N.D. Cent. Code § 26.1-53.1-02 (2025)
1. This chapter applies to all discount plan organizations conducting business in this state.
2. A discount plan organization that is a health insurer licensed pursuant to title 26.1: a. Is not required to be registered as a discount plan organization. However, any of the organization's affiliates that operate as a discount plan organization in this state shall comply with all provisions of this chapter and must be registered as a discount plan organization. b. Is required to comply with sections 26.1-53.1-14 through 26.1-53.1-21.