Nevada Administrative Code
Chapter 695D - Organizations for Dental Care
ADMINISTRATION AND RECORDS
Section 695D.225 - Summary of coverage: Filing, contents and delivery of disclosure
Universal Citation: NV Admin Code 695D.225
Current through December 12, 2024
1. Each organization for dental care shall file with the Commissioner, for his or her approval, a disclosure summarizing the coverage provided by a group plan for dental care offered by the organization for dental care.
2. The disclosure must:
(a) Be in at least 10-point type;
(b) Include the name, address and telephone number of the organization for dental care;
(c) Include the name, address and telephone number of the agent and broker, if applicable;
(d) Include a statement describing the principal benefits and the type of coverage being provided;
(e) Include a description of any provision of the plan for dental care which significantly excludes, eliminates, reduces or in any other manner operates to limit the payment of the benefits;
(f) Include a statement concerning the renewal provisions of the plan; and
(g) Define the term "usual and customary" or any similar term used in the plan.
3. The agent for the organization for dental care, the organization after a response to a direct-response solicitation or the broker representing the member shall deliver the approved disclosure summary to the proposed group policyholder as provided in NRS 695D.104.
Added to NAC by Comm'r of Insurance, eff. 2-21-90
NRS 679B.130, 695D.100, 695D.102
Disclaimer: These regulations may not be the most recent version. Nevada may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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