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Commissioner Richardson accepts recommendation for Network Adequacy

Contact: Yeraldin Deavila, Public Information Officer
Phone: (775) 687-0772
E-mail: ydeavila@doi.nv.gov

FOR IMMEDIATE RELEASE– November 4, 2016

Insurance Commissioner Richardson accepts recommendation for Network Adequacy

CARSON CITY, NV – Commissioner Barbara Richardson officially accepted the Network Adequacy Advisory Council’s recommendation for the establishment of additional standards to use in evaluating each health benefit plan network for Plan Year 2018. The Council submitted their recommendations to the Commissioner September 14, 2016.

The Commissioner accepted the Council’s recommendation on October 12, 2016. The recommendation adds a pediatric service requirement as well as amending the time and distance calculations for access based on Nevada’s unique geographic character of population and health service providers, in addition to the standards established for Plan Year 2017.

The Commissioner’s formal acceptance and a copy of the Council’s recommendation are located on the Division’s website at http://doi.nv.gov/Insurers/Life_and_Health/Network_Adequacy_Advisory_Council/.

A workshop and hearing has been scheduled to implement the Council’s recommendation as a temporary regulation for Plan year 2018 policies as follows:

  • Workshop to Solicit Comments

November 14, 2016 @ 1:00 p.m.

Nevada Division of Insurance, 1st Floor Hearing Room

1818 E. College Parkway, Suite 103

Carson City, NV 89706

Video Conferenced

Nevada Division of Insurance, 3rd Floor Conference Room

2501 E. Sahara Avenue, Suite 302

Las Vegas, Nevada 89104

  • Hearing: Notice of Intent to Act Upon Regulation

November 29, 2016 @ 1:00 p.m.

Nevada Division of Insurance, 1st Floor Hearing Room

1818 E. College Parkway, Suite 103

Carson City, NV 89706

Video Conferenced

Nevada Division of Insurance, 3rd Floor Conference Room

2501 E. Sahara Avenue, Suite 302

Las Vegas, Nevada 89104

The Council will be reconvened early 2017 to begin the process for Plan Year 2019. 

About the Nevada Division of Insurance

The State of Nevada Division of Insurance, a Division of the Nevada Department of Business and Industry, protects the rights of Nevada consumers and regulates Nevada’s $11.9 billion insurance industry. The Division of Insurance has offices in Carson City and Las Vegas. In 2015, the Division investigated more than 3,200 consumer complaints and recovered nearly $5 million on behalf of consumers. For more information about the Division of Insurance, visit DOI.NV.GOV or download the Division’s smartphone app NDOI Connect today in the Apple App Store and Google Play.

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