N.D. Cent. Code ch. 26.1-36 – Accident and Health Insurance | Midpage

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North Dakota Century Code

Chapter 26.1-36

N.D. Cent. Code ch. 26.1-36

Accident and Health Insurance

26.1-36-01Scope 26.1-36-01.1Scope - Accident and health insurance policy mandates 26.1-36-01.2Examinations 26.1-36-02Accident and health insurance policy defined 26.1-36-02.1Accident and health policies and certificates - Notice of free examination 26.1-36-02.2Individual health plans - Open enrollment periods - Rules 26.1-36-03Form of policy 26.1-36-03.1Information disclosure 26.1-36-04Accident and health policy provisions 26.1-36-05Group health policy or service contract standard provisions 26.1-36-06Group health policy and medical service contract options for drugs and chiropractic care 26.1-36-06.1Coverage for off-label uses of drugs 26.1-36-07Health insurance coverage for newborn and adopted children - Scope of coverage - Notification of birth or adoption 26.1-36-08Group health policy and health service contract substance abuse coverage 26.1-36-08.1Alternative group health policy and health service contract substance abuse coverage 26.1-36-09Group health policy and health service contract mental disorder coverage 26.1-36-09.1Health insurance policy and health service contract - Mammogram examination coverage 26.1-36-09.2Health insurance policy and health service contract - Involuntary complications of pregnancy coverage 26.1-36-09.3Coverage for treatment of certain disorders 26.1-36-09.4Preventive health care - Copayments 26.1-36-09.5Service of advanced registered nurse practitioner - Direct reimbursement required 26.1-36-09.6Health insurance policy and health service contract - Prostate-specific antigen test coverage 26.1-36-09.7Foods and food products for inherited metabolic diseases 26.1-36-09.8Health insurance policy and health service contract - Postdelivery coverage for mothers and newborns 26.1-36-09.9Dental anesthesia and hospitalization coverage 26.1-36-09.10Health insurance policy and health service contract - Prehospital emergency medical services 26.1-36-09.11Breast reconstruction surgery 26.1-36-09.12Medical services related to suicide 26.1-36-09.13Medical services related to intoxication 26.1-36-09.14Coverage of cancer treatment medications 26.1-36-09.15Coverage of telehealth services 26.1-36-09.16Health insurance benefits coverage - Insulin drug and supply out-of-pocket limitations 26.1-36-09.17Out-of-pocket expenses - Prescription drugs 26.1-36-10Health policy and health service contract coordination of benefit provisions 26.1-36-11Accident and health policy provision denying insured right to employ doctor or enter hospital prohibited 26.1-36-12Provisions prohibited in individual and group accident and health insurance policies, group health plans, and nonprofit health service contracts 26.1-36-12.1Health service corporation contract provision denying insured or subscriber right to employ doctor or enter hospital prohibited 26.1-36-12.2Freedom of choice for pharmacy services 26.1-36-12.3Basic health insurance coverage - Exception to required coverages 26.1-36-12.4Confidentiality of medical information 26.1-36-12.5Basic health insurance coverage - Exceptions to required coverage 26.1-36-12.6Ambulance services classifications 26.1-36-12.7Freedom of choice for health care services 26.1-36-13Applicability of accident and health policy simplification standards 26.1-36-14Minimum accident and health policy language simplification standards 26.1-36-15Approval of accident and health policy forms 26.1-36-16Effect of accident and health policy simplification standards on filed policies 26.1-36-17Application for accident and health policy 26.1-36-18Notice under accident and health policy - Waiver 26.1-36-19Age limit in accident and health policy 26.1-36-20Juvenile's accident and health coverage to continue - Conditions 26.1-36-21Prisoner's accident and health coverage to continue - Conditions 26.1-36-22Individual and group health insurance for dependents 26.1-36-23Continuation of group hospital, surgical, and major medical coverage after termination of employment or membership 26.1-36-23.1Former spouse's and dependent children's accident and health coverage to continue - Conditions 26.1-36-24Health policy transferable 26.1-36-25Notice of transfer of health policy unnecessary - Exception 26.1-36-26Dual choice option on group health coverage - Minimum conditions - Transfer of coverage 26.1-36-27Dual choice option on group health coverage - Continuous coverage - Payment of benefits 26.1-36-28Measure of indemnity in health policy 26.1-36-29Coordination of benefits in individual and group accident and health policies - Limitations 26.1-36-30Individual or group accident and health insurer or nonprofit health service corporation responsibility - Release of information to department of health and human services 26.1-36-31Medicare supplement policies - Definitions 26.1-36-32Standards for Medicare supplement policies 26.1-36-33Medicare supplement policy benefit standards 26.1-36-34Medicare supplement policy loss ratio standards 26.1-36-35Medicare supplement policy disclosure standards 26.1-36-36Medicare supplement policies - Notice of free examination 26.1-36-36.1Filing requirements for advertising 26.1-36-36.2Noncustodial care coverage 26.1-36-37Nursing home policy - Guaranteed renewable for life - Limitation on pre-existing conditions 26.1-36-37.1Standard health insurance proof of loss form - Claim payment time limits 26.1-36-37.2Loss ratios - Rules 26.1-36-38Rulemaking authority 26.1-36-39Effect of policy not conforming to chapter 26.1-36-40General penalty - License suspension or revocation 26.1-36-41Contract limitations 26.1-36-42Grievance procedures 26.1-36-43Uniform prescription drug information card 26.1-36-44Independent external review 26.1-36-45Health insurance coverage not required 26.1-36-46External review procedures 26.1-36-47Internal claims and appeals procedures 26.1-36-48Short-term care insurance - Rules - Penalty 26.1-36-49Short-term limited-duration health insurance plans 26.1-36-50Dental insurance - Assignment