Title 26.1, Insurance

1. The benefit plan must offer comprehensive health care coverage to every eligible individual. The coverage to be issued by the association, its schedule of benefits, exclusions, and other limitations must be established by the lead carrier and subject to the approval of the boa…

A basic supplement plan and standard supplemental plan must be offered to individuals who are eligible for Medicare by reason of age or disability. Supplemental plans issued by the association must be developed by the lead carrier and approved by the board. Any coverage or combin…

The lead carrier shall file with the commissioner all benefit plans and other forms required to be approved. The commissioner shall approve or disapprove any form within sixty days of receipt.

The schedule of premiums to be charged eligible individuals for a benefit plan must be established by the lead carrier and approved by the board, but may not exceed one hundred thirty-five percent of the individual premium rates charged for similar coverage throughout the state. …

1. There is established a comprehensive health association with participating members. 2. All participating members shall maintain their membership in the association, as a condition for writing policies in this state. 3. Each participating member of the association shall share t…

1. Not less than eighty-seven and one-half percent of the association plan premium paid to the lead carrier may be used to pay claims. 2. Any income in excess of the costs incurred by the association in providing reinsurance or administrative services must be held at interest and…

1. The association, pursuant to a plan approved by the board, shall disseminate appropriate information to the residents of this state regarding the existence of the association, the benefit plans, and the means of enrollment. Means of communication may include use of the press, …

1. The association must be open for enrollment by eligible individuals. Eligible individuals shall apply for enrollment in the association by submitting an application to the lead carrier. The application must be completed fully and accompanied by premium and evidence to prove el…

The coverage of an individual who ceases to meet the eligibility requirements of this chapter may be terminated at the end of the policy period for which the necessary premiums have been paid. Coverage under this chapter terminates: 1. Upon request of the covered individual. 2. F…

The association is exempt from the insurance premium tax imposed under section 26.1-03-17.