Assembly Bill No. 680–Committee on Commerce and Labor

(On Behalf of Division of Insurance)

March 22, 1999

____________

Referred to Committee on Commerce and Labor

 

SUMMARY—Makes various changes to provisions relating to insurance. (BDR 57-651)

FISCAL NOTE: Effect on Local Government: No.

Effect on the State or on Industrial Insurance: No.

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EXPLANATION – Matter in bolded italics is new; matter between brackets [omitted material] is material to be omitted. Green numbers along left margin indicate location on the printed bill (e.g., 5-15 indicates page 5, line 15).

 

AN ACT relating to insurance; revising the fees for the issuance and renewal of a license for a surplus lines broker; requiring the commissioner of insurance to adopt regulations for the licensing of provider-sponsored organizations; clarifying the authority of the commissioner to impose a fine or penalty or initiate or continue a disciplinary proceeding against a person who has voluntarily surrendered his license or certificate of registration; revising the provisions governing the disclosure statement required for certain umbrella policies; requiring an applicant for a license as a general agent to file a bond; revising the requirements for the issuance of a certificate of registration as an administrator; and providing other matters properly relating thereto.

 

THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:

1-1 Section 1. Chapter 679A of NRS is hereby amended by adding

1-2 thereto a new section to read as follows:

1-3 The expiration or voluntary surrender of a license or certificate issued

1-4 pursuant to the provisions of this code does not:

1-5 1. Prohibit the commissioner from initiating or continuing a

1-6 disciplinary proceeding against the holder of the license or certificate; or

1-7 2. Prevent the imposition or collection of any fine or penalty

1-8 authorized pursuant to the provisions of this code against the holder of

1-9 the license or certificate.

1-10 Sec. 2. NRS 679B.190 is hereby amended to read as follows:

1-11 679B.190 1. The commissioner shall carefully preserve in the

1-12 division and in permanent form all papers and records relating to the

2-1 business and transactions of the division and shall hand them over to his

2-2 successor in office.

2-3 2. Except as otherwise provided in subsections 3, 5 and 6 , [and] other

2-4 provisions of this code and NRS 616B.015, the papers and records must be

2-5 open to public inspection.

2-6 3. Any records or information in the possession of the division related

2-7 to an investigation [or examination] conducted by the commissioner is

2-8 confidential [for the period of the investigation or examination] unless:

2-9 (a) The commissioner releases, in the manner that he deems

2-10 appropriate, all or any part of the records or information for public

2-11 inspection after determining that the release of the records or information:

2-12 (1) Will not harm his investigation [or examination] or the person

2-13 who is being investigated ; [or examined;] or

2-14 (2) Serves the interests of a policyholder, the shareholders of the

2-15 insurer or the public; or

2-16 (b) A court orders the release of the records or information after

2-17 determining that the production of the records or information will not

2-18 damage any investigation being conducted by the commissioner.

2-19 4. The commissioner may destroy unneeded or obsolete records and

2-20 filings in the division in accordance with provisions and procedures

2-21 applicable in general to administrative agencies of this state.

2-22 5. The commissioner may classify as confidential certain records and

2-23 information obtained from a governmental agency or other sources upon

2-24 the express condition that they remain confidential.

2-25 6. All information and documents in the possession of the division or

2-26 any of its employees which are related to cases or matters under

2-27 investigation [or examination] by the commissioner or his staff are

2-28 confidential for the [entire] period of the investigation [or examination]

2-29 and may not be made public unless the commissioner finds the existence of

2-30 an imminent threat of harm to the safety or welfare of the policyholder,

2-31 shareholders or the public and determines that the interests of the

2-32 policyholder, shareholders or the public will be served by publication

2-33 thereof, in which event he may make a record public or publish all or any

2-34 part of the record in any manner he deems appropriate.

2-35 Sec. 3. NRS 679B.440 is hereby amended to read as follows:

2-36 679B.440 1. The commissioner may require that reports submitted

2-37 pursuant to NRS 679B.430 include, without limitation, information

2-38 regarding:

2-39 (a) Liability insurance provided to:

2-40 (1) Governmental agencies and political subdivisions of this state,

2-41 reported separately for:

2-42 (I) Cities and towns;

2-43 (II) School districts; and

3-1 (III) Other political subdivisions;

3-2 (2) Public officers;

3-3 (3) Establishments where alcoholic beverages are sold;

3-4 (4) Facilities for the care of children;

3-5 (5) Labor, fraternal or religious organizations; and

3-6 (6) Officers or directors of organizations formed pursuant to Title 7

3-7 of NRS, reported separately for nonprofit entities and entities organized for

3-8 profit;

3-9 (b) Liability insurance for:

3-10 (1) Defective products;

3-11 (2) Medical malpractice;

3-12 (3) Malpractice of attorneys;

3-13 (4) Malpractice of architects and engineers; and

3-14 (5) Errors and omissions by other professionally qualified persons;

3-15 [and]

3-16 (c) Vehicle insurance, reported separately for:

3-17 (1) Private vehicles;

3-18 (2) Commercial vehicles;

3-19 (3) Liability insurance; and

3-20 (4) Insurance for property damage [.] ; and

3-21 (d) Workers’ compensation insurance.

3-22 2. The commissioner may require that the report include, without

3-23 limitation, information specifically pertaining to this state or to an insurer

3-24 in its entirety, in the aggregate or by type of insurance, and for a previous

3-25 or current year, regarding:

3-26 (a) Premiums directly written;

3-27 (b) Premiums directly earned;

3-28 (c) Number of policies issued;

3-29 (d) Net investment income, using appropriate estimates when necessary;

3-30 (e) Losses paid;

3-31 (f) Losses incurred;

3-32 (g) Loss reserves, including:

3-33 (1) Losses unpaid on reported claims; and

3-34 (2) Losses unpaid on incurred but not reported claims;

3-35 (h) Number of claims, including:

3-36 (1) Claims paid; and

3-37 (2) Claims that have arisen but are unpaid;

3-38 (i) Expenses for adjustment of losses, including allocated and

3-39 unallocated losses;

3-40 (j) Net underwriting gain or loss;

3-41 (k) Net operation gain or loss, including net investment income; and

3-42 (l) Any other information requested by the commissioner.

4-1 3. The commissioner may also obtain, based upon an insurer in its

4-2 entirety, information regarding:

4-3 (a) Recoverable federal income tax;

4-4 (b) Net unrealized capital gain or loss; and

4-5 (c) All other expenses not included in subsection 2.

4-6 Sec. 4. NRS 680B.010 is hereby amended to read as follows:

4-7 680B.010 The commissioner shall collect in advance and receipt for,

4-8 and persons so served must pay to the commissioner, fees and

4-9 miscellaneous charges as follows:

4-10 1. Insurer’s certificate of authority:

4-11 (a) Filing initial application $2,450

4-12 (b) Issuance of certificate:

4-13 (1) For any one kind of insurance as defined in NRS

4-14 681A.010 to 681A.080, inclusive 283

4-15 (2) For two or more kinds of insurance as so defined 578

4-16 (3) For a reinsurer 2,450

4-17 (c) Each annual continuation of a certificate 2,450

4-18 (d) Reinstatement pursuant to NRS 680A.180, 50 percent of

4-19 the annual continuation fee otherwise required.

4-20 (e) Registration of additional title pursuant to NRS 680A.240 50

4-21 (f) Annual renewal of the registration of additional title

4-22 pursuant to NRS 680A.240 25

4-23 2. Charter documents, other than those filed with an

4-24 application for a certificate of authority. Filing amendments to

4-25 articles of incorporation, charter, bylaws, power of attorney and

4-26 other constituent documents of the insurer, each document $10

4-27 3. Annual statement or report. For filing annual statement or

4-28 report $25

4-29 4. Service of process:

4-30 (a) Filing of power of attorney $5

4-31 (b) Acceptance of service of process 30

4-32 5. Agents’ licenses, appointments and renewals:

4-33 (a) Resident agents and nonresident agents qualifying under

4-34 subsection 3 of NRS 683A.340:

4-35 (1) Application and license $78

4-36 (2) Appointment by each insurer 5

4-37 (3) Triennial renewal of each license 78

4-38 (4) Temporary license 10

4-39 (b) Other nonresident agents:

4-40 (1) Application and license 138

4-41 (2) Appointment by each insurer 25

4-42 (3) Triennial renewal of each license 138

5-1 6. Brokers’ licenses and renewals:

5-2 (a) Resident brokers and nonresident brokers qualifying

5-3 under subsection 3 of NRS 683A.340:

5-4 (1) Application and license $78

5-5 (2) Triennial renewal of each license 78

5-6 (b) Other nonresident brokers:

5-7 (1) Application and license 258

5-8 (2) Triennial renewal of each license 258

5-9 (c) [Surplus] Resident surplus lines brokers:

5-10 (1) Application and license 78

5-11 (2) Triennial renewal of each license 78

5-12 (d) Nonresident surplus lines brokers:

5-13 (1) Application and license 258

5-14 (2) Triennial renewal of each license 258

5-15 7. Solicitors’ licenses, appointments and renewals:

5-16 (a) Application and license $78

5-17 (b) Triennial renewal of each license 78

5-18 (c) Initial appointment 5

5-19 8. Managing general agents’ licenses, appointments and

5-20 renewals:

5-21 (a) Resident managing general agents:

5-22 (1) Application and license $78

5-23 (2) Initial appointment, each insurer 5

5-24 (3) Triennial renewal of each license 78

5-25 (b) Nonresident managing general agents:

5-26 (1) Application and license 138

5-27 (2) Initial appointment, each insurer 25

5-28 (3) Triennial renewal of each license 138

5-29 9. Adjusters’ licenses and renewals:

5-30 (a) Independent and public adjusters:

5-31 (1) Application and license $78

5-32 (2) Triennial renewal of each license 78

5-33 (b) Associate adjusters:

5-34 (1) Application and license 78

5-35 (2) Initial appointment 5

5-36 (3) Triennial renewal of each license 78

5-37 10. Licenses and renewals for appraisers of physical damage

5-38 to motor vehicles:

5-39 (a) Application and license $78

5-40 (b) Triennial renewal of each license 78

5-41 11. Additional title and property insurers pursuant to NRS

5-42 680A.240:

6-1 (a) Original registration $50

6-2 (b) Annual renewal 25

6-3 12. Insurance vending machines:

6-4 (a) Application and license, for each machine $78

6-5 (b) Triennial renewal of each license 78

6-6 13. Permit for solicitation for securities:

6-7 (a) Application for permit $100

6-8 (b) Extension of permit 50

6-9 14. Securities salesmen for domestic insurers:

6-10 (a) Application and license $25

6-11 (b) Annual renewal of license 15

6-12 15. Rating organizations:

6-13 (a) Application and license $500

6-14 (b) Annual renewal 500

6-15 16. Certificates and renewals for administrators licensed

6-16 pursuant to chapter 683A of NRS:

6-17 (a) Resident administrators:

6-18 (1) Application and certificate of registration $78

6-19 (2) Triennial renewal 78

6-20 (b) Nonresident administrators:

6-21 (1) Application and certificate of registration 138

6-22 (2) Triennial renewal 138

6-23 17. For copies of the insurance laws of Nevada, a fee which

6-24 is not less than the cost of producing the copies.

6-25 18. Certified copies of certificates of authority and licenses

6-26 issued pursuant to the insurance code $10

6-27 19. For copies and amendments of documents on file in the

6-28 division, a reasonable charge fixed by the commissioner,

6-29 including charges for duplicating or amending the forms and for

6-30 certifying the copies and affixing the official seal.

6-31 20. Letter of clearance for an agent or broker $10

6-32 21. Certificate of status as a licensed agent or broker $10

6-33 22. Licenses, appointments and renewals for bail agents:

6-34 (a) Application and license $78

6-35 (b) Initial appointment by each surety insurer 5

6-36 (c) Triennial renewal of each license 78

6-37 23. Licenses and renewals for bail enforcement agents:

6-38 (a) Application and license $78

6-39 (b) Triennial renewal of each license 78

6-40 24. Licenses, appointments and renewals for general bail

6-41 agents:

6-42 (a) Application and license $78

7-1 (b) Initial appointment by each insurer $5

7-2 (c) Triennial renewal of each license 78

7-3 25. Licenses and renewals for bail solicitors:

7-4 (a) Application and license $78

7-5 (b) Triennial renewal of each license 78

7-6 26. Licenses and renewals for title agents and escrow

7-7 officers:

7-8 (a) Resident title agents and escrow officers:

7-9 (1) Application and license $78

7-10 (2) Triennial renewal of each license 78

7-11 (b) Nonresident title agents and escrow officers:

7-12 (1) Application and license 138

7-13 (2) Triennial renewal of each license 138

7-14 (c) Change in name or location of business or in association 10

7-15 27. Certificate of authority and renewal for a seller of

7-16 prepaid funeral contracts $78

7-17 28. Licenses and renewals for agents for prepaid funeral

7-18 contracts:

7-19 (a) Resident agents:

7-20 (1) Application and license $78

7-21 (2) Triennial renewal of each license 78

7-22 (b) Nonresident agents:

7-23 (1) Application and license 138

7-24 (2) Triennial renewal of each license 138

7-25 29. Licenses, appointments and renewals for agents for

7-26 fraternal benefit societies:

7-27 (a) Resident agents:

7-28 (1) Application and license $78

7-29 (2) Appointment 5

7-30 (3) Triennial renewal of each license 78

7-31 (b) Nonresident agents:

7-32 (1) Application and license 138

7-33 (2) Triennial renewal of each license 138

7-34 30. Reinsurance intermediary broker or manager:

7-35 (a) Resident agents:

7-36 (1) Application and license $78

7-37 (2) Triennial renewal of each license 78

7-38 (b) Nonresident agents:

7-39 (1) Application and license 138

7-40 (2) Triennial renewal of each license 138

7-41 31. Agents for and sellers of prepaid burial contracts:

7-42 (a) Resident agents and sellers:

7-43 (1) Application and certificate or license $78

8-1 (2) Triennial renewal $78

8-2 (b) Nonresident agents and sellers:

8-3 (1) Application and certificate or license 138

8-4 (2) Triennial renewal 138

8-5 32. Risk retention groups:

8-6 (a) Initial registration and review of an application $2,450

8-7 (b) Each annual continuation of a certificate of registration 2,450

8-8 33. Required filing of forms:

8-9 (a) For rates and policies $25

8-10 (b) For riders and endorsements 10

8-11 Sec. 5. NRS 681B.290 is hereby amended to read as follows:

8-12 681B.290 1. [On] Except as otherwise provided in subsection 3, on

8-13 or before March 1 of each year, each domestic insurer, and each foreign

8-14 insurer domiciled in a state which does not have requirements for reporting

8-15 risk-based capital, that transacts property, casualty, life or health insurance

8-16 in this state shall prepare and submit to the commissioner, and to each

8-17 person designated by the commissioner, a report of the level of the risk-

8-18 based capital of the insurer as of the end of the immediately preceding

8-19 calendar year. The report must be in such form and contain such

8-20 information as required by the regulations adopted by the commissioner

8-21 pursuant to this section.

8-22 2. The commissioner shall adopt regulations concerning the amount of

8-23 risk-based capital required to be maintained by each insurer licensed to do

8-24 business in this state that is transacting property, casualty, life or health

8-25 insurance in this state. The regulations must be consistent with the

8-26 instructions for reporting risk-based capital adopted by the National

8-27 Association of Insurance Commissioners, as those instructions existed on

8-28 January 1, 1997. If the instructions are amended, the commissioner may

8-29 amend the regulations to maintain consistency with the instructions if he

8-30 determines that the amended instructions are appropriate for use in this

8-31 state.

8-32 3. The commissioner may exempt from the provisions of this section

8-33 a domestic insurer who:

8-34 (a) Transacts only property or casualty insurance in this state; and

8-35 (b) Does not assume reinsurance that is more than 5 percent of the

8-36 direct premiums written by the insurer.

8-37 Sec. 6. Chapter 683A of NRS is hereby amended by adding thereto

8-38 the provisions set forth as sections 7 to 16, inclusive, of this act.

8-39 Sec. 7. As used in NRS 683A.085 to 683A.0893, inclusive, and

8-40 sections 7 to 16, inclusive, of this act, unless the context otherwise

8-41 requires, the words and terms defined in sections 8 to 11, inclusive, of

8-42 this act have the meanings ascribed to them in those sections.

8-43 Sec. 8. "Affiliate" has the meaning ascribed to it in NRS 692C.030.

9-1 Sec. 9. "Control" has the meaning ascribed to it in NRS 692C.050.

9-2 Sec. 10. "Insurer" includes, without limitation:

9-3 1. An insurance company licensed pursuant to the provisions of this

9-4 code;

9-5 2. A prepaid limited health service organization that has been issued

9-6 a certificate of authority pursuant to chapter 695F of NRS;

9-7 3. A health maintenance organization that has been issued a

9-8 certificate of authority pursuant to chapter 695C of NRS;

9-9 4. A multiple employer welfare arrangement as defined in 29 U.S.C.

§ 1002;

9-10 5. An employer for whom a program of self-insurance is

9-11 administered by an administrator; and

9-12 6. An organization for dental care that has been issued a certificate

9-13 of authority pursuant to chapter 695D of NRS.

9-14 Sec. 11. "Underwrite" includes, without limitation:

9-15 1. Accepting applications for insurance coverage in accordance with

9-16 the written rules of an insurer;

9-17 2. Planning and coordinating a program of insurance; and

9-18 3. Procuring bonds and excess insurance.

9-19 Sec. 12. The commissioner:

9-20 1. Shall suspend or revoke the certificate of registration of an

9-21 administrator if the commissioner has determined, after notice and a

9-22 hearing, that the administrator:

9-23 (a) Is in an unsound financial condition;

9-24 (b) Uses methods or practices in the conduct of his business that are

9-25 hazardous or injurious to insured persons or members of the general

9-26 public; or

9-27 (c) Has failed to pay any judgment against him in this state within 60

9-28 days after the judgment became final.

9-29 2. May suspend or revoke the certificate of registration of an

9-30 administrator if the commissioner determines, after notice and a hearing,

9-31 that the administrator:

9-32 (a) Has willfully violated or failed to comply with any provision of this

9-33 code, any regulation adopted pursuant to this code or any order of the

9-34 commissioner;

9-35 (b) Has refused to be examined by the commissioner or has refused to

9-36 produce accounts, records or files for examination upon the request of

9-37 the commissioner;

9-38 (c) Has, without just cause, refused to pay claims or perform services

9-39 pursuant to his contracts or has, without just cause, caused persons to

9-40 accept less than the amount of money owed to them pursuant to the

9-41 contracts, or has caused persons to employ an attorney or bring a civil

9-42 action against him to receive full payment or settlement of claims;

10-1 (d) Is affiliated with, managed by or owned by another administrator

10-2 or an insurer who transacts insurance in this state without a certificate of

10-3 authority or a certificate of registration;

10-4 (e) Fails to comply with any of the requirements for a certificate of

10-5 registration;

10-6 (f) Has been convicted of, or has entered a plea of guilty or nolo

10-7 contendere to a felony, whether or not adjudication was withheld; or

10-8 (g) Has had his authority to act as an administrator in another state

10-9 limited, suspended or revoked.

10-10 3. May, upon notice to the administrator, suspend the certificate of

10-11 registration of the administrator pending a hearing if:

10-12 (a) The administrator is impaired or insolvent;

10-13 (b) A proceeding for receivership, conservatorship or rehabilitation

10-14 has been commenced against the administrator in any state; or

10-15 (c) The financial condition or the business practices of the

10-16 administrator represent an imminent threat to the public health, safety or

10-17 welfare of the residents of this state.

10-18 4. May, in addition to or in lieu of the suspension or revocation of

10-19 the certificate of registration of the administrator, impose a fine of

10-20 $2,000 for each act or violation.

10-21 Sec. 13. Each application for a certificate of registration as an

10-22 administrator must include or be accompanied by:

10-23 1. A financial statement that is certified by an officer of the applicant

10-24 and must include:

10-25 (a) The amount of money that the applicant expects to collect from or

10-26 disburse to residents of this state during the next calendar year;

10-27 (b) Financial information for the 90 days immediately preceding the

10-28 date the application was filed with the commissioner; and

10-29 (c) An income statement and balance sheet for the 2 years

10-30 immediately preceding the application that are prepared in accordance

10-31 with generally accepted accounting principles. The submission by the

10-32 applicant of his consolidated income statement and balance sheet does

10-33 not constitute compliance with the provisions of this paragraph.

10-34 2. The documents used to create the business association of the

10-35 administrator, including, without limitation, articles of incorporation,

10-36 articles of association, a partnership agreement, a trust agreement and a

10-37 shareholder agreement.

10-38 3. The documents used to regulate the internal affairs of the

10-39 administrator, including, without limitation, the bylaws, rules or

10-40 regulations of the administrator.

10-41 4. A certificate of registration issued pursuant to NRS 600.350 for a

10-42 trade name or trade-mark used by the administrator.

11-1 5. An organizational chart that identifies each person who directly or

11-2 indirectly controls the administrator and each affiliate of the

11-3 administrator.

11-4 6. A notarized affidavit from each person who manages or controls

11-5 the administrator, including, without limitation, each member of the

11-6 board of directors or board of trustees, each officer, partner, and member

11-7 of the business association of the administrator, and each shareholder of

11-8 the administrator who holds not less than 10 percent of the voting stock

11-9 of the administrator. The affidavit must include, without limitation:

11-10 (a) The personal history, business record and insurance experience of

11-11 the affiant;

11-12 (b) Whether the affiant has been investigated by any regulatory

11-13 authority or has had any license or certificate denied, suspended or

11-14 revoked in any state; and

11-15 (c) Any other information that the commissioner may require.

11-16 7. The complete name and address of each office of the

11-17 administrator, including, offices located outside this state.

11-18 8. A statement that sets forth whether the administrator has:

11-19 (a) Held a license or certificate to transact any kind of insurance in

11-20 this state or any other state and whether that license or certificate has

11-21 been refused, suspended or revoked;

11-22 (b) Been indebted to any person and, if so, the circumstances of that

11-23 debt; and

11-24 (c) Had an administrative agreement canceled and, if so, the

11-25 circumstances of that cancellation.

11-26 9. A statement that describes the business plan of the administrator.

11-27 The statement must include information:

11-28 (a) Concerning the number of persons on the staff of the

11-29 administrator and the activities proposed in this state or in any other

11-30 state.

11-31 (b) That demonstrates the capability of the administrator to provide a

11-32 sufficient number of experienced and qualified persons for the

11-33 processing of claims, the keeping of records and, if applicable,

11-34 underwriting.

11-35 10. If the applicant intends to solicit new or renewal business, proof

11-36 that the applicant employs or has contracted with an agent licensed in

11-37 this state to solicit and take applications. An applicant who intends to

11-38 solicit insurance contracts directly or to act as an insurance agent must

11-39 provide proof that he is licensed as an insurance agent in this state.

11-40 Sec. 14. 1. Except as otherwise provided by subsection 2, the

11-41 commissioner shall issue a certificate of registration as an administrator

11-42 to an applicant who:

11-43 (a) Submits an application on a form prescribed by the commissioner;

12-1 (b) Has complied with the provisions of section 13 of this act; and

12-2 (c) Pays the fee for the issuance of a certificate of registration

12-3 prescribed in NRS 680B.010.

12-4 2. The commissioner may refuse to issue a certificate of registration

12-5 as an administrator to an applicant if the commissioner determines that

12-6 the applicant or any person who has completed an affidavit pursuant to

12-7 subsection 6 of section 13 of this act:

12-8 (a) Is not competent to act as an administrator;

12-9 (b) Is not trustworthy or financially responsible;

12-10 (c) Does not have a good personal or business reputation;

12-11 (d) Has had a license or certificate to transact insurance denied for

12-12 cause, suspended or revoked in this state or any other state; or

12-13 (e) Has failed to comply with any provision of this chapter.

12-14 Sec. 15. 1. A certificate of registration as an administrator is valid

12-15 for 3 years after the date the commissioner issues the certificate to the

12-16 administrator.

12-17 2. An administrator may renew a certificate of registration if he

12-18 submits to the commissioner:

12-19 (a) An application on a form prescribed by the commissioner; and

12-20 (b) The fee for the renewal of the certificate of registration prescribed

12-21 in NRS 680B.010.

12-22 3. A certificate of registration that is suspended or revoked must be

12-23 surrendered immediately to the commissioner.

12-24 Sec. 16. Not later than March 1 of each year, each holder of a

12-25 certificate of registration as an administrator shall file a financial

12-26 statement with the commissioner on a form approved by the

12-27 commissioner.

12-28 Sec. 17. NRS 683A.025 is hereby amended to read as follows:

12-29 683A.025 1. Except as limited by this section, "administrator"

12-30 means a person who:

12-31 (a) [Collects] Directly or indirectly underwrites or collects charges or

12-32 premiums from or adjusts or settles claims of residents of this state or any

12-33 other state from within this state in connection with workers’

12-34 compensation insurance, life or health insurance coverage or annuities,

12-35 including coverage or annuities provided by an employer for his

12-36 employees;

12-37 (b) Administers [a trust under] an internal service fund pursuant to

12-38 NRS 287.010;

12-39 (c) Administers a program of self-insurance for an employer; [or]

12-40 (d) Administers a program which is funded by an employer and which

12-41 provides pensions, annuities, health benefits, death benefits or other similar

12-42 benefits for his employees [.] ; or

13-1 (e) Is an insurance company that is licensed to do business in this

13-2 state or is acting as an insurer with respect to a policy lawfully issued and

13-3 delivered in a state where the insurer is authorized to do business, if the

13-4 insurance company performs any act described in paragraphs (a) to (d),

13-5 inclusive, for or on behalf of another insurer.

13-6 2. "Administrator" does not include:

13-7 (a) An employee authorized to act on behalf of an administrator who

13-8 holds a certificate of registration from the commissioner.

13-9 (b) An employer acting on behalf of his employees or the employees of

13-10 a subsidiary or affiliated concern.

13-11 (c) A labor union acting on behalf of its members.

13-12 (d) [An] Except as otherwise provided in paragraph (e) of subsection

13-13 1, an insurance company licensed to do business in this state or acting as

13-14 an insurer with respect to a policy lawfully issued and delivered in a state

13-15 in which the insurer was authorized to do business.

13-16 (e) A life or health insurance agent or broker licensed in this state, when

13-17 his activities are limited to the sale of insurance.

13-18 (f) A creditor acting on behalf of his debtors with respect to insurance

13-19 covering a debt between the creditor and debtor.

13-20 (g) A trust and its trustees, agents and employees acting for it, if the

13-21 trust was established under the provisions of 29 U.S.C. § 186.

13-22 (h) A trust which is exempt from taxation under section 501(a) of the

13-23 Internal Revenue Code, 26 U.S.C. § 501(2), its trustees and employees,

13-24 and a custodian, his agents and employees acting under a custodial account

13-25 which meets the requirements of section 401(f) of the Internal Revenue

13-26 Code [.] , 26 U.S.C. § 401(f).

13-27 (i) A bank, credit union or other financial institution which is subject to

13-28 supervision by federal or state banking authorities.

13-29 (j) A company which issues credit cards, and which advances for and

13-30 collects premiums or charges from credit card holders who have authorized

13-31 it to do so, if the company does not adjust or settle claims.

13-32 (k) An attorney at law who adjusts or settles claims in the normal course

13-33 of his practice or employment, but who does not collect charges or

13-34 premiums in connection with life or health insurance coverage or with

13-35 annuities.

13-36 Sec. 18. NRS 683A.085 is hereby amended to read as follows:

13-37 683A.085 [1.] No person may act as [an administrator,] , offer to act

13-38 as or hold himself out to the public as an administrator, unless he has

13-39 obtained a certificate of registration as an administrator from the

13-40 commissioner [.

13-41 2. A certificate must be issued to an applicant who has made written

13-42 application therefor, giving any information which the commissioner

13-43 reasonably requires, and has paid the required fee, unless the commissioner

14-1 has determined, after notice and hearing, that the applicant is not

14-2 competent, trustworthy, financially responsible or of good personal and

14-3 business reputation.

14-4 3. No certificate may be issued to any person who, within the 5 years

14-5 immediately preceding his application, has had an insurance license

14-6 revoked or an application denied for cause.

14-7 4. The commissioner may revoke or suspend the certificate of any

14-8 administrator if he finds, after notice and hearing, that the administrator

14-9 has violated any provision of this Title or any regulation adopted under it.]

14-10 pursuant to section 14 of this act.

14-11 Sec. 19. NRS 683A.0857 is hereby amended to read as follows:

14-12 683A.0857 1. [Every] Each administrator shall file with the

14-13 commissioner a bond with an authorized surety in favor of the State of

14-14 Nevada, continuous in form and in an amount determined by the

14-15 commissioner of not less than [$50,000.] $100,000.

14-16 2. The commissioner shall establish schedules for the amount of the

14-17 bond required, based on the amount of money received and distributed by

14-18 an administrator.

14-19 3. The bond must inure to the benefit of any person damaged by any

14-20 fraudulent act or conduct of the administrator and must be conditioned

14-21 upon faithful accounting and application of all money coming into the

14-22 administrator’s possession in connection with his activities as an

14-23 administrator.

14-24 4. The bond remains in force until released by the commissioner or

14-25 canceled by the surety. Without prejudice to any liability previously

14-26 incurred, the surety may cancel the bond upon 90 days’ advance notice to

14-27 the administrator and the commissioner. An administrator’s certificate is

14-28 automatically suspended if he does not file with the commissioner a

14-29 replacement bond before the date of cancellation of the previous bond. A

14-30 replacement bond must meet all requirements of this section for the initial

14-31 bond.

14-32 Sec. 20. NRS 683A.086 is hereby amended to read as follows:

14-33 683A.086 1. No person may act as an administrator unless he has

14-34 entered into a written agreement with an insurer, and the written agreement

14-35 contains provisions to effectuate the requirements contained in NRS

14-36 [683A.0867] 683A.087 to 683A.0883, inclusive, and sections 12 to 16,

14-37 inclusive, of this act which apply to the duties of the administrator.

14-38 2. The written agreement must set forth:

14-39 (a) The duties the administrator will be required to perform on behalf

14-40 of the insurer; and

14-41 (b) The lines, classes or types of insurance that the administrator is

14-42 authorized to administer on behalf of the insurer.

15-1 3. A copy of an agreement entered into under the provisions of this

15-2 section must be retained in the records of the administrator and of the

15-3 insurer for a period of 5 years after the termination of the agreement.

15-4 [3.] 4. When a policy is issued to a trustee or trustees, a copy of the

15-5 trust agreement and amendments must be obtained by the administrator

15-6 and a copy forwarded to the insurer. Each agreement must be retained by

15-7 the administrator and [by] the insurer for a period of 5 years after the

15-8 termination of the policy.

15-9 [4.] 5. The commissioner may adopt regulations which specify the

15-10 functions an administrator may perform on behalf of an insurer.

15-11 6. The insurer or administrator may, upon written notice to the other

15-12 party to the agreement and to the commissioner, terminate the written

15-13 agreement for any cause specified in the agreement. The insurer may

15-14 suspend the authority of the administrator while any dispute regarding

15-15 the cause for termination is pending. The insurer shall perform any

15-16 obligations with respect to the policies affected by the agreement

15-17 regardless of any dispute with the administrator.

15-18 Sec. 21. NRS 683A.087 is hereby amended to read as follows:

15-19 683A.087 An administrator may advertise the insurance which he

15-20 administers only [with] after he receives the approval of the insurer who

15-21 underwrites the business involved.

15-22 Sec. 22. NRS 683A.0873 is hereby amended to read as follows:

15-23 683A.0873 1. Each administrator shall maintain at his principal

15-24 office adequate books and records of all transactions between himself, the

15-25 insurer and the insured. The books and records must be maintained in

15-26 accordance with prudent standards of recordkeeping for insurance and with

15-27 regulations of the commissioner for a period of 5 years after the transaction

15-28 to which they respectively relate. After the 5-year period the administrator

15-29 may remove the books and records from the state, store their contents on

15-30 microfilm or return them to the appropriate insurer.

15-31 2. The commissioner may examine, audit and inspect books and

15-32 records [kept by administrators] maintained by an administrator under the

15-33 provisions of this section [.] to carry out the provisions of NRS 679B.230

15-34 to 679B.300, inclusive.

15-35 3. The names and addresses of insured persons and any other material

15-36 which is in the books and records of an administrator are confidential

15-37 except when used in proceedings against the administrator.

15-38 4. The insurer may inspect and examine all books and records to the

15-39 extent necessary to fulfill all contractual obligations to insured persons,

15-40 subject to restrictions in the written agreement between the insurer and

15-41 administrator.

16-1 Sec. 23. NRS 683A.0877 is hereby amended to read as follows:

16-2 683A.0877 1. All insurance charges and premiums collected by an

16-3 administrator on behalf of an insurer and return premiums received from

16-4 an insurer are held by the administrator in a fiduciary capacity.

16-5 2. Money [shall] must be remitted within 15 days to the person or

16-6 persons entitled to it, or [shall] be deposited within 15 days in [a fiduciary

16-7 bank account] one or more fiduciary accounts established and maintained

16-8 by the administrator [within the state.] in a financial institution in this

16-9 state. The fiduciary accounts must be separate from the personal or

16-10 business accounts of the administrator.

16-11 3. If charges or premiums deposited in an account have been collected

16-12 for or on behalf of more than one insurer, the administrator shall cause the

16-13 [bank in which] financial institution where the fiduciary account is

16-14 maintained to record clearly the deposits and withdrawals from the account

16-15 on behalf of each insurer.

16-16 4. The administrator shall promptly obtain and keep copies of [all

16-17 bank account] the records of each fiduciary account and shall furnish any

16-18 insurer with copies of the records which pertain to him upon demand of the

16-19 insurer.

16-20 5. The administrator [may] shall not pay any claim by withdrawing

16-21 money from his fiduciary account [.] in which premiums or charges are

16-22 deposited.

16-23 6. Withdrawals [shall] must be made as provided in the agreement

16-24 between the insurer and the administrator for:

16-25 (a) Remittance to the insurer.

16-26 (b) Deposit in an account maintained in the name of the insurer.

16-27 (c) Transfer to and deposit in an account for the payment of claims.

16-28 (d) Payment to a group policyholder for remittance to the insurer

16-29 entitled to the money.

16-30 (e) Payment to the administrator of his commission, fees or charges.

16-31 (f) Remittance of return premiums to persons entitled to them.

16-32 7. The administrator shall maintain copies of all records relating to

16-33 deposits or withdrawals and, upon the request of an insurer, provide the

16-34 insurer with copies of those records.

16-35 Sec. 24. NRS 683A.088 is hereby amended to read as follows:

16-36 683A.088 Each claim paid by the administrator from [funds] money

16-37 collected for or on behalf of an insurer [shall] must be paid by a check or

16-38 draft upon and as authorized by the insurer.

16-39 Sec. 25. NRS 683A.0883 is hereby amended to read as follows:

16-40 683A.0883 1. The compensation paid to an administrator for his

16-41 services may be based upon premiums or charges collected, on number of

16-42 claims paid or processed or on [another] any other basis agreed upon by

16-43 the administrator and the insurer, except as provided in subsection 2.

17-1 2. Compensation paid to an administrator may not be based upon or

17-2 contingent upon :

17-3 (a) The claim experience of the policies [which he handles.] that he

17-4 handles; or

17-5 (b) The savings realized by the administrator by adjusting, settling or

17-6 paying the losses covered by an insurer.

17-7 Sec. 26. NRS 683A.0887 is hereby amended to read as follows:

17-8 683A.0887 1. Each administrator shall advise each insured, by

17-9 means of a written notice approved by the insurer, of the identity of and

17-10 relationship among the insurer, administrator and insured.

17-11 2. An administrator who seeks to collect premiums or charges shall

17-12 clearly [state] set forth in writing to the insured the amount of premium or

17-13 charge set by the insurer for the insurance coverage [.] and the reason for

17-14 the collection of the premium or charge. Each charge must be set forth

17-15 separately from the premium.

17-16 3. The administrator shall disclose to an insurer, in writing, all

17-17 charges, fees and commissions the administrator receives in connection

17-18 with the provision of administrative services for the insurer, including,

17-19 without limitation, the fees and commissions paid by insurers providing

17-20 reinsurance or excess of loss insurance.

17-21 Sec. 27. NRS 685A.120 is hereby amended to read as follows:

17-22 685A.120 1. No person in this state may act as, hold himself out as,

17-23 or be a surplus lines broker with respect to subjects of insurance resident,

17-24 located or to be performed in this state or elsewhere unless he is licensed as

17-25 such by the commissioner pursuant to this chapter.

17-26 2. Any person who has been licensed by this state as a [resident]

17-27 broker for general lines for at least 6 months , or has been licensed in

17-28 another state as a surplus lines broker for at least 1 year and continues to

17-29 be licensed in that state, and who is deemed by the commissioner to be

17-30 competent and trustworthy with respect to the handling of surplus lines

17-31 may be licensed as a surplus lines broker upon:

17-32 (a) Application for a license and payment of the applicable fee for a

17-33 license and a fee of $15 for deposit in the insurance recovery account

17-34 created by NRS 679B.305;

17-35 (b) Submitting the statement required pursuant to NRS 685A.127; and

17-36 (c) Passing any examination prescribed by the commissioner on the

17-37 subject of surplus lines.

17-38 3. An application for a license must be submitted to the commissioner

17-39 on a form designated and furnished by him. The application must include

17-40 the social security number of the applicant.

17-41 4. A license issued pursuant to this chapter continues in force for 3

17-42 years unless it is suspended, revoked or otherwise terminated. The license

17-43 may be renewed upon submission of the statement required pursuant to

18-1 NRS 685A.127 and payment of the applicable fee for renewal and a fee of

18-2 $15 for deposit in the insurance recovery account created by NRS

18-3 679B.305 to the commissioner on or before the last day of the month in

18-4 which the license is renewable.

18-5 5. A license which is not renewed expires at midnight on the last day

18-6 specified for its renewal. The commissioner may accept a request for

18-7 renewal received by him within 30 days after the expiration of the license

18-8 if the request is accompanied by the statement required pursuant to NRS

18-9 685A.127, a fee for renewal of 150 percent of the fee otherwise required

18-10 and a fee of $15 for deposit in the insurance recovery account created by

18-11 NRS 679B.305.

18-12 Sec. 28. NRS 685A.140 is hereby amended to read as follows:

18-13 685A.140 1. In addition to other grounds therefor, the commissioner

18-14 may suspend or revoke any surplus lines broker’s license:

18-15 (a) If the broker fails to file the annual statement or to remit the tax as

18-16 required by NRS 685A.170 and 685A.180;

18-17 (b) If the broker fails to maintain an office in this state [,] or in the state

18-18 where he was issued a license as a resident broker, or to keep the records,

18-19 or to allow the commissioner to examine his records as required by this

18-20 chapter, or if he removes his records from the state; or

18-21 (c) If the broker places a surplus lines coverage in an insurer other than

18-22 as authorized under this chapter.

18-23 2. Upon suspending or revoking the broker’s surplus lines license the

18-24 commissioner may also suspend or revoke all other licenses of or as to the

18-25 same individual under this code.

18-26 Sec. 29. NRS 685A.160 is hereby amended to read as follows:

18-27 685A.160 1. Each broker shall keep in his office [in this state] a full

18-28 and true record of each surplus lines coverage procured by him, including

18-29 a copy of each daily report, if any, a copy of each certificate of insurance

18-30 issued by him, and such of the following items as may be applicable:

18-31 (a) [Amount] The amount of the insurance;

18-32 (b) [Gross] The gross premium charged;

18-33 (c) [Return] The return premium paid, if any;

18-34 (d) [Rate] The rate of premium charged upon the several items of

18-35 property;

18-36 (e) [Effective] The effective date of the contract, and the terms thereof;

18-37 (f) [Name] The name and address of each insurer on the direct risk and

18-38 the proportion of the entire risk assumed by [such] that insurer if less than

18-39 the entire risk;

18-40 (g) [Name] The name and address of the insured;

18-41 (h) [Brief] A brief general description of the property or risk insured

18-42 and where located or to be performed; and

19-1 (i) [Other] Any other information as may be required by the

19-2 commissioner.

19-3 2. The record [shall] must not be removed from [this state and shall]

19-4 the office of the broker and must be open to examination by the

19-5 commissioner or his representative at all times within 5 years after issuance

19-6 of the coverage to which it relates.

19-7 Sec. 30. NRS 686A.130 is hereby amended to read as follows:

19-8 686A.130 1. No property, casualty, surety or title insurer or

19-9 underwritten title company or any employee or representative thereof, and

19-10 no broker, agent or solicitor may pay, allow or give, or offer to pay, allow

19-11 or give, directly or indirectly, as an inducement to insurance, or after

19-12 insurance has been effected, any rebate, discount, abatement, credit or

19-13 reduction of the premium named in a policy of insurance, or any special

19-14 favor or advantage in the dividends or other benefits to accrue thereon, or

19-15 any valuable consideration or inducement whatever, not specified or

19-16 provided for in the policy, except to the extent provided for in an

19-17 applicable filing with the commissioner.

19-18 2. No title insurer or underwritten title company may:

19-19 (a) Pay, directly or indirectly, to the insured or any person acting as

19-20 agent, representative, attorney or employee of the owner, lessee,

19-21 mortgagee, existing or prospective, of the real property or interest therein

19-22 which is the subject matter of title insurance or as to which a service is to

19-23 be performed, any commission , rebate or part of its fee or charges or other

19-24 consideration as inducement or compensation for the placing of any order

19-25 for a title insurance policy or for performance of any escrow or other

19-26 service by the insurer or underwritten title company with respect thereto;

19-27 or

19-28 (b) Issue any policy or perform any service in connection with which it

19-29 or any agent or other person has paid or contemplates paying any

19-30 commission, rebate or inducement in violation of this section.

19-31 3. No insured named in a policy or any employee of [such] that

19-32 insured may knowingly receive or accept, directly or indirectly, any such

19-33 rebate, discount, abatement, credit or reduction of premium, or any such

19-34 special favor or advantage or valuable consideration or inducement.

19-35 4. No such insurer may make or permit any unfair discrimination

19-36 between insured or property having like insuring or risk characteristics, in

19-37 the premium or rates charged for insurance, or in the dividends or other

19-38 benefits payable thereon, or in any other of the terms and conditions of

19-39 insurance.

19-40 5. No casualty insurer may make or permit any unfair discrimination

19-41 between persons legally qualified to provide a particular service, in the

19-42 amount of the fee or charge for that service payable as a benefit under any

19-43 policy or contract of casualty insurance.

20-1 6. [Nothing in this section prohibits:] The provisions of this section do

20-2 not prohibit:

20-3 (a) The payment of commissions or other compensation to licensed

20-4 agents, brokers or solicitors.

20-5 (b) The extension of credit to an insured for the payment of any

20-6 premium and for which credit a reasonable rate of interest is charged and

20-7 collected.

20-8 (c) Any insurer from allowing or returning to its participating

20-9 policyholders, members or subscribers, dividends, savings or unabsorbed

20-10 premium deposits.

20-11 [As to title insurance, nothing in this section prohibits]

20-12 (d) With respect to title insurance, bulk rates or special rates for

20-13 customers of prescribed classes if [such] the bulk or special rates are

20-14 provided for in the [currently] effective schedule of fees and charges of the

20-15 title insurer or underwritten title company.

20-16 7. [This section does] The provisions of this section do not apply to

20-17 wet marine and transportation insurance.

20-18 Sec. 31. NRS 686C.035 is hereby amended to read as follows:

20-19 686C.035 1. This chapter does not provide coverage for:

20-20 (a) Any portion of a policy or contract not guaranteed by the insurer, or

20-21 under which the risk is borne by the [policyholder.] holder of the policy or

20-22 contract.

20-23 (b) Any policy or contract of reinsurance unless assumption certificates

20-24 have been issued [.] pursuant to that policy or contract.

20-25 (c) Any portion of a policy or contract to the extent that the rate of

20-26 interest on which it is based:

20-27 (1) When averaged over the period of 4 years before the date [that]

20-28 on which the association becomes obligated with respect to the policy or

20-29 contract, or averaged for the period since the policy or contract was issued

20-30 if it was issued less than 4 years before the association became obligated,

20-31 exceeds the rate of interest determined by subtracting 2 percentage points

20-32 from Moody’s Corporate Bond Yield Average averaged for the same

20-33 period; and

20-34 (2) On or after the date on which the association becomes obligated

20-35 with respect to the policy or contract, exceeds the rate of interest

20-36 determined by subtracting 3 percentage points from the most recent

20-37 Moody’s Corporate Bond Yield Average.

20-38 (d) Any portion of a policy or contract issued to a plan or program of

20-39 an employer, association or [similar entity] other person to provide life ,

20-40 [or] health or annuity benefits [or annuities] to its employees , [or]

20-41 members or other persons to the extent that the plan or program is self-

20-42 funded or uninsured, including, but not limited to, benefits payable by an

20-43 employer, association or [similar entity] other person under:

21-1 (1) A [Multiple Employer Welfare Arrangement] multiple employer

21-2 welfare arrangement as defined in 29 U.S.C. § 1002;

21-3 (2) A minimum-premium group insurance plan;

21-4 (3) A stop-loss group insurance plan; or

21-5 (4) A contract for administrative services only.

21-6 (e) Any portion of a policy or contract to the extent that it provides for

21-7 dividends, credits for experience, voting rights or the payment of any fee

21-8 or allowance to any person, including the [policyholder,] holder of a

21-9 policy or contract, for services or administration connected with the policy

21-10 or contract.

21-11 (f) Any policy or contract issued in this state by a member insurer at a

21-12 time when the member insurer was not authorized to issue the policy or

21-13 contract [.] in this state.

21-14 (g) [Any certificate for an annuity or group annuity which is not issued

21-15 to or owned by a natural person, except to the extent of any annuity

21-16 guaranteed to a natural person by an insurer under the contract or

21-17 certificate except that annuities issued in connection with and for the

21-18 purpose of funding structured settlements of liability are covered policies.

21-19 (h) Any health or life insurance policy purchased by the Federal

21-20 Government, if no premium taxes are paid on such policies.

21-21 (i) Any annuity issued pursuant to subsection 8 of NRS 680A.070.] A

21-22 portion of a policy or contract to the extent that the assessments required

21-23 by NRS 686C.230 for the policy or contract are preempted by federal law.

21-24 (h) An obligation that does not arise under the written terms of a

21-25 policy or contract issued by the insurer.

21-26 (i) An unallocated annuity contract.

21-27 2. As used in this section, "Moody’s Corporate Bond Yield Average"

21-28 means the monthly average for corporate bonds published by Moody’s

21-29 Investors Service, Inc., or any successor average.

21-30 Sec. 32. NRS 687B.440 is hereby amended to read as follows:

21-31 687B.440 1. An insurer offering an umbrella policy to an individual

21-32 shall obtain a signed disclosure statement from the individual indicating

21-33 whether the umbrella policy includes uninsured or underinsured vehicle

21-34 coverage.

21-35 2. The disclosure statement for an umbrella policy that includes

21-36 uninsured or underinsured vehicle coverage must be on a form provided

21-37 by the commissioner or in substantially the following form:

21-38 UMBRELLA POLICY DISCLOSURE STATEMENT

21-39 UNINSURED/UNDERINSURED VEHICLE COVERAGE

21-40 ¨ Your Umbrella Policy does provide coverage in excess of the

21-41 limits of the uninsured/underinsured vehicle coverage in your

22-1 primary auto insurance only if the requirements for the

22-2 uninsured/underinsured vehicle coverage in your underlying auto

22-3 insurance are maintained. [The minimum uninsured/underinsured

22-4 vehicle coverage in your umbrella insurance policy is $……… . The

22-5 limits of the uninsured/underinsured vehicle coverage in your primary

22-6 auto insurance policy are $………. .] Your uninsured/underinsured

22-7 vehicle coverage provided by this umbrella policy is limited to

22-8 $……… .

22-9 I understand and acknowledge the above disclosure.

22-10

22-11 Insured Date

22-12 3. The disclosure statement for an umbrella policy that does not

22-13 include uninsured or underinsured vehicle coverage must be on a form

22-14 provided by the commissioner or in substantially the following form:

22-15 ¨ Your Umbrella Liability Policy does not provide any

22-16 uninsured/underinsured vehicle coverage.

22-17 I understand and acknowledge the above disclosure.

22-18

22-19 Insured Date

22-20 [3.] 4. As used in this section, "umbrella policy" means a policy that

22-21 protects a person against losses in excess of the underlying amount

22-22 required to be covered by other policies.

22-23 Sec. 33. NRS 689A.505 is hereby amended to read as follows:

22-24 689A.505 "Creditable coverage" means, with respect to a person,

22-25 health benefits or coverage provided pursuant to:

22-26 1. A group health plan;

22-27 2. A health benefit plan;

22-28 3. Part A or Part B of Title XVIII of the Social Security Act, 42 U.S.C.

§§ 1395c et seq., also known as Medicare;

22-29 4. Title XIX of the Social Security Act, 42 U.S.C. §§ 1396 et seq., also

22-30 known as Medicaid, other than coverage consisting solely of benefits under

22-31 section 1928 of that Title [;

22-32 5. Chapter 55 of Title 10, United States Code (] , 42 U.S.C § 1396s;

22-33 5. The Civilian Health and Medical Program of Uniformed Services

22-34 [(CHAMPUS));] , CHAMPUS, 10 U.S.C §§ 1071 et seq.;

22-35 6. A medical care program of the Indian Health Service or of a tribal

22-36 organization;

23-1 7. A state health benefit risk pool;

23-2 8. A health plan offered pursuant to [chapter 89 of Title 5, United

23-3 States Code (] the Federal Employees Health Benefits Program

23-4 [(FEHBP));] , FEHBP, 5 U.S.C. §§ 8901 et seq.;

23-5 9. A public health plan as defined in federal regulations authorized by

23-6 the Public Health Service Act, [section 2701(c)(1)(I), as amended by

23-7 Public Law 104-191; or] 42 U.S.C. §§ 201 et seq.;

23-8 10. A health benefit plan under section 5(e) of the Peace Corps Act ,

23-9 [(] 22 U.S.C. § 2504(e) [).] ;

23-10 11. A short-term health insurance policy; or

23-11 12. A blanket student accident and health insurance policy.

23-12 Sec. 34. NRS 689A.515 is hereby amended to read as follows:

23-13 689A.515 "Eligible person" means:

23-14 1. A person:

23-15 (a) Who, as of the date on which he seeks coverage pursuant to this

23-16 chapter, has an aggregate period of creditable coverage that is 18 months

23-17 or more;

23-18 (b) Whose most recent prior creditable coverage , other than coverage

23-19 under a short-term health insurance policy, was under a group health

23-20 plan, governmental plan, church plan or health insurance coverage offered

23-21 in connection with any such plan;

23-22 (c) Who is not eligible for coverage under a group health plan, Part A or

23-23 Part B of Title XVIII of the Social Security Act, 42 U.S.C. §§ 1395c et

23-24 seq., also known as Medicare, a state plan pursuant to Title XIX of the

23-25 Social Security Act, 42 U.S.C. §§ 1396 et seq., also known as Medicaid, or

23-26 any successor program, and who does not have any other health insurance

23-27 coverage;

23-28 (d) Whose most recent health insurance coverage within the period of

23-29 aggregate creditable coverage was not terminated because of a failure to

23-30 pay premiums or fraud;

23-31 (e) Who has exhausted his continuation of coverage under the

23-32 Consolidation Omnibus Budget Reconciliation Act of 1985 [,] Public Law

23-33 99-272, or under a similar state program, if any; and

23-34 (f) Who has not had a break of more than 63 consecutive days in his

23-35 creditable coverage.

23-36 2. A person whose most recent prior creditable coverage was under a

23-37 basic or standard health benefit plan and was not renewed by a carrier

23-38 who discontinued offering and renewing individual health benefit plans

23-39 in this state pursuant to NRS 689A.630.

23-40 3. Notwithstanding the provisions of paragraph (a) of subsection 1, a

23-41 newborn child or a child placed for adoption, if the child was enrolled

23-42 timely and would have otherwise met the requirements of an eligible

23-43 person as set forth in subsection 1.

24-1 Sec. 35. NRS 689A.540 is hereby amended to read as follows:

24-2 689A.540 1. "Health benefit plan" means a policy, contract,

24-3 certificate or agreement offered by a carrier to provide for, deliver payment

24-4 for, arrange for the payment of, pay for or reimburse any of the costs of

24-5 health care services. Except as otherwise provided in this section, the term

24-6 includes [short-term and] catastrophic health insurance policies [,] and a

24-7 policy that pays on a cost-incurred basis.

24-8 2. The term does not include:

24-9 (a) Coverage that is only for accident or disability income insurance, or

24-10 any combination thereof;

24-11 (b) Coverage issued as a supplement to liability insurance;

24-12 (c) Liability insurance, including general liability insurance and

24-13 automobile liability insurance;

24-14 (d) Workers’ compensation or similar insurance;

24-15 (e) Coverage for medical payments under a policy of automobile

24-16 insurance;

24-17 (f) Credit insurance;

24-18 (g) Coverage for on-site medical clinics; [and]

24-19 (h) Other similar insurance coverage specified in federal regulations

24-20 issued pursuant to Public Law 104-191 under which benefits for medical

24-21 care are secondary or incidental to other insurance benefits [.] ;

24-22 (i) Coverage under a short-term health insurance policy; and

24-23 (j) Coverage under a blanket student accident and health insurance

24-24 policy.

24-25 3. The term does not include the following benefits if the benefits are

24-26 provided under a separate policy, certificate or contract of insurance or are

24-27 otherwise not an integral part of a health benefit plan:

24-28 (a) Limited-scope dental or vision benefits;

24-29 (b) Benefits for long-term care, nursing home care, home health care or

24-30 community-based care, or any combination thereof; and

24-31 (c) Such other similar benefits as are specified in any federal regulations

24-32 adopted pursuant to the Health Insurance Portability and Accountability

24-33 Act of 1996, Public Law 104-191.

24-34 4. The term does not include the following benefits if the benefits are

24-35 provided under a separate policy, certificate or contract of insurance, there

24-36 is no coordination between the provision of the benefits and any exclusion

24-37 of benefits under any group health plan maintained by the same plan

24-38 sponsor, and [such] the benefits are paid for a claim without regard to

24-39 whether benefits are provided for such a claim under any group health plan

24-40 maintained by the same plan sponsor:

24-41 (a) Coverage that is only for a specified disease or illness; and

24-42 (b) Hospital indemnity or other fixed indemnity insurance.

25-1 5. The term does not include any of the following, if offered as a

25-2 separate policy, certificate or contract of insurance:

25-3 (a) Medicare supplemental health insurance as defined in section

25-4 1882(g)(1) of the Social Security Act, 42 U.S.C. § 1395ss, as that section

25-5 existed on July 16, 1997;

25-6 (b) Coverage supplemental to the coverage provided pursuant to

25-7 [chapter 55 of Title 10, United States Code (] the Civilian Health and

25-8 Medical Program of Uniformed Services [(CHAMPUS));] , CHAMPUS,

25-9 10 U.S.C. §§ 1071 et seq.; and

25-10 (c) Similar supplemental coverage provided under a group health plan.

25-11 Sec. 36. NRS 689A.650 is hereby amended to read as follows:

25-12 689A.650 1. An individual carrier is not required to provide

25-13 coverage to eligible persons pursuant to NRS 689A.640:

25-14 (a) During any period in which the commissioner determines that

25-15 requiring the individual carrier to provide such coverage would place the

25-16 individual carrier in a financially impaired condition.

25-17 (b) If the individual carrier elects not to offer any new coverage to any

25-18 [eligible] persons in this state. An individual carrier that elects not to offer

25-19 new coverage in accordance with this paragraph may maintain its existing

25-20 policies issued to [eligible] persons in this state, subject to the requirements

25-21 of NRS 689A.630.

25-22 2. An individual carrier that elects not to offer new coverage pursuant

25-23 to paragraph (b) of subsection 1 shall notify the commissioner forthwith of

25-24 that election and shall not thereafter write any new business to individuals

25-25 in this state for 5 years after the date of the notification.

25-26 Sec. 37. NRS 689A.660 is hereby amended to read as follows:

25-27 689A.660 An individual carrier shall not:

25-28 1. Impose on an eligible person who is covered under a basic or

25-29 standard health benefit plan any exclusion because of a preexisting

25-30 condition.

25-31 2. Modify a health benefit plan, with respect to an eligible person,

25-32 through riders, endorsements or otherwise, to restrict or exclude services

25-33 otherwise covered by the plan.

25-34 Sec. 38. NRS 689A.680 is hereby amended to read as follows:

25-35 689A.680 1. An individual carrier shall develop its rates for its

25-36 individual health benefit plans pursuant to NRS 689A.470 to 689A.740,

25-37 inclusive, based on rating characteristics. After any adjustments for rating

25-38 characteristics and design of benefits, the rate for any block of business for

25-39 an individual health benefit plan written on or after [July 16, 1997,]

25-40 January 1, 2000, must not exceed the rate for any other block of business

25-41 for an individual health benefit plan offered by the individual carrier by

25-42 more than [100] 50 percent. The rate for a block of business is equal to the

25-43 average rate charged to all the insureds in the block of business. In

26-1 determining whether the rate of a block of business complies with the

26-2 provisions of this subsection, any differences in rating factors between

26-3 blocks of business must be considered.

26-4 2. In determining the rating factors to establish premium rates for a

26-5 health benefit plan, an individual carrier shall not use characteristics other

26-6 than age, sex, occupation, geographic area, composition of the family of

26-7 the individual and health status.

26-8 3. If an individual carrier uses health status as a rating factor in

26-9 establishing premium rates, the highest factor associated with any

26-10 classification for health status may not exceed the lowest factor by more

26-11 than 75 percent.

26-12 4. For the purposes of this section, rating characteristics must not

26-13 include durational or tier rating, or adverse changes in health status or

26-14 claim experience after the policy is issued.

26-15 5. As used in this section, "characteristics" means demographic or

26-16 other information concerning individuals that is considered by a carrier in

26-17 the determination of premium rates for individuals.

26-18 Sec. 39. NRS 689B.027 is hereby amended to read as follows:

26-19 689B.027 1. The commissioner shall adopt regulations which require

26-20 an insurer to file with the commissioner, for his approval, a disclosure

26-21 summarizing the coverage provided by each policy of group health

26-22 insurance offered by the insurer. The disclosure must include:

26-23 (a) Any significant exception, reduction or limitation that applies to the

26-24 policy;

26-25 (b) Any restrictions on payments for emergency care, including related

26-26 definitions of an emergency and medical necessity;

26-27 (c) Any provisions concerning the insurer’s right to change premium

26-28 rates and the characteristics, other than claim experience, that affect

26-29 changes in premium rates;

26-30 (d) Any provisions relating to renewability;

26-31 (e) Any provisions relating to preexisting conditions; and

26-32 (f) Any other information,

26-33 that the commissioner finds necessary to provide for full and fair

26-34 disclosure of the provisions of the policy.

26-35 2. The disclosure must be written in language which is easily

26-36 understood and [must] include a statement that the disclosure is a summary

26-37 of the policy only, and that the policy [itself] should be read to determine

26-38 the governing contractual provisions.

26-39 3. The commissioner shall not approve any proposed disclosure

26-40 submitted to him pursuant to this section which does not comply with the

26-41 requirements of this section and the applicable regulations.

26-42 4. The insurer shall make available to an employer or a producer

26-43 acting on behalf of an employer upon request a copy of the disclosure

27-1 approved by the commissioner pursuant to this section for each policy of

27-2 health insurance coverage for which that employer may be eligible.

27-3 Sec. 40. NRS 689B.380 is hereby amended to read as follows:

27-4 689B.380 "Creditable coverage" means health benefits or coverage

27-5 provided to a person pursuant to:

27-6 1. A group health plan;

27-7 2. A health benefit plan;

27-8 3. Part A or Part B of Title XVIII of the Social Security Act, 42 U.S.C.

§§ 1395c et seq., also known as Medicare;

27-9 4. Title XIX of the Social Security Act, 42 U.S.C. §§ 1396 et seq., also

27-10 known as Medicaid, other than coverage consisting solely of benefits under

27-11 section 1928 of that Title [;

27-12 5. Chapter 55 of Title 10, United States Code (] , 42 U.S.C. § 1396s;

27-13 5. The Civilian Health and Medical Program of Uniformed Services

27-14 [(CHAMPUS));] , CHAMPUS, 10 U.S.C. §§ 1071 et seq.;

27-15 6. A medical care program of the Indian Health Service or of a tribal

27-16 organization;

27-17 7. A state health benefit risk pool;

27-18 8. A health plan offered pursuant to [chapter 89 of Title 5, United

27-19 States Code (] the Federal Employees Health Benefits Program

27-20 [(FEHBP));] , FEHBP, 5 U.S.C. §§ 8901 et seq.;

27-21 9. A public health plan as defined in federal regulations authorized by

27-22 the Public Health Service Act, [section 2701(c)(1)(I), as amended by

27-23 Public Law 104-191; or] , 42 U.S.C. §§ 201 et seq.;

27-24 10. A health benefit plan under section 5(e) of the Peace Corps Act ,

27-25 [(] 22 U.S.C. § 2504(e) [).] ;

27-26 11. A short-term health insurance policy; or

27-27 12. A blanket student accident and health insurance policy.

27-28 Sec. 41. NRS 689B.410 is hereby amended to read as follows:

27-29 689B.410 1. "Health benefit plan" means a policy, contract,

27-30 certificate or agreement offered by a carrier to provide for, arrange for

27-31 payment of, pay for or reimburse any of the costs of health care services.

27-32 Except as otherwise provided in this section, the term includes [short-term

27-33 and] catastrophic health insurance policies, and a policy that pays on a

27-34 cost-incurred basis.

27-35 2. The term does not include:

27-36 (a) Coverage that is only for accident or disability income insurance, or

27-37 any combination thereof;

27-38 (b) Coverage issued as a supplement to liability insurance;

27-39 (c) Liability insurance, including general liability insurance and

27-40 automobile liability insurance;

27-41 (d) Workers’ compensation or similar insurance;

28-1 (e) Coverage for medical payments under a policy of automobile

28-2 insurance;

28-3 (f) Credit insurance;

28-4 (g) Coverage for on-site medical clinics; [and]

28-5 (h) Other similar insurance coverage specified in federal regulations

28-6 issued pursuant to the Health Insurance Portability and Accountability

28-7 Act of 1996, Public Law 104-191 , under which benefits for medical care

28-8 are secondary or incidental to other insurance benefits [.] ;

28-9 (i) Coverage under a short-term health insurance policy; and

28-10 (j) Coverage under a blanket student accident and health insurance

28-11 policy.

28-12 3. If the benefits are provided under a separate policy, certificate or

28-13 contract of insurance or are otherwise not an integral part of a health

28-14 benefit plan, the term does not include the following benefits:

28-15 (a) Limited-scope dental or vision benefits;

28-16 (b) Benefits for long-term care, nursing home care, home health care or

28-17 community-based care, or any combination thereof; and

28-18 (c) Such other similar benefits as are specified in any federal regulations

28-19 adopted pursuant to the Health Insurance Portability and Accountability

28-20 Act of 1996, Public Law 104-191.

28-21 4. For the purposes of NRS 689B.340 to 689B.600, inclusive, if the

28-22 benefits are provided under a separate policy, certificate or contract of

28-23 insurance, there is no coordination between the provision of the benefits

28-24 and any exclusion of benefits under any group health plan maintained by

28-25 the same plan sponsor, and [such] the benefits are paid for a claim without

28-26 regard to whether benefits are provided for such a claim under any group

28-27 health plan maintained by the same plan sponsor, the term does not

28-28 include:

28-29 (a) Coverage that is only for a specified disease or illness; and

28-30 (b) Hospital indemnity or other fixed indemnity insurance.

28-31 5. For the purposes of NRS 689B.340 to 689B.600, inclusive, if

28-32 offered as a separate policy, certificate or contract of insurance, the term

28-33 does not include:

28-34 (a) Medicare supplemental health insurance as defined in section

28-35 1882(g)(1) of the Social Security Act, 42 U.S.C. § 1395ss, as that section

28-36 existed on July 16, 1997;

28-37 (b) Coverage supplemental to the coverage provided pursuant to

28-38 [chapter 55 of Title 10, United States Code (] the Civilian Health and

28-39 Medical Program of Uniformed Services [(CHAMPUS));] , CHAMPUS,

28-40 10 U.S.C. §§ 1071 et seq.; and

28-41 (c) Similar supplemental coverage provided under a group health plan.

28-42 Sec. 42. NRS 689B.460 is hereby amended to read as follows:

29-1 689B.460 "Waiting period" means the period established by a plan of

29-2 health insurance that must pass before a person who is an eligible

29-3 participant or beneficiary in a plan is covered for benefits under the terms

29-4 of the plan. The term includes the period from the date a person submits

29-5 an application to an individual carrier for coverage under a health

29-6 benefit plan until the first day of coverage under that health benefit plan.

29-7 Sec. 43. NRS 689B.500 is hereby amended to read as follows:

29-8 689B.500 1. Except as otherwise provided in this section, a carrier

29-9 that issues a group health plan or coverage under group health insurance

29-10 shall not deny, exclude or limit a benefit for a preexisting condition for:

29-11 (a) More than 12 months after the effective date of coverage if the

29-12 employee enrolls through open enrollment or after the first day of the

29-13 waiting period for [such] that enrollment, whichever is earlier; or

29-14 (b) More than 18 months after the effective date of coverage for a late

29-15 enrollee.

29-16 A carrier may not define a preexisting condition more restrictively than

29-17 that term is defined in NRS 689B.450.

29-18 2. The period of any exclusion for a preexisting condition imposed by

29-19 a group health plan or coverage under group health insurance on a person

29-20 to be insured in accordance with the provisions of this chapter must be

29-21 reduced by the aggregate period of creditable coverage of that person, if

29-22 the creditable coverage was continuous to a date not more than 63 days

29-23 before the effective date of the coverage. The period of continuous

29-24 coverage must not include:

29-25 (a) Any waiting period for the effective date of the new coverage

29-26 applied by the employer or the carrier; or

29-27 (b) Any affiliation period not to exceed 60 days for a new enrollee and

29-28 [63] 90 days for a late enrollee required before becoming eligible to enroll

29-29 in the group health plan.

29-30 3. A health maintenance organization authorized to transact insurance

29-31 pursuant to chapter 695C of NRS that does not restrict coverage for a

29-32 preexisting condition may require an affiliation period before coverage

29-33 becomes effective under a plan of insurance if the affiliation period applies

29-34 uniformly to all employees and without regard to any health status-related

29-35 factors. During the affiliation period, the carrier shall not collect any

29-36 premiums for coverage of the employee.

29-37 4. An insurer that restricts coverage for preexisting conditions shall

29-38 not impose an affiliation period.

29-39 5. A carrier shall not impose any exclusion for a preexisting condition:

29-40 (a) Relating to pregnancy.

29-41 (b) In the case of a person who, as of the last day of the 30-day period

29-42 beginning on the date of his birth, is covered under creditable coverage.

30-1 (c) In the case of a child who is adopted or placed for adoption before

30-2 attaining the age of 18 years and who, as of the last day of the 30-day

30-3 period beginning on the date of adoption or placement for adoption,

30-4 whichever is earlier, is covered under creditable coverage. The provisions

30-5 of this paragraph do not apply to coverage before the date of adoption or

30-6 placement for adoption.

30-7 (d) In the case of a condition for which medical advice, diagnosis, care

30-8 or treatment was recommended or received for the first time while the

30-9 covered person held creditable coverage, and the medical advice,

30-10 diagnosis, care or treatment was a benefit under the plan, if the creditable

30-11 coverage was continuous to a date not more than 63 days before the

30-12 effective date of the new coverage.

30-13 The provisions of paragraphs (b) and (c) do not apply to a person after the

30-14 end of the first 63-day period during all of which the person was not

30-15 covered under any creditable coverage.

30-16 6. As used in this section, "late enrollee" means an eligible employee,

30-17 or his dependent, who requests enrollment in a group health plan following

30-18 the initial period of enrollment, if that initial period of enrollment is at least

30-19 30 days, during which the person is entitled to enroll under the terms of the

30-20 health benefit plan. The term does not include an eligible employee or his

30-21 dependent if:

30-22 (a) The employee or dependent:

30-23 (1) Was covered under creditable coverage at the time of the initial

30-24 enrollment;

30-25 (2) Lost coverage under creditable coverage as a result of cessation

30-26 of contributions by his employer, termination of employment or eligibility,

30-27 reduction in the number of hours of employment, involuntary termination

30-28 of creditable coverage, or death of, or divorce or legal separation from, a

30-29 covered spouse; and

30-30 (3) Requests enrollment not later than 30 days after the date on which

30-31 his creditable coverage was terminated or on which the change in

30-32 conditions that gave rise to the termination of the coverage occurred.

30-33 (b) The employee enrolls during the open enrollment period, as

30-34 provided in the contract or as otherwise specifically provided by specific

30-35 statute.

30-36 (c) The employer of the employee offers multiple health benefit plans

30-37 and the employee elected a different plan during an open enrollment

30-38 period.

30-39 (d) A court has ordered coverage to be provided to the spouse or a

30-40 minor or dependent child of an employee under a health benefit plan of the

30-41 employee and a request for enrollment is made within 30 days after the

30-42 issuance of the court order.

31-1 (e) The employee changes status from not being an eligible employee to

31-2 being an eligible employee and requests enrollment, subject to any waiting

31-3 period, within 30 days after the change in status.

31-4 (f) The person has continued coverage in accordance with the

31-5 Consolidated Omnibus Budget Reconciliation Act of 1985 , Public Law

31-6 99-272, and [such] that coverage has been exhausted.

31-7 Sec. 44. NRS 689B.590 is hereby amended to read as follows:

31-8 689B.590 1. Not later than 180 days after the date on which the

31-9 basic and standard health benefit plans are approved pursuant to NRS

31-10 689C.770 as part of the plan of operation of the program of reinsurance,

31-11 each carrier required to offer to a person a converted policy pursuant to

31-12 NRS 689B.120 shall only offer as a converted policy a choice of the basic

31-13 and standard health benefit plans.

31-14 2. A person with a converted policy issued before the effective date of

31-15 the requirement set forth in subsection 1 may, at each annual renewal of

31-16 the converted policy elect a basic or standard health benefit plan as a

31-17 substitute converted policy, except that the carrier may, if the person has

31-18 not made an election within 3 years after first becoming eligible to do so,

31-19 require the person to make such an election. Once a person has elected

31-20 [either] the basic or standard health benefit plan as a substitute converted

31-21 policy, he may not elect another converted policy.

31-22 3. The premium for a converted policy may not exceed the small

31-23 group index rate, as defined in paragraph (b) of subsection 3 of NRS

31-24 689C.230, applicable to the carrier by more than [110] 75 percent. The

31-25 small group index rate used by a carrier that does not write insurance to

31-26 small employers in this state must be the average small group index rate, as

31-27 determined by the commissioner, of the five largest carriers that provide

31-28 coverage to small employers pursuant to this chapter for their basic and

31-29 standard health benefit plans. The commissioner shall annually determine

31-30 the average small group index rate, as measured by the premium volume of

31-31 the plans, of those five largest carriers.

31-32 4. The rates for new and renewal converted policies for persons with

31-33 the same converted policies whose case characteristics are similar must be

31-34 the same.

31-35 5. Any losses suffered by a carrier on its converted policies issued

31-36 pursuant to this section must be spread across the entire book of the health

31-37 benefit coverage of the carrier issued or delivered for issuance to small

31-38 employers and large group employers in this state.

31-39 6. The commissioner shall adopt such regulations as are necessary to

31-40 carry out the provisions of this section.

31-41 Sec. 45. Chapter 689C of NRS is hereby amended by adding thereto

31-42 the provisions set forth as sections 46 and 47 of this act.

32-1 Sec. 46. No member, agent or employee of the board may be held

32-2 liable in a civil action for any act that he performs in good faith in the

32-3 execution of his duties pursuant to the provisions of this chapter.

32-4 Sec. 47. The provisions of this chapter apply to health benefit plans

32-5 that provide coverage to the employees of small employers in this state

32-6 and to carriers that offer those health benefit plans if:

32-7 1. A portion of the premium or benefits are paid by or on behalf of

32-8 the small employer;

32-9 2. An eligible employee or his dependent is reimbursed for a portion

32-10 of the premium, whether by wage adjustments or otherwise, by or on

32-11 behalf of the small employer; or

32-12 3. The health benefit plan is considered by the small employer or any

32-13 of his eligible employees or dependents as part of a plan or program for

32-14 the purposes of sections 106, 125 or 162 of the Internal Revenue Code,

32-15 26 U.S.C. § 106, 125 or 162.

32-16 Sec. 48. NRS 689C.053 is hereby amended to read as follows:

32-17 689C.053 "Creditable coverage" means health benefits or coverage

32-18 provided to a person pursuant to:

32-19 1. A group health plan;

32-20 2. A health benefit plan;

32-21 3. Part A or Part B of Title XVIII of the Social Security Act, 42 U.S.C.

§§ 1395c et seq., also known as Medicare;

32-22 4. Title XIX of the Social Security Act, 42 U.S.C. §§ 1396 et seq., also

32-23 known as Medicaid, other than coverage consisting solely of benefits under

32-24 section 1928 of that Title [;

32-25 5. Chapter 55 of Title 10, United States Code (] , 42 U.S.C. § 1396s;

32-26 5. The Civilian Health and Medical Program of Uniformed Services

32-27 [(CHAMPUS));] , CHAMPUS, 10 U.S.C. §§ 1071 et seq.;

32-28 6. A medical care program of the Indian Health Service or of a tribal

32-29 organization;

32-30 7. A state health benefit risk pool;

32-31 8. A health plan offered pursuant to [chapter 89 of Title 5, United

32-32 States Code (] the Federal Employees Health Benefits Program

32-33 [(FEHBP));] , FEHBP, 5 U.S.C. §§ 8901 et seq.;

32-34 9. A public health plan as defined in federal regulations authorized by

32-35 the Public Health Service Act, [section 2701(c)(1)(I), as amended by

32-36 Public Law 104-191; or] 42 U.S.C. §§ 201 et seq.;

32-37 10. A health benefit plan under section 5(e) of the Peace Corps Act ,

32-38 [(] 22 U.S.C. § 2504(e) [).] ;

32-39 11. A short-term health insurance policy; or

32-40 12. A blanket student accident and health insurance policy.

32-41 Sec. 49. NRS 689C.075 is hereby amended to read as follows:

33-1 689C.075 1. "Health benefit plan" means a policy or certificate for

33-2 hospital or medical expenses, a contract for dental, hospital or medical

33-3 services, or a health care plan of a health maintenance organization

33-4 available for use, offered or sold to a small employer. Except as otherwise

33-5 provided in this section, the term includes short-term and catastrophic

33-6 health insurance policies, and a policy that pays on a cost-incurred basis.

33-7 2. The term does not include:

33-8 (a) Coverage that is only for accident or disability income insurance, or

33-9 any combination thereof;

33-10 (b) Coverage issued as a supplement to liability insurance;

33-11 (c) Liability insurance, including general liability insurance and

33-12 automobile liability insurance;

33-13 (d) Workers’ compensation or similar insurance;

33-14 (e) Coverage for medical payments under a policy of automobile

33-15 insurance;

33-16 (f) Credit insurance;

33-17 (g) Coverage for on-site medical clinics; [and]

33-18 (h) Coverage under a short-term health insurance policy;

33-19 (i) Coverage under a blanket student accident and health insurance

33-20 policy; and

33-21 (j) Other similar insurance coverage specified in federal regulations

33-22 issued pursuant to the Health Insurance Portability and Accountability

33-23 Act of 1996, Public Law 104-191 , under which benefits for medical care

33-24 are secondary or incidental to other insurance benefits.

33-25 3. If the benefits are provided under a separate policy, certificate or

33-26 contract of insurance or are otherwise not an integral part of a health

33-27 benefit plan, the term does not include the following benefits:

33-28 (a) Limited-scope dental or vision benefits;

33-29 (b) Benefits for long-term care, nursing home care, home health care or

33-30 community-based care, or any combination thereof; and

33-31 (c) Such other similar benefits as are specified in any federal regulations

33-32 adopted pursuant to the Health Insurance Portability and Accountability

33-33 Act of 1996, Public Law 104-191.

33-34 4. If the benefits are provided under a separate policy, certificate or

33-35 contract of insurance, there is no coordination between the provision of the

33-36 benefits and any exclusion of benefits under any group health plan

33-37 maintained by the same plan sponsor, and [such] the benefits are paid for a

33-38 claim without regard to whether benefits are provided for such a claim

33-39 under any group health plan maintained by the same plan sponsor, the term

33-40 does not include:

33-41 (a) Coverage that is only for a specified disease or illness; and

33-42 (b) Hospital indemnity or other fixed indemnity insurance.

34-1 5. If offered as a separate policy, certificate or contract of insurance,

34-2 the term does not include:

34-3 (a) Medicare supplemental health insurance as defined in section

34-4 1882(g)(1) of the Social Security Act, 42 U.S.C. § 1395ss, as that section

34-5 existed on July 16, 1997;

34-6 (b) Coverage supplemental to the coverage provided pursuant to

34-7 [chapter 55 of Title 10, United States Code (] the Civilian Health and

34-8 Medical Program of Uniformed Services [(CHAMPUS));] , CHAMPUS,

34-9 10 U.S.C. §§ 1071 et seq.; and

34-10 (c) Similar supplemental coverage provided under a group health plan.

34-11 Sec. 50. NRS 689C.095 is hereby amended to read as follows:

34-12 689C.095 1. "Small employer" means , [any person or governmental

34-13 entity actively engaged in a business:

34-14 (a) Which,] with respect to a calendar year and a plan year, an

34-15 employer who employed on business days during the preceding calendar

34-16 year an average of at least 2 [,] employees, but not more than 50

34-17 employees, [a majority of whom are residents of this state,] who have a

34-18 normal work week of 30 hours or more, and [which] who employs at least

34-19 2 employees on the first day of the plan year . [;

34-20 (b) Which was not formed primarily for the purpose of purchasing

34-21 insurance; and

34-22 (c) In which a relationship between the employer and the employees

34-23 exists in good faith.] For the purposes of determining the number of

34-24 eligible employees, organizations which are affiliated or which are eligible

34-25 to file a combined tax return for the purposes of taxation constitute one

34-26 employer.

34-27 2. For the purposes of this section, organizations are "affiliated" if one

34-28 directly, or indirectly, through one or more intermediaries, controls or is

34-29 controlled by, or is under common control with, the other, as determined

34-30 pursuant to the provisions of NRS 692C.050.

34-31 Sec. 51. NRS 689C.106 is hereby amended to read as follows:

34-32 689C.106 "Waiting period" means the period established by a plan of

34-33 health insurance that must pass before a person who is an eligible

34-34 participant or beneficiary in a plan is covered for benefits under the terms

34-35 of the plan. The term includes the period from the date a person submits

34-36 an application to an individual carrier for coverage under a health

34-37 benefit plan until the first day of coverage under that health benefit plan.

34-38 Sec. 52. NRS 689C.210 is hereby amended to read as follows:

34-39 689C.210 1. Except as otherwise provided in subsection 3, a carrier

34-40 shall not increase the premium rate charged to a small employer for a new

34-41 rating period by a percentage greater than the sum of:

34-42 (a) The percentage of change in the premium rate for new business for

34-43 the policy under which the small employer is covered, measured from the

35-1 first day of the previous rating period to the first day of the new rating

35-2 period;

35-3 (b) An adjustment, not to exceed 15 percent annually, adjusted pro rata

35-4 for rating periods of less than 1 year, on account of the claim experience,

35-5 health status, or duration of coverage of the employees or dependents of

35-6 the small employer as determined from the carrier’s rate manual for the

35-7 class of business; and

35-8 (c) Any adjustment on account of change in coverage or change in the

35-9 characteristics of the small employer as determined from the carrier’s rate

35-10 manual for the class of business.

35-11 2. If the carrier no longer issues new policies for that class of business,

35-12 the carrier shall use the percentage of change in the premium rate for new

35-13 business for the class of business which is most similar to the closed class

35-14 of business and for which the carrier is issuing new policies.

35-15 3. In the case of health benefit plans delivered or issued for delivery

35-16 before January 1, 1996, for groups with [no] not fewer than 2 employees

35-17 and [no] not more than 25 employees, or before July 1, 1997, for groups

35-18 with [no] not fewer than 26 employees and [no] not more than 50

35-19 employees, a premium rate for a rating period may exceed the ranges set

35-20 forth in [paragraphs (a) and (b) of subsection 1] NRS 689C.230 for a

35-21 period of 3 years following that date. In that case, the percentage of

35-22 increase in the premium rate charged to a small employer for a new rating

35-23 period may not exceed the sum of:

35-24 (a) The percentage of change in the premium rate for new business

35-25 measured from the first day of the previous rating period to the first day of

35-26 the new rating period. In the case of a health benefit plan into which the

35-27 carrier is no longer enrolling new small employers, the carrier shall use the

35-28 percentage of change in the base premium rate if that change does not

35-29 exceed, on a percentage basis, the change in the premium rate for new

35-30 business for the most similar health benefit plan into which the carrier is

35-31 actively enrolling new small employers.

35-32 (b) Any adjustment on account of change in coverage or change in the

35-33 characteristics of the small employer as determined from the carrier’s rate

35-34 manual for the class of business.

35-35 Sec. 53. NRS 689C.270 is hereby amended to read as follows:

35-36 689C.270 1. The commissioner shall adopt regulations which require

35-37 a carrier to file with the commissioner, for his approval, a disclosure

35-38 offered by the carrier to a small employer. The disclosure must include:

35-39 (a) Any significant exception, reduction or limitation that applies to the

35-40 policy;

35-41 (b) Any restrictions on payments for emergency care, including,

35-42 without limitation, related definitions of an emergency and medical

35-43 necessity;

36-1 (c) The provision of the health benefit plan concerning the carrier’s

36-2 right to change premium rates and the characteristics, other than claim

36-3 experience, that affect changes in premium rates;

36-4 (d) The provisions relating to renewability of policies and contracts;

36-5 (e) The provisions relating to any preexisting condition; and

36-6 (f) Any other information that the commissioner finds necessary to

36-7 provide for full and fair disclosure of the provisions of a policy or contract

36-8 of insurance issued pursuant to this chapter.

36-9 2. The disclosure must be written in language which is easily

36-10 understood and must include a statement that the disclosure is a summary

36-11 of the policy only, and that the policy itself should be read to determine the

36-12 governing contractual provisions.

36-13 3. The commissioner shall not approve any proposed disclosure

36-14 submitted to him pursuant to this section which does not comply with the

36-15 requirements of this section and the applicable regulations.

36-16 4. The carrier shall make available to a small employer or a producer

36-17 acting on behalf of a small employer, upon request a copy of the

36-18 disclosure approved by the commissioner pursuant to this section for

36-19 policies of health insurance for which that employer may be eligible.

36-20 Sec. 54. NRS 689C.310 is hereby amended to read as follows:

36-21 689C.310 1. Except as otherwise provided in subsections 2 and 3, a

36-22 carrier shall renew a health benefit plan at the option of the small employer

36-23 who purchased the plan.

36-24 2. A carrier may refuse to issue or to renew a health benefit plan if:

36-25 (a) The carrier discontinues transacting insurance in this state or in the

36-26 geographic area of this state where the employer is located;

36-27 (b) The employer fails to pay the premiums or contributions required by

36-28 the terms of the plan;

36-29 (c) The employer misrepresents any information regarding the

36-30 employees covered under the plan or other information regarding

36-31 eligibility for coverage under the plan;

36-32 (d) The plan sponsor has engaged in an act or practice that constitutes

36-33 fraud to obtain or maintain coverage under the plan;

36-34 (e) The employer is not in compliance with the minimum requirements

36-35 for participation or employer contribution as set forth in the plan; or

36-36 (f) The employer fails to comply with any of the provisions of this

36-37 chapter.

36-38 3. [A carrier may require a small employer to exclude a particular

36-39 employee or his dependent from coverage under a health benefit plan as a

36-40 condition to renewal of the plan if the employee or his dependent commits

36-41 fraud upon the carrier or misrepresents a material fact which affects his

36-42 coverage under the plan.

37-1 4.] A carrier shall discontinue the issuance and renewal of coverage to

37-2 a small employer if the commissioner finds that the continuation of the

37-3 coverage would not be in the best interests of the policyholders or

37-4 certificate holders of the carrier in this state or would impair the ability of

37-5 the carrier to meet its contractual obligations. If the commissioner makes

37-6 such a finding, the commissioner shall assist the affected small employers

37-7 in finding replacement coverage.

37-8 [5.] 4. A carrier may discontinue the issuance and renewal of a form of

37-9 a product of a health benefit plan offered to small employers pursuant to

37-10 this chapter if the commissioner finds that the form of the product offered

37-11 by the carrier is obsolete and is being replaced with comparable coverage.

37-12 A form of a product of a health benefit plan may be discontinued by a

37-13 carrier pursuant to this subsection only if:

37-14 (a) The carrier notifies the commissioner and the chief regulatory

37-15 officer for insurance in each state in which it is licensed of its decision

37-16 pursuant to this subsection to discontinue the issuance and renewal of the

37-17 form of the product at least 60 days before the carrier notifies the affected

37-18 small employers pursuant to paragraph (b).

37-19 (b) The carrier notifies each affected small employer and the

37-20 commissioner and the chief regulatory officer for insurance in each state in

37-21 which any affected small employer is located or eligible employee resides

37-22 of the decision of the carrier to discontinue offering the form of the

37-23 product. The notice must be made at least 180 days before the date on

37-24 which the carrier will discontinue offering the form of the product.

37-25 (c) The carrier offers to each affected small employer the option to

37-26 purchase any other health benefit plan currently offered by the carrier to

37-27 small employers in this state.

37-28 (d) In exercising the option to discontinue the particular form of the

37-29 product and in offering the option to purchase other coverage pursuant to

37-30 paragraph (c), the carrier acts uniformly without regard to the claims

37-31 experience of the affected small employers or any health status-related

37-32 factor relating to any participant or beneficiary covered by the

37-33 discontinued product or any new participant or beneficiary who may

37-34 become eligible for [such coverage.

37-35 6.] that coverage.

37-36 5. A carrier may discontinue the issuance and renewal of a health

37-37 benefit plan offered to a small employer or an eligible employee pursuant

37-38 to this chapter only through a bona fide association if:

37-39 (a) The membership of the small employer or eligible employee in the

37-40 association was the basis for the provision of coverage;

37-41 (b) The membership of the small employer or eligible employee in the

37-42 association ceases; and

38-1 (c) The coverage is terminated pursuant to this subsection uniformly

38-2 without regard to any health status-related factor relating to the small

38-3 employer or eligible employee or his dependent.

38-4 [7.] 6. If a carrier does business in only one established geographic

38-5 service area of this state, the provisions of this section apply only to the

38-6 operations of the carrier in that service area.

38-7 Sec. 55. NRS 689C.610 is hereby amended to read as follows:

38-8 689C.610 As used in NRS 689C.610 to 689C.980, inclusive, and

38-9 section 46 of this act, unless the context otherwise requires, the words and

38-10 terms defined in NRS 689C.620 to 689C.730, inclusive, have the meanings

38-11 ascribed to them in those sections.

38-12 Sec. 56. NRS 689C.870 is hereby amended to read as follows:

38-13 689C.870 1. If, in each of 2 consecutive years, the board determines

38-14 that the amount of the assessment needed exceeds 5 percent of the total

38-15 premiums earned in the previous calendar year from health benefit plans

38-16 delivered or issued for delivery to small employers by reinsuring carriers,

38-17 the program of reinsurance is eligible for additional funding pursuant to

38-18 this section.

38-19 2. If, in each of 2 consecutive years, the board determines that the

38-20 amount of the assessment needed exceeds 5 percent of the total premiums

38-21 earned in the previous calendar year from health benefit plans delivered or

38-22 issued for delivery to individuals by individual reinsuring carriers, the

38-23 program of reinsurance is eligible for additional funding pursuant to this

38-24 section.

38-25 3. To raise [such] the additional funding, the board shall establish a

38-26 formula pursuant to which additional assessments may be made on all

38-27 carriers that offer a health benefit plan or provide stop-loss coverage for a

38-28 health benefit plan which is an [employee-sponsored] employer-sponsored

38-29 plan or a plan established pursuant to the Labor-Management Relations

38-30 Act, 1947, as amended. The total additional assessments on all such

38-31 carriers combined may not exceed one-half of 1 percent of the total

38-32 premiums earned from all health benefit plans and stop-loss coverage

38-33 issued in this state in the previous calendar year.

38-34 Sec. 57. NRS 690B.042 is hereby amended to read as follows:

38-35 690B.042 1. Except as otherwise provided in subsection 2, any party

38-36 against whom a claim is asserted for compensation or damages for

38-37 personal injury under a policy of motor vehicle insurance covering a

38-38 private passenger car may require any attorney representing the claimant to

38-39 provide to the party and his insurer or attorney, not more than once every

38-40 90 days, all medical reports [or] and bills concerning the claim.

38-41 2. In lieu of providing medical reports [or] and bills pursuant to

38-42 subsection 1, or if the reports and medical bills have not been made

38-43 available to the claimant or his attorney by the provider of health care,

39-1 the claimant or [any attorney representing the claimant may authorize in

39-2 writing any provider of health care to provide to the party and his insurer

39-3 or attorney photocopies of the medical reports or bills.] his attorney shall

39-4 provide to the party, his insurer or his attorney a written authorization to

39-5 receive the records and bills from the provider of health care.

39-6 3. Upon receipt of any photocopies of medical reports [or] and bills ,

39-7 or a written authorization pursuant to subsection 2, the insurer who issued

39-8 the policy specified in subsection 1 shall, upon request, immediately

39-9 disclose to the insured or the claimant all pertinent facts or provisions of

39-10 the policy relating to any coverage at issue.

39-11 4. The commissioner shall report an attorney to the authority that

39-12 regulates the licensing of attorneys in each state where the attorney is

39-13 admitted to practice if the commissioner receives a report or complaint

39-14 that the attorney has failed to comply with an agreement established

39-15 pursuant to this section.

39-16 Sec. 58. NRS 692A.105 is hereby amended to read as follows:

39-17 692A.105 1. The commissioner may refuse to license any title agent

39-18 or escrow officer or may suspend or revoke any license or impose a fine of

39-19 not more than $500 for each violation by entering an order to that effect,

39-20 with his findings in respect thereto, if upon a hearing, it is determined that

39-21 the applicant or licensee:

39-22 (a) In the case of a title agent, is insolvent or in such a financial

39-23 condition that he cannot continue in business with safety to his customers;

39-24 (b) Has violated any provision of this chapter or any regulation adopted

39-25 pursuant thereto or has aided and abetted another to do so;

39-26 (c) Has committed fraud in connection with any transaction governed

39-27 by this chapter;

39-28 (d) Has intentionally or knowingly made any misrepresentation or false

39-29 statement to, or concealed any essential or material fact known to him

39-30 from, any principal or designated agent of the principal in the course of the

39-31 escrow business;

39-32 (e) Has intentionally or knowingly made or caused to be made to the

39-33 commissioner any false representation of a material fact or has suppressed

39-34 or withheld from him any information which the applicant or licensee

39-35 possesses;

39-36 (f) Has failed without reasonable cause to furnish to the parties of an

39-37 escrow their respective statements of the settlement within a reasonable

39-38 time after the close of escrow;

39-39 (g) Has failed without reasonable cause to deliver, within a reasonable

39-40 time after the close of escrow, to the respective parties of an escrow

39-41 transaction any money, documents or other properties held in escrow in

39-42 violation of the provisions of the escrow instructions;

40-1 (h) Has refused to permit an examination by the commissioner of his

40-2 books and affairs or has refused or failed, within a reasonable time, to

40-3 furnish any information or make any report that may be required by the

40-4 commissioner pursuant to the provisions of this chapter;

40-5 (i) Has been convicted of a felony or any misdemeanor of which an

40-6 essential element is fraud;

40-7 (j) In the case of a title agent, has failed to maintain complete and

40-8 accurate records of all transactions within the last 7 years;

40-9 (k) Has commingled the money of [others] other persons with his own

40-10 or converted the money of [others] other persons to his own use;

40-11 (l) Has failed, before the close of escrow, to obtain written instructions

40-12 concerning any essential or material fact or intentionally failed to follow

40-13 the written instructions which have been agreed upon by the parties and

40-14 accepted by the holder of the escrow;

40-15 (m) Has failed to disclose in writing that he is acting in the dual

40-16 capacity of escrow agent or agency and undisclosed principal in any

40-17 transaction; [or]

40-18 (n) In the case of an escrow officer, has been convicted of, or entered a

40-19 plea of guilty or nolo contendere to, any crime involving moral turpitude

40-20 [.] ; or

40-21 (o) Has failed to obtain and maintain a copy of the executed

40-22 agreement or contract that establishes the conditions for the sale of real

40-23 property.

40-24 2. It is sufficient cause for the imposition of a fine or the refusal,

40-25 suspension or revocation of the license of a partnership, corporation or any

40-26 other association if any member of the partnership or any officer or

40-27 director of the corporation or association has been guilty of any act or

40-28 omission directly arising from the business activities of a title agent which

40-29 would be cause for such action had the applicant or licensee been a natural

40-30 person.

40-31 3. The commissioner may suspend or revoke the license of a title

40-32 agent, or impose a fine, if the commissioner finds that the title agent:

40-33 (a) Failed to maintain adequate supervision of an escrow officer title

40-34 agent he has appointed or employed.

40-35 (b) Instructed an escrow officer to commit an act which would be cause

40-36 for the revocation of the escrow officer’s license and the escrow officer

40-37 committed the act. An escrow officer is not subject to disciplinary action

40-38 for committing such an act under instruction by the title agent.

40-39 4. The commissioner may refuse to issue a license to any person who,

40-40 within 10 years before the date of applying for a current license, has had

40-41 suspended or revoked a license issued pursuant to this chapter or a

40-42 comparable license issued by any other state, district or territory of the

40-43 United States or any foreign country.

41-1 Sec. 59. Chapter 695C of NRS is hereby amended by adding thereto a

41-2 new section to read as follows:

41-3 1. To the extent authorized by federal law, the commissioner shall

41-4 adopt regulations for the licensing of provider-sponsored organizations

41-5 in this state.

41-6 2. As used in this section, "provider-sponsored organization" has the

41-7 meaning ascribed to it in 42 U.S.C. § 1395w-25(d).

42-1 Sec. 60. NRS 695C.350 is hereby amended to read as follows:

42-2 695C.350 1. The commissioner may, in lieu of suspension or

42-3 revocation of a certificate of authority under NRS 695C.330, levy an

42-4 administrative penalty in an amount not less than $1,000 nor more than

42-5 $2,500 [,] for each act or violation, if reasonable notice in writing is given

42-6 of the intent to levy the penalty . [and the health maintenance organization

42-7 has a reasonable time within which to remedy the defect in its operations

42-8 which gave rise to the penalty citation.]

42-9 2. Any person who violates the provisions of this chapter is guilty of a

42-10 misdemeanor.

42-11 3. If the commissioner or the state board of health for any reason have

42-12 cause to believe that any violation of this chapter has occurred or is

42-13 threatened, the commissioner or the state board of health may give notice

42-14 to the health maintenance organization and to the representatives, or other

42-15 persons who appear to be involved in [such] the suspected violation, to

42-16 arrange a conference with the alleged violators or their authorized

42-17 representatives [for the purpose of attempting to ascertain] to attempt to

42-18 determine the facts relating to [such] the suspected violation, and, [in the

42-19 event] if it appears that any violation has occurred or is threatened, to

42-20 arrive at an adequate and effective means of correcting or preventing

42-21 [such] the violation.

42-22 4. [Proceedings under subsection 3 shall] The proceedings conducted

42-23 pursuant to the provisions of subsection 3 must not be governed by any

42-24 formal procedural requirements, and may be conducted in such manner as

42-25 the commissioner or the state board of health may deem appropriate under

42-26 the circumstances.

42-27 5. The commissioner may issue an order directing a health

42-28 maintenance organization or a representative of a health maintenance

42-29 organization to cease and desist from engaging in any act or practice in

42-30 violation of the provisions of this chapter.

42-31 6. Within 30 days after service of the order [of] to cease and desist, the

42-32 respondent may request a hearing on the question of whether acts or

42-33 practices in violation of this chapter have occurred. [Such hearings shall be

42-34 conducted pursuant to the Nevada Administrative Procedure Act, and

42-35 judicial review shall] The hearing must be conducted pursuant to the

42-36 provisions of chapter 233B of NRS and judicial review must be available

42-37 as provided therein.

42-38 7. In the case of any violation of the provisions of this chapter, if the

42-39 commissioner elects not to issue a cease and desist order, or in the event of

42-40 noncompliance with a cease and desist order issued pursuant to subsection

42-41 5, the commissioner may institute a proceeding to obtain injunctive relief,

42-42 or seek other appropriate relief in the district court of the judicial district of

42-43 the county in which the violator resides.

43-1 Sec. 61. NRS 696B.415 is hereby amended to read as follows:

43-2 696B.415 1. Upon the issuance of an order of liquidation with a

43-3 finding of insolvency against a domestic insurer, the commissioner shall

43-4 apply to the district court for authority to disburse money to the Nevada

43-5 insurance guaranty association or the Nevada life and health insurance

43-6 guaranty association out of the [insurer’s] marshaled assets [,] of the

43-7 insurer, as money becomes available, in amounts equal to disbursements

43-8 made or to be made by the association for claims-handling expense and

43-9 covered-claims obligations upon the presentation of evidence that

43-10 disbursements have been made by the association. The commissioner shall

43-11 apply to the district court for authority to make similar disbursements to

43-12 insurance guaranty associations in other jurisdictions if one of the Nevada

43-13 associations is entitled to like payment [under] pursuant to the laws

43-14 relating to insolvent insurers in the jurisdiction in which the organization is

43-15 domiciled.

43-16 2. The commissioner, in determining the amounts available for

43-17 disbursement to the Nevada insurance guaranty association, the Nevada

43-18 life and health insurance guaranty association, and similar organizations in

43-19 other jurisdictions, shall reserve sufficient assets for the payment of the

43-20 expenses of administration.

43-21 3. The commissioner shall establish procedures for the ratable

43-22 allocation of disbursements to the Nevada insurance guaranty association,

43-23 the Nevada life and health insurance guaranty association, and similar

43-24 organizations in other jurisdictions, and shall secure from each

43-25 organization to which money is paid as a condition to advances in

43-26 reimbursement of covered-claims obligations an agreement to return to the

43-27 commissioner, on demand, amounts previously advanced which are

43-28 required to pay claims of secured creditors and claims falling within the

43-29 priorities established in paragraph (a) or (b) of subsection 1 of NRS

43-30 696B.420 . [for administration costs and expenses , and wage debts due

43-31 employees for services performed.]

43-32 Sec. 62. NRS 696B.420 is hereby amended to read as follows:

43-33 696B.420 1. The order of distribution of claims from the [insurer’s]

43-34 estate of the insurer on liquidation of the insurer must be as [stated] set

43-35 forth in this section. [The first $50 of the amount allowed on each claim in

43-36 the classes under paragraphs (b) to (g), inclusive, must be deducted from

43-37 the claim and included in the class under paragraph (i). Claims may not be

43-38 cumulated by assignment to avoid application of the $50 deductible

43-39 provision. Subject to the $50 deductible provision, every] Each claim in

43-40 each class must be paid in full or adequate money retained for the payment

43-41 before the members of the next class receive any payment. No subclasses

43-42 may be established within any class. Except as otherwise provided in

43-43 subsection 2, the order of distribution and of priority must be as follows:

44-1 (a) Administration costs and expenses, including, but not limited to, the

44-2 following:

44-3 (1) The actual and necessary costs of preserving or recovering the

44-4 assets of the insurer;

44-5 (2) Compensation for [all] any services rendered in the liquidation;

44-6 (3) Any necessary filing fees;

44-7 (4) The fees and mileage payable to witnesses; and

44-8 (5) Reasonable attorney’s fees.

44-9 (b) Loss claims, including [all] any claims under policies for losses

44-10 incurred, including third party claims, [all] any claims against the insurer

44-11 for liability for bodily injury or for injury to or destruction of tangible

44-12 property which are not under policies, and [all] any claims of the Nevada

44-13 insurance guaranty association, the Nevada life and health insurance

44-14 guaranty association, and other similar statutory organizations in other

44-15 jurisdictions . [, except the first $200 of losses otherwise payable to any

44-16 claimant under this paragraph. All] Any claims under life insurance and

44-17 annuity policies, whether for death proceeds, annuity proceeds or

44-18 investment values, must be treated as loss claims. [Claims may not be

44-19 cumulated by assignment to avoid application of the $200 deductible

44-20 provision.] That portion of any loss for which indemnification is provided

44-21 by other benefits or advantages recovered or recoverable by the claimant

44-22 may not be included in this class, other than benefits or advantages

44-23 recovered or recoverable in discharge of familial obligations of support or

44-24 [by way] because of succession at death or as proceeds of life insurance, or

44-25 as gratuities. No payment made by an employer to his employee may be

44-26 treated as a gratuity.

44-27 (c) Unearned premiums and small loss claims, including claims under

44-28 nonassessable policies for unearned premiums or other premium refunds .

44-29 [and the first $200 of loss excepted by the deductible provision in

44-30 paragraph (b).]

44-31 (d) Claims of the Federal Government . [and]

44-32 (e) Claims of any state or local government, including, but not limited

44-33 to, a claim of [any governmental body] a state or local government for a

44-34 penalty or forfeiture.

44-35 [(e)] (f) Wage debts due employees for services performed, not to

44-36 exceed $1,000 to each employee, that have been earned within 1 year

44-37 before the filing of the petition for liquidation. Officers of the insurer are

44-38 not entitled to the benefit of this priority. The priority set forth in this

44-39 paragraph must be in lieu of any other similar priority authorized by law as

44-40 to wages or compensation of employees.

44-41 [(f)] (g) Residual classification, including all other claims not falling

44-42 within other classes [under] pursuant to the provisions of this section.

44-43 Claims for a penalty or forfeiture must be allowed in this class only to the

45-1 extent of the pecuniary loss sustained from the act, transaction or

45-2 proceeding out of which the penalty or forfeiture arose, with reasonable

45-3 and actual costs occasioned thereby. The remainder of [such] the claims

45-4 must be postponed to the class of claims [under paragraph (i).

45-5 (g)] specified in paragraph (j).

45-6 (h) Judgment claims based solely on judgments. If a claimant files a

45-7 claim and bases [it both] the claim on the judgment and on the underlying

45-8 facts, the claim must be considered by the liquidator, who shall give the

45-9 judgment such weight as he deems appropriate. The claim as allowed must

45-10 receive the priority it would receive in the absence of the judgment. If the

45-11 judgment is larger than the allowance on the underlying claim, the

45-12 remaining portion of the judgment must be treated as if it were a claim

45-13 based solely on a judgment.

45-14 [(h)] (i) Interest on claims already paid, which must be calculated at the

45-15 legal rate compounded annually on [all] any claims in the classes [under]

45-16 specified in paragraphs (a) to [(g),] (h), inclusive, from the date of the

45-17 petition for liquidation or the date on which the claim becomes due,

45-18 whichever is later, until the date on which the dividend is declared. The

45-19 liquidator, with the approval of the court, may [make] :

45-20 (1) Make reasonable classifications of claims for purposes of

45-21 computing interest [, may make] ;

45-22 (2) Make approximate computations ; and [may ignore]

45-23 (3) Ignore certain classifications and periods as de minimis.

45-24 [(i)] (j) Miscellaneous subordinated claims, [including the remaining

45-25 claims or portions of claims not already paid,] with interest as provided in

45-26 paragraph [(h):

45-27 (1) The first $50 of each claim in the classes under paragraphs (b) to

45-28 (g), inclusive, subordinated under this section;

45-29 (2)] (i):

45-30 (1) Claims subordinated by NRS 696B.430;

45-31 [(3)] (2) Claims filed late;

45-32 [(4)] (3) Portions of claims subordinated [under paragraph (f);

45-33 (5)] pursuant to the provisions of paragraph (g);

45-34 (4) Claims or portions of claims the payment of which is provided by

45-35 other benefits or advantages recovered or recoverable by the claimant; and

45-36 [(6)] (5) Claims not otherwise provided for in this section.

45-37 [(j)] (k) Preferred ownership claims, including surplus or contribution

45-38 notes, or similar obligations, and premium refunds on assessable policies.

45-39 Interest at the legal rate must be added to each claim, as provided in

45-40 paragraphs [(h) and (i).

45-41 (k)] (i) and (j).

45-42 (l) Proprietary claims of shareholders or other owners.

46-1 2. If there are no existing or potential claims of the government against

46-2 the estate, claims for wages have priority over [all] any claims set forth in

46-3 paragraphs (c) to [(j),] (k), inclusive, of subsection 1. The provisions of

46-4 this subsection must not be construed to require the [deduction of $50 or

46-5 the] accumulation of interest for claims as described in paragraph [(h)] (i)

46-6 of subsection 1.

46-7 Sec. 63. NRS 697.090 is hereby amended to read as follows:

46-8 697.090 1. A person in this state shall not act in the capacity of a bail

46-9 agent, bail enforcement agent or bail solicitor, or perform any of the

46-10 functions, duties or powers prescribed for a bail agent, bail enforcement

46-11 agent or bail solicitor under the provisions of this chapter, unless that

46-12 person is qualified and licensed as provided in this chapter. The

46-13 commissioner may, after notice and a hearing, impose a fine of not more

46-14 than $1,000 for each act or violation of the provisions of this subsection.

46-15 2. A person, whether or not located in this state, shall not act as or hold

46-16 himself out to be a general agent unless qualified and licensed as such

46-17 under the provisions of this chapter.

46-18 3. For the protection of the people of this state, the commissioner shall

46-19 not issue or renew, or permit to exist, any license except in compliance

46-20 with this chapter. The commissioner shall not issue or renew, or permit to

46-21 exist, a license for any person found to be untrustworthy or incompetent, or

46-22 who has not established to the satisfaction of the commissioner that he is

46-23 qualified therefor in accordance with this chapter.

46-24 Sec. 64. NRS 697.184 is hereby amended to read as follows:

46-25 697.184 1. An application for a license as a general agent must be

46-26 accompanied by:

46-27 (a) Proof of the completion of a 6-hour course of instruction in bail

46-28 bonds that is:

46-29 (1) Offered by a state or national organization of bail agents or

46-30 another organization that administers training programs for general agents;

46-31 and

46-32 (2) Approved by the commissioner.

46-33 (b) A written appointment by an authorized insurer as general agent,

46-34 subject to the issuance of the license.

46-35 (c) A letter from a local law enforcement agency in the applicant’s

46-36 county of residence which indicates that the applicant:

46-37 (1) Has not been convicted of a felony in this state or of any offense

46-38 committed in another state which would be a felony if committed in this

46-39 state; and

46-40 (2) Has not been convicted of an offense involving moral turpitude or

46-41 the unlawful use, sale or possession of a controlled substance.

46-42 (d) A copy of the contract or agreement that authorizes the general

46-43 agent to act as general agent for the insurer.

47-1 (e) Any other information the commissioner may require.

47-2 2. If the applicant for a license as a general agent is a firm or

47-3 corporation, the application must include the names of the members,

47-4 officers and directors and designate each natural person who is to exercise

47-5 the authority granted by the license. Each person so designated must

47-6 furnish information about himself as though the application were for an

47-7 individual license.

47-8 Sec. 65. NRS 697.190 is hereby amended to read as follows:

47-9 697.190 1. [Every] Each applicant for a [bail agent’s or bail

47-10 solicitor’s] license as a bail agent, bail solicitor or general agent must file

47-11 with the application, and thereafter maintain in force while so licensed, a

47-12 bond in favor of the people of the State of Nevada executed by an

47-13 authorized surety insurer. The bond may be continuous in form with total

47-14 aggregate liability limited to payment as follows:

47-15 (a) Bail agent $25,000

47-16 (b) Bail solicitor 10,000

47-17 (c) General agent 50,000

47-18 2. The bond must be conditioned upon full accounting and payment to

47-19 the person entitled thereto of money, property or other matters coming into

47-20 the licensee’s possession through bail bond transactions under the license.

47-21 3. The bond must remain in force until released by the commissioner,

47-22 or canceled by the surety. Without prejudice to any liability previously

47-23 incurred under the bond, the surety may cancel the bond upon 30 days’

47-24 advance written notice to the licensee and the commissioner.

47-25 Sec. 66. NRS 41A.023 is hereby amended to read as follows:

47-26 41A.023 1. For cases involving medical or dental malpractice, the

47-27 board of governors of the Nevada Trial Lawyers Association may

47-28 designate 40 of its members to serve on the northern tentative screening

47-29 panel and [60] 80 of its members to serve on the southern tentative

47-30 screening panel. Each person so designated shall serve for a term of 1 year.

47-31 2. For cases involving medical malpractice, the executive committee

47-32 of the Nevada State Medical Association may designate 40 of its members

47-33 to serve on the northern tentative screening panel and [60] 80 of its

47-34 members to serve on the southern tentative screening panel. Each person

47-35 so designated shall serve for a term of 1 year.

47-36 3. For cases involving medical malpractice, the Nevada [Hospital]

47-37 Association of Hospitals and Health Systems may designate [40] 20

47-38 administrators of hospitals and other persons employed by hospitals in

47-39 management positions to serve as nonvoting members of the northern

47-40 tentative screening [panels.] panel and 25 administrators of hospitals and

47-41 other persons employed by hospitals in management positions to serve as

47-42 nonvoting members of the southern tentative screening panel. Each

47-43 person so designated shall serve for a term of 1 year.

48-1 4. For cases involving dental malpractice, the Nevada State Dental

48-2 Association may designate 40 of its members to serve on the northern

48-3 tentative screening panel and 40 of its members to serve on the southern

48-4 tentative screening panel. Each person so designated shall serve for a term

48-5 of 1 year.

48-6 Sec. 67. NRS 616B.500 is hereby amended to read as follows:

48-7 616B.500 1. An insurer may enter into a contract to have his plan of

48-8 insurance administered by a third-party administrator.

48-9 2. An insurer shall not enter into a contract with any person for the

48-10 administration of any part of the plan of insurance unless that person

48-11 maintains an office in this state and has a [valid] certificate issued by the

48-12 commissioner pursuant to [NRS 683A.085.] section 14 of this act. The

48-13 system may, as a part of a contract entered into with an organization for

48-14 managed care pursuant to NRS 616B.515, require the organization to act

48-15 as its third-party administrator.

48-16 Sec. 68. NRS 616B.503 is hereby amended to read as follows:

48-17 616B.503 1. A person shall not act as a third-party administrator for

48-18 an insurer without a certificate issued by the commissioner pursuant to

48-19 [NRS 683A.085.] section 14 of this act.

48-20 2. A person who acts as a third-party administrator pursuant to

48-21 chapters 616A to 616D, inclusive, of NRS shall:

48-22 (a) Administer from one or more offices located in this state all of the

48-23 claims arising under each plan of insurance that he administers and

48-24 maintain in those offices all of the records concerning those claims;

48-25 (b) Administer each plan of insurance directly, without subcontracting

48-26 with another third-party administrator; and

48-27 (c) Upon the termination of his contract with an insurer, transfer

48-28 forthwith to a certified third-party administrator chosen by the insurer all

48-29 of the records in his possession concerning claims arising under the plan of

48-30 insurance.

48-31 3. The commissioner may, under exceptional circumstances, waive the

48-32 requirements of subsection 2.

48-33 Sec. 69. NRS 683A.0867, 686C.060 and 686C.085 are hereby

48-34 repealed.

 

48-35 TEXT OF REPEALED SECTIONS

 

48-36 683A.0867 Standards to be provided in agreement. The

48-37 agreement between the administrator and the insurer shall provide for

48-38 underwriting and other standards pertaining to the business underwritten

48-39 by the insurer.

49-1 686C.060 "Board" defined. "Board" means the board of directors

49-2 of the Nevada Life and Health Insurance Guaranty Association.

49-3 686C.085 "Domiciliary state" defined. "Domiciliary state" has the

49-4 meaning ascribed to it in NRS 696B.070.

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