689B.283 - Mandatory renewal of coverage under conversion health benefit plan. - Nevada Statutes

689B.283  Mandatory renewal of coverage under conversion health benefit plan.  Coverage provided under a conversion health benefit plan must be renewed by the carrier that issued the plan, at the option of the person covered under the health benefit plan, unless:

      1.  The person failed to pay premiums or contributions in accordance with the terms of the health benefit plan or the individual carrier has not received timely premium payments;

      2.  The person committed an act or practice that constitutes fraud or has made an intentional misrepresentation of material fact under the terms of the coverage; or

      3.  The carrier who is obligated to offer a conversion health benefit plan pursuant to NRS 689B.590 or a health maintenance organization organized pursuant to chapter 695C of NRS decides to discontinue offering and renewing all health benefit plans delivered or issued for delivery in this State. If the carrier or health maintenance organization decides to discontinue offering and renewing those plans, the carrier or health maintenance organization shall:

      (a) Provide notice of its intention to the Commissioner and the chief regulatory officer for insurance in each state in which the carrier or health maintenance organization is licensed to transact insurance at least 60 days before the date on which notice of cancellation or nonrenewal is delivered or mailed to the persons covered by the insurance to be discontinued;

      (b) Provide notice of its intention at least 180 days before the renewal of any conversion health benefit plan to all persons covered under its conversion health benefit plans and to the Commissioner and the chief regulatory officer for insurance in each state in which the carrier or health maintenance organization is licensed to transact insurance; and

      (c) Discontinue all group health insurance delivered or issued for delivery to persons in this State and not renew coverage under any policy of group health insurance issued to those persons.

      (Added to NRS by 2005, 2136)