Nevada Administrative Code (Last Updated: January 6, 2015) |
Chapter695B Nonprofit Corporations for Hospital, Medical and Dental Service |
PAYMENT OF BENEFITS |
NAC695B.120. Group benefits payable by more than one insurer to provider; restrictions.
Latest version.
- When the benefits of a group contract for hospital, medical or dental service issued pursuant to chapter 695B of NRS are payable by more than one insurer to a provider, the contract must not require the insured, or any secondary insurer who is a:
1. Group health insurer;
2. Health maintenance organization; or
3. Nonprofit corporation for hospital, medical or dental service,
Ê to pay more than the remaining deductible and coinsurance, if any, based upon the rates established by the primary insurer for its payment of that provider.
(Added to NAC by Comm’r of Insurance, eff. 12-15-94)