Nevada Revised Statutes 695I.505 – Policies to meet unique needs of tradespersons: Application for federal waiver by Executive Director; requirements for offering policy on Exchange; criteria for eligibility for policy
1. The Executive Director, in collaboration with the Director of the Department of Health and Human Services, shall apply to the Secretary of Health and Human Services for a waiver pursuant to 42 U.S.C. § 18052 to authorize an organization described in section 501(c)(5) of the Internal Revenue Code that processes health claims in this State to offer on the Exchange a policy of insurance to meet the unique needs of tradespersons, including, without limitation, persons who work temporary or seasonal jobs, that is capable of serving as an alternative to the continuation of group health benefits under the Consolidated Omnibus Budget Reconciliation Act of 1985.
Terms Used In Nevada Revised Statutes 695I.505
- person: means a natural person, any form of business or social organization and any other nongovernmental legal entity including, but not limited to, a corporation, partnership, association, trust or unincorporated organization. See Nevada Revised Statutes 0.039
2. The application for a waiver submitted pursuant to subsection 1 must include, without limitation, an application for a waiver of any provisions of federal law or regulations that would otherwise require a policy described in subsection 1 to meet the requirements of chapter 689A of NRS in order to be offered on the Exchange or for persons who purchase the plan on the Exchange to receive applicable federal subsidies.
3. To be offered on the Exchange, a policy of insurance described in subsection 1 must:
(a) Meet all requirements established by the Federal Act for a qualified health plan, to the extent that those requirements do not prevent an organization described in section 501(c)(5) of the Internal Revenue Code from offering such a policy; and
(b) Be certified by the Executive Director. Such certification must be renewed annually.
4. The Executive Director shall prescribe:
(a) Requirements for certification of a policy of insurance pursuant to paragraph (b) of subsection 3; and
(b) Criteria to determine when a person becomes eligible for a policy of insurance described in subsection 1. Those criteria must address:
(1) Persons who recently began employment but have not yet met the requirements concerning hours of work necessary to receive insurance through their employer; and
(2) Persons who have recently lost their jobs.
5. When performing the duties described in subsections 1 and 4, the Executive Director shall consult with organizations described in section 501(c)(5) of the Internal Revenue Code and other interested persons and entities concerning the requirements for certification of a policy of insurance described in subsection 1 and the criteria described in paragraph (b) of subsection 4.