NAC695F.150. Licensure in another state: Contract with providers in contiguous state; approval of plan of operation.

     1. An organization holding a certificate of authority in this State which is licensed in a contiguous state shall, before the organization contracts with providers in the contiguous state for services for enrollees in this State, submit to the Commissioner and obtain his or her approval of two copies of:

     (a) The organization’s plan for operation in that state;

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

     (c) Its lists of providers and agreements with the providers; and

     (d) Any other materials concerning the administration of the plan necessary for the Commissioner’s decision concerning it.

     2. The Commissioner, before approving such a plan, will consider whether the other state will approve the plan.

     (Added to NAC by Comm’r of Insurance, eff. 2-3-97)