695F.150 - Evidence of coverage: Issuance; contents; amendment. - Nevada Statutes

695F.150  Evidence of coverage: Issuance; contents; amendment.

      1.  A prepaid limited health service organization shall issue evidence of coverage to each subscriber. Each evidence of coverage must contain a clear and complete statement of:

      (a) The limited health service which the enrollee is entitled to receive;

      (b) Any limitation of that service, type of service or benefits to be provided, and exclusions, including any deductible, copayment or other charges;

      (c) Where and in what manner information is available concerning the location of and manner in which the limited health service may be obtained; and

      (d) The method established for the resolution of complaints submitted by enrollees concerning the provision of the limited health service.

      2.  A prepaid limited health service organization may provide to a subscriber any amendment to the evidence of coverage in a separate document.

      (Added to NRS by 1991, 1116)