§ 695A.001 Definitions
§ 695A.003 ‘Benefit contract’ defined
§ 695A.004 ‘Benefit member’ defined
§ 695A.006 ‘Certificate’ defined
§ 695A.010 ‘Fraternal benefit society’ defined
§ 695A.014 ‘Insurer’ defined
§ 695A.016 ‘Laws’ defined
§ 695A.018 ‘Lodge’ defined
§ 695A.020 ‘Lodge system’ defined
§ 695A.023 ‘Medicaid’ defined
§ 695A.027 ‘Order for medical coverage’ defined
§ 695A.030 ‘Premiums’ defined
§ 695A.040 ‘Representative form of government’ defined
§ 695A.042 ‘Rules’ defined
§ 695A.044 ‘Society’ defined
§ 695A.050 Organization: Preparation and contents of articles of incorporation
§ 695A.060 Organization: Filing of documents and bond with Commissioner; preliminary certificate of authority
§ 695A.070 Organization: Solicitation of members; collection of advance premiums; reports to Commissioner
§ 695A.080 Certificate of authority: Issuance and renewal; effect; record; copies; fees
§ 695A.090 General powers and duties of society
§ 695A.095 Contracts between society and provider of health care: Prohibiting society from charging provider of health care fee for inclusion on list of providers given to insureds; society required to use form to obtain information on provider of health car
§ 695A.110 Unincorporated or voluntary association prohibited from transacting business as society
§ 695A.120 Location of principal office; meetings of supreme governing body; minutes of certain proceedings; official publications; grievances by benefit members
§ 695A.130 Consolidation; merger
§ 695A.140 Conversion of fraternal benefit society into mutual life insurer
§ 695A.150 Qualifications for and rights and privileges of membership
§ 695A.151 Effect of eligibility for medical assistance under Medicaid on eligibility for coverage; assignment of rights to state agency
§ 695A.152 Society required to comply with certain provisions concerning portability and availability of health insurance
§ 695A.153 Society prohibited from asserting certain grounds to deny enrollment of child of insured pursuant to order
§ 695A.155 Certain accommodations required to be made by society when child is covered under policy of noncustodial parent
§ 695A.157 Society required to authorize enrollment of child of parent who is required by order to provide medical coverage under certain circumstances; termination of coverage of child
§ 695A.160 Amendment of laws of society: Manner; approval by Commissioner; provision to members
§ 695A.180 Scope of contractual benefits
§ 695A.184 Benefit contract covering prescription drugs prohibited from limiting or excluding coverage for prescription drug previously approved for medical condition of insured; exception
§ 695A.1843 Coverage for drugs, laboratory testing and certain services related to human immunodeficiency virus and hepatitis C required; reimbursement of certain providers of health care for certain services; prohibited acts
§ 695A.1844 Coverage for testing, treatment and prevention of sexually transmitted diseases required; coverage for condoms for certain insureds required
§ 695A.1845 Coverage for certain tests and vaccines relating to human papillomavirus required; prohibited acts
§ 695A.1853 Coverage for screening, genetic counseling and testing related to BRCA gene required in certain circumstances
§ 695A.1855 Coverage for certain screenings and tests for breast cancer required; prohibited acts
§ 695A.1856 Coverage for examination of person who is pregnant for certain diseases required
§ 695A.1857 Benefit contract covering maternity care: Prohibited acts by society if insured is acting as gestational carrier; child deemed child of intended parent for purposes of benefit contract
§ 695A.1859 Coverage for biomarker testing for diagnosis, treatment, management and monitoring of cancer required in certain circumstances; establishment of process to request exception or appeal denial of coverage; time for responding to request for prior auth
§ 695A.1865 Coverage for drug or device for contraception and related health services required in benefit contract covering prescription drugs or devices; prohibited acts; exceptions
§ 695A.1867 Coverage for medically necessary treatment of conditions relating to gender dysphoria and gender incongruence required; restriction on refusal to cover certain treatments; authority of society to prescribe requirements for covering surgical treatmen
§ 695A.1873 Coverage for management and treatment of sickle cell disease and its variants required; coverage for medically necessary prescription drugs to treat sickle cell disease and its variants required in benefit contract covering prescription drugs
§ 695A.1874 Coverage for certain drugs and services related to substance use disorder and opioid use disorder required; reimbursement of pharmacists and pharmacies for certain services; prohibited acts
§ 695A.1875 Coverage for certain services, screenings and tests relating to wellness required; prohibited acts
§ 695A.188 Approval or denial of claim; interest on unpaid claim; request for additional information; payment of claim; costs and attorney’s fees
§ 695A.195 Society prohibited from denying coverage solely because claim involves act that constitutes domestic violence or applicant or insured was victim of domestic violence
§ 695A.197 Society prohibited from denying coverage solely because applicant or insured was intoxicated or under the influence of controlled substance; exceptions
§ 695A.198 Society prohibited from discriminating against person with respect to participation or coverage on basis of gender identity or expression
§ 695A.200 Nonforfeiture benefits, cash surrender values, certificate loans and other options
§ 695A.210 Beneficiaries; funeral benefits
§ 695A.220 Benefits not liable to attachment, garnishment or other process
§ 695A.230 Terms and conditions of benefit contracts
§ 695A.232 Society required to offer and issue plan regardless of health status of persons; prohibited acts
§ 695A.235 Offering policy of health insurance for purposes of establishing health savings account
§ 695A.240 Approval and contents of certificates
§ 695A.255 Benefit contract covering prescription drugs: Provision of notice and information regarding use of formulary
§ 695A.256 Benefit contract covering prescription drugs: Submission to step therapy protocol for drug to treat psychiatric condition prohibited in certain circumstances
§ 695A.257 Benefit contract covering prescription drugs: Required actions by society related to acquisition of prescription drugs for certain insureds residing in area for which emergency or disaster has been declared
§ 695A.258 Benefit contract 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 o
§ 695A.259 Benefit contract covering prescription drug for treatment of cancer or cancer symptom that is part of step therapy protocol: Society required to allow insured or attending practitioner to apply for exemption from step therapy protocol in certain c
§ 695A.261 Benefit contract covering anatomical gifts, organ transplants or treatments or services related to organ transplants: Prohibited acts by society if insured is person with disability
§ 695A.265 Coverage for services provided through telehealth required to same extent as though provided in person or by other means; reimbursement for certain services provided through telehealth required in same amount as though provided in person or by oth
§ 695A.270 Authority to prohibit in society’s laws waiver of provisions of society’s laws
§ 695A.280 Reinsurance
§ 695A.300 Foreign or alien society: License required to transact business; required information
§ 695A.310 Injunction against, liquidation of or appointment of receiver for domestic society
§ 695A.320 Suspension, revocation or refusal of license of foreign or alien society
§ 695A.330 Licensing of insurance agents of society; persons exempt from licensing
§ 695A.400 Service of process on society
§ 695A.410 Injunctions against societies
§ 695A.420 Judicial review of Commissioner’s findings and decisions
§ 695A.430 Assets, funds and accounts of society
§ 695A.440 Investments
§ 695A.450 Annual statement of financial condition, transactions and affairs: Filing; fee; contents; provision to members; valuation of certificates
§ 695A.460 Annual statement of financial condition, transactions and affairs: Penalties for failure to file properly
§ 695A.475 Liability of directors, officers, employees, members and volunteers; indemnification and reimbursement of directors, officers, employees and agents
§ 695A.490 Standards of valuation for certificates; excess reserves
§ 695A.500 Examination of societies transacting or applying to transact business in State
§ 695A.530 Applicability of provisions relating to trade practices and frauds
§ 695A.550 Exemption of societies from certain taxes
§ 695A.555 Nonexemption of societies from certain fees
§ 695A.560 Exemption of societies from other insurance laws; exceptions
§ 695A.570 Applicability of chapter; effect of exemption
§ 695A.580 Penalties

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Terms Used In Nevada Revised Statutes > Chapter 695A - Fraternal Benefit Societies

  • Affidavit: A written statement of facts confirmed by the oath of the party making it, before a notary or officer having authority to administer oaths.
  • Allegation: something that someone says happened.
  • Amendment: A proposal to alter the text of a pending bill or other measure by striking out some of it, by inserting new language, or both. Before an amendment becomes part of the measure, thelegislature must agree to it.
  • Annuity: A periodic (usually annual) payment of a fixed sum of money for either the life of the recipient or for a fixed number of years. A series of payments under a contract from an insurance company, a trust company, or an individual. Annuity payments are made at regular intervals over a period of more than one full year.
  • Answer: The formal written statement by a defendant responding to a civil complaint and setting forth the grounds for defense.
  • 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.
  • Arrest: Taking physical custody of a person by lawful authority.
  • Assets: (1) The property comprising the estate of a deceased person, or (2) the property in a trust account.
  • Attachment: A procedure by which a person's property is seized to pay judgments levied by the court.
  • Attorney-in-fact: A person who, acting as an agent, is given written authorization by another person to transact business for him (her) out of court.
  • Bail: Security given for the release of a criminal defendant or witness from legal custody (usually in the form of money) to secure his/her appearance on the day and time appointed.
  • 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
  • Charity: An agency, institution, or organization in existence and operating for the benefit of an indefinite number of persons and conducted for educational, religious, scientific, medical, or other beneficent purposes.
  • Civil infraction: means a violation of any provision of chapters 483 to 484E, inclusive, 486 or 490 of NRS that is not punishable as a misdemeanor, gross misdemeanor or felony. See Nevada Revised Statutes 481.015
  • Complaint: A written statement by the plaintiff stating the wrongs allegedly committed by the defendant.
  • 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
  • Damages: Money paid by defendants to successful plaintiffs in civil cases to compensate the plaintiffs for their injuries.
  • Deed: The legal instrument used to transfer title in real property from one person to another.
  • Defendant: In a civil suit, the person complained against; in a criminal case, the person accused of the crime.
  • Department: means the Department of Motor Vehicles. See Nevada Revised Statutes 481.015
  • Dependent: A person dependent for support upon another.
  • Director: means the Director of the Department. See Nevada Revised Statutes 481.015
  • Discovery: Lawyers' examination, before trial, of facts and documents in possession of the opponents to help the lawyers prepare for trial.
  • Embezzlement: In most states, embezzlement is defined as theft/larceny of assets (money or property) by a person in a position of trust or responsibility over those assets. Embezzlement typically occurs in the employment and corporate settings. Source: OCC
  • 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
  • Escrow: Money given to a third party to be held for payment until certain conditions are met.
  • 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.
  • Executor: A male person named in a will to carry out the decedent
  • Finance charge: The total cost of credit a customer must pay on a consumer loan, including interest. The Truth in Lending Act requires disclosure of the finance charge. Source: OCC
  • Foreclosure: A legal process in which property that is collateral or security for a loan may be sold to help repay the loan when the loan is in default. Source: OCC
  • Forgery: The fraudulent signing or alteration of another's name to an instrument such as a deed, mortgage, or check. The intent of the forgery is to deceive or defraud. Source: OCC
  • Fraud: Intentional deception resulting in injury to another.
  • Garnishment: Generally, garnishment is a court proceeding in which a creditor asks a court to order a third party who owes money to the debtor or otherwise holds assets belonging to the debtor to turn over to the creditor any of the debtor
  • Gift: A voluntary transfer or conveyance of property without consideration, or for less than full and adequate consideration based on fair market value.
  • 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
  • Guardian: A person legally empowered and charged with the duty of taking care of and managing the property of another person who because of age, intellect, or health, is incapable of managing his (her) own affairs.
  • Indemnification: In general, a collateral contract or assurance under which one person agrees to secure another person against either anticipated financial losses or potential adverse legal consequences. Source: FDIC
  • Injunction: An order of the court prohibiting (or compelling) the performance of a specific act to prevent irreparable damage or injury.
  • Jurisdiction: (1) The legal authority of a court to hear and decide a case. Concurrent jurisdiction exists when two courts have simultaneous responsibility for the same case. (2) The geographic area over which the court has authority to decide cases.
  • Juror: A person who is on the jury.
  • 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
  • Legal tender: coins, dollar bills, or other currency issued by a government as official money. Source: U.S. Mint
  • Liabilities: The aggregate of all debts and other legal obligations of a particular person or legal entity.
  • Lien: A claim against real or personal property in satisfaction of a debt.
  • Mortgage: The written agreement pledging property to a creditor as collateral for a loan.
  • mortgage: includes a deed of trust. See Nevada Revised Statutes 0.037
  • Mortgage loan: A loan made by a lender to a borrower for the financing of real property. Source: OCC
  • Nolo contendere: No contest-has the same effect as a plea of guilty, as far as the criminal sentence is concerned, but may not be considered as an admission of guilt for any other purpose.
  • Oath: A promise to tell the truth.
  • Obligation: An order placed, contract awarded, service received, or similar transaction during a given period that will require payments during the same or a future period.
  • Partnership: A voluntary contract between two or more persons to pool some or all of their assets into a business, with the agreement that there will be a proportional sharing of profits and losses.
  • 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
  • Personal property: All property that is not real property.
  • physician: means a person who engages in the practice of medicine, including osteopathy and homeopathy. See Nevada Revised Statutes 0.040
  • Plea: In a criminal case, the defendant's statement pleading "guilty" or "not guilty" in answer to the charges, a declaration made in open court.
  • 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
  • Power of attorney: A written instrument which authorizes one person to act as another's agent or attorney. The power of attorney may be for a definite, specific act, or it may be general in nature. The terms of the written power of attorney may specify when it will expire. If not, the power of attorney usually expires when the person granting it dies. Source: OCC
  • Probable cause: A reasonable ground for belief that the offender violated a specific law.
  • Probation: A sentencing alternative to imprisonment in which the court releases convicted defendants under supervision as long as certain conditions are observed.
  • Prosecute: To charge someone with a crime. A prosecutor tries a criminal case on behalf of the government.
  • Quorum: The number of legislators that must be present to do business.
  • Real property: Land, and all immovable fixtures erected on, growing on, or affixed to the land.
  • Remainder: An interest in property that takes effect in the future at a specified time or after the occurrence of some event, such as the death of a life tenant.
  • Restitution: The court-ordered payment of money by the defendant to the victim for damages caused by the criminal action.
  • 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.
  • state agency: means :

    1. See Nevada Revised Statutes 487.007

  • Statute: A law passed by a legislature.
  • Testimony: Evidence presented orally by witnesses during trials or before grand juries.
  • Trial: A hearing that takes place when the defendant pleads "not guilty" and witnesses are required to come to court to give evidence.
  • Trustee: A person or institution holding and administering property in trust.