating to the use of preferred or other providers.

     (Added to NAC by Comm’r of Insurance, eff. 3-28-96)