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.

~

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; revising the provisions governing authorized investments by insurers; requiring the commissioner of insurance to adopt regulations for the licensing of provider-sponsored organizations; revising the requirements for certain insurers to accept surplus lines risks; 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; revising various provisions governing health insurance; 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; revising the qualifications for licensure by a corporation as a bail agent or bail enforcement agent; revising the authority of the commissioner to approve certain contracts relating to the state’s group insurance plan; 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 thereto

1-2 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

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

2-2 authorized pursuant to the provisions of this code against the holder of

2-3 the license or certificate.

2-4 Sec. 2. NRS 679B.190 is hereby amended to read as follows:

2-5 679B.190 1. The commissioner shall carefully preserve in the

2-6 division and in permanent form all papers and records relating to the

2-7 business and transactions of the division and shall hand them over to his

2-8 successor in office.

2-9 2. Except as otherwise provided in subsections 3, 5 and 6 , [and] other

2-10 provisions of this code and NRS 616B.015, the papers and records must be

2-11 open to public inspection.

2-12 3. Any records or information in the possession of the division related

2-13 to an investigation [or examination] conducted by the commissioner is

2-14 confidential [for the period of the investigation or examination] unless:

2-15 (a) The commissioner releases, in the manner that he deems appropriate,

2-16 all or any part of the records or information for public inspection after

2-17 determining that the release of the records or information:

2-18 (1) Will not harm his investigation [or examination] or the person

2-19 who is being investigated ; [or examined;] or

2-20 (2) Serves the interests of a policyholder, the shareholders of the

2-21 insurer or the public; or

2-22 (b) A court orders the release of the records or information after

2-23 determining that the production of the records or information will not

2-24 damage any investigation being conducted by the commissioner.

2-25 4. The commissioner may destroy unneeded or obsolete records and

2-26 filings in the division in accordance with provisions and procedures

2-27 applicable in general to administrative agencies of this state.

2-28 5. The commissioner may classify as confidential certain records and

2-29 information obtained from a governmental agency or other sources upon

2-30 the express condition that they remain confidential.

2-31 6. All information and documents in the possession of the division or

2-32 any of its employees which are related to cases or matters under

2-33 investigation [or examination] by the commissioner or his staff are

2-34 confidential for the [entire] period of the investigation [or examination] and

2-35 may not be made public unless the commissioner finds the existence of an

2-36 imminent threat of harm to the safety or welfare of the policyholder,

2-37 shareholders or the public and determines that the interests of the

2-38 policyholder, shareholders or the public will be served by publication

2-39 thereof, in which event he may make a record public or publish all or any

2-40 part of the record in any manner he deems appropriate.

3-1 Sec. 3. NRS 679B.440 is hereby amended to read as follows:

3-2 679B.440 1. The commissioner may require that reports submitted

3-3 pursuant to NRS 679B.430 include, without limitation, information

3-4 regarding:

3-5 (a) Liability insurance provided to:

3-6 (1) Governmental agencies and political subdivisions of this state,

3-7 reported separately for:

3-8 (I) Cities and towns;

3-9 (II) School districts; and

3-10 (III) Other political subdivisions;

3-11 (2) Public officers;

3-12 (3) Establishments where alcoholic beverages are sold;

3-13 (4) Facilities for the care of children;

3-14 (5) Labor, fraternal or religious organizations; and

3-15 (6) Officers or directors of organizations formed pursuant to Title 7

3-16 of NRS, reported separately for nonprofit entities and entities organized for

3-17 profit;

3-18 (b) Liability insurance for:

3-19 (1) Defective products;

3-20 (2) Medical malpractice;

3-21 (3) Malpractice of attorneys;

3-22 (4) Malpractice of architects and engineers; and

3-23 (5) Errors and omissions by other professionally qualified persons;

3-24 [and]

3-25 (c) Vehicle insurance, reported separately for:

3-26 (1) Private vehicles;

3-27 (2) Commercial vehicles;

3-28 (3) Liability insurance; and

3-29 (4) Insurance for property damage [.] ; and

3-30 (d) Workers’ compensation insurance.

3-31 2. The commissioner may require that the report include, without

3-32 limitation, information specifically pertaining to this state or to an insurer in

3-33 its entirety, in the aggregate or by type of insurance, and for a previous or

3-34 current year, regarding:

3-35 (a) Premiums directly written;

3-36 (b) Premiums directly earned;

3-37 (c) Number of policies issued;

3-38 (d) Net investment income, using appropriate estimates when necessary;

3-39 (e) Losses paid;

3-40 (f) Losses incurred;

3-41 (g) Loss reserves, including:

3-42 (1) Losses unpaid on reported claims; and

3-43 (2) Losses unpaid on incurred but not reported claims;

4-1 (h) Number of claims, including:

4-2 (1) Claims paid; and

4-3 (2) Claims that have arisen but are unpaid;

4-4 (i) Expenses for adjustment of losses, including allocated and

4-5 unallocated losses;

4-6 (j) Net underwriting gain or loss;

4-7 (k) Net operation gain or loss, including net investment income; and

4-8 (l) Any other information requested by the commissioner.

4-9 3. The commissioner may also obtain, based upon an insurer in its

4-10 entirety, information regarding:

4-11 (a) Recoverable federal income tax;

4-12 (b) Net unrealized capital gain or loss; and

4-13 (c) All other expenses not included in subsection 2.

4-14 Sec. 4. NRS 680B.010 is hereby amended to read as follows:

4-15 680B.010 The commissioner shall collect in advance and receipt for,

4-16 and persons so served must pay to the commissioner, fees and

4-17 miscellaneous charges as follows:

4-18 1. Insurer’s certificate of authority:

4-19 (a) Filing initial application $2,450

4-20 (b) Issuance of certificate:

4-21 (1) For any one kind of insurance as defined in NRS

4-22 681A.010 to 681A.080, inclusive 283

4-23 (2) For two or more kinds of insurance as so defined 578

4-24 (3) For a reinsurer 2,450

4-25 (c) Each annual continuation of a certificate 2,450

4-26 (d) Reinstatement pursuant to NRS 680A.180, 50 percent of

4-27 the annual continuation fee otherwise required.

4-28 (e) Registration of additional title pursuant to NRS 680A.240 50

4-29 (f) Annual renewal of the registration of additional title

4-30 pursuant to NRS 680A.240 25

4-31 2. Charter documents, other than those filed with an

4-32 application for a certificate of authority. Filing amendments to

4-33 articles of incorporation, charter, bylaws, power of attorney and

4-34 other constituent documents of the insurer, each document $10

4-35 3. Annual statement or report. For filing annual statement or

4-36 report $25

4-37 4. Service of process:

4-38 (a) Filing of power of attorney $5

4-39 (b) Acceptance of service of process 30

4-40 5. Agents’ licenses, appointments and renewals:

4-41 (a) Resident agents and nonresident agents qualifying under

4-42 subsection 3 of NRS 683A.340:

4-43 (1) Application and license $78

5-1 (2) Appointment by each insurer $5

5-2 (3) Triennial renewal of each license 78

5-3 (4) Temporary license 10

5-4 (b) Other nonresident agents:

5-5 (1) Application and license 138

5-6 (2) Appointment by each insurer 25

5-7 (3) Triennial renewal of each license 138

5-8 6. Brokers’ licenses and renewals:

5-9 (a) Resident brokers and nonresident brokers qualifying under

5-10 subsection 3 of NRS 683A.340:

5-11 (1) Application and license $78

5-12 (2) Triennial renewal of each license 78

5-13 (b) Other nonresident brokers:

5-14 (1) Application and license 258

5-15 (2) Triennial renewal of each license 258

5-16 (c) [Surplus] Resident surplus lines brokers:

5-17 (1) Application and license 78

5-18 (2) Triennial renewal of each license 78

5-19 (d) Nonresident surplus lines brokers:

5-20 (1) Application and license 258

5-21 (2) Triennial renewal of each license 258

5-22 7. Solicitors’ licenses, appointments and renewals:

5-23 (a) Application and license $78

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

5-25 (c) Initial appointment 5

5-26 8. Managing general agents’ licenses, appointments and

5-27 renewals:

5-28 (a) Resident managing general agents:

5-29 (1) Application and license $78

5-30 (2) Initial appointment, each insurer 5

5-31 (3) Triennial renewal of each license 78

5-32 (b) Nonresident managing general agents:

5-33 (1) Application and license 138

5-34 (2) Initial appointment, each insurer 25

5-35 (3) Triennial renewal of each license 138

5-36 9. Adjusters’ licenses and renewals:

5-37 (a) Independent and public adjusters:

5-38 (1) Application and license $78

5-39 (2) Triennial renewal of each license 78

5-40 (b) Associate adjusters:

5-41 (1) Application and license 78

5-42 (2) Initial appointment 5

5-43 (3) Triennial renewal of each license 78

6-1 10. Licenses and renewals for appraisers of physical damage

6-2 to motor vehicles:

6-3 (a) Application and license $78

6-4 (b) Triennial renewal of each license 78

6-5 11. Additional title and property insurers pursuant to NRS

6-6 680A.240:

6-7 (a) Original registration $50

6-8 (b) Annual renewal 25

6-9 12. Insurance vending machines:

6-10 (a) Application and license, for each machine $78

6-11 (b) Triennial renewal of each license 78

6-12 13. Permit for solicitation for securities:

6-13 (a) Application for permit $100

6-14 (b) Extension of permit 50

6-15 14. Securities salesmen for domestic insurers:

6-16 (a) Application and license $25

6-17 (b) Annual renewal of license 15

6-18 15. Rating organizations:

6-19 (a) Application and license $500

6-20 (b) Annual renewal 500

6-21 16. Certificates and renewals for administrators licensed

6-22 pursuant to chapter 683A of NRS:

6-23 (a) Resident administrators:

6-24 (1) Application and certificate of registration $78

6-25 (2) Triennial renewal 78

6-26 (b) Nonresident administrators:

6-27 (1) Application and certificate of registration 138

6-28 (2) Triennial renewal 138

6-29 17. For copies of the insurance laws of Nevada, a fee which

6-30 is not less than the cost of producing the copies.

6-31 18. Certified copies of certificates of authority and licenses

6-32 issued pursuant to the insurance code $10

6-33 19. For copies and amendments of documents on file in the

6-34 division, a reasonable charge fixed by the commissioner,

6-35 including charges for duplicating or amending the forms and for

6-36 certifying the copies and affixing the official seal.

6-37 20. Letter of clearance for an agent or broker $10

6-38 21. Certificate of status as a licensed agent or broker $10

6-39 22. Licenses, appointments and renewals for bail agents:

6-40 (a) Application and license $78

6-41 (b) Initial appointment by each surety insurer 5

6-42 (c) Triennial renewal of each license 78

7-1 23. Licenses and renewals for bail enforcement agents:

7-2 (a) Application and license $78

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

7-4 24. Licenses, appointments and renewals for general bail

7-5 agents:

7-6 (a) Application and license $78

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

7-8 (c) Triennial renewal of each license 78

7-9 25. Licenses and renewals for bail solicitors:

7-10 (a) Application and license $78

7-11 (b) Triennial renewal of each license 78

7-12 26. Licenses and renewals for title agents and escrow

7-13 officers:

7-14 (a) Resident title agents and escrow officers:

7-15 (1) Application and license $78

7-16 (2) Triennial renewal of each license 78

7-17 (b) Nonresident title agents and escrow officers:

7-18 (1) Application and license 138

7-19 (2) Triennial renewal of each license 138

7-20 (c) Change in name or location of business or in association 10

7-21 27. Certificate of authority and renewal for a seller of

7-22 prepaid funeral contracts $78

7-23 28. Licenses and renewals for agents for prepaid funeral

7-24 contracts:

7-25 (a) Resident agents:

7-26 (1) Application and license $78

7-27 (2) Triennial renewal of each license 78

7-28 (b) Nonresident agents:

7-29 (1) Application and license 138

7-30 (2) Triennial renewal of each license 138

7-31 29. Licenses, appointments and renewals for agents for

7-32 fraternal benefit societies:

7-33 (a) Resident agents:

7-34 (1) Application and license $78

7-35 (2) Appointment 5

7-36 (3) Triennial renewal of each license 78

7-37 (b) Nonresident agents:

7-38 (1) Application and license 138

7-39 (2) Triennial renewal of each license 138

7-40 30. Reinsurance intermediary broker or manager:

7-41 (a) Resident agents:

7-42 (1) Application and license $78

7-43 (2) Triennial renewal of each license 78

8-1 (b) Nonresident agents:

8-2 (1) Application and license $138

8-3 (2) Triennial renewal of each license 138

8-4 31. Agents for and sellers of prepaid burial contracts:

8-5 (a) Resident agents and sellers:

8-6 (1) Application and certificate or license $78

8-7 (2) Triennial renewal 78

8-8 (b) Nonresident agents and sellers:

8-9 (1) Application and certificate or license 138

8-10 (2) Triennial renewal 138

8-11 32. Risk retention groups:

8-12 (a) Initial registration and review of an application $2,450

8-13 (b) Each annual continuation of a certificate of registration 2,450

8-14 33. Required filing of forms:

8-15 (a) For rates and policies $25

8-16 (b) For riders and endorsements 10

8-17 Sec. 5. NRS 681B.290 is hereby amended to read as follows:

8-18 681B.290 1. [On] Except as otherwise provided in subsection 3, on

8-19 or before March 1 of each year, each domestic insurer, and each foreign

8-20 insurer domiciled in a state which does not have requirements for reporting

8-21 risk-based capital, that transacts property, casualty, life or health insurance

8-22 in this state shall prepare and submit to the commissioner, and to each

8-23 person designated by the commissioner, a report of the level of the risk-

8-24 based capital of the insurer as of the end of the immediately preceding

8-25 calendar year. The report must be in such form and contain such

8-26 information as required by the regulations adopted by the commissioner

8-27 pursuant to this section.

8-28 2. The commissioner shall adopt regulations concerning the amount of

8-29 risk-based capital required to be maintained by each insurer licensed to do

8-30 business in this state that is transacting property, casualty, life or health

8-31 insurance in this state. The regulations must be consistent with the

8-32 instructions for reporting risk-based capital adopted by the National

8-33 Association of Insurance Commissioners, as those instructions existed on

8-34 January 1, 1997. If the instructions are amended, the commissioner may

8-35 amend the regulations to maintain consistency with the instructions if he

8-36 determines that the amended instructions are appropriate for use in this

8-37 state.

8-38 3. The commissioner may exempt from the provisions of this section

8-39 a domestic insurer who:

8-40 (a) Does not transact insurance in any other state; and

8-41 (b) Does not assume reinsurance that is more than 5 percent of the

8-42 direct premiums written by the insurer.

8-43 Secs. 5.2-5.8. (Deleted by amendment.)

9-1 Sec. 6. Chapter 683A of NRS is hereby amended by adding thereto the

9-2 provisions set forth as sections 7 to 16, inclusive, of this act.

9-3 Sec. 7. As used in NRS 683A.085 to 683A.0893, inclusive, and

9-4 sections 7 to 16, inclusive, of this act, unless the context otherwise

9-5 requires, the words and terms defined in sections 8 to 11, inclusive, of

9-6 this act have the meanings ascribed to them in those sections.

9-7 Sec. 8. "Affiliate" has the meaning ascribed to it in NRS 692C.030.

9-8 Sec. 9. "Control" has the meaning ascribed to it in NRS 692C.050.

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

9-10 1. An insurance company licensed pursuant to the provisions of this

9-11 code;

9-12 2. A prepaid limited health service organization that has been issued

9-13 a certificate of authority pursuant to chapter 695F of NRS;

9-14 3. A health maintenance organization that has been issued a

9-15 certificate of authority pursuant to chapter 695C of NRS;

9-16 4. A multiple employer welfare arrangement as defined in 29 U.S.C.

§ 1002;

9-17 5. An employer for whom a program of self-insurance is

9-18 administered by an administrator; and

9-19 6. An organization for dental care that has been issued a certificate

9-20 of authority pursuant to chapter 695D of NRS.

9-21 Sec. 11. "Underwrite" includes, without limitation:

9-22 1. Accepting applications for insurance coverage in accordance with

9-23 the written rules of an insurer;

9-24 2. Planning and coordinating a program of insurance; and

9-25 3. Procuring bonds and excess insurance.

9-26 Sec. 12. The commissioner:

9-27 1. Shall suspend or revoke the certificate of registration of an

9-28 administrator if the commissioner has determined, after notice and a

9-29 hearing, that the administrator:

9-30 (a) Is in an unsound financial condition;

9-31 (b) Uses methods or practices in the conduct of his business that are

9-32 hazardous or injurious to insured persons or members of the general

9-33 public; or

9-34 (c) Has failed to pay any judgment against him in this state within 60

9-35 days after the judgment became final.

9-36 2. May suspend or revoke the certificate of registration of an

9-37 administrator if the commissioner determines, after notice and a hearing,

9-38 that the administrator:

9-39 (a) Has willfully violated or failed to comply with any provision of this

9-40 code, any regulation adopted pursuant to this code or any order of the

9-41 commissioner;

10-1 (b) Has refused to be examined by the commissioner or has refused to

10-2 produce accounts, records or files for examination upon the request of

10-3 the commissioner;

10-4 (c) Has, without just cause, refused to pay claims or perform services

10-5 pursuant to his contracts or has, without just cause, caused persons to

10-6 accept less than the amount of money owed to them pursuant to the

10-7 contracts, or has caused persons to employ an attorney or bring a civil

10-8 action against him to receive full payment or settlement of claims;

10-9 (d) Is affiliated with, managed by or owned by another administrator

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

10-11 authority or a certificate of registration;

10-12 (e) Fails to comply with any of the requirements for a certificate of

10-13 registration;

10-14 (f) Has been convicted of, or has entered a plea of guilty or nolo

10-15 contendere to a felony, whether or not adjudication was withheld; or

10-16 (g) Has had his authority to act as an administrator in another state

10-17 limited, suspended or revoked.

10-18 3. May, upon notice to the administrator, suspend the certificate of

10-19 registration of the administrator pending a hearing if:

10-20 (a) The administrator is impaired or insolvent;

10-21 (b) A proceeding for receivership, conservatorship or rehabilitation

10-22 has been commenced against the administrator in any state; or

10-23 (c) The financial condition or the business practices of the

10-24 administrator represent an imminent threat to the public health, safety or

10-25 welfare of the residents of this state.

10-26 4. May, in addition to or in lieu of the suspension or revocation of

10-27 the certificate of registration of the administrator, impose a fine of

10-28 $2,000 for each act or violation.

10-29 Sec. 13. Each application for a certificate of registration as an

10-30 administrator must include or be accompanied by:

10-31 1. A financial statement that is certified by an officer of the applicant

10-32 and must include:

10-33 (a) The amount of money that the applicant expects to collect from or

10-34 disburse to residents of this state during the next calendar year;

10-35 (b) Financial information for the 90 days immediately preceding the

10-36 date the application was filed with the commissioner; and

10-37 (c) An income statement and balance sheet for the 2 years

10-38 immediately preceding the application that are prepared in accordance

10-39 with generally accepted accounting principles. The submission by the

10-40 applicant of his consolidated income statement and balance sheet does

10-41 not constitute compliance with the provisions of this paragraph.

10-42 2. The documents used to create the business association of the

10-43 administrator, including, without limitation, articles of incorporation,

11-1 articles of association, a partnership agreement, a trust agreement and a

11-2 shareholder agreement.

11-3 3. The documents used to regulate the internal affairs of the

11-4 administrator, including, without limitation, the bylaws, rules or

11-5 regulations of the administrator.

11-6 4. A certificate of registration issued pursuant to NRS 600.350 for a

11-7 trade name or trade-mark used by the administrator.

11-8 5. An organizational chart that identifies each person who directly or

11-9 indirectly controls the administrator and each affiliate of the

11-10 administrator.

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

11-12 the administrator, including, without limitation, each member of the

11-13 board of directors or board of trustees, each officer, partner, and member

11-14 of the business association of the administrator, and each shareholder of

11-15 the administrator who holds not less than 10 percent of the voting stock

11-16 of the administrator. The affidavit must include, without limitation:

11-17 (a) The personal history, business record and insurance experience of

11-18 the affiant;

11-19 (b) Whether the affiant has been investigated by any regulatory

11-20 authority or has had any license or certificate denied, suspended or

11-21 revoked in any state; and

11-22 (c) Any other information that the commissioner may require.

11-23 7. The complete name and address of each office of the

11-24 administrator, including, offices located outside this state.

11-25 8. A statement that sets forth whether the administrator has:

11-26 (a) Held a license or certificate to transact any kind of insurance in

11-27 this state or any other state and whether that license or certificate has

11-28 been refused, suspended or revoked;

11-29 (b) Been indebted to any person and, if so, the circumstances of that

11-30 debt; and

11-31 (c) Had an administrative agreement canceled and, if so, the

11-32 circumstances of that cancellation.

11-33 9. A statement that describes the business plan of the administrator.

11-34 The statement must include information:

11-35 (a) Concerning the number of persons on the staff of the

11-36 administrator and the activities proposed in this state or in any other

11-37 state.

11-38 (b) That demonstrates the capability of the administrator to provide a

11-39 sufficient number of experienced and qualified persons for the

11-40 processing of claims, the keeping of records and, if applicable,

11-41 underwriting.

11-42 10. If the applicant intends to solicit new or renewal business, proof

11-43 that the applicant employs or has contracted with an agent licensed in

12-1 this state to solicit and take applications. An applicant who intends to

12-2 solicit insurance contracts directly or to act as an insurance agent must

12-3 provide proof that he is licensed as an insurance agent in this state.

12-4 Sec. 14. 1. Except as otherwise provided by subsection 2, the

12-5 commissioner shall issue a certificate of registration as an administrator

12-6 to an applicant who:

12-7 (a) Submits an application on a form prescribed by the commissioner;

12-8 (b) Has complied with the provisions of section 13 of this act; and

12-9 (c) Pays the fee for the issuance of a certificate of registration

12-10 prescribed in NRS 680B.010.

12-11 2. The commissioner may refuse to issue a certificate of registration

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

12-13 the applicant or any person who has completed an affidavit pursuant to

12-14 subsection 6 of section 13 of this act:

12-15 (a) Is not competent to act as an administrator;

12-16 (b) Is not trustworthy or financially responsible;

12-17 (c) Does not have a good personal or business reputation;

12-18 (d) Has had a license or certificate to transact insurance denied for

12-19 cause, suspended or revoked in this state or any other state; or

12-20 (e) Has failed to comply with any provision of this chapter.

12-21 Sec. 15. 1. A certificate of registration as an administrator is valid

12-22 for 3 years after the date the commissioner issues the certificate to the

12-23 administrator.

12-24 2. An administrator may renew a certificate of registration if he

12-25 submits to the commissioner:

12-26 (a) An application on a form prescribed by the commissioner; and

12-27 (b) The fee for the renewal of the certificate of registration prescribed

12-28 in NRS 680B.010.

12-29 3. A certificate of registration that is suspended or revoked must be

12-30 surrendered immediately to the commissioner.

12-31 Sec. 16. Not later than March 1 of each year, each holder of a

12-32 certificate of registration as an administrator shall file a financial

12-33 statement with the commissioner on a form approved by the

12-34 commissioner.

12-35 Sec. 17. NRS 683A.025 is hereby amended to read as follows:

12-36 683A.025 1. Except as limited by this section, "administrator" means

12-37 a person who:

12-38 (a) [Collects] Directly or indirectly underwrites or collects charges or

12-39 premiums from or adjusts or settles claims of residents of this state or any

12-40 other state from within this state in connection with workers’

12-41 compensation insurance, life or health insurance coverage or annuities,

12-42 including coverage or annuities provided by an employer for his

12-43 employees;

13-1 (b) Administers [a trust under] an internal service fund pursuant to

13-2 NRS 287.010;

13-3 (c) Administers a program of self-insurance for an employer; [or]

13-4 (d) Administers a program which is funded by an employer and which

13-5 provides pensions, annuities, health benefits, death benefits or other similar

13-6 benefits for his employees [.] ; or

13-7 (e) Is an insurance company that is licensed to do business in this

13-8 state or is acting as an insurer with respect to a policy lawfully issued and

13-9 delivered in a state where the insurer is authorized to do business, if the

13-10 insurance company performs any act described in paragraphs (a) to (d),

13-11 inclusive, for or on behalf of another insurer.

13-12 2. "Administrator" does not include:

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

13-14 holds a certificate of registration from the commissioner.

13-15 (b) An employer acting on behalf of his employees or the employees of

13-16 a subsidiary or affiliated concern.

13-17 (c) A labor union acting on behalf of its members.

13-18 (d) [An] Except as otherwise provided in paragraph (e) of subsection

13-19 1, an insurance company licensed to do business in this state or acting as an

13-20 insurer with respect to a policy lawfully issued and delivered in a state in

13-21 which the insurer was authorized to do business.

13-22 (e) A life or health insurance agent or broker licensed in this state, when

13-23 his activities are limited to the sale of insurance.

13-24 (f) A creditor acting on behalf of his debtors with respect to insurance

13-25 covering a debt between the creditor and debtor.

13-26 (g) A trust and its trustees, agents and employees acting for it, if the trust

13-27 was established under the provisions of 29 U.S.C. § 186.

13-28 (h) A trust which is exempt from taxation under section 501(a) of the

13-29 Internal Revenue Code, 26 U.S.C. § 501(2), its trustees and employees, and

13-30 a custodian, his agents and employees acting under a custodial account

13-31 which meets the requirements of section 401(f) of the Internal Revenue

13-32 Code [.] , 26 U.S.C. § 401(f).

13-33 (i) A bank, credit union or other financial institution which is subject to

13-34 supervision by federal or state banking authorities.

13-35 (j) A company which issues credit cards, and which advances for and

13-36 collects premiums or charges from credit card holders who have authorized

13-37 it to do so, if the company does not adjust or settle claims.

13-38 (k) An attorney at law who adjusts or settles claims in the normal course

13-39 of his practice or employment, but who does not collect charges or

13-40 premiums in connection with life or health insurance coverage or with

13-41 annuities.

14-1 Sec. 18. NRS 683A.085 is hereby amended to read as follows:

14-2 683A.085 [1.] No person may act as [an administrator,] , offer to act

14-3 as or hold himself out to the public as an administrator, unless he has

14-4 obtained a certificate of registration as an administrator from the

14-5 commissioner [.

14-6 2. A certificate must be issued to an applicant who has made written

14-7 application therefor, giving any information which the commissioner

14-8 reasonably requires, and has paid the required fee, unless the commissioner

14-9 has determined, after notice and hearing, that the applicant is not

14-10 competent, trustworthy, financially responsible or of good personal and

14-11 business reputation.

14-12 3. No certificate may be issued to any person who, within the 5 years

14-13 immediately preceding his application, has had an insurance license

14-14 revoked or an application denied for cause.

14-15 4. The commissioner may revoke or suspend the certificate of any

14-16 administrator if he finds, after notice and hearing, that the administrator has

14-17 violated any provision of this Title or any regulation adopted under it.]

14-18 pursuant to section 14 of this act.

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

14-20 683A.0857 1. [Every] Each administrator shall file with the

14-21 commissioner a bond with an authorized surety in favor of the State of

14-22 Nevada, continuous in form and in an amount determined by the

14-23 commissioner of not less than [$50,000.] $100,000.

14-24 2. The commissioner shall establish schedules for the amount of the

14-25 bond required, based on the amount of money received and distributed by

14-26 an administrator.

14-27 3. The bond must inure to the benefit of any person damaged by any

14-28 fraudulent act or conduct of the administrator and must be conditioned

14-29 upon faithful accounting and application of all money coming into the

14-30 administrator’s possession in connection with his activities as an

14-31 administrator.

14-32 4. The bond remains in force until released by the commissioner or

14-33 canceled by the surety. Without prejudice to any liability previously

14-34 incurred, the surety may cancel the bond upon 90 days’ advance notice to

14-35 the administrator and the commissioner. An administrator’s certificate is

14-36 automatically suspended if he does not file with the commissioner a

14-37 replacement bond before the date of cancellation of the previous bond. A

14-38 replacement bond must meet all requirements of this section for the initial

14-39 bond.

14-40 Sec. 20. NRS 683A.086 is hereby amended to read as follows:

14-41 683A.086 1. No person may act as an administrator unless he has

14-42 entered into a written agreement with an insurer, and the written agreement

14-43 contains provisions to effectuate the requirements contained in NRS

15-1 [683A.0867] 683A.087 to 683A.0883, inclusive, and section 1 of Senate

15-2 Bill No. 145 of this [act] session, and sections 12 to 16, inclusive, of this

15-3 act which apply to the duties of the administrator.

15-4 2. The written agreement must set forth:

15-5 (a) The duties the administrator will be required to perform on behalf

15-6 of the insurer; and

15-7 (b) The lines, classes or types of insurance that the administrator is

15-8 authorized to administer on behalf of the insurer.

15-9 3. A copy of an agreement entered into under the provisions of this

15-10 section must be retained in the records of the administrator and of the

15-11 insurer for a period of 5 years after the termination of the agreement.

15-12 [3.] 4. When a policy is issued to a trustee or trustees, a copy of the

15-13 trust agreement and amendments must be obtained by the administrator and

15-14 a copy forwarded to the insurer. Each agreement must be retained by the

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

15-16 termination of the policy.

15-17 [4.] 5. The commissioner may adopt regulations which specify the

15-18 functions an administrator may perform on behalf of an insurer.

15-19 6. The insurer or administrator may, upon written notice to the other

15-20 party to the agreement and to the commissioner, terminate the written

15-21 agreement for any cause specified in the agreement. The insurer may

15-22 suspend the authority of the administrator while any dispute regarding

15-23 the cause for termination is pending. The insurer shall perform any

15-24 obligations with respect to the policies affected by the agreement

15-25 regardless of any dispute with the administrator.

15-26 Sec. 21. NRS 683A.087 is hereby amended to read as follows:

15-27 683A.087 An administrator may advertise the insurance which he

15-28 administers only [with] after he receives the approval of the insurer who

15-29 underwrites the business involved.

15-30 Sec. 22. NRS 683A.0873 is hereby amended to read as follows:

15-31 683A.0873 1. Each administrator shall maintain at his principal

15-32 office adequate books and records of all transactions between himself, the

15-33 insurer and the insured. The books and records must be maintained in

15-34 accordance with prudent standards of recordkeeping for insurance and with

15-35 regulations of the commissioner for a period of 5 years after the transaction

15-36 to which they respectively relate. After the 5-year period the administrator

15-37 may remove the books and records from the state, store their contents on

15-38 microfilm or return them to the appropriate insurer.

15-39 2. The commissioner may examine, audit and inspect books and

15-40 records [kept by administrators] maintained by an administrator under the

15-41 provisions of this section [.] to carry out the provisions of NRS 679B.230

15-42 to 679B.300, inclusive.

16-1 3. The names and addresses of insured persons and any other material

16-2 which is in the books and records of an administrator are confidential

16-3 except when used in proceedings against the administrator.

16-4 4. The insurer may inspect and examine all books and records to the

16-5 extent necessary to fulfill all contractual obligations to insured persons,

16-6 subject to restrictions in the written agreement between the insurer and

16-7 administrator.

16-8 Sec. 23. NRS 683A.0877 is hereby amended to read as follows:

16-9 683A.0877 1. All insurance charges and premiums collected by an

16-10 administrator on behalf of an insurer and return premiums received from an

16-11 insurer are held by the administrator in a fiduciary capacity.

16-12 2. Money [shall] must be remitted within 15 days to the person or

16-13 persons entitled to it, or [shall] be deposited within 15 days in [a fiduciary

16-14 account] one or more fiduciary accounts established and maintained by

16-15 the administrator [within the state.] in a bank , [or] credit union [.] or other

16-16 financial institution in this state. The fiduciary accounts must be separate

16-17 from the personal or business accounts of the administrator.

16-18 3. If charges or premiums deposited in an account have been collected

16-19 for or on behalf of more than one insurer, the administrator shall cause the

16-20 bank , [or] credit union [in which] or other financial institution where the

16-21 fiduciary account is maintained to record clearly the deposits and

16-22 withdrawals from the account on behalf of each insurer.

16-23 4. The administrator shall promptly obtain and keep copies of [all

16-24 account] the records of each fiduciary account and shall furnish any

16-25 insurer with copies of the records which pertain to him upon demand of the

16-26 insurer.

16-27 5. The administrator [may] shall not pay any claim by withdrawing

16-28 money from his fiduciary account [.] in which premiums or charges are

16-29 deposited.

16-30 6. Withdrawals [shall] must be made as provided in the agreement

16-31 between the insurer and the administrator for:

16-32 (a) Remittance to the insurer.

16-33 (b) Deposit in an account maintained in the name of the insurer.

16-34 (c) Transfer to and deposit in an account for the payment of claims.

16-35 (d) Payment to a group policyholder for remittance to the insurer

16-36 entitled to the money.

16-37 (e) Payment to the administrator of his commission, fees or charges.

16-38 (f) Remittance of return premiums to persons entitled to them.

16-39 7. The administrator shall maintain copies of all records relating to

16-40 deposits or withdrawals and, upon the request of an insurer, provide the

16-41 insurer with copies of those records.

17-1 Sec. 24. NRS 683A.088 is hereby amended to read as follows:

17-2 683A.088 Each claim paid by the administrator from [funds] money

17-3 collected for or on behalf of an insurer [shall] must be paid by a check or

17-4 draft upon and as authorized by the insurer.

17-5 Sec. 25. NRS 683A.0883 is hereby amended to read as follows:

17-6 683A.0883 1. The compensation paid to an administrator for his

17-7 services may be based upon premiums or charges collected, on number of

17-8 claims paid or processed or on [another] any other basis agreed upon by

17-9 the administrator and the insurer, except as provided in subsection 2.

17-10 2. Compensation paid to an administrator may not be based upon or

17-11 contingent upon :

17-12 (a) The claim experience of the policies [which he handles.] that he

17-13 handles; or

17-14 (b) The savings realized by the administrator by adjusting, settling or

17-15 paying the losses covered by an insurer.

17-16 Sec. 26. NRS 683A.0887 is hereby amended to read as follows:

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

17-18 of a written notice approved by the insurer, of the identity of and

17-19 relationship among the insurer, administrator and insured.

17-20 2. An administrator who seeks to collect premiums or charges shall

17-21 clearly [state] set forth in writing to the insured the amount of premium or

17-22 charge set by the insurer for the insurance coverage [.] and the reason for

17-23 the collection of the premium or charge. Each charge must be set forth

17-24 separately from the premium.

17-25 3. The administrator shall disclose to an insurer, in writing, all

17-26 charges, fees and commissions the administrator receives in connection

17-27 with the provision of administrative services for the insurer, including,

17-28 without limitation, the fees and commissions paid by insurers providing

17-29 reinsurance or excess of loss insurance.

17-30 Sec. 26.5. NRS 685A.070 is hereby amended to read as follows:

17-31 685A.070 1. A broker shall not knowingly place surplus lines

17-32 insurance with an insurer which is unsound financially or ineligible

17-33 pursuant to this section.

17-34 2. [No] Except as otherwise provided in this section, no insurer is

17-35 eligible for the acceptance of surplus lines risks pursuant to this chapter

17-36 unless it has surplus as to policyholders in an amount of not less than

17-37 $5,000,000 and, if an alien insurer, unless it has and maintains in a bank or

17-38 trust company which is a member of the United States Federal Reserve

17-39 System a trust fund established pursuant to terms reasonably adequate for

17-40 the protection of all of its policyholders in the United States in an amount

17-41 of not less than $1,500,000. Such a trust fund must not have an expiration

17-42 date which is at any time less than 5 years in the future, on a continuing

17-43 basis. In the case of:

18-1 (a) A group of insurers which includes individual unincorporated

18-2 insurers, such a trust fund must not be less than $100,000,000.

18-3 (b) A group of incorporated insurers under common administration,

18-4 such a trust fund must not be less than $100,000,000. The group of

18-5 incorporated insurers must:

18-6 (1) Operate under the supervision of the Department of Trade and

18-7 Industry of the United Kingdom;

18-8 (2) Possess aggregate policyholders surplus of $10,000,000,000,

18-9 which must consist of money in trust in an amount not less than the

18-10 assuming insurers’ liabilities attributable to insurance written in the United

18-11 States; and

18-12 (3) Maintain a joint trusteed surplus of which $100,000,000 must be

18-13 held jointly for the benefit of United States ceding insurers of any member

18-14 of the group.

18-15 (c) An insurance exchange created by the laws of a state, [such] the

18-16 insurance exchange shall have and maintain a trust fund [must not be] in

18-17 an amount of not less than $50,000,000 [.] or have a surplus as to

18-18 policyholders in an amount of not less than $50,000,000. If an insurance

18-19 exchange maintains money for the protection of all policyholders, each

18-20 syndicate shall maintain minimum capital and surplus of not less than

18-21 $5,000,000 and must qualify separately to be eligible for the acceptance of

18-22 surplus lines risks pursuant to this chapter.

18-23 The commissioner may require larger trust funds or surplus as to

18-24 policyholders than those set forth in this section if, in his judgment, the

18-25 volume of business being transacted or proposed to be transacted warrants

18-26 larger amounts.

18-27 3. No insurer is eligible to write surplus lines of insurance unless it has

18-28 established a reputation for financial integrity and satisfactory practices in

18-29 underwriting and handling claims. In addition, a foreign insurer must be

18-30 authorized in the state of its domicile to write the kinds of insurance which

18-31 it intends to write in Nevada.

18-32 4. The commissioner may from time to time compile or approve a list

18-33 of all surplus lines insurers deemed by him to be eligible currently, and may

18-34 mail a copy of the list to each broker at his office last of record with the

18-35 commissioner. To be placed on the list, a surplus lines insurer must file an

18-36 application with the commissioner. The application must be accompanied

18-37 by a nonrefundable fee of $2,450. This subsection does not require the

18-38 commissioner to determine the actual financial condition or claims

18-39 practices of any unauthorized insurer. The status of eligibility, if granted by

18-40 the commissioner, indicates only that the insurer appears to be sound

18-41 financially and to have satisfactory claims practices, and that the

18-42 commissioner has no credible evidence to the contrary. While any such list

19-1 is in effect, the broker shall restrict to the insurers so listed all surplus lines

19-2 business placed by him.

19-3 Sec. 27. NRS 685A.120 is hereby amended to read as follows:

19-4 685A.120 1. No person in this state may act as, hold himself out as,

19-5 or be a surplus lines broker with respect to subjects of insurance resident,

19-6 located or to be performed in this state or elsewhere unless he is licensed as

19-7 such by the commissioner pursuant to this chapter.

19-8 2. Any person who has been licensed by this state as a [resident] broker

19-9 for general lines for at least 6 months , or has been licensed in another state

19-10 as a surplus lines broker for at least 1 year and continues to be licensed in

19-11 that state, and who is deemed by the commissioner to be competent and

19-12 trustworthy with respect to the handling of surplus lines may be licensed as

19-13 a surplus lines broker upon:

19-14 (a) Application for a license and payment of the applicable fee for a

19-15 license and a fee of $15 for deposit in the insurance recovery account

19-16 created by NRS 679B.305;

19-17 (b) Submitting the statement required pursuant to NRS 685A.127; and

19-18 (c) Passing any examination prescribed by the commissioner on the

19-19 subject of surplus lines.

19-20 3. An application for a license must be submitted to the commissioner

19-21 on a form designated and furnished by him. The application must include

19-22 the social security number of the applicant.

19-23 4. A license issued pursuant to this chapter continues in force for 3

19-24 years unless it is suspended, revoked or otherwise terminated. The license

19-25 may be renewed upon submission of the statement required pursuant to

19-26 NRS 685A.127 and payment of the applicable fee for renewal and a fee of

19-27 $15 for deposit in the insurance recovery account created by NRS

19-28 679B.305 to the commissioner on or before the last day of the month in

19-29 which the license is renewable.

19-30 5. A license which is not renewed expires at midnight on the last day

19-31 specified for its renewal. The commissioner may accept a request for

19-32 renewal received by him within 30 days after the expiration of the license if

19-33 the request is accompanied by the statement required pursuant to NRS

19-34 685A.127, a fee for renewal of 150 percent of the fee otherwise required

19-35 and a fee of $15 for deposit in the insurance recovery account created by

19-36 NRS 679B.305.

19-37 Sec. 28. NRS 685A.140 is hereby amended to read as follows:

19-38 685A.140 1. In addition to other grounds therefor, the commissioner

19-39 may suspend or revoke any surplus lines broker’s license:

19-40 (a) If the broker fails to file the annual statement or to remit the tax as

19-41 required by NRS 685A.170 and 685A.180;

19-42 (b) If the broker fails to maintain an office in this state [,] or in the state

19-43 where he was issued a license as a resident broker, or to keep the records,

20-1 or to allow the commissioner to examine his records as required by this

20-2 chapter, or if he removes his records from the state; or

20-3 (c) If the broker places a surplus lines coverage in an insurer other than

20-4 as authorized under this chapter.

20-5 2. Upon suspending or revoking the broker’s surplus lines license the

20-6 commissioner may also suspend or revoke all other licenses of or as to the

20-7 same individual under this code.

20-8 Sec. 29. NRS 685A.160 is hereby amended to read as follows:

20-9 685A.160 1. Each broker shall keep in his office [in this state] a full

20-10 and true record of each surplus lines coverage procured by him, including a

20-11 copy of each daily report, if any, a copy of each certificate of insurance

20-12 issued by him, and such of the following items as may be applicable:

20-13 (a) [Amount] The amount of the insurance;

20-14 (b) [Gross] The gross premium charged;

20-15 (c) [Return] The return premium paid, if any;

20-16 (d) [Rate] The rate of premium charged upon the several items of

20-17 property;

20-18 (e) [Effective] The effective date of the contract, and the terms thereof;

20-19 (f) [Name] The name and address of each insurer on the direct risk and

20-20 the proportion of the entire risk assumed by [such] that insurer if less than

20-21 the entire risk;

20-22 (g) [Name] The name and address of the insured;

20-23 (h) [Brief] A brief general description of the property or risk insured and

20-24 where located or to be performed; and

20-25 (i) [Other] Any other information as may be required by the

20-26 commissioner.

20-27 2. The record [shall] must not be removed from [this state and shall]

20-28 the office of the broker and must be open to examination by the

20-29 commissioner or his representative at all times within 5 years after issuance

20-30 of the coverage to which it relates.

20-31 Sec. 30. NRS 686A.130 is hereby amended to read as follows:

20-32 686A.130 1. No property, casualty, surety or title insurer or

20-33 underwritten title company or any employee or representative thereof, and

20-34 no broker, agent or solicitor may pay, allow or give, or offer to pay, allow

20-35 or give, directly or indirectly, as an inducement to insurance, or after

20-36 insurance has been effected, any rebate, discount, abatement, credit or

20-37 reduction of the premium named in a policy of insurance, or any special

20-38 favor or advantage in the dividends or other benefits to accrue thereon, or

20-39 any valuable consideration or inducement whatever, not specified or

20-40 provided for in the policy, except to the extent provided for in an

20-41 applicable filing with the commissioner.

21-1 2. No title insurer or underwritten title company may:

21-2 (a) Pay, directly or indirectly, to the insured or any person acting as

21-3 agent, representative, attorney or employee of the owner, lessee,

21-4 mortgagee, existing or prospective, of the real property or interest therein

21-5 which is the subject matter of title insurance or as to which a service is to

21-6 be performed, any commission , rebate or part of its fee or charges or other

21-7 consideration as inducement or compensation for the placing of any order

21-8 for a title insurance policy or for performance of any escrow or other

21-9 service by the insurer or underwritten title company with respect thereto; or

21-10 (b) Issue any policy or perform any service in connection with which it

21-11 or any agent or other person has paid or contemplates paying any

21-12 commission, rebate or inducement in violation of this section.

21-13 3. No insured named in a policy or any employee of [such] that insured

21-14 may knowingly receive or accept, directly or indirectly, any such rebate,

21-15 discount, abatement, credit or reduction of premium, or any such special

21-16 favor or advantage or valuable consideration or inducement.

21-17 4. No such insurer may make or permit any unfair discrimination

21-18 between insured or property having like insuring or risk characteristics, in

21-19 the premium or rates charged for insurance, or in the dividends or other

21-20 benefits payable thereon, or in any other of the terms and conditions of

21-21 insurance.

21-22 5. No casualty insurer may make or permit any unfair discrimination

21-23 between persons legally qualified to provide a particular service, in the

21-24 amount of the fee or charge for that service payable as a benefit under any

21-25 policy or contract of casualty insurance.

21-26 6. [Nothing in this section prohibits:] The provisions of this section do

21-27 not prohibit:

21-28 (a) The payment of commissions or other compensation to licensed

21-29 agents, brokers or solicitors.

21-30 (b) The extension of credit to an insured for the payment of any

21-31 premium and for which credit a reasonable rate of interest is charged and

21-32 collected.

21-33 (c) Any insurer from allowing or returning to its participating

21-34 policyholders, members or subscribers, dividends, savings or unabsorbed

21-35 premium deposits.

21-36 [As to title insurance, nothing in this section prohibits]

21-37 (d) With respect to title insurance, bulk rates or special rates for

21-38 customers of prescribed classes if [such] the bulk or special rates are

21-39 provided for in the [currently] effective schedule of fees and charges of the

21-40 title insurer or underwritten title company.

21-41 7. [This section does] The provisions of this section do not apply to

21-42 wet marine and transportation insurance.

22-1 Sec. 31. NRS 686C.035 is hereby amended to read as follows:

22-2 686C.035 1. This chapter does not provide coverage for:

22-3 (a) Any portion of a policy or contract not guaranteed by the insurer, or

22-4 under which the risk is borne by the [policyholder.] holder of the policy or

22-5 contract.

22-6 (b) Any policy or contract of reinsurance unless assumption certificates

22-7 have been issued [.] pursuant to that policy or contract.

22-8 (c) Any portion of a policy or contract to the extent that the rate of

22-9 interest on which it is based:

22-10 (1) When averaged over the period of 4 years before the date [that]

22-11 on which the association becomes obligated with respect to the policy or

22-12 contract, or averaged for the period since the policy or contract was issued

22-13 if it was issued less than 4 years before the association became obligated,

22-14 exceeds the rate of interest determined by subtracting 2 percentage points

22-15 from Moody’s Corporate Bond Yield Average averaged for the same

22-16 period; and

22-17 (2) On or after the date on which the association becomes obligated

22-18 with respect to the policy or contract, exceeds the rate of interest

22-19 determined by subtracting 3 percentage points from the most recent

22-20 Moody’s Corporate Bond Yield Average.

22-21 (d) Any portion of a policy or contract issued to a plan or program of

22-22 an employer, association or [similar entity] other person to provide life ,

22-23 [or] health or annuity benefits [or annuities] to its employees , [or]

22-24 members or other persons to the extent that the plan or program is self-

22-25 funded or uninsured, including, but not limited to, benefits payable by an

22-26 employer, association or [similar entity] other person under:

22-27 (1) A [Multiple Employer Welfare Arrangement] multiple employer

22-28 welfare arrangement as defined in 29 U.S.C. § 1002;

22-29 (2) A minimum-premium group insurance plan;

22-30 (3) A stop-loss group insurance plan; or

22-31 (4) A contract for administrative services only.

22-32 (e) Any portion of a policy or contract to the extent that it provides for

22-33 dividends, credits for experience, voting rights or the payment of any fee

22-34 or allowance to any person, including the [policyholder,] holder of a

22-35 policy or contract, for services or administration connected with the policy

22-36 or contract.

22-37 (f) Any policy or contract issued in this state by a member insurer at a

22-38 time when the member insurer was not authorized to issue the policy or

22-39 contract [.] in this state.

22-40 (g) [Any certificate for an annuity or group annuity which is not issued

22-41 to or owned by a natural person, except to the extent of any annuity

22-42 guaranteed to a natural person by an insurer under the contract or certificate

23-1 except that annuities issued in connection with and for the purpose of

23-2 funding structured settlements of liability are covered policies.

23-3 (h) Any health or life insurance policy purchased by the Federal

23-4 Government, if no premium taxes are paid on such policies.

23-5 (i) Any annuity issued pursuant to subsection 8 of NRS 680A.070.] A

23-6 portion of a policy or contract to the extent that the assessments required

23-7 by NRS 686C.230 for the policy or contract are preempted by federal law.

23-8 (h) An obligation that does not arise under the written terms of a

23-9 policy or contract issued by the insurer.

23-10 (i) An unallocated annuity contract.

23-11 2. As used in this section, "Moody’s Corporate Bond Yield Average"

23-12 means the monthly average for corporate bonds published by Moody’s

23-13 Investors Service, Inc., or any successor average.

23-14 Sec. 32. NRS 687B.440 is hereby amended to read as follows:

23-15 687B.440 1. An insurer offering an umbrella policy to an individual

23-16 shall obtain a signed disclosure statement from the individual indicating

23-17 whether the umbrella policy includes uninsured or underinsured vehicle

23-18 coverage.

23-19 2. The disclosure statement for an umbrella policy that includes

23-20 uninsured or underinsured vehicle coverage must be on a form provided

23-21 by the commissioner or in substantially the following form:

23-22 UMBRELLA POLICY DISCLOSURE STATEMENT

23-23 UNINSURED/UNDERINSURED VEHICLE COVERAGE

23-24 ¨ Your Umbrella Policy does provide coverage in excess of the

23-25 limits of the uninsured/underinsured vehicle coverage in your primary

23-26 auto insurance only if the requirements for the uninsured/underinsured

23-27 vehicle coverage in your underlying auto insurance are maintained.

23-28 [The minimum uninsured/underinsured vehicle coverage in your

23-29 umbrella insurance policy is $……… . The limits of the

23-30 uninsured/underinsured vehicle coverage in your primary auto

23-31 insurance policy are $………. .] Your uninsured/underinsured

23-32 vehicle coverage provided by this umbrella policy is limited to

23-33 $……… .

23-34 I understand and acknowledge the above disclosure.

23-35

23-36 Insured Date

24-1 3. The disclosure statement for an umbrella policy that does not

24-2 include uninsured or underinsured vehicle coverage must be on a form

24-3 provided by the commissioner or in substantially the following form:

24-4 ¨ Your Umbrella Liability Policy does not provide any

24-5 uninsured/underinsured vehicle coverage.

24-6 I understand and acknowledge the above disclosure.

24-7

24-8 Insured Date

24-9 [3.] 4. As used in this section, "umbrella policy" means a policy that

24-10 protects a person against losses in excess of the underlying amount required

24-11 to be covered by other policies.

24-12 Sec. 33. NRS 689A.505 is hereby amended to read as follows:

24-13 689A.505 "Creditable coverage" means, with respect to a person,

24-14 health benefits or coverage provided pursuant to:

24-15 1. A group health plan;

24-16 2. A health benefit plan;

24-17 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;

24-18 4. Title XIX of the Social Security Act, 42 U.S.C. §§ 1396 et seq., also

24-19 known as Medicaid, other than coverage consisting solely of benefits under

24-20 section 1928 of that Title [;

24-21 5. Chapter 55 of Title 10, United States Code (] , 42 U.S.C § 1396s;

24-22 5. The Civilian Health and Medical Program of Uniformed Services

24-23 [(CHAMPUS));] , CHAMPUS, 10 U.S.C §§ 1071 et seq.;

24-24 6. A medical care program of the Indian Health Service or of a tribal

24-25 organization;

24-26 7. A state health benefit risk pool;

24-27 8. A health plan offered pursuant to [chapter 89 of Title 5, United

24-28 States Code (] the Federal Employees Health Benefits Program

24-29 [(FEHBP));] , FEHBP, 5 U.S.C. §§ 8901 et seq.;

24-30 9. A public health plan as defined in 45 C.F.R. § 146.113, authorized

24-31 by the Public Health Service Act, [section 2701(c)(1)(I), as amended by

24-32 Public Law 104-191,] 42 U.S.C. § 300gg(c)(1)(I);

24-33 10. A health benefit plan under section 5(e) of the Peace Corps Act, 22

24-34 U.S.C. § 2504(e); [or]

24-35 11. The children’s health insurance program established pursuant to 42

24-36 U.S.C. §§ 1397aa to 1397jj, inclusive [.] ;

24-37 12. A short-term health insurance policy; or

24-38 13. A blanket student accident and health insurance policy.

25-1 Sec. 34. NRS 689A.515 is hereby amended to read as follows:

25-2 689A.515 "Eligible person" means:

25-3 1. A person:

25-4 (a) Who, as of the date on which he seeks coverage pursuant to this

25-5 chapter, has an aggregate period of creditable coverage that is 18 months or

25-6 more;

25-7 (b) Whose most recent prior creditable coverage , other than coverage

25-8 under a short-term health insurance policy, was under a group health

25-9 plan, governmental plan, church plan or health insurance coverage offered

25-10 in connection with any such plan;

25-11 (c) Who is not eligible for coverage under a group health plan, Part A or

25-12 Part B of Title XVIII of the Social Security Act, 42 U.S.C. §§ 1395c et

25-13 seq., also known as Medicare, a state plan pursuant to Title XIX of the

25-14 Social Security Act, 42 U.S.C. §§ 1396 et seq., also known as Medicaid, or

25-15 any successor program, and who does not have any other health insurance

25-16 coverage;

25-17 (d) Whose most recent health insurance coverage within the period of

25-18 aggregate creditable coverage was not terminated because of a failure to

25-19 pay premiums or fraud;

25-20 (e) Who has exhausted his continuation of coverage under the

25-21 Consolidation Omnibus Budget Reconciliation Act of 1985 [,] Public Law

25-22 99-272, or under a similar state program, if any; and

25-23 (f) Who has not had a break of more than 63 consecutive days in his

25-24 creditable coverage.

25-25 2. A person whose most recent prior creditable coverage was under a

25-26 basic or standard health benefit plan and was not renewed by a carrier

25-27 who discontinued offering and renewing individual health benefit plans

25-28 in this state pursuant to NRS 689A.630.

25-29 3. Notwithstanding the provisions of paragraph (a) of subsection 1, a

25-30 newborn child or a child placed for adoption, if the child was enrolled

25-31 timely and would have otherwise met the requirements of an eligible person

25-32 as set forth in subsection 1.

25-33 Sec. 35. NRS 689A.540 is hereby amended to read as follows:

25-34 689A.540 1. "Health benefit plan" means a policy, contract,

25-35 certificate or agreement offered by a carrier to provide for, deliver payment

25-36 for, arrange for the payment of, pay for or reimburse any of the costs of

25-37 health care services. Except as otherwise provided in this section, the term

25-38 includes [short-term and] catastrophic health insurance policies [,] and a

25-39 policy that pays on a cost-incurred basis.

25-40 2. The term does not include:

25-41 (a) Coverage that is only for accident or disability income insurance, or

25-42 any combination thereof;

25-43 (b) Coverage issued as a supplement to liability insurance;

26-1 (c) Liability insurance, including general liability insurance and

26-2 automobile liability insurance;

26-3 (d) Workers’ compensation or similar insurance;

26-4 (e) Coverage for medical payments under a policy of automobile

26-5 insurance;

26-6 (f) Credit insurance;

26-7 (g) Coverage for on-site medical clinics; [and]

26-8 (h) Other similar insurance coverage specified in federal regulations

26-9 issued pursuant to Public Law 104-191 under which benefits for medical

26-10 care are secondary or incidental to other insurance benefits [.] ;

26-11 (i) Coverage under a short-term health insurance policy; and

26-12 (j) Coverage under a blanket student accident and health insurance

26-13 policy.

26-14 3. The term does not include the following benefits if the benefits are

26-15 provided under a separate policy, certificate or contract of insurance or are

26-16 otherwise not an integral part of a health benefit plan:

26-17 (a) Limited-scope dental or vision benefits;

26-18 (b) Benefits for long-term care, nursing home care, home health care or

26-19 community-based care, or any combination thereof; and

26-20 (c) Such other similar benefits as are specified in any federal regulations

26-21 adopted pursuant to the Health Insurance Portability and Accountability

26-22 Act of 1996, Public Law 104-191.

26-23 4. The term does not include the following benefits if the benefits are

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

26-25 is no coordination between the provision of the benefits and any exclusion

26-26 of benefits under any group health plan maintained by the same plan

26-27 sponsor, and [such] the benefits are paid for a claim without regard to

26-28 whether benefits are provided for such a claim under any group health plan

26-29 maintained by the same plan sponsor:

26-30 (a) Coverage that is only for a specified disease or illness; and

26-31 (b) Hospital indemnity or other fixed indemnity insurance.

26-32 5. The term does not include any of the following, if offered as a

26-33 separate policy, certificate or contract of insurance:

26-34 (a) Medicare supplemental health insurance as defined in section

26-35 1882(g)(1) of the Social Security Act, 42 U.S.C. § 1395ss, as that section

26-36 existed on July 16, 1997;

26-37 (b) Coverage supplemental to the coverage provided pursuant to

26-38 [chapter 55 of Title 10, United States Code (] the Civilian Health and

26-39 Medical Program of Uniformed Services [(CHAMPUS));] , CHAMPUS,

26-40 10 U.S.C. §§ 1071 et seq.; and

26-41 (c) Similar supplemental coverage provided under a group health plan.

27-1 Sec. 36. NRS 689A.650 is hereby amended to read as follows:

27-2 689A.650 1. An individual carrier is not required to provide

27-3 coverage to eligible persons pursuant to NRS 689A.640:

27-4 (a) During any period in which the commissioner determines that

27-5 requiring the individual carrier to provide such coverage would place the

27-6 individual carrier in a financially impaired condition.

27-7 (b) If the individual carrier elects not to offer any new coverage to any

27-8 [eligible] persons in this state. An individual carrier that elects not to offer

27-9 new coverage in accordance with this paragraph may maintain its existing

27-10 policies issued to [eligible] persons in this state, subject to the requirements

27-11 of NRS 689A.630.

27-12 2. An individual carrier that elects not to offer new coverage pursuant

27-13 to paragraph (b) of subsection 1 shall notify the commissioner forthwith of

27-14 that election and shall not thereafter write any new business to individuals

27-15 in this state for 5 years after the date of the notification.

27-16 Sec. 37. NRS 689A.660 is hereby amended to read as follows:

27-17 689A.660 An individual carrier shall not:

27-18 1. Impose on an eligible person who is covered under a basic or

27-19 standard health benefit plan any exclusion because of a preexisting

27-20 condition.

27-21 2. Modify a health benefit plan, with respect to an eligible person,

27-22 through riders, endorsements or otherwise, to restrict or exclude services

27-23 otherwise covered by the plan.

27-24 Sec. 38. NRS 689A.680 is hereby amended to read as follows:

27-25 689A.680 1. An individual carrier shall develop its rates for its

27-26 individual health benefit plans pursuant to NRS 689A.470 to 689A.740,

27-27 inclusive, based on rating characteristics. After any adjustments for rating

27-28 characteristics and design of benefits, the rate for any block of business for

27-29 an individual health benefit plan written on or after [July 16, 1997,]

27-30 January 1, 2000, must not exceed the rate for any other block of business

27-31 for an individual health benefit plan offered by the individual carrier by

27-32 more than [100] 50 percent. The rate for a block of business is equal to the

27-33 average rate charged to all the insureds in the block of business. In

27-34 determining whether the rate of a block of business complies with the

27-35 provisions of this subsection, any differences in rating factors between

27-36 blocks of business must be considered.

27-37 2. In determining the rating factors to establish premium rates for a

27-38 health benefit plan, an individual carrier shall not use characteristics other

27-39 than age, sex, occupation, geographic area, composition of the family of the

27-40 individual and health status.

27-41 3. If an individual carrier uses health status as a rating factor in

27-42 establishing premium rates, the highest factor associated with any

28-1 classification for health status may not exceed the lowest factor by more

28-2 than 75 percent.

28-3 4. For the purposes of this section, rating characteristics must not

28-4 include durational or tier rating, or adverse changes in health status or

28-5 claim experience after the policy is issued.

28-6 5. As used in this section, "characteristics" means demographic or

28-7 other information concerning individuals that is considered by a carrier in

28-8 the determination of premium rates for individuals.

28-9 Sec. 39. NRS 689B.027 is hereby amended to read as follows:

28-10 689B.027 1. The commissioner shall adopt regulations which require

28-11 an insurer to file with the commissioner, for his approval, a disclosure

28-12 summarizing the coverage provided by each policy of group health

28-13 insurance offered by the insurer. The disclosure must include:

28-14 (a) Any significant exception, reduction or limitation that applies to the

28-15 policy;

28-16 (b) Any restrictions on payments for emergency care, including related

28-17 definitions of an emergency and medical necessity;

28-18 (c) Any provisions concerning the insurer’s right to change premium

28-19 rates and the characteristics, other than claim experience, that affect

28-20 changes in premium rates;

28-21 (d) Any provisions relating to renewability;

28-22 (e) Any provisions relating to preexisting conditions; and

28-23 (f) Any other information,

28-24 that the commissioner finds necessary to provide for full and fair disclosure

28-25 of the provisions of the policy.

28-26 2. The disclosure must be written in language which is easily

28-27 understood and [must] include a statement that the disclosure is a summary

28-28 of the policy only, and that the policy [itself] should be read to determine

28-29 the governing contractual provisions.

28-30 3. The commissioner shall not approve any proposed disclosure

28-31 submitted to him pursuant to this section which does not comply with the

28-32 requirements of this section and the applicable regulations.

28-33 4. The insurer shall make available to an employer or a producer

28-34 acting on behalf of an employer upon request a copy of the disclosure

28-35 approved by the commissioner pursuant to this section for each policy of

28-36 health insurance coverage for which that employer may be eligible.

28-37 Sec. 40. NRS 689B.380 is hereby amended to read as follows:

28-38 689B.380 "Creditable coverage" means health benefits or coverage

28-39 provided to a person pursuant to:

28-40 1. A group health plan;

28-41 2. A health benefit plan;

28-42 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;

29-1 4. Title XIX of the Social Security Act, 42 U.S.C. §§ 1396 et seq., also

29-2 known as Medicaid, other than coverage consisting solely of benefits under

29-3 section 1928 of that Title [;

29-4 5. Chapter 55 of Title 10, United States Code (] , 42 U.S.C. § 1396s;

29-5 5. The Civilian Health and Medical Program of Uniformed Services

29-6 [(CHAMPUS));] , CHAMPUS, 10 U.S.C. §§ 1071 et seq.;

29-7 6. A medical care program of the Indian Health Service or of a tribal

29-8 organization;

29-9 7. A state health benefit risk pool;

29-10 8. A health plan offered pursuant to [chapter 89 of Title 5, United

29-11 States Code (] the Federal Employees Health Benefits Program

29-12 [(FEHBP));] , FEHBP, 5 U.S.C. §§ 8901 et seq.;

29-13 9. A public health plan as defined in 45 C.F.R. § 146.113, authorized

29-14 by the Public Health Service Act, [section 2701(c)(1)(I), as amended by

29-15 Public Law 104-191,] 42 U.S.C. § 300gg(c)(1)(I);

29-16 10. A health benefit plan under section 5(e) of the Peace Corps Act, 22

29-17 U.S.C. § 2504(e); [or]

29-18 11. The children’s health insurance program established pursuant to 42

29-19 U.S.C. §§ 1397aa to 1397jj, inclusive [.] ;

29-20 12. A short-term health insurance policy; or

29-21 13. A blanket student accident and health insurance policy.

29-22 Sec. 41. NRS 689B.410 is hereby amended to read as follows:

29-23 689B.410 1. "Health benefit plan" means a policy, contract,

29-24 certificate or agreement offered by a carrier to provide for, arrange for the

29-25 payment of, pay for or reimburse any of the costs of health care services.

29-26 Except as otherwise provided in this section, the term includes [short-term

29-27 and] catastrophic health insurance policies, and a policy that pays on a cost-

29-28 incurred basis.

29-29 2. The term does not include:

29-30 (a) Coverage that is only for accident or disability income insurance, or

29-31 any combination thereof;

29-32 (b) Coverage issued as a supplement to liability insurance;

29-33 (c) Liability insurance, including general liability insurance and

29-34 automobile liability insurance;

29-35 (d) Workers’ compensation or similar insurance;

29-36 (e) Coverage for medical payments under a policy of automobile

29-37 insurance;

29-38 (f) Credit insurance;

29-39 (g) Coverage for on-site medical clinics; [and]

29-40 (h) Other similar insurance coverage specified in federal regulations

29-41 issued pursuant to the Health Insurance Portability and Accountability Act

29-42 of 1996, Public Law 104-191, under which benefits for medical care are

29-43 secondary or incidental to other insurance benefits [.] ;

30-1 (i) Coverage under a short-term health insurance policy; and

30-2 (j) Coverage under a blanket student accident and health insurance

30-3 policy.

30-4 3. If the benefits are provided under a separate policy, certificate or

30-5 contract of insurance or are otherwise not an integral part of a health

30-6 benefit plan, the term does not include the following benefits:

30-7 (a) Limited-scope dental or vision benefits;

30-8 (b) Benefits for long-term care, nursing home care, home health care or

30-9 community-based care, or any combination thereof; and

30-10 (c) Such other similar benefits as are specified in any federal regulations

30-11 adopted pursuant to the Health Insurance Portability and Accountability

30-12 Act of 1996, Public Law 104-191.

30-13 4. For the purposes of NRS 689B.340 to 689B.590, inclusive, if the

30-14 benefits are provided under a separate policy, certificate or contract of

30-15 insurance, there is no coordination between the provision of the benefits

30-16 and any exclusion of benefits under any group health plan maintained by

30-17 the same plan sponsor, and [such] the benefits are paid for a claim without

30-18 regard to whether benefits are provided for such a claim under any group

30-19 health plan maintained by the same plan sponsor, the term does not include:

30-20 (a) Coverage that is only for a specified disease or illness; and

30-21 (b) Hospital indemnity or other fixed indemnity insurance.

30-22 5. For the purposes of NRS 689B.340 to 689B.590, inclusive, if

30-23 offered as a separate policy, certificate or contract of insurance, the term

30-24 does not include:

30-25 (a) Medicare supplemental health insurance as defined in section

30-26 1882(g)(1) of the Social Security Act, 42 U.S.C. § 1395ss, as that section

30-27 existed on July 16, 1997;

30-28 (b) Coverage supplemental to the coverage provided pursuant to the

30-29 Civilian Health and Medical Program of Uniformed Services, CHAMPUS,

30-30 10 U.S.C. §§ 1071 et seq.; and

30-31 (c) Similar supplemental coverage provided under a group health plan.

30-32 Sec. 42. NRS 689B.460 is hereby amended to read as follows:

30-33 689B.460 "Waiting period" means the period established by a plan of

30-34 health insurance that must pass before a person who is an eligible

30-35 participant or beneficiary in a plan is covered for benefits under the terms

30-36 of the plan. The term includes the period from the date a person submits

30-37 an application to an individual carrier for coverage under a health

30-38 benefit plan until the first day of coverage under that health benefit plan.

30-39 Sec. 43. NRS 689B.500 is hereby amended to read as follows:

30-40 689B.500 1. Except as otherwise provided in this section, a carrier

30-41 that issues a group health plan or coverage under group health insurance

30-42 shall not deny, exclude or limit a benefit for a preexisting condition for:

31-1 (a) More than 12 months after the effective date of coverage if the

31-2 employee enrolls through open enrollment or after the first day of the

31-3 waiting period for [such] that enrollment, whichever is earlier; or

31-4 (b) More than 18 months after the effective date of coverage for a late

31-5 enrollee.

31-6 A carrier may not define a preexisting condition more restrictively than that

31-7 term is defined in NRS 689B.450.

31-8 2. The period of any exclusion for a preexisting condition imposed by

31-9 a group health plan or coverage under group health insurance on a person

31-10 to be insured in accordance with the provisions of this chapter must be

31-11 reduced by the aggregate period of creditable coverage of that person, if the

31-12 creditable coverage was continuous to a date not more than 63 days before

31-13 the effective date of the coverage. The period of continuous coverage must

31-14 not include:

31-15 (a) Any waiting period for the effective date of the new coverage

31-16 applied by the employer or the carrier; or

31-17 (b) Any affiliation period not to exceed 60 days for a new enrollee and

31-18 [63] 90 days for a late enrollee required before becoming eligible to enroll

31-19 in the group health plan.

31-20 3. A health maintenance organization authorized to transact insurance

31-21 pursuant to chapter 695C of NRS that does not restrict coverage for a

31-22 preexisting condition may require an affiliation period before coverage

31-23 becomes effective under a plan of insurance if the affiliation period applies

31-24 uniformly to all employees and without regard to any health status-related

31-25 factors. During the affiliation period, the carrier shall not collect any

31-26 premiums for coverage of the employee.

31-27 4. An insurer that restricts coverage for preexisting conditions shall not

31-28 impose an affiliation period.

31-29 5. A carrier shall not impose any exclusion for a preexisting condition:

31-30 (a) Relating to pregnancy.

31-31 (b) In the case of a person who, as of the last day of the 30-day period

31-32 beginning on the date of his birth, is covered under creditable coverage.

31-33 (c) In the case of a child who is adopted or placed for adoption before

31-34 attaining the age of 18 years and who, as of the last day of the 30-day

31-35 period beginning on the date of adoption or placement for adoption,

31-36 whichever is earlier, is covered under creditable coverage. The provisions

31-37 of this paragraph do not apply to coverage before the date of adoption or

31-38 placement for adoption.

31-39 (d) In the case of a condition for which medical advice, diagnosis, care

31-40 or treatment was recommended or received for the first time while the

31-41 covered person held creditable coverage, and the medical advice, diagnosis,

31-42 care or treatment was a benefit under the plan, if the creditable coverage

32-1 was continuous to a date not more than 63 days before the effective date of

32-2 the new coverage.

32-3 The provisions of paragraphs (b) and (c) do not apply to a person after the

32-4 end of the first 63-day period during all of which the person was not

32-5 covered under any creditable coverage.

32-6 6. As used in this section, "late enrollee" means an eligible employee,

32-7 or his dependent, who requests enrollment in a group health plan following

32-8 the initial period of enrollment, if that initial period of enrollment is at least

32-9 30 days, during which the person is entitled to enroll under the terms of the

32-10 health benefit plan. The term does not include an eligible employee or his

32-11 dependent if:

32-12 (a) The employee or dependent:

32-13 (1) Was covered under creditable coverage at the time of the initial

32-14 enrollment;

32-15 (2) Lost coverage under creditable coverage as a result of cessation of

32-16 contributions by his employer, termination of employment or eligibility,

32-17 reduction in the number of hours of employment, involuntary termination

32-18 of creditable coverage, or death of, or divorce or legal separation from, a

32-19 covered spouse; and

32-20 (3) Requests enrollment not later than 30 days after the date on which

32-21 his creditable coverage was terminated or on which the change in

32-22 conditions that gave rise to the termination of the coverage occurred.

32-23 (b) The employee enrolls during the open enrollment period, as

32-24 provided in the contract or as otherwise specifically provided by specific

32-25 statute.

32-26 (c) The employer of the employee offers multiple health benefit plans

32-27 and the employee elected a different plan during an open enrollment period.

32-28 (d) A court has ordered coverage to be provided to the spouse or a

32-29 minor or dependent child of an employee under a health benefit plan of the

32-30 employee and a request for enrollment is made within 30 days after the

32-31 issuance of the court order.

32-32 (e) The employee changes status from not being an eligible employee to

32-33 being an eligible employee and requests enrollment, subject to any waiting

32-34 period, within 30 days after the change in status.

32-35 (f) The person has continued coverage in accordance with the

32-36 Consolidated Omnibus Budget Reconciliation Act of 1985 , Public Law

32-37 99-272, and [such] that coverage has been exhausted.

32-38 Sec. 44. NRS 689B.590 is hereby amended to read as follows:

32-39 689B.590 1. Not later than 180 days after the date on which the basic

32-40 and standard health benefit plans are approved pursuant to NRS 689C.770

32-41 as part of the plan of operation of the program of reinsurance, each carrier

32-42 required to offer to a person a converted policy pursuant to NRS 689B.120

33-1 shall only offer as a converted policy a choice of the basic and standard

33-2 health benefit plans.

33-3 2. A person with a converted policy issued before the effective date of

33-4 the requirement set forth in subsection 1 may, at each annual renewal of the

33-5 converted policy elect a basic or standard health benefit plan as a substitute

33-6 converted policy, except that the carrier may, if the person has not made an

33-7 election within 3 years after first becoming eligible to do so, require the

33-8 person to make such an election. Once a person has elected [either] the

33-9 basic or standard health benefit plan as a substitute converted policy, he

33-10 may not elect another converted policy.

33-11 3. The premium for a converted policy may not exceed the small group

33-12 index rate, as defined in paragraph (b) of subsection 3 of NRS 689C.230,

33-13 applicable to the carrier by more than [110] 75 percent. The small group

33-14 index rate used by a carrier that does not write insurance to small

33-15 employers in this state must be the average small group index rate, as

33-16 determined by the commissioner, of the five largest carriers that provide

33-17 coverage to small employers pursuant to this chapter for their basic and

33-18 standard health benefit plans. The commissioner shall annually determine

33-19 the average small group index rate, as measured by the premium volume of

33-20 the plans, of those five largest carriers.

33-21 4. The rates for new and renewal converted policies for persons with

33-22 the same converted policies whose case characteristics are similar must be

33-23 the same.

33-24 5. Any losses suffered by a carrier on its converted policies issued

33-25 pursuant to this section must be spread across the entire book of the health

33-26 benefit coverage of the carrier issued or delivered for issuance to small

33-27 employers and large group employers in this state.

33-28 6. The commissioner shall adopt such regulations as are necessary to

33-29 carry out the provisions of this section.

33-30 Sec. 45. Chapter 689C of NRS is hereby amended by adding thereto

33-31 the provisions set forth as sections 46 and 47 of this act.

33-32 Sec. 46. No member, agent or employee of the board may be held

33-33 liable in a civil action for any act that he performs in good faith in the

33-34 execution of his duties pursuant to the provisions of this chapter.

33-35 Sec. 47. The provisions of this chapter apply to health benefit plans

33-36 that provide coverage to the employees of small employers in this state

33-37 and to carriers that offer those health benefit plans if:

33-38 1. A portion of the premium or benefits are paid by or on behalf of

33-39 the small employer;

33-40 2. An eligible employee or his dependent is reimbursed for a portion

33-41 of the premium, whether by wage adjustments or otherwise, by or on

33-42 behalf of the small employer; or

34-1 3. The health benefit plan is considered by the small employer or any

34-2 of his eligible employees or dependents as part of a plan or program for

34-3 the purposes of sections 106, 125 or 162 of the Internal Revenue Code,

34-4 26 U.S.C. § 106, 125 or 162.

34-5 Sec. 48. NRS 689C.053 is hereby amended to read as follows:

34-6 689C.053 "Creditable coverage" means health benefits or coverage

34-7 provided to a person pursuant to:

34-8 1. A group health plan;

34-9 2. A health benefit plan;

34-10 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;

34-11 4. Title XIX of the Social Security Act, 42 U.S.C. §§ 1396 et seq., also

34-12 known as Medicaid, other than coverage consisting solely of benefits under

34-13 section 1928 of that Title [;

34-14 5. Chapter 55 of Title 10, United States Code (] , 42 U.S.C. § 1396s;

34-15 5. The Civilian Health and Medical Program of Uniformed Services

34-16 [(CHAMPUS));] , CHAMPUS, 10 U.S.C. §§ 1071 et seq.;

34-17 6. A medical care program of the Indian Health Service or of a tribal

34-18 organization;

34-19 7. A state health benefit risk pool;

34-20 8. A health plan offered pursuant to [chapter 89 of Title 5, United

34-21 States Code (] the Federal Employees Health Benefits Program

34-22 [(FEHBP));] , FEHBP, 5 U.S.C. §§ 8901 et seq.;

34-23 9. A public health plan as defined in federal regulations authorized by

34-24 the Public Health Service Act, [section 2701(c)(1)(I), as amended by

34-25 Public Law 104-191;] 42 U.S.C. § 300gg(c)(1)(I);

34-26 10. A health benefit plan under section 5(e) of the Peace Corps Act, 22

34-27 U.S.C. § 2504(e); [or]

34-28 11. The children’s health insurance program established pursuant to 42

34-29 U.S.C. §§ 1397aa to 1397jj, inclusive [.] ;

34-30 12. A short-term health insurance policy; or

34-31 13. A blanket student accident and health insurance policy.

34-32 Sec. 49. NRS 689C.075 is hereby amended to read as follows:

34-33 689C.075 1. "Health benefit plan" means a policy or certificate for

34-34 hospital or medical expenses, a contract for dental, hospital or medical

34-35 services, or a health care plan of a health maintenance organization

34-36 available for use, offered or sold to a small employer. Except as otherwise

34-37 provided in this section, the term includes short-term and catastrophic

34-38 health insurance policies, and a policy that pays on a cost-incurred basis.

34-39 2. The term does not include:

34-40 (a) Coverage that is only for accident or disability income insurance, or

34-41 any combination thereof;

34-42 (b) Coverage issued as a supplement to liability insurance;

35-1 (c) Liability insurance, including general liability insurance and

35-2 automobile liability insurance;

35-3 (d) Workers’ compensation or similar insurance;

35-4 (e) Coverage for medical payments under a policy of automobile

35-5 insurance;

35-6 (f) Credit insurance;

35-7 (g) Coverage for on-site medical clinics; [and]

35-8 (h) Coverage under a short-term health insurance policy;

35-9 (i) Coverage under a blanket student accident and health insurance

35-10 policy; and

35-11 (j) Other similar insurance coverage specified in federal regulations

35-12 issued pursuant to the Health Insurance Portability and Accountability

35-13 Act of 1996, Public Law 104-191 , under which benefits for medical care

35-14 are secondary or incidental to other insurance benefits.

35-15 3. If the benefits are provided under a separate policy, certificate or

35-16 contract of insurance or are otherwise not an integral part of a health

35-17 benefit plan, the term does not include the following benefits:

35-18 (a) Limited-scope dental or vision benefits;

35-19 (b) Benefits for long-term care, nursing home care, home health care or

35-20 community-based care, or any combination thereof; and

35-21 (c) Such other similar benefits as are specified in any federal regulations

35-22 adopted pursuant to the Health Insurance Portability and Accountability

35-23 Act of 1996, Public Law 104-191.

35-24 4. If the benefits are provided under a separate policy, certificate or

35-25 contract of insurance, there is no coordination between the provision of the

35-26 benefits and any exclusion of benefits under any group health plan

35-27 maintained by the same plan sponsor, and [such] the benefits are paid for a

35-28 claim without regard to whether benefits are provided for such a claim

35-29 under any group health plan maintained by the same plan sponsor, the term

35-30 does not include:

35-31 (a) Coverage that is only for a specified disease or illness; and

35-32 (b) Hospital indemnity or other fixed indemnity insurance.

35-33 5. If offered as a separate policy, certificate or contract of insurance,

35-34 the term does not include:

35-35 (a) Medicare supplemental health insurance as defined in section

35-36 1882(g)(1) of the Social Security Act, 42 U.S.C. § 1395ss, as that section

35-37 existed on July 16, 1997;

35-38 (b) Coverage supplemental to the coverage provided pursuant to

35-39 [chapter 55 of Title 10, United States Code (] the Civilian Health and

35-40 Medical Program of Uniformed Services [(CHAMPUS));] , CHAMPUS,

35-41 10 U.S.C. §§ 1071 et seq.; and

35-42 (c) Similar supplemental coverage provided under a group health plan.

36-1 Sec. 50. NRS 689C.095 is hereby amended to read as follows:

36-2 689C.095 1. "Small employer" means , [any person or governmental

36-3 entity actively engaged in a business:

36-4 (a) Which,] with respect to a calendar year and a plan year, an employer

36-5 who employed on business days during the preceding calendar year an

36-6 average of at least 2 [,] employees, but not more than 50 employees, [a

36-7 majority of whom are residents of this state,] who have a normal work week

36-8 of 30 hours or more, and [which] who employs at least 2 employees on the

36-9 first day of the plan year . [;

36-10 (b) Which was not formed primarily for the purpose of purchasing

36-11 insurance; and

36-12 (c) In which a relationship between the employer and the employees

36-13 exists in good faith.] For the purposes of determining the number of eligible

36-14 employees, organizations which are affiliated or which are eligible to file a

36-15 combined tax return for the purposes of taxation constitute one employer.

36-16 2. For the purposes of this section, organizations are "affiliated" if one

36-17 directly, or indirectly, through one or more intermediaries, controls or is

36-18 controlled by, or is under common control with, the other, as determined

36-19 pursuant to the provisions of NRS 692C.050.

36-20 Sec. 51. NRS 689C.106 is hereby amended to read as follows:

36-21 689C.106 "Waiting period" means the period established by a plan of

36-22 health insurance that must pass before a person who is an eligible

36-23 participant or beneficiary in a plan is covered for benefits under the terms

36-24 of the plan. The term includes the period from the date a person submits

36-25 an application to an individual carrier for coverage under a health

36-26 benefit plan until the first day of coverage under that health benefit plan.

36-27 Sec. 52. NRS 689C.210 is hereby amended to read as follows:

36-28 689C.210 1. Except as otherwise provided in subsection 3, a carrier

36-29 shall not increase the premium rate charged to a small employer for a new

36-30 rating period by a percentage greater than the sum of:

36-31 (a) The percentage of change in the premium rate for new business for

36-32 the policy under which the small employer is covered, measured from the

36-33 first day of the previous rating period to the first day of the new rating

36-34 period;

36-35 (b) An adjustment, not to exceed 15 percent annually, adjusted pro rata

36-36 for rating periods of less than 1 year, on account of the claim experience,

36-37 health status, or duration of coverage of the employees or dependents of the

36-38 small employer as determined from the carrier’s rate manual for the class of

36-39 business; and

36-40 (c) Any adjustment on account of change in coverage or change in the

36-41 characteristics of the small employer as determined from the carrier’s rate

36-42 manual for the class of business.

37-1 2. If the carrier no longer issues new policies for that class of business,

37-2 the carrier shall use the percentage of change in the premium rate for new

37-3 business for the class of business which is most similar to the closed class

37-4 of business and for which the carrier is issuing new policies.

37-5 3. In the case of health benefit plans delivered or issued for delivery

37-6 before January 1, 1996, for groups with [no] not fewer than 2 employees

37-7 and [no] not more than 25 employees, or before July 1, 1997, for groups

37-8 with [no] not fewer than 26 employees and [no] not more than 50

37-9 employees, a premium rate for a rating period may exceed the ranges set

37-10 forth in [paragraphs (a) and (b) of subsection 1] NRS 689C.230 for a

37-11 period of 3 years following that date. In that case, the percentage of

37-12 increase in the premium rate charged to a small employer for a new rating

37-13 period may not exceed the sum of:

37-14 (a) The percentage of change in the premium rate for new business

37-15 measured from the first day of the previous rating period to the first day of

37-16 the new rating period. In the case of a health benefit plan into which the

37-17 carrier is no longer enrolling new small employers, the carrier shall use the

37-18 percentage of change in the base premium rate if that change does not

37-19 exceed, on a percentage basis, the change in the premium rate for new

37-20 business for the most similar health benefit plan into which the carrier is

37-21 actively enrolling new small employers.

37-22 (b) Any adjustment on account of change in coverage or change in the

37-23 characteristics of the small employer as determined from the carrier’s rate

37-24 manual for the class of business.

37-25 Sec. 53. NRS 689C.270 is hereby amended to read as follows:

37-26 689C.270 1. The commissioner shall adopt regulations which require

37-27 a carrier to file with the commissioner, for his approval, a disclosure

37-28 offered by the carrier to a small employer. The disclosure must include:

37-29 (a) Any significant exception, reduction or limitation that applies to the

37-30 policy;

37-31 (b) Any restrictions on payments for emergency care, including, without

37-32 limitation, related definitions of an emergency and medical necessity;

37-33 (c) The provision of the health benefit plan concerning the carrier’s right

37-34 to change premium rates and the characteristics, other than claim

37-35 experience, that affect changes in premium rates;

37-36 (d) The provisions relating to renewability of policies and contracts;

37-37 (e) The provisions relating to any preexisting condition; and

37-38 (f) Any other information that the commissioner finds necessary to

37-39 provide for full and fair disclosure of the provisions of a policy or contract

37-40 of insurance issued pursuant to this chapter.

37-41 2. The disclosure must be written in language which is easily

37-42 understood and must include a statement that the disclosure is a summary

38-1 of the policy only, and that the policy itself should be read to determine the

38-2 governing contractual provisions.

38-3 3. The commissioner shall not approve any proposed disclosure

38-4 submitted to him pursuant to this section which does not comply with the

38-5 requirements of this section and the applicable regulations.

38-6 4. The carrier shall make available to a small employer or a producer

38-7 acting on behalf of a small employer, upon request a copy of the

38-8 disclosure approved by the commissioner pursuant to this section for

38-9 policies of health insurance for which that employer may be eligible.

38-10 Sec. 54. (Deleted by amendment.)

38-11 Sec. 55. NRS 689C.610 is hereby amended to read as follows:

38-12 689C.610 As used in NRS 689C.610 to 689C.980, inclusive, and

38-13 section 46 of this act, unless the context otherwise requires, the words and

38-14 terms defined in NRS 689C.620 to 689C.730, inclusive, have the meanings

38-15 ascribed to them in those sections.

38-16 Sec. 56. NRS 689C.870 is hereby amended to read as follows:

38-17 689C.870 1. If, in each of 2 consecutive years, the board determines

38-18 that the amount of the assessment needed exceeds 5 percent of the total

38-19 premiums earned in the previous calendar year from health benefit plans

38-20 delivered or issued for delivery to small employers by reinsuring carriers,

38-21 the program of reinsurance is eligible for additional funding pursuant to this

38-22 section.

38-23 2. If, in each of 2 consecutive years, the board determines that the

38-24 amount of the assessment needed exceeds 5 percent of the total premiums

38-25 earned in the previous calendar year from health benefit plans delivered or

38-26 issued for delivery to individuals by individual reinsuring carriers, the

38-27 program of reinsurance is eligible for additional funding pursuant to this

38-28 section.

38-29 3. To raise [such] the additional funding, the board shall establish a

38-30 formula pursuant to which additional assessments may be made on all

38-31 carriers that offer a health benefit plan or provide stop-loss coverage for a

38-32 health benefit plan which is an [employee-sponsored] employer-sponsored

38-33 plan or a plan established pursuant to the Labor-Management Relations

38-34 Act, 1947, as amended. The total additional assessments on all such

38-35 carriers combined may not exceed one-half of 1 percent of the total

38-36 premiums earned from all health benefit plans and stop-loss coverage

38-37 issued in this state in the previous calendar year.

38-38 Sec. 57. NRS 690B.042 is hereby amended to read as follows:

38-39 690B.042 1. Except as otherwise provided in subsection 2, any party

38-40 against whom a claim is asserted for compensation or damages for personal

38-41 injury under a policy of motor vehicle insurance covering a private

38-42 passenger car may require any attorney representing the claimant to provide

39-1 to the party and his insurer or attorney, not more than once every 90 days,

39-2 all medical reports [or] , records and bills concerning the claim.

39-3 2. In lieu of providing medical reports [or] , records and bills pursuant

39-4 to subsection 1, the claimant or any attorney representing the claimant may

39-5 [authorize in writing any provider of health care to provide to the party and

39-6 his insurer or attorney photocopies of the medical reports or] provide to the

39-7 party, his insurer or his attorney a written authorization to receive the

39-8 reports, records and bills from the provider of health care. At the written

39-9 request of the claimant or his attorney, copies of all reports, records and

39-10 bills obtained pursuant to the authorization must be provided to the

39-11 claimant or his attorney within 30 days after the date they are received. If

39-12 the claimant or his attorney makes a written request for the reports,

39-13 records and bills, the claimant or his attorney shall pay for the

39-14 reasonable costs of copying the reports, records and bills.

39-15 3. Upon receipt of any photocopies of medical reports [or] , records

39-16 and bills , or a written authorization pursuant to subsection 2, the insurer

39-17 who issued the policy specified in subsection 1 shall, upon request,

39-18 immediately disclose to the insured or the claimant all pertinent facts or

39-19 provisions of the policy relating to any coverage at issue.

39-20 Sec. 58. NRS 692A.105 is hereby amended to read as follows:

39-21 692A.105 1. The commissioner may refuse to license any title agent

39-22 or escrow officer or may suspend or revoke any license or impose a fine of

39-23 not more than $500 for each violation by entering an order to that effect,

39-24 with his findings in respect thereto, if upon a hearing, it is determined that

39-25 the applicant or licensee:

39-26 (a) In the case of a title agent, is insolvent or in such a financial

39-27 condition that he cannot continue in business with safety to his customers;

39-28 (b) Has violated any provision of this chapter or any regulation adopted

39-29 pursuant thereto or has aided and abetted another to do so;

39-30 (c) Has committed fraud in connection with any transaction governed by

39-31 this chapter;

39-32 (d) Has intentionally or knowingly made any misrepresentation or false

39-33 statement to, or concealed any essential or material fact known to him from,

39-34 any principal or designated agent of the principal in the course of the

39-35 escrow business;

39-36 (e) Has intentionally or knowingly made or caused to be made to the

39-37 commissioner any false representation of a material fact or has suppressed

39-38 or withheld from him any information which the applicant or licensee

39-39 possesses;

39-40 (f) Has failed without reasonable cause to furnish to the parties of an

39-41 escrow their respective statements of the settlement within a reasonable

39-42 time after the close of escrow;

40-1 (g) Has failed without reasonable cause to deliver, within a reasonable

40-2 time after the close of escrow, to the respective parties of an escrow

40-3 transaction any money, documents or other properties held in escrow in

40-4 violation of the provisions of the escrow instructions;

40-5 (h) Has refused to permit an examination by the commissioner of his

40-6 books and affairs or has refused or failed, within a reasonable time, to

40-7 furnish any information or make any report that may be required by the

40-8 commissioner pursuant to the provisions of this chapter;

40-9 (i) Has been convicted of a felony or any misdemeanor of which an

40-10 essential element is fraud;

40-11 (j) In the case of a title agent, has failed to maintain complete and

40-12 accurate records of all transactions within the last 7 years;

40-13 (k) Has commingled the money of [others] other persons with his own

40-14 or converted the money of [others] other persons to his own use;

40-15 (l) Has failed, before the close of escrow, to obtain written instructions

40-16 concerning any essential or material fact or intentionally failed to follow

40-17 the written instructions which have been agreed upon by the parties and

40-18 accepted by the holder of the escrow;

40-19 (m) Has failed to disclose in writing that he is acting in the dual capacity

40-20 of escrow agent or agency and undisclosed principal in any transaction; [or]

40-21 (n) In the case of an escrow officer, has been convicted of, or entered a

40-22 plea of guilty or nolo contendere to, any crime involving moral turpitude [.]

40-23 ; or

40-24 (o) Has failed to obtain and maintain a copy of the executed

40-25 agreement or contract that establishes the conditions for the sale of real

40-26 property.

40-27 2. It is sufficient cause for the imposition of a fine or the refusal,

40-28 suspension or revocation of the license of a partnership, corporation or any

40-29 other association if any member of the partnership or any officer or director

40-30 of the corporation or association has been guilty of any act or omission

40-31 directly arising from the business activities of a title agent which would be

40-32 cause for such action had the applicant or licensee been a natural person.

40-33 3. The commissioner may suspend or revoke the license of a title agent,

40-34 or impose a fine, if the commissioner finds that the title agent:

40-35 (a) Failed to maintain adequate supervision of an escrow officer title

40-36 agent he has appointed or employed.

40-37 (b) Instructed an escrow officer to commit an act which would be cause

40-38 for the revocation of the escrow officer’s license and the escrow officer

40-39 committed the act. An escrow officer is not subject to disciplinary action

40-40 for committing such an act under instruction by the title agent.

40-41 4. The commissioner may refuse to issue a license to any person who,

40-42 within 10 years before the date of applying for a current license, has had

40-43 suspended or revoked a license issued pursuant to this chapter or a

41-1 comparable license issued by any other state, district or territory of the

41-2 United States or any foreign country.

41-3 Sec. 59. Chapter 695C of NRS is hereby amended by adding thereto a

41-4 new section to read as follows:

41-5 1. To the extent authorized by federal law, the commissioner shall

41-6 adopt regulations for the licensing of provider-sponsored organizations

41-7 in this state.

41-8 2. As used in this section, "provider-sponsored organization" has the

41-9 meaning ascribed to it in 42 U.S.C. § 1395w-25(d).

41-10 Sec. 60. NRS 695C.350 is hereby amended to read as follows:

41-11 695C.350 1. The commissioner may, in lieu of suspension or

41-12 revocation of a certificate of authority under NRS 695C.330, levy an

41-13 administrative penalty in an amount not [less than $1,000 nor] more than

41-14 $2,500 [,] for each act or violation, if reasonable notice in writing is given

41-15 of the intent to levy the penalty . [and the health maintenance organization

41-16 has a reasonable time within which to remedy the defect in its operations

41-17 which gave rise to the penalty citation.]

41-18 2. Any person who violates the provisions of this chapter is guilty of a

41-19 misdemeanor.

41-20 3. If the commissioner or the state board of health for any reason have

41-21 cause to believe that any violation of this chapter has occurred or is

41-22 threatened, the commissioner or the state board of health may give notice to

41-23 the health maintenance organization and to the representatives, or other

41-24 persons who appear to be involved in [such] the suspected violation, to

41-25 arrange a conference with the alleged violators or their authorized

41-26 representatives [for the purpose of attempting to ascertain] to attempt to

41-27 determine the facts relating to [such] the suspected violation, and, [in the

41-28 event] if it appears that any violation has occurred or is threatened, to arrive

41-29 at an adequate and effective means of correcting or preventing [such] the

41-30 violation.

41-31 4. [Proceedings under subsection 3 shall] The proceedings conducted

41-32 pursuant to the provisions of subsection 3 must not be governed by any

41-33 formal procedural requirements, and may be conducted in such manner as

41-34 the commissioner or the state board of health may deem appropriate under

41-35 the circumstances.

41-36 5. The commissioner may issue an order directing a health maintenance

41-37 organization or a representative of a health maintenance organization to

41-38 cease and desist from engaging in any act or practice in violation of the

41-39 provisions of this chapter.

41-40 6. Within 30 days after service of the order [of] to cease and desist, the

41-41 respondent may request a hearing on the question of whether acts or

41-42 practices in violation of this chapter have occurred. [Such hearings shall be

41-43 conducted pursuant to the Nevada Administrative Procedure Act, and

42-1 judicial review shall] The hearing must be conducted pursuant to the

42-2 provisions of chapter 233B of NRS and judicial review must be available

42-3 as provided therein.

42-4 7. In the case of any violation of the provisions of this chapter, if the

42-5 commissioner elects not to issue a cease and desist order, or in the event of

42-6 noncompliance with a cease and desist order issued pursuant to subsection

42-7 5, the commissioner may institute a proceeding to obtain injunctive relief,

42-8 or seek other appropriate relief in the district court of the judicial district of

42-9 the county in which the violator resides.

42-10 Secs. 61 and 62. (Deleted by amendment.)

42-11 Sec. 63. NRS 697.090 is hereby amended to read as follows:

42-12 697.090 1. A person in this state shall not act in the capacity of a bail

42-13 agent, bail enforcement agent or bail solicitor, or perform any of the

42-14 functions, duties or powers prescribed for a bail agent, bail enforcement

42-15 agent or bail solicitor under the provisions of this chapter, unless that

42-16 person is qualified and licensed as provided in this chapter. The

42-17 commissioner may, after notice and a hearing, impose a fine of not more

42-18 than $1,000 for each act or violation of the provisions of this subsection.

42-19 2. A person, whether or not located in this state, shall not act as or hold

42-20 himself out to be a general agent unless qualified and licensed as such

42-21 under the provisions of this chapter.

42-22 3. For the protection of the people of this state, the commissioner shall

42-23 not issue or renew, or permit to exist, any license except in compliance with

42-24 this chapter. The commissioner shall not issue or renew, or permit to exist,

42-25 a license for any person found to be untrustworthy or incompetent, or who

42-26 has not established to the satisfaction of the commissioner that he is

42-27 qualified therefor in accordance with this chapter.

42-28 Sec. 63.5. NRS 697.100 is hereby amended to read as follows:

42-29 697.100 1. Except as otherwise provided in this section, no license

42-30 may be issued:

42-31 (a) Except in compliance with this chapter.

42-32 (b) To a bail agent, bail enforcement agent or bail solicitor, unless he is

42-33 a natural person.

42-34 2. A corporation may be licensed as a bail agent or bail enforcement

42-35 agent if [ownership] :

42-36 (a) The corporation is owned and controlled by an insurer authorized

42-37 to write surety in this state or a subsidiary corporation of such an

42-38 insurer; or

42-39 (b) Ownership and control of the corporation is retained by one or more

42-40 licensed agents.

42-41 3. This section does not prohibit two or more licensed bail agents from

42-42 entering into a partnership for the conduct of their bail business. No person

42-43 may be a member of such a partnership unless he is licensed pursuant to

43-1 this chapter in the same capacity as all other members of the partnership. A

43-2 limited partnership or a natural person may not have any proprietary

43-3 interest, directly or indirectly, in a partnership or the conduct of business

43-4 thereunder except licensed bail agents as provided in this chapter.

43-5 Sec. 64. NRS 697.184 is hereby amended to read as follows:

43-6 697.184 1. An application for a license as a general agent must be

43-7 accompanied by:

43-8 (a) Proof of the completion of a 6-hour course of instruction in bail

43-9 bonds that is:

43-10 (1) Offered by a state or national organization of bail agents or

43-11 another organization that administers training programs for general agents;

43-12 and

43-13 (2) Approved by the commissioner.

43-14 (b) A written appointment by an authorized insurer as general agent,

43-15 subject to the issuance of the license.

43-16 (c) A letter from a local law enforcement agency in the applicant’s

43-17 county of residence which indicates that the applicant:

43-18 (1) Has not been convicted of a felony in this state or of any offense

43-19 committed in another state which would be a felony if committed in this

43-20 state; and

43-21 (2) Has not been convicted of an offense involving moral turpitude or

43-22 the unlawful use, sale or possession of a controlled substance.

43-23 (d) A copy of the contract or agreement that authorizes the general

43-24 agent to act as general agent for the insurer.

43-25 (e) Any other information the commissioner may require.

43-26 2. If the applicant for a license as a general agent is a firm or

43-27 corporation, the application must include the names of the members,

43-28 officers and directors and designate each natural person who is to exercise

43-29 the authority granted by the license. Each person so designated must furnish

43-30 information about himself as though the application were for an individual

43-31 license.

43-32 Sec. 65. NRS 697.190 is hereby amended to read as follows:

43-33 697.190 1. [Every] Each applicant for a [bail agent’s or bail

43-34 solicitor’s] license as a bail agent, bail solicitor or general agent must file

43-35 with the application, and thereafter maintain in force while so licensed, a

43-36 bond in favor of the people of the State of Nevada executed by an

43-37 authorized surety insurer. The bond may be continuous in form with total

43-38 aggregate liability limited to payment as follows:

43-39 (a) Bail agent $25,000

43-40 (b) Bail solicitor 10,000

43-41 (c) General agent 50,000

44-1 2. The bond must be conditioned upon full accounting and payment to

44-2 the person entitled thereto of money, property or other matters coming into

44-3 the licensee’s possession through bail bond transactions under the license.

44-4 3. The bond must remain in force until released by the commissioner,

44-5 or canceled by the surety. Without prejudice to any liability previously

44-6 incurred under the bond, the surety may cancel the bond upon 30 days’

44-7 advance written notice to the licensee and the commissioner.

44-8 Sec. 65.3. NRS 277.055 is hereby amended to read as follows:

44-9 277.055 1. As used in this section:

44-10 (a) "Medical facility" has the meaning ascribed to it in NRS 449.0151.

44-11 (b) "Nonprofit medical facility" means a nonprofit medical facility in

44-12 this or another state.

44-13 (c) "Public agency" has the meaning ascribed to it in NRS 277.100, and

44-14 includes any municipal corporation.

44-15 2. Any two or more public agencies or nonprofit medical facilities may

44-16 enter into a cooperative agreement for the purchase of insurance or the

44-17 establishment of a self-insurance reserve or fund for coverage under a plan

44-18 of:

44-19 (a) Casualty insurance, as that term is defined in NRS 681A.020;

44-20 (b) Marine and transportation insurance, as that term is defined in NRS

44-21 681A.050;

44-22 (c) Property insurance, as that term is defined in NRS 681A.060;

44-23 (d) Surety insurance, as that term is defined in NRS 681A.070;

44-24 (e) Health insurance, as that term is defined in NRS 681A.030; or

44-25 (f) Insurance for any combination of these kinds.

44-26 3. Every such agreement must:

44-27 (a) Be ratified by formal resolution or ordinance of the governing body

44-28 or board of trustees of each agency or nonprofit medical facility included;

44-29 (b) Be included in the minutes of each governing body or board of

44-30 trustees, or attached in full to the minutes as an exhibit;

44-31 (c) Be submitted to the commissioner of insurance not less than 30 days

44-32 before the date on which the agreement is to become effective for

44-33 approval in the manner provided by NRS 277.150; and

44-34 (d) If a public agency is a party to the agreement, comply with the

44-35 provisions of NRS 277.080 to 277.180, inclusive.

44-36 4. Each participating agency or nonprofit medical facility shall provide

44-37 for any expense to be incurred under any such agreement.

44-38 Sec. 65.5. NRS 287.025 is hereby amended to read as follows:

44-39 287.025 The governing body of any county, school district, municipal

44-40 corporation, political subdivision, public corporation or other public

44-41 agency of the State of Nevada may, in addition to the other powers granted

44-42 in NRS 287.010 and 287.020:

45-1 1. Negotiate and contract with any other such agency or with the

45-2 committee on benefits for the state’s group insurance plan to secure group

45-3 insurance for its officers and employees and their dependents by

45-4 participation in any group insurance plan established or to be established or

45-5 in the state’s group insurance plan . [; and] Each such contract:

45-6 (a) Must be submitted to the commissioner of insurance not less than

45-7 30 days before the date on which the contract is to become effective for

45-8 approval.

45-9 (b) Does not become effective unless approved by the commissioner.

45-10 (c) Shall be deemed to be approved if not disapproved by the

45-11 commissioner of insurance within 30 days after its submission.

45-12 2. To secure group health or life insurance for its officers and

45-13 employees and their dependents, participate as a member of a nonprofit

45-14 cooperative association or nonprofit corporation that has been established

45-15 in this state to secure such insurance for its members from an insurer

45-16 licensed pursuant to the provisions of Title 57 of NRS.

45-17 3. In addition to the provisions of subsection 2, participate as a

45-18 member of a nonprofit cooperative association or nonprofit corporation that

45-19 has been established in this state to:

45-20 (a) Facilitate contractual arrangements for the provision of medical

45-21 services to its members’ officers and employees and their dependents and

45-22 for related administrative services.

45-23 (b) Procure health-related information and disseminate that information

45-24 to its members’ officers and employees and their dependents.

45-25 Sec. 65.7. NRS 287.0434 is hereby amended to read as follows:

45-26 287.0434 The committee on benefits may:

45-27 1. Use its assets to pay the expenses of health care for its members and

45-28 covered dependents, to pay its employees’ salaries and to pay

45-29 administrative and other expenses.

45-30 2. Enter into contracts relating to the administration of a plan of

45-31 insurance, including contracts with licensed administrators and qualified

45-32 actuaries. Each such contract with a licensed administrator:

45-33 (a) Must be submitted to the commissioner of insurance not less than

45-34 30 days before the date on which the contract is to become effective for

45-35 approval as to the reasonableness of administrative charges in relation to

45-36 contributions collected and benefits provided.

45-37 (b) Does not become effective unless approved by the commissioner.

45-38 (c) Shall be deemed to be approved if not disapproved by the

45-39 commissioner of insurance within 30 days after its submission.

45-40 3. Enter into contracts with physicians, surgeons, hospitals, health

45-41 maintenance organizations and rehabilitative facilities for medical, surgical

45-42 and rehabilitative care and the evaluation, treatment and nursing care of

45-43 members and covered dependents.

46-1 4. Enter into contracts for the services of other experts and specialists

46-2 as required by a plan of insurance.

46-3 5. Charge and collect from an insurer, health maintenance

46-4 organization, organization for dental care or nonprofit medical service

46-5 corporation, a fee for the actual expenses incurred by the committee, the

46-6 state or a participating public employer in administering a plan of insurance

46-7 offered by that insurer, organization or corporation.

46-8 Sec. 66. NRS 616B.500 is hereby amended to read as follows:

46-9 616B.500 1. An insurer may enter into a contract to have his plan of

46-10 insurance administered by a third-party administrator.

46-11 2. An insurer shall not enter into a contract with any person for the

46-12 administration of any part of the plan of insurance unless that person

46-13 maintains an office in this state and has a [valid] certificate issued by the

46-14 commissioner pursuant to [NRS 683A.085.] section 14 of this act. The

46-15 system may, as a part of a contract entered into with an organization for

46-16 managed care pursuant to NRS 616B.515, require the organization to act as

46-17 its third-party administrator.

46-18 Sec. 67. NRS 616B.503 is hereby amended to read as follows:

46-19 616B.503 1. A person shall not act as a third-party administrator for

46-20 an insurer without a certificate issued by the commissioner pursuant to

46-21 [NRS 683A.085.] section 14 of this act.

46-22 2. A person who acts as a third-party administrator pursuant to chapters

46-23 616A to 616D, inclusive, or chapter 617 of NRS shall:

46-24 (a) Administer from one or more offices located in this state all of the

46-25 claims arising under each plan of insurance that he administers and

46-26 maintain in those offices all of the records concerning those claims;

46-27 (b) Administer each plan of insurance directly, without subcontracting

46-28 with another third-party administrator; and

46-29 (c) Upon the termination of his contract with an insurer, transfer

46-30 forthwith to a certified third-party administrator chosen by the insurer all of

46-31 the records in his possession concerning claims arising under the plan of

46-32 insurance.

46-33 3. The commissioner may, under exceptional circumstances, waive the

46-34 requirements of subsection 2.

46-35 Sec. 68. Section 38 of Senate Bill No. 37 of this session is hereby

46-36 amended to read as follows:

46-37 Sec. 38. NRS 616B.500 is hereby amended to read as follows:

46-38 616B.500 1. An insurer may enter into a contract to have his

46-39 plan of insurance administered by a third-party administrator.

46-40 2. An insurer shall not enter into a contract with any person for

46-41 the administration of any part of the plan of insurance unless that

46-42 person maintains an office in this state and has a certificate issued

46-43 by the commissioner pursuant to section 14 of [this act. The system

47-1 may, as a part of a contract entered into with an organization for

47-2 managed care pursuant to NRS 616B.515, require the organization

47-3 to act as its third-party administrator.] Assembly Bill No. 680 of

47-4 this session.

47-5 Sec. 69. NRS 683A.0867, 686C.060 and 686C.085 are hereby

47-6 repealed.

47-7 Sec. 70. Sections 20, 23 and 67 of this act become effective at 12:01

47-8 a.m. on October 1, 1999.

 

47-9 TEXT OF REPEALED SECTIONS

 

47-10 683A.0867 Standards to be provided in agreement. The

47-11 agreement between the administrator and the insurer shall provide for

47-12 underwriting and other standards pertaining to the business underwritten by

47-13 the insurer.

47-14 686C.060 "Board" defined. "Board" means the board of directors

47-15 of the Nevada Life and Health Insurance Guaranty Association.

47-16 686C.085 "Domiciliary state" defined. "Domiciliary state" has the

47-17 meaning ascribed to it in NRS 696B.070.

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