NAC695D.320. Organization desiring to contract with providers out of State for services for members in State.

     1. If an organization authorized to operate in this State is also licensed in a contiguous state and wishes to contract with providers in that state for services for members in this State, the organization shall submit to the Division, for its review and approval:

     (a) Two copies of the plan of the organization for operation in the contiguous state;

     (b) A copy of the evidence of coverage to be issued, if it has not previously been filed with the Division;

     (c) Its list of providers in the contiguous state and a copy of its agreement with each provider; and

     (d) Such other material concerning the administration of the plan as the Division deems necessary for its review.

     2. The Division will consider such a plan to be a material modification of the operations of the organization in this State.

     3. The Division, before it approves the plan, will consider whether the contiguous state will approve the plan.

     (Added to NAC by Comm’r of Insurance, eff. 12-2-88; A 5-27-92)