Title 26.1 — Insurance
118 chapters · 1,472 sections in this title.
N.D.C.C. § 26.1-36.4-01 Application and scope
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This chapter applies to all policies issued or renewed after July 31, 1995. The provisions of chapter 26.1-36 apply when not in conflict with this chapter.
N.D.C.C. § 26.1-36.4-02 Definitions
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As used in this chapter, the definitions in section 26.1-36.3-01 apply, unless the context otherwise requires. In addition: 1. "Insurer" means any insurance company, nonprofit health service organization, fraternal benefit society, or health maintenance organization that provides…
N.D.C.C. § 26.1-36.4-03 Limits on pre-existing condition exclusions
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An insurer may impose a pre-existing condition exclusion only if: 1. The exclusion relates to a condition, regardless of the cause of the condition, for which medical diagnosis, care, or treatment was recommended or received within the six-month period ending on the effective dat…
N.D.C.C. § 26.1-36.4-03.1 Additional limits on pre-existing condition exclusions
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A group policy may not impose a pre-existing condition exclusion that: 1. Relates to pregnancy as a pre-existing condition. 2. Treats genetic information as a pre-existing condition in the absence of a diagnosis of a condition related to such information.
N.D.C.C. § 26.1-36.4-04 Portability of insurance policies
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An insurer shall reduce any time period applicable to a pre-existing condition, for a policy by the aggregate of periods the individual was covered by qualifying previous coverage, if the qualifying previous coverage as defined in section 26.1-36.3-01 is continuous until at least…
N.D.C.C. § 26.1-36.4-05 Renewability of health insurance coverage - Discrimination prohibited
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1. An insurer issuing policies or certificates under this chapter shall provide for the renewability or continuability of coverage unless: a. The individual or group has failed to pay premiums or contributions in accordance with the terms of the health benefit plan or the insurer…
N.D.C.C. § 26.1-36.4-06 Modified community rating
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Premium rates for individual policies are subject to the following: 1. For any class of individuals, the premium rates charged during a rating period to the individuals in that class for the same or similar coverage may not vary by a ratio of more than six to one after August 1, …
N.D.C.C. § 26.1-36.4-07 Health benefits package required
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Repealed by S.L. 2013, ch. 236, § 6.
N.D.C.C. § 26.1-36.4-08 Employer payment of employee premium
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An insurer shall accept a personal or business check from an employer as a payment method for premium payment for an employee's individual accident and health insurance policy. This section does not apply to groups as defined under chapter 26.1-36.3.
N.D.C.C. § 26.1-36.4-09 Health insurance utilization reports
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1. Once each calendar year, any employer with fifty-one or more eligible employees, any employer investigating becoming part of a health plan, including a plan sponsored by an association or a multiple employer welfare arrangement, or any employer upon termination of health insur…