Nevada § 689C.135 Effect of provision in health benefit plan for restricted network on determination of rates

Nevada Statutes

§ 689C.135 — Effect of provision in health benefit plan for restricted network on determination of rates

Nevada § 689C.135

Title 57INSURANCE

Ch. 689CHealth

HEALTH BENEFIT PLANS

This text of Nevada § 689C.135 (Effect of provision in health benefit plan for restricted network on determination of rates) is published on Counsel Stack Legal Research, covering Nevada primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

Nev. Rev. Stat. § 689C.135 (2026).

Text

1.For the purposes of determining rates charged for health benefit plans, a health benefit plan that contains a provision for a restricted network is not similar coverage to a health benefit plan that does not contain such a provision if the restriction of benefits results in material differences in cost of claims.

2.As used in this section, “provision for a restricted network” means any provision of a group health benefit plan that conditions the payment of benefits, in whole or in part, on the use of providers of health care who have entered into a contractual arrangement with the carrier to provide health care to persons covered by the plan.

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1. For the purposes of determining rates charged for health benefit plans, a health benefit plan that contains a provision for a restricted network is not similar coverage to a health benefit plan that does not contain such a provision if the restriction of benefits results in material differences in cost of claims.
2. As used in this section, “provision for a restricted network” means any provision of a group health benefit plan that conditions the payment of benefits, in whole or in part, on the use of providers of health care who have entered into a contractual arrangement with the carrier to provide health care to persons covered by the plan.