Nev. Admin. Code § 695B.010 - Disclosure of points at which insured's payment for coinsurance is no longer required; sample calculation of claim; limitation on approval of contract
1. The point at which an insured's payment
for coinsurance is no longer required to be paid for preferred providers of
health care and for providers who are not preferred in a group contract for
hospital, medical or dental services pursuant to subsection 6 of
NRS
695B.185 must be disclosed to the
insured.
2. Each form of contract
filed with the Commissioner must include a sample calculation of a claim using
the method of calculation selected by the corporation.
3. The Commissioner will not approve a
contract if the point at which an insured's payment for coinsurance is no
longer required to be paid for preferred providers of health care and for
providers who are not preferred is misleading or deceptively affects the risk
purported to be assumed.
Notes
NRS 679B.130
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