NAC695B.010. Disclosure of points at which insured’s payment for coinsurance is no longer required; sample calculation of claim; limitation on approval of contract.

     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 group contract for hospital, medical or dental services pursuant to subsection 6 of NRS 695B.185 must be disclosed to the insured and included in the disclosure filed pursuant to NRS 695B.172.

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

     3. The Commissioner will not approve a contract 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)