128 chapters · 1,241 sections in this title.
N.D.C.C. § 54-52.1-01 Definitions
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As used in this chapter, unless the context otherwise requires: 1. "Board" means the public employees retirement board. 2. "Carrier" means: a. For the hospital benefits coverage, an insurance company authorized to do business in the state, or a nonprofit hospital service associat…
N.D.C.C. § 54-52.1-02 Uniform group insurance program created - Formation into subgroups
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In order to promote the economy and efficiency of employment in the state's service, reduce personnel turnover, and offer an incentive to high-grade individuals to enter and remain in the service of state employment, there is created a uniform group insurance program. The uniform…
N.D.C.C. § 54-52.1-03.2 Retiree health benefits fund - Appropriation
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1. a. The board shall establish a retiree health benefits fund account with the Bank of North Dakota for the purpose of prefunding and providing hospital benefits coverage, medical benefits coverage, and prescription drug coverage under any health insurance program and dental, vi…
N.D.C.C. § 54-52.1-03.4 Temporary employees and employees on unpaid leave of absence
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A temporary employee employed before August 1, 2007, may elect to participate in the uniform group insurance program by completing the necessary enrollment forms and qualifying under the medical underwriting requirements of the program if such election is made before January 1, 2…
N.D.C.C. § 54-52.1-03.5 Emergency responders who die in the line of duty - Health benefits
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(Retroactive application - See note) 1. As used in this section: a. "Correctional facility staff" has the same meaning as provided under section 12-44.1-01. b. "Dies in the line of duty" means a death occurring as a direct and proximate result of a personal injury sustained by an…
N.D.C.C. § 54-52.1-04 Board to contract for insurance
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1. The board shall receive bids for the providing of hospital benefits coverage, medical benefits coverage, life insurance benefits coverage for a specified term, and employee assistance program services; may receive bids separately for all or part of the prescription drug benefi…
N.D.C.C. § 54-52.1-04.1 Health maintenance organization contract - Membership option
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Notwithstanding the provisions of section 54-52.1-04, the board may contract with one or more health maintenance organizations to provide eligible employees the option of membership in a health maintenance organization. If it makes such a contract, the board may not require that …
N.D.C.C. § 54-52.1-04.10 Insurance to cover dental anesthesia and hospitalization
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Repealed by S.L. 2019, ch. 462, § 10. 54-52.1-04.11. Insurance to cover foods and food products for inherited metabolic diseases. Repealed by S.L. 2019, ch. 462, § 10.
N.D.C.C. § 54-52.1-04.12 Insurance to cover medical services related to intoxication
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Repealed by S.L. 2019, ch. 462, § 10.
N.D.C.C. § 54-52.1-04.13 Coverage of telehealth services
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Repealed by S.L. 2019, ch. 462, § 10.
N.D.C.C. § 54-52.1-04.14 Coverage of cancer treatment medications
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Repealed by S.L. 2019, ch. 462, § 10. 54-52.1-04.15. Health insurance benefits coverage - Prescription drug coverage - Transparency - Audits - Confidentiality. 1. If the prescription drug coverage component of a health insurance benefits coverage contract received in response to …
N.D.C.C. § 54-52.1-04.16 Prescription drug coverage - Performance audits
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1. Except for Medicare part D, prescription drug coverage, the board may not enter or renew a contract for prescription drug coverage unless the contract authorizes the board during the term of the contract to conduct a performance audit of the prescription drug coverage and any …
N.D.C.C. § 54-52.1-04.19 Uniform group insurance program - Prosthetic devices
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The board shall provide health insurance benefits coverage under a contract for insurance pursuant to section 54-52.1-04 or under a self-insurance plan pursuant to section 54-52.1-04.2 for prosthetic appliances and limbs. This coverage must include repair or replacement of a pros…
N.D.C.C. § 54-52.1-04.2 Self-insurance health plan
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1. This section applies to a self-insurance health plan for: a. Health insurance and prescription drug benefits coverage; b. Health insurance benefits coverage, excluding all or part of prescription drug benefits coverage; or c. All or part of prescription drug benefits coverage.…
N.D.C.C. § 54-52.1-04.4 Insurance to cover mammogram examinations
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Repealed by S.L. 2019, ch. 462, § 10.
N.D.C.C. § 54-52.1-04.5 Insurance to cover involuntary complications of pregnancy
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Repealed by S.L. 2019, ch. 462, § 10.
N.D.C.C. § 54-52.1-04.6 Coverage for treatment of certain disorders
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Repealed by S.L. 2019, ch. 462, § 10.
N.D.C.C. § 54-52.1-04.7 Uniform group insurance program - Vision and dental plans
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The board may establish a dental plan, a vision plan, or both, for eligible employees. The board shall receive bids for the plan or plans pursuant to section 54-52.1-04. The board may reject any or all bids and provide a plan of self-insurance. Premiums for this coverage must be …
N.D.C.C. § 54-52.1-04.8 Uniform group insurance program - Long-term care plan
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The board may establish a long-term care plan for eligible employees. The board shall receive bids for the plan under section 54-52.1-04. The board may reject any or all bids and provide a plan of self-insurance. Premiums for this plan must be paid by the eligible employee. Any r…
N.D.C.C. § 54-52.1-04.9 Uniform group insurance program - Employee assistance program
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The board shall establish an employee assistance program available to persons in the medical and hospital benefits coverage group. The premium for this coverage must be paid as provided by section 54-52.1-06. The board shall receive bids for this program under section 54-52.1-04.…
N.D.C.C. § 54-52.1-05 Provisions of contract - Term of contract
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1. Each uniform group insurance contract entered by the board must be consistent with the provisions of this chapter, must be signed for the state of North Dakota by the chairman of the board, and must include the following: a. As many optional coverages as deemed feasible and ad…
N.D.C.C. § 54-52.1-06 State contribution - Penalty
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1. Each department, board, or agency shall pay to the board each month from its funds appropriated for payroll and salary amounts a state contribution in the amount as determined by the primary carrier of the group contract for the full single rate monthly premium for each of its…
N.D.C.C. § 54-52.1-06.1 Uniform group insurance program benefits - Continuing appropriation
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The funds necessary to pay the consulting fees and health insurance benefits related to the uniform group insurance program are hereby appropriated from insurance premiums received by the board.
N.D.C.C. § 54-52.1-07 Optional coverage for employee's family
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Each eligible employee enrolled in the uniform group insurance program may elect to include that person's spouse and all qualified dependents, as provided for in the plan, within the hospital benefits coverage and medical benefits coverage, the state to pay the cost of such cover…
N.D.C.C. § 54-52.1-08 Administration - Board to promulgate rules and regulations
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It is the responsibility of the board to account for and disburse premium payments, maintain records, prepare reports, and to perform such other functions as may be necessary to carry out the provisions of this chapter. The board may promulgate such rules and regulations as may b…
N.D.C.C. § 54-52.1-09 Reports
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Each department, board, or agency shall keep such records, make such certifications, and furnish the board or carriers with such information and reports as may be necessary to enable the board or carriers to carry out their functions under the provisions of this chapter. Carriers…
N.D.C.C. § 54-52.1-09.1 Health insurance utilization reports
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Upon request by a political subdivision that receives benefits under the uniform group insurance program, the board shall provide that political subdivision with a health insurance utilization report that is substantively the same as a report required under subsection 1 of sectio…
N.D.C.C. § 54-52.1-10 Exemption from state premium tax
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All premiums, consideration for annuities, policy fees, and membership fees collected under this chapter are exempt from the tax payable pursuant to section 26.1-03-17.
N.D.C.C. § 54-52.1-11 Confidentiality of employee records
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In addition to the confidentiality requirements in section 26.1-36-12.4, information pertaining to an eligible employee's group medical records for claims, employee premium payments made, salary reduction amounts taken, history of any available insurance coverage purchased, and a…
N.D.C.C. § 54-52.1-13 Uniform prescription drug cards
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The board shall provide for issuance of uniform prescription drug cards under a contract for insurance pursuant to section 54-52.1-04 or under a self-insurance plan pursuant to section 54-52.1-04.2 in the same manner as provided under section 26.1-36-43.
N.D.C.C. § 54-52.1-14 Wellness program
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The board shall develop an employer-based wellness program. The program must encourage employers to adopt a board-developed wellness program by either charging extra health insurance premium to nonparticipating employers or reducing premium for participating employers. 54-52.1-15…