Nev. Admin. Code § 695D.225

Current through November 25, 2024
Section 695D.225 - Summary of coverage: Filing, contents and delivery of disclosure
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.

Nev. Admin. Code § 695D.225

Added to NAC by Comm'r of Insurance, eff. 2-21-90

NRS 679B.130, 695D.100, 695D.102