NRS 695D.200
Policy: Issuance

  • form and contents
  • notice of change.

1.

An organization for dental care shall:

(a)

Hold a meeting for all prospective members to review fully the policy being offered and describe the coverage under the plan for dental care before any contract is executed between the parties.

(b)

Provide to each member a copy of the policy describing his or her coverage under the plan for dental care.

2.

The Commissioner must approve every policy and amendment to it before they are distributed to the members or any other person. If the Commissioner does not disapprove the policy within 30 days after it is filed with the Commissioner, it shall be deemed to be approved. If the Commissioner disapproves a policy, the Commissioner shall notify the organization of the reasons for disapproval. The Commissioner shall grant a hearing on any disapproval of a policy or amendment within 15 days after the organization requests, in writing, a hearing on the matter.

3.

A policy must contain a clear and complete statement of the contract between the parties or a summary of the contract which describes:

(a)

The dental care and other benefits to which the member is entitled;

(b)

Any limitations on the care to be provided, including any deductibles or copayments to be paid by a member;

(c)

Where information is available and how dental care may be obtained; and

(d)

The member’s obligations for payment under the plan for dental care.

4.

The organization must give notice to the Commissioner and every member 30 days before any change is made in the member’s policy.

Source: Section 695D.200 — Policy: Issuance; form and contents; notice of change., https://www.­leg.­state.­nv.­us/NRS/NRS-695D.­html#NRS695DSec200 (accessed May 26, 2025).

695D.010
Definitions. 695D.020
“Commissioner” defined. 695D.030
“Dental care” defined. 695D.040
“Dentist” defined. 695D.050
“Member” defined. 695D.060
“Organization for dental care” defined. 695D.070
“Plan for dental care” defined. 695D.080
“Policy” defined. 695D.090
Applicability. 695D.095
Applicability of other provisions to organizations for dental care. 695D.100
Regulations of Commissioner. 695D.102
Summary of coverage: Contents of disclosure 695D.104
Summary of coverage: Copy to be provided before policy issued 695D.110
Certificate of authority: Required for plan for dental care. 695D.120
Certificate of authority: Application. 695D.130
Certificate of authority: Issuance. 695D.140
Certificate of authority: Notice of change of information 695D.150
Certificate of authority: Expiration 695D.153
Capital account: Minimum amount 695D.157
Hazardous financial condition: Regulations 695D.160
Composition of board of directors for organization for dental care. 695D.170
Bond or deposit required 695D.180
Bond payable to State 695D.190
Fiduciary responsibilities 695D.200
Policy: Issuance 695D.203
Group plan issued to replace discontinued policy or coverage: Requirements 695D.205
Copayments and deductibles. 695D.210
Coverage for newly born and adopted children and children placed for adoption. 695D.215
Claims: Approval or denial 695D.216
Required provision concerning coverage for services provided through telehealth. 695D.217
Organization for dental care prohibited from denying coverage solely because person was victim of domestic violence. 695D.219
Organization for dental care prohibited from denying coverage solely because member was intoxicated or under the influence of controlled substance 695D.220
Licensing of agents. 695D.225
Contracts between organization for dental care and dentist: Modification 695D.227
Prohibition of setting of fees by plan or organization for dental care other than covered services to members. 695D.230
Approval of advertising or materials used to solicit members. 695D.240
Limitation on expenses for marketing and administration. 695D.250
Reserves 695D.260
Annual report, financial statement and tax 695D.270
Examination of organization by Commissioner. 695D.280
Rehabilitation, liquidation or conservation. 695D.290
Trade practices and frauds. 695D.300
Disciplinary actions 695D.310
Notice of disciplinary action

May 26, 2025

§ 695D.200. Policy: Issuance's source at nv​.us