NAC695F.260. Geographic area of service: Expansion.


Latest version.
  •      1. An organization that wishes to expand its geographic area of service from that stated in its application for a certificate of authority must submit to the Commissioner:

         (a) A copy of a written description of the area it proposes to serve;

         (b) A list of the providers who will offer a limited health service to the organization’s enrollees in that area;

         (c) A copy of the contract with those providers;

         (d) A statement describing the effect of the expansion on the operation of the organization;

         (e) Certification that the organization is financially able to expand;

         (f) A statement describing the method of marketing and the projected number of enrollees from the new area;

         (g) Proof that the organization has notified its insurers for its contracts of surety, fidelity and stop loss insurance of the proposed changes;

         (h) Any other information requested by the Commissioner; and

         (i) The fee for filing a material change or addition of a limited health service.

         2. Any request by an organization to expand the area of its service will be treated by the Commissioner as a material modification of the organization’s operation pursuant to NRS 695F.170. If the organization subsequently submits information amending the request for expansion, the original request shall be deemed withdrawn and the period for approval or disapproval must be computed from the date of receipt of the amended request.

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