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

Terms Used In North Dakota Code > Chapter 26.1-36

  • administrator: includes executor. See North Dakota Code 1-01-49
  • amendment: A proposal to alter the text of a pending bill or other measure by striking out some of it, by inserting new language, or both. Before an amendment becomes part of the measure, thelegislature must agree to it.
  • annuity: A periodic (usually annual) payment of a fixed sum of money for either the life of the recipient or for a fixed number of years. A series of payments under a contract from an insurance company, a trust company, or an individual. Annuity payments are made at regular intervals over a period of more than one full year.
  • appeal: A request made after a trial, asking another court (usually the court of appeals) to decide whether the trial was conducted properly. To make such a request is "to appeal" or "to take an appeal." One who appeals is called the appellant.
  • assets: (1) The property comprising the estate of a deceased person, or (2) the property in a trust account.
  • baseline: Projection of the receipts, outlays, and other budget amounts that would ensue in the future without any change in existing policy. Baseline projections are used to gauge the extent to which proposed legislation, if enacted into law, would alter current spending and revenue levels.
  • beneficiary: A person who is entitled to receive the benefits or proceeds of a will, trust, insurance policy, retirement plan, annuity, or other contract. Source: OCC
  • bequest: Property gifted by will.
  • children: includes children by birth and by adoption. See North Dakota Code 1-01-18
  • complaint: A written statement by the plaintiff stating the wrongs allegedly committed by the defendant.
  • continuance: Putting off of a hearing ot trial until a later time.
  • contract: A legal written agreement that becomes binding when signed.
  • corporation: A legal entity owned by the holders of shares of stock that have been issued, and that can own, receive, and transfer property, and carry on business in its own name.
  • dependent: A person dependent for support upon another.
  • discovery: Lawyers' examination, before trial, of facts and documents in possession of the opponents to help the lawyers prepare for trial.
  • equitable: Pertaining to civil suits in "equity" rather than in "law." In English legal history, the courts of "law" could order the payment of damages and could afford no other remedy. See damages. A separate court of "equity" could order someone to do something or to cease to do something. See, e.g., injunction. In American jurisprudence, the federal courts have both legal and equitable power, but the distinction is still an important one. For example, a trial by jury is normally available in "law" cases but not in "equity" cases. Source: U.S. Courts
  • evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.
  • felony: A crime carrying a penalty of more than a year in prison.
  • following: when used by way of reference to a chapter or other part of a statute means the next preceding or next following chapter or other part. See North Dakota Code 1-01-49
  • grace period: The number of days you'll have to pay your bill for purchases in full without triggering a finance charge. Source: Federal Reserve
  • Individual: means a human being. See North Dakota Code 1-01-49
  • jurisdiction: (1) The legal authority of a court to hear and decide a case. Concurrent jurisdiction exists when two courts have simultaneous responsibility for the same case. (2) The geographic area over which the court has authority to decide cases.
  • liabilities: The aggregate of all debts and other legal obligations of a particular person or legal entity.
  • litigation: A case, controversy, or lawsuit. Participants (plaintiffs and defendants) in lawsuits are called litigants.
  • misdemeanor: Usually a petty offense, a less serious crime than a felony, punishable by less than a year of confinement.
  • Organization: includes a foreign or domestic association, business trust, corporation, enterprise, estate, joint venture, limited liability company, limited liability partnership, limited partnership, partnership, trust, or any legal or commercial entity. See North Dakota Code 1-01-49
  • paper: means any flexible material upon which it is usual to write. See North Dakota Code 1-01-27
  • Person: means an individual, organization, government, political subdivision, or government agency or instrumentality. See North Dakota Code 1-01-49
  • population: means the number of inhabitants as determined by the last preceding state or federal census. See North Dakota Code 1-01-47
  • Process: means a writ or summons issued in the course of judicial proceedings. See North Dakota Code 1-01-49
  • rescission: The cancellation of budget authority previously provided by Congress. The Impoundment Control Act of 1974 specifies that the President may propose to Congress that funds be rescinded. If both Houses have not approved a rescission proposal (by passing legislation) within 45 days of continuous session, any funds being withheld must be made available for obligation.
  • Rule: includes regulation. 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
  • statute: A law passed by a legislature.
  • subpoena: A command to a witness to appear and give testimony.
  • subscription: includes "mark" when the person cannot write, the person's name being written near it and written by a person who writes that person's own name as a witness. See North Dakota Code 1-01-49
  • United States: includes the District of Columbia and the territories. See North Dakota Code 1-01-49
  • uphold: The decision of an appellate court not to reverse a lower court decision.
  • written: include "typewriting" and "typewritten" and "printing" and

    "printed" except in the case of signatures and when the words are used by way of contrast to typewriting and printing. See North Dakota Code 1-01-37

  • year: means twelve consecutive months. See North Dakota Code 1-01-33