Current through December 12, 2024
Section 687B.2275 - Prohibition on issuance or provision of certain policies, plans and benefits to persons newly eligible on or after January 1, 2020; general requirements for policy or certificate advertised, solicited, delivered or issued for delivery on or after January 1, 2020; issuance of High Deductible Plan G to certain persons1. An issuer shall not advertise, solicit, deliver or issue for delivery in this State to an individual who is newly eligible on or after January 1, 2020, a: (a) Standardized Benefit Plan C;(b) Standardized Benefit Plan F; or(c) High Deductible Benefit Plan F.2. A policy to supplement Medicare, or a certificate, which is advertised, solicited, delivered or issued for delivery in this State to an individual who is newly eligible on or after January 1, 2020, must not provide coverage for any portion of the Medicare Part B deductible.3. On or after January 1, 2020:(a) An issuer shall not advertise, solicit, deliver or issue for delivery in this State a policy to supplement Medicare, or a certificate, unless the policy or certificate: (1) Complies with the standards applicable to a 2020 standardized benefit plan to supplement Medicare, including, without limitation, the standards set forth in NAC 687B.250 and 687B.324; or(2) Is advertised, solicited, delivered or issued for delivery to an individual who is eligible for Medicare before January 1, 2020.(b) The benefit standards applicable to a policy to supplement Medicare, or a certificate, remain subject to all requirements applicable to a 2010 standardized benefit plan to supplement Medicare, including, without limitation, NAC 687B.2003, 687B.2273, 687B.250, 687B.322 and 687B.323, if the policy or certificate:(1) Was issued with an effective date for coverage on or after June 1, 2010; and(2) Is issued to an individual who is eligible for Medicare before January 1, 2020.(c) In addition to the 2010 standardized benefit plans to supplement Medicare described in subsection 7 of NAC 687B.323, an issuer may offer for sale the standardized benefit plan described in paragraph (c) of subsection 3 of NAC 687B.324, referred to as a High Deductible Benefit Plan G, to an individual who is eligible for Medicare before January 1, 2020.Nev. Admin. Code § 687B.2275
Added to NAC by Comm'r of Insurance by R041-17A, eff. 6/26/2019NRS 679B.130 and 687B.430