GENERAL PROVISIONS

NAC 695D.010. Definitions.

NAC 695D.015. “Commissioner” defined.

NAC 695D.020. “Division” defined.

NAC 695D.025. “Member” defined.

NAC 695D.030. “Organization” defined.

NAC 695D.040. “Plan” defined.

NAC 695D.045. “Policy” defined.

NAC 695D.050. “Provider” defined.

NAC 695D.060. “Service” defined.

APPLICATION FOR CERTIFICATE OF AUTHORITY

NAC 695D.070. Submission; format.

NAC 695D.080. Contents.

NAC 695D.090. Applicant licensed in another state.

NAC 695D.100. Incomplete application.

NAC 695D.110. Request to review or obtain copy; notification of pending application.

ADMINISTRATION AND RECORDS

NAC 695D.120. Name of organization.

NAC 695D.130. Maintenance of principal office and place of business.

NAC 695D.140. Maintenance of records.

NAC 695D.150. Qualifications of person responsible for operating organization.

NAC 695D.160. Powers of organization; approval by Commissioner.

NAC 695D.170. Accessibility of services.

NAC 695D.180. Organization desiring to enlarge its geographic area of service.

NAC 695D.190. Contract between organization and provider.

NAC 695D.200. Notification of changes in list of providers.

NAC 695D.220. Coordination of benefits.

NAC 695D.225. Summary of coverage: Filing, contents and delivery of disclosure.

NAC 695D.230. Provision of copy of plan to members; advertising; solicitation.

FINANCES

NAC 695D.240. Reserves maintained by organization.

NAC 695D.250. Investment of money.

NAC 695D.260. Filing of periodic reports and financial statements.

NAC 695D.270. Determination of financial condition: Assets considered.

NAC 695D.280. Determination of financial condition: Assets not considered.

NAC 695D.290. Determination of financial condition: Charges against assets.

NAC 695D.300. Maintenance of financial security.

ORGANIZATIONS LICENSED IN OTHER STATES

NAC 695D.310. Submission of copy of license to Commissioner.

NAC 695D.320. Organization desiring to contract with providers out of State for services for members in State.

NAC 695D.330. Notification of disciplinary action taken in another state.

MISCELLANEOUS PROVISIONS

NAC 695D.340. Certification of information concerning limitation on rates for coverage.

NAC 695D.350. Contract to perform marketing, enrollment or administrative services.

NAC 695D.360. Administrative hearings and other proceedings.

NAC 695D.370. Requirements for conducting examinations.

SYSTEM FOR RESOLVING COMPLAINTS OF MEMBERS

NAC 695D.500. Establishment; scope; examination of system.

NAC 695D.510. Requirements for approval.

NAC 695D.520. Notices: Right of member to file complaint; denial of coverage; clear and comprehensible language.

NAC 695D.530. Annual report: Submission; resolution of oral inquiry.

NAC 695D.540. Annual report: Content; maintenance of records.