Title 54, State Government
128 chapters · 1,256 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 Employee participation in plan - Employee to furnish information - Benefits to continue upon retirement or termination
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1. Any eligible employee may be enrolled in the uniform group insurance program created by this chapter by requesting enrollment with the employing department. If an eligible employee does not enroll in the uniform group insurance program at the time of beginning employment, in o…
N.D.C.C. § 54-52.1-03.1 Certain political subdivisions authorized to join uniform group insurance program - Employer contribution
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If eligible under federal law, a political subdivision may extend the benefits of the uniform group insurance program under this chapter to its permanent employees, subject to minimum requirements established by the board and a minimum period of participation of sixty months. If …
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. § 54-52.1-03.3 Eligibility for retiree health benefits - Fixed contribution and reduction factors
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1. The following individuals are entitled to receive credit for hospital benefits coverage, medical benefits coverage, and prescription drug coverage under any health insurance program and for any dental, vision, and long-term care benefits coverage under any insurance program: a…
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. § 54-52.1-04.15 Health insurance benefits coverage - Prescription drug coverage - Transparency - Audits - Confidentiality
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1. If the prescription drug coverage component of a health insurance benefits coverage contract received in response to a request for bids under section 54-52.1-04 utilizes the services of a pharmacy benefits manager, either contracted directly with a pharmacy benefits manager or…
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. § 54-52.1-04.17 Self-insurance health plan - Bank of North Dakota line of credit - Continuing appropriation
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The Bank of North Dakota shall extend to the board a line of credit not to exceed fifty million dollars. The board shall repay the line of credit from health insurance premium revenue or repay the line of credit from other funds appropriated by the legislative assembly. The board…
N.D.C.C. § 54-52.1-04.18 Health insurance benefits coverage - Insulin drug and supply out-of- pocket limitations
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The board shall provide health insurance benefits coverage that provides for insulin drug and medical supplies for insulin dosing and administration as provided under section 26.1-36-09.16.
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. § 54-52.1-04.3 Self-insurance health plan - Reserve fund - Continuing appropriation - Benefits - Insurance commissioner
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1. Pursuant to chapter 26.1-36.6, the board shall establish and maintain under a self-insurance health plan a reserve fund to provide for adverse fluctuations in future charges, claims, costs, or expenses of the uniform group insurance program. Upon the initial changeover from a …
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. § 54-52.1-05.1 Health insurance benefits coverage - Insured and provider data disclosure
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Except as necessary for treatment, payment, or health care operations, a carrier providing health insurance benefits coverage under this chapter may not disclose identifiable or unidentifiable insured or provider data or information to a related or unrelated health care delivery …
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. § 54-52.1-08.1 Administrative - Nondiscrimination testing for health and life insurance programs
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The board shall be responsible for the nondiscrimination testing required under section 89 of the Internal Revenue Code. The board may engage the services of a consultant to assist the board in its administration of this section. The various state departments, boards, agencies, a…
N.D.C.C. § 54-52.1-08.2 Uniform group insurance program - Compliance with federal requirements - Group purchasing arrangements
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If the board determines that any section or the phraseology of any section of this chapter does not comply with applicable federal statutes or rules, the board shall adopt appropriate terminology with respect to that section to comply with the federal statutes or rules, subject t…
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. § 54-52.1-12 Ownership and confidentiality of the uniform group health insurance medical records of employees, retirees, and dependents
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The medical records and related data of the employees, retirees, and dependents, obtained as the result of enrollment in the uniform group insurance program, are the property of the public employees retirement system. The records and data are confidential and are not public recor…
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.
N.D.C.C. § 54-52.1-15 Acceptance and expenditure of third-party payments - Continuing appropriation
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The board may receive moneys from third parties, including the federal government, pursuant to one or more federal programs. Any money received from a third party by the board is appropriated to the board on a continuing basis for the board's use in paying benefits, premiums, or …
N.D.C.C. § 54-52.1-16 Uniform group insurance program - Collaborative drug therapy program - Continuing appropriation
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1. The board may establish a collaborative drug therapy program available to individuals in the medical and hospital benefits coverage group. The purpose of the collaborative drug therapy program is to improve the health of individuals in identified health populations and to mana…
N.D.C.C. § 54-52.1-17 Uniform group insurance program - Collaborative drug therapy program - Funding
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1. The board shall establish a collaborative drug therapy program that is to be available to individuals in the medical and hospital benefits coverage group. The purpose of the collaborative drug therapy program is to improve the health of individuals with diabetes and to manage …
N.D.C.C. § 54-52.1-18 High-deductible health plan alternative with health savings account option
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1. The board shall develop and implement a high-deductible health plan as an alternative to the plan under section 54-52.1-02. The high-deductible health plan alternative with a health savings account must be made available to state employees by January 1, 2012. After June 30, 20…