GENERAL PROVISIONS

NAC 689B.010. Definitions.

NAC 689B.011. “Actuarial memorandum” defined.

NAC 689B.0115. “Actuarial opinion” defined.

NAC 689B.012. “Association” defined.

NAC 689B.014. “Commissioner” defined.

NAC 689B.016. “Division” defined.

NAC 689B.018. “Employer’s group” defined.

NAC 689B.019. “Guaranteed association” defined.

GROUPS FORMED TO PURCHASE INSURANCE

NAC 689B.020. Request for approval of policy.

NAC 689B.030. Certification, filing and approval of policy.

NAC 689B.040. Standards for rates.

NAC 689B.050. Establishment of program for rating experience.

NAC 689B.060. Standards for acceptance or rejection of employer’s group.

NAC 689B.070. Coverage of employer’s group; standards for exclusion or limitation.

NAC 689B.080. Limiting benefits to certain employer’s groups for preexisting conditions.

NAC 689B.090. Notice of cancellation, nonrenewal or renewal with altered terms.

GUARANTEED ASSOCIATIONS

NAC 689B.095. Actuarial memorandum: Submission by insurer; contents.

NAC 689B.097. Annual approval of actuarial memorandum and applicable rates; submission of additional information.

NAC 689B.099. Notice of cancellation of policy when fewer than 200 persons covered.

USE OF PREFERRED PROVIDERS OF HEALTH CARE

NAC 689B.110. Disclosure of points at which insured’s payment for coinsurance is no longer required; sample calculation of claim; limitation on approval of policy.

NAC 689B.120. Contents of policy: General requirements.

NAC 689B.130. Contents of policy: Provisions concerning emergencies and medical necessity.

NAC 689B.140. Filing of information with Division.

NAC 689B.150. Dissemination of list of preferred providers and any geographic limitations.

NAC 689B.160. Agreements with preferred providers: Notice of termination.

PAYMENT OF BENEFITS

NAC 689B.180. Subrogation: Right of insurer and insured to recover from third party; lien against recovery; subrogation not basis for denial of payment of benefits.

NAC 689B.190. Group benefits payable by more than one insurer to provider; restrictions.

NAC 689B.195. Determination of benefits; consideration of coverage under another policy not allowed.

SUMMARY OF COVERAGE

NAC 689B.205. Disclosures in advertising and sales materials; inclusion of certain information in health benefit plan.

NAC 689B.210. “Group policyholder” interpreted; filing, contents and delivery of disclosure.

PREMIUM RATES

NAC 689B.230. Limitation on frequency of increases; exceptions.

SYSTEM FOR RESOLVING COMPLAINTS OF INSUREDS

NAC 689B.250. Requirements for approval.

NAC 689B.260. Annual report.

BLANKET POLICIES

NAC 689B.280. Compliance with NAC 689B.205 and 689B.230.

PORTABILITY AND ACCOUNTABILITY

NAC 689B.295. Definitions.

NAC 689B.300. Evidence of creditable coverage.

NAC 689B.305. Restrictions on rules of eligibility and on premium and contribution rates.

NAC 689B.310. Converted policies.

POLICIES FOR STOP-LOSS INSURANCE

NAC 689B.350. General provisions.