NRS 695D.205
Copayments and deductibles.

1.

Each copayment and deductible required to be paid by a member must be reasonable and reasonably related to the cost of the particular service.

2.

Every organization for dental care shall submit to the Commissioner for approval any proposal for copayment or deductible before it is imposed on the members. The Commissioner shall approve or disapprove the proposal within 30 days after it is submitted to the Commissioner. If the Commissioner disapproves a copayment or deductible, the Commissioner shall notify the organization of the reasons for disapproval. The Commissioner shall grant a hearing on any such disapproval within 15 days after the organization requests, in writing, a hearing on the matter.

3.

The Commissioner may adopt regulations to define:

(a)

“Reasonable” as it relates to copayments and deductibles; and

(b)

A “reasonable relationship” between the cost of particular services and the amount of related copayments and deductibles.

Source: Section 695D.205 — Copayments and deductibles., https://www.­leg.­state.­nv.­us/NRS/NRS-695D.­html#NRS695DSec205.

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
Last Updated

Jun. 24, 2021

§ 695D.205’s source at nv​.us