Commission Alternatives - Fees and Requirements

Charge fee in addition to or in lieu of collecting commissions?
Specific Disclosures or written agreements required to charge fees to a client?
Admin fees for insurance placement?
Charges for services unrelated to the placement of insurance?
Additional licensing required?
Producers may charge fees for consulting services and receive commissions related to the sale of life or health insurance or an annuity. Nev. Rev. Stat. § 686A.230. 
Yes.  A producer may charge a fee only under the terms of a written agreement specifying the fee to be charged.  Nev. Rev. Stat. § 686A.230. 
Yes, see fees in lieu of commissions

Malpractice Damage Cap

Damage Cap Amount

State Code

$350,000 cap for non-economic damages. No cap on economic damages.

Public Option


Effective Date

1332 Waiver 

Funding Source 

Program run by or to be run by (gov, insurers, others?)


Carrier participation - voluntary or mandatory?

Provider Participation

Provider reimbursement

Are there regional exclusions on provider payments?

Authorized under Senate Bill 420
Plans first available in 2026.
Not yet submitted
Establishment of the Public Option Trust Fund, funding appropriated by state legislature. Additional federal funding through 1115 and 1332 waivers.
Government (Medicaid)
Mandatory for Medicaid MCOs, but voluntary for other carriers. Medicaid MCOs must submit “good faith” bids to administer public option plans. Other carriers may submit bids as well.
Mandatory participation for some providers.
Provider rates in aggregate must be comparable to or better than Medicare rates, inclusive of add-on payments or subsidies; alternative approaches set for certain providers
The reimbursement rates for a federally qualified health center or a rural health clinic under the Nevada Public Option must be comparable to or better than the reimbursement rates established for patient encounters under the applicable Prospective Payment System established for Medicare