Renewal of converted contract: Request for information on sources of other benefits; grounds for refusal to renew; notice concerning cancellation of other coverage.
1. A converted contract issued under NRS 695B.251 may include a provision permitting the medical service corporation to request from the applicant, in advance of any premium due date, information as to whether he is covered for similar benefits under any of the sources listed in NRS 695B.253.
2. The medical service corporation may not refuse to renew the contract or the coverage of any person unless:
(a) Benefits provided under the sources listed in subsection 1 of NRS 695B.253, together with the benefits provided by the converted contract would result in overinsurance according to the medical service corporation’s standards;
(b) The holder of the converted contract has refused to provide requested information as to such sources; or
(c) Fraud was committed in applying for any benefits under the converted contract.
3. Before refusing to renew a converted contract because of overinsurance, the medical service corporation shall notify the subscriber that the converted contract will be renewed only if the other coverage is cancelled.
Last modified: February 27, 2006