§ 689B.030 Required provisions
§ 689B.0303 Required provision in certain policies concerning coverage for continued medical treatment; exceptions; regulations
§ 689B.0304 Policy covering prescription drugs: Required actions by insurer related to acquisition of prescription drugs for certain insureds residing in area for which emergency or disaster has been declared
§ 689B.0305 Policy covering prescription drug for treatment of cancer or cancer symptom that is part of step therapy protocol: Insurer required to allow insured or attending practitioner to apply for exemption from step therapy protocol in certain circumstances
§ 689B.0306 Required provision concerning coverage for certain treatment received as part of clinical trial or study for treatment of cancer or chronic fatigue syndrome; authority of insurer to require certain information; immunity from liability
§ 689B.0307 Policy covering prescription drug for treatment of medical condition that is part of step therapy protocol: Use of certain guidelines required; establishment of process to request exemption from step therapy protocol required; granting of request; a
§ 689B.031 Required provision concerning coverage of certain gynecological or obstetrical services without authorization or referral from primary care physician
§ 689B.0312 Required provision concerning coverage for drugs, laboratory testing and certain services related to human immunodeficiency virus and hepatitis C; reimbursement of certain providers of health care for certain services; prohibited acts
§ 689B.0313 Required coverage for certain tests and vaccines relating to human papillomavirus; prohibited acts
§ 689B.0314 Required provision concerning coverage for screening, genetic counseling and testing related to BRCA gene in certain circumstances
§ 689B.0315 Required provision concerning coverage for examination of person who is pregnant for certain diseases
§ 689B.0316 Required provision concerning coverage for testing, treatment and prevention of sexually transmitted diseases; required provision concerning coverage for condoms for certain insureds
§ 689B.0317 Required provision in policy covering treatment of prostate cancer concerning coverage for prostate cancer screening; prohibited act
§ 689B.0319 Required provision concerning coverage for certain drugs and services related to substance use disorder and opioid use disorder; reimbursement of pharmacists and pharmacies for certain services; prohibited acts
§ 689B.033 Certain policies covering family members required to include certain coverage for insured’s newly born and adopted children and children placed with insured for adoption
§ 689B.0334 Required provision concerning coverage for medically necessary treatment of conditions relating to gender dysphoria and gender incongruence; restriction on refusal to cover certain treatments; authority of insurer to prescribe requirements for cover
§ 689B.0335 Required provision concerning coverage for autism spectrum disorders for certain persons; prohibited acts
§ 689B.034 Required provision concerning effect of benefits under other valid group coverage; subrogation; prohibited act
§ 689B.0345 Required provision concerning continuing coverage for employee or member on leave without pay as result of total disability
§ 689B.035 Required provision in certain policies concerning termination of coverage on dependent child
§ 689B.0353 Required provision concerning coverage for treatment of certain inherited metabolic diseases
§ 689B.0357 Required provision in policy covering hospital, medical or surgical expenses concerning coverage for management and treatment of diabetes
§ 689B.0358 Required provision concerning coverage for management and treatment of sickle cell disease and its variants; required provision in policy covering prescription drugs concerning coverage for medically necessary prescription drugs to treat sickle cell
§ 689B.0361 Required provision concerning coverage for biomarker testing for diagnosis, treatment, management and monitoring of cancer in certain circumstances; establishment of process to request exception or appeal denial of coverage; time for responding to r
§ 689B.0362 Policy covering treatment of cancer through use of chemotherapy: Prohibited acts related to orally administered chemotherapy
§ 689B.0365 Required provision in certain policies concerning coverage for use of certain drugs and related services for treatment of cancer
§ 689B.0367 Required provision in policy covering treatment of colorectal cancer concerning coverage for colorectal cancer screening
§ 689B.0368 Policy covering prescription drugs prohibited from limiting or excluding coverage for certain prescription drugs previously approved for medical condition of insured; exceptions
§ 689B.0369 Required provision concerning coverage for services provided through telehealth to same extent as though provided in person or by other means; required provision concerning reimbursement for certain services provided through telehealth in same amoun
§ 689B.0374 Required provision concerning coverage for certain screenings and tests for breast cancer; prohibited acts
§ 689B.0375 Required provision in policy covering mastectomies concerning coverage relating to mastectomy; prohibited acts
§ 689B.0376 Required provision in policy covering prescription drugs or devices concerning coverage of hormone replacement therapy in certain circumstances; prohibited acts; exception
§ 689B.03762 Required provision in policy covering prescription drugs concerning coverage for drugs irregularly dispensed for purpose of synchronization of chronic medications; prohibited acts; exception
§ 689B.03764 Policy covering prescription drugs: Denial of coverage for early refills of otherwise covered topical ophthalmic products prohibited
§ 689B.03765 Policy covering prescription drugs: Submission to step therapy protocol for drug to treat psychiatric condition prohibited in certain circumstances
§ 689B.03766 Policy covering maternity care: Prohibited acts by insurer if insured is acting as gestational carrier; child deemed child of intended parent for purposes of policy
§ 689B.0377 Required provision in policy covering outpatient care concerning coverage for health care services related to hormone replacement therapy; prohibited acts
§ 689B.0378 Required provision concerning coverage for drug or device for contraception and related health services; prohibited acts; exceptions
§ 689B.03785 Required provisions concerning coverage for certain services, screenings and tests relating to wellness; prohibited acts
§ 689B.0379 Policy prohibited from excluding coverage for treatment of temporomandibular joint; exception

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Terms Used In Nevada Revised Statutes > Chapter 689B > Group Policies > Coverage

  • Advice and consent: Under the Constitution, presidential nominations for executive and judicial posts take effect only when confirmed by the Senate, and international treaties become effective only when the Senate approves them by a two-thirds vote.
  • Appeal: A request made after a trial, asking another court (usually the court of appeals) to decide whether the trial was conducted properly. To make such a request is "to appeal" or "to take an appeal." One who appeals is called the appellant.
  • Appraisal: A determination of property value.
  • Beneficiary: A person who is entitled to receive the benefits or proceeds of a will, trust, insurance policy, retirement plan, annuity, or other contract. Source: OCC
  • Contract: A legal written agreement that becomes binding when signed.
  • controlled substance: means a drug, immediate precursor or other substance which is listed in schedule I, II, III, IV or V for control by the State Board of Pharmacy pursuant to Nevada Revised Statutes 0.031
  • Conviction: A judgement of guilt against a criminal defendant.
  • Corporation: A legal entity owned by the holders of shares of stock that have been issued, and that can own, receive, and transfer property, and carry on business in its own name.
  • county: includes Carson City. See Nevada Revised Statutes 0.033
  • Dependent: A person dependent for support upon another.
  • Discovery: Lawyers' examination, before trial, of facts and documents in possession of the opponents to help the lawyers prepare for trial.
  • Equitable: Pertaining to civil suits in "equity" rather than in "law." In English legal history, the courts of "law" could order the payment of damages and could afford no other remedy. See damages. A separate court of "equity" could order someone to do something or to cease to do something. See, e.g., injunction. In American jurisprudence, the federal courts have both legal and equitable power, but the distinction is still an important one. For example, a trial by jury is normally available in "law" cases but not in "equity" cases. Source: U.S. Courts
  • Evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.
  • Fair market value: The price at which an asset would change hands in a transaction between a willing, informed buyer and a willing, informed seller.
  • Fiscal year: The fiscal year is the accounting period for the government. For the federal government, this begins on October 1 and ends on September 30. The fiscal year is designated by the calendar year in which it ends; for example, fiscal year 2006 begins on October 1, 2005 and ends on September 30, 2006.
  • Fraud: Intentional deception resulting in injury to another.
  • Grace period: The number of days you'll have to pay your bill for purchases in full without triggering a finance charge. Source: Federal Reserve
  • Lease: A contract transferring the use of property or occupancy of land, space, structures, or equipment in consideration of a payment (e.g., rent). Source: OCC
  • Lien: A claim against real or personal property in satisfaction of a debt.
  • Oath: A promise to tell the truth.
  • 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
  • physician: means a person who engages in the practice of medicine, including osteopathy and homeopathy. See Nevada Revised Statutes 0.040
  • population: means the number of people in a specified area as determined by the last preceding national decennial census conducted by the Bureau of the Census of the United States Department of Commerce pursuant to Section 2 of Nevada Revised Statutes 0.050
  • Real property: Land, and all immovable fixtures erected on, growing on, or affixed to the land.
  • Settlement: Parties to a lawsuit resolve their difference without having a trial. Settlements often involve the payment of compensation by one party in satisfaction of the other party's claims.
  • Subpoena: A command to a witness to appear and give testimony.
  • Trial: A hearing that takes place when the defendant pleads "not guilty" and witnesses are required to come to court to give evidence.
  • Veto: The procedure established under the Constitution by which the President/Governor refuses to approve a bill or joint resolution and thus prevents its enactment into law. A regular veto occurs when the President/Governor returns the legislation to the house in which it originated. The President/Governor usually returns a vetoed bill with a message indicating his reasons for rejecting the measure. In Congress, the veto can be overridden only by a two-thirds vote in both the Senate and the House.