Suspension or revocation of certificate of authority.
1. The Commissioner may suspend or revoke the certificate of authority of a prepaid limited health service organization issued pursuant to this chapter if he determines that:
(a) The prepaid limited health service organization is operating substantially in violation of its basic organizational document or in a manner contrary to the manner described in and reasonably inferred from any other information submitted pursuant to NRS 695F.110 unless any amendment to its basic organization document or other information has been filed with and approved by the Commissioner;
(b) The prepaid limited health service organization issued an evidence of coverage or used rates or charges which do not comply with the requirements of NRS 695F.150 and 695F.160;
(c) The prepaid limited health service organization is not able to carry out its obligations to provide its limited health service;
(d) The prepaid limited health service organization is not financially responsible and may reasonably be expected to be unable to carry out its obligations to enrollees or prospective enrollees;
(e) The capital of the prepaid limited health service organization is less than the amount required by NRS 695F.200 or the organization has failed to correct any deficiency concerning its capital as required by the Commissioner;
(f) The prepaid limited health service organization has failed to establish and maintain in a reasonable manner the complaint system required by NRS 695F.230;
(g) The continued operation of the prepaid limited health service organization would be hazardous to its enrollees; or
(h) The prepaid limited health service organization has failed to comply with any other provision of this chapter.
2. If the Commissioner has cause to believe that grounds for the suspension or revocation of a certificate of authority of a prepaid limited health service organization exist, he shall send written notice to the organization. The notice must include the reason for the suspension or revocation and a time not more than 30 days thereafter for a hearing on the matter. The hearing must be held in the manner set forth in NRS 695F.140.
3. If the certificate of authority of a prepaid limited health service organization is revoked, the organization shall proceed, immediately following the effective date of the order of revocation, to wind up its affairs. The organization shall not:
(a) Conduct any further business unless it is essential for the orderly conclusion of its affairs; and
(b) Engage in any further advertising or solicitation.
4. The Commissioner may, by written order, permit such further operation of the organization as he considers necessary to enable the enrollees to obtain limited health services from another organization or provider.
Last modified: February 27, 2006