Nev. Admin. Code § 687B.324

Current through December 12, 2024

Section 687B.324 - Standards for 2020 standardized benefit plan

1. The standards set forth in this section are applicable to every 2020 standardized benefit plan to supplement Medicare.

2. Except as otherwise provided in subsection 3, a 2020 standardized benefit plan to supplement Medicare must comply with the requirements applicable to a 2010 standardized benefit plan to supplement Medicare, as set forth in NAC 687B.200 to 687B.330, inclusive, including, without limitation, NAC 687B.2057, 687B.206, 687B.2062, 687B.250, 687B.322 and 687B.323.

3. For the purposes of a 2020 standardized benefit plan to supplement Medicare:

(a) In NAC 687B.2057, 687B.206 and 687B.2062:

(1) The references to Standardized Benefit Plan C, Plan C or C policy shall be deemed to be references to Standardized Benefit Plan D, Plan D or D policy, as applicable;

(2) The references to Standardized Benefit Plan F, Plan F or F policy shall be deemed to be references to Standardized Benefit Plan G, Plan G or G policy, as applicable; and

(3) The references to Standardized Benefit Plan F with a high deductible, Plan F with a high deductible or F with a high deductible policy shall be deemed to be references to Standardized Benefit Plan G with a high deductible, Plan G with a high deductible or G with a high deductible policy, as applicable.

(b) In subsection 3 of NAC 687B.323:

(1) The reference to a Standardized Benefit Plan C as described in paragraph (c) of subsection 7 of NAC 687B.323 shall be deemed to be a reference to a Standardized Benefit Plan D as described in paragraph (d) of subsection 7 of NAC 687B.323; and

(2) The reference to a Standardized Benefit Plan F as described in paragraph (e) of subsection 7 of NAC 687B.323 shall be deemed to be a reference to a Standardized Benefit Plan G as described in paragraph (g) of subsection 7 of NAC 687B.323.

(c) In paragraph (f) of subsection 7 of NAC 687B.323, the reference to a Standardized Benefit Plan F shall be deemed to be a reference to a Standardized Benefit Plan G and the reference to a High Deductible Benefit Plan F shall be deemed to be a reference to a High Deductible Benefit Plan G. Such a High Deductible Benefit Plan G must provide:

(1) The benefits specified in paragraph (f) of subsection 7 of NAC 687B.323 except that it must not provide coverage for any portion of the Medicare Part B deductible; and

(2) That any amount paid by the beneficiary for the Medicare Part B deductible is an out-of-pocket expense for the purpose of the annual deductible.

Nev. Admin. Code § 687B.324

Added to NAC by Comm'r of Insurance by R041-17A, eff. 6/26/2019

NRS 679B.130 and 687B.430