118 chapters · 1,472 sections in this title.
N.D.C.C. § 26.1-36.3-01 Definitions
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As used in this chapter and section 26.1-36-37.2, unless the context otherwise requires: 1. "Actuarial certification" means a written statement by a member of the American academy of actuaries, or other individual acceptable to the insurance commissioner, that a small employer ca…
N.D.C.C. § 26.1-36.3-02 Applicability and scope
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1. This chapter and section 26.1-36-37.2 apply to any health benefit plan that provides coverage to the employees of a small employer in this state if: a. Any portion of the premium or benefits is paid by or on behalf of the small employer; b. An eligible employee or dependent is…
N.D.C.C. § 26.1-36.3-03 Establishment of classes of business
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1. A small employer carrier may establish a separate class of business only to reflect substantial differences in expected claims experience or administrative costs resulting from: a. The small employer carrier using more than one type of system for the marketing and sale of heal…
N.D.C.C. § 26.1-36.3-04 Restrictions relating to premium rates
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1. This section only applies to a health benefit plan offered by a small employer who employed an average of at least two but not more than twenty-five eligible employees on business days during the preceding calendar year and who employs at least two employees on the first day o…
N.D.C.C. § 26.1-36.3-05 Renewability of coverage
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1. A health benefit plan subject to this chapter and section 26.1-36-37.2 must be renewable with respect to all eligible employees and dependents, at the option of the small employer, except for any of the following: a. The plan sponsor has failed to pay premiums or contributions…
N.D.C.C. § 26.1-36.3-06 Availability of coverage
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1. a. As a condition of transacting business in this state with small employers, every small employer carrier shall actively offer small employers all health benefit plans it actively markets to small employers in this state. b. (1) Subject to subdivision a of subsection 1, a sma…
N.D.C.C. § 26.1-36.3-07 Small employer carrier reinsurance program
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Repealed by S.L. 2003, ch. 256, § 3.
N.D.C.C. § 26.1-36.3-08 Health benefit plan committee
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Repealed by S.L. 2013, ch. 236, § 6.
N.D.C.C. § 26.1-36.3-09 Periodic market evaluation
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Repealed by S.L. 2003, ch. 256, § 3.
N.D.C.C. § 26.1-36.3-10 Waiver of certain state laws
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Repealed by S.L. 2013, ch. 236, § 6.
N.D.C.C. § 26.1-36.3-11 Standards to assure fair marketing
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1. Each small employer carrier shall actively market health benefit plan coverage to eligible small employers in the state. 2. a. A small employer carrier or producer may not engage in the following activities, directly or indirectly: (1) Encouraging or directing small employers …
N.D.C.C. § 26.1-36.3-12 Restoration of terminated coverage
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The commissioner may adopt rules to require small employer carriers, as a condition of transacting business with small employers in this state after August 1, 1993, to reissue a health benefit plan to any small employer whose health benefit plan has been terminated or has not bee…