NAC695B.050. Limitation on frequency of increases; exceptions.


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  •      1. Except as otherwise provided in this section, a nonprofit corporation for hospital, medical or dental services shall not increase the premium rates under a group contract for hospital, medical or dental services more frequently than every 6 months unless the increase in the premium rates is being made because:

         (a) An employer has requested a change in its group contract for hospital, medical or dental services;

         (b) There has been a change in the number of employees covered by an employer that would affect the insurance premium rate of the employer; or

         (c) There has been a change in federal or state law which affects the cost of providing services under the group contract for hospital, medical or dental services.

         2. If a nonprofit corporation for hospital, medical or dental services issues a group contract for hospital, medical or dental services to a class of employers that consists solely of bona fide associations and uses a common date of renewal for that class, an increase in the premium rates for that class does not violate the provisions of subsection 1 solely because at least one but not all the members of that class will have an increase in premium rates more frequently than every 6 months.

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