Title 26.1 — Insurance
118 chapters · 1,472 sections in this title.
N.D.C.C. § 26.1-36.9-01 Definitions
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As used in this chapter: 1. "Dental benefit plan" means a benefits plan that pays or provides dental expense benefits for covered dental services and is delivered through a dental insurer. 2. "Dental insurer" means a dental insurance company, dental service corporation, or dental…
N.D.C.C. § 26.1-36.9-02 Dental benefit plans - Prior authorization
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A dental benefit plan may not deny a claim subsequently submitted by a dental provider for procedures specifically included in a prior authorization, unless at least one of the following circumstances applies for each procedure denied: 1. Benefit limitations, such as annual maxim…
N.D.C.C. § 26.1-36.9-04 Dental loss ratio transparency - Annual report to the commissioner
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1. A dental insurer that issues, sells, renews, or offers a specialized dental health care service plan contract shall file a dental loss ratio report with the commissioner by April thirtieth of each year, in a manner prescribed by the commissioner. 2. The dental loss ratio repor…