Nev. Admin. Code § 687B.374

Current through December 12, 2024
Section 687B.374 - Provision for continuation of coverage; availability of policies to supplement Medicare as continuation of coverage
1. Medicare select policies and certificates must provide for continuation of coverage in the event the Secretary of Health and Human Services determines that Medicare select policies and certificates issued pursuant to NAC 687B.340 to 687B.376, inclusive, must be discontinued because the Medicare select program has not been reauthorized by Congress or because the statutory authority for the program has been substantially amended.
2. If the Secretary of Health and Human Services makes such a determination, each Medicare select issuer shall make available to each policyholder and certificate holder the opportunity to purchase any policy to supplement Medicare offered by the Medicare select issuer which has comparable or lesser benefits and which does not contain a provision for a restricted network. The Medicare select issuer shall make such policies and certificates available without requiring evidence of insurability.
3. For the purposes of this section, a policy to supplement Medicare will be considered to have comparable or lesser benefits unless it contains one or more significant benefits not included in the Medicare select policy or certificate being replaced. For the purpose of this subsection, a significant benefit means coverage for the Medicare Part A deductible, coverage for at-home recovery services or coverage for Part B excess charges.

Nev. Admin. Code § 687B.374

Added to NAC by Comm'r of Insurance, eff. 5-13-96; A by Div. of Insurance by R078-05, 11-17-2005, eff. 9-8-2005 for Plans K and L, and 1-1-2006 for Medicare Part D Prescription Drug Benefit

NRS 679B.130, 687B.430