North Dakota Code 54-52.1-04.2 – Self-insurance health plan
1. This section applies to a self-insurance health plan for:
Terms Used In North Dakota Code 54-52.1-04.2
- Contract: A legal written agreement that becomes binding when signed.
- Individual: means a human being. See North Dakota Code 1-01-49
- State: when applied to the different parts of the United States, includes the District of Columbia and the territories. See North Dakota Code 1-01-49
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.
2. Except for prescription drug coverage under subdivision c of subsection 1, a self-insurance health plan established by the board under this section must be provided under an administrative services only (ASO) contract or a third-party administrator (TPA) contract under the uniform group insurance program. The board may not establish a self-insurance health plan unless the board determines the self- insurance health plan best serves the interests of the state and the state’s eligible employees. If the board determines it is in the best interest of the plan, individual stop-loss coverage insured by a carrier authorized to do business in this state may be made part of a self-insurance health plan.