Nevada Administrative Code
Chapter 695C - Health Maintenance Organizations; Provider-Sponsored Organizations
MISCELLANEOUS PROVISIONS FOR PROVIDER-SPONSORED ORGANIZATIONS
Section 695C.375 - Prohibited practices
Current through September 16, 2024
1. No provider-sponsored organization or representative thereof may cause or knowingly permit the use of advertising or solicitation which is untrue or misleading. For purposes of this chapter:
2.NRS 686A.010 to 686A.310, inclusive, must be construed to apply to provider-sponsored organizations and health care plans except to the extent that the nature of provider-sponsored organizations and health care plans render the sections therein clearly inappropriate.
3. An enrollee may not be cancelled or not renewed except for the failure to pay the charge for such coverage or for cause as determined in the master contract.
4. No provider-sponsored organization, unless licensed as an insurer, may use in its name, contracts or literature any of the words "insurance," "casualty," "surety," "mutual" or any other words descriptive of the insurance, casualty or surety business or deceptively similar to the name or description of any insurance or surety corporation doing business in this State.
5. No person not certificated pursuant to this chapter shall use in its name, contracts or literature the phrase "provider-sponsored organization" or the initials "PSO."
Added to NAC by Comm'r of Insurance by R148-99, eff. 1-27-2000
NRS 679B.130, 695C.275