RENO, Nev. (News 4 & Fox 11) Fourteen Nevada counties could be without qualified health plans on the state's individual insurance exchange next year, according to state officials, news that comes on the heels of one major provider's announced withdrawal. According to a statement from the Silver State Health Insurance Exchange, Nevada insurance carriers that participate in the state-based exchange will only offer coverage to Washoe, Clark and Nye counties starting in 2018.