NAC689C.310. Grounds for denial of application or suspension, revocation or refusal to renew certificate.  


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  • The Commissioner may deny the application of a voluntary purchasing group or suspend, revoke or refuse to renew the certificate of registration of a group for the following reasons:

         1. Failure to comply with any applicable provisions of title 57 of NRS;

         2. Failure to disclose a preexisting oral or written agreement during the application process;

         3. Failure to comply with and carry out the approved business plan;

         4. Failure to follow approved procedures or maintain adequate controls;

         5. Failure to meet the standards of a financial or performance examination;

         6. Failure to market health care services actively to small employers not currently served by the group;

         7. Failure to comply with an order of the Commissioner;

         8. Commission of an unfair or deceptive act or practice as defined in chapter 686A of NRS or NAC;

         9. Filing a form with the Commissioner that contains fraudulent information or omissions;

         10. Misappropriation of, conversion of, illegal withholding of or refusal to pay obligations legally owed from funds entrusted to the group in its fiduciary capacity;

         11. Failure to offer the services of the group to small employers not currently being served by a group; or

         12. Failure to supply a business plan for the group that will reduce and continue to reduce the cost of insurance and improve quality and access to affordable health insurance or health care services.

     (Added to NAC by Comm’r of Insurance, eff. 3-5-96)