North Dakota Administrative Code
Title 45 - Insurance, Commissioner of
Article 45-06 - Accident and Health Insurance
Chapter 45-06-06.1 - Regulation to Implement The Small Employer Health Insurance Availability Act
Section 45-06-06.1-03 - Establishment of classes of business
Universal Citation: ND Admin Code ยง 45-06-06.1-03
Current through Supplement No. 394, October, 2024
1. A small employer carrier that establishes more than one class of business pursuant to the provisions of North Dakota Century Code section 26.1-36.3-03 shall maintain on file for inspection by the commissioner the following information with respect to each class of business so established:
a. A description of each criterion employed
by the carrier or any of its agents for determining membership in the class of
business;
b. A statement
describing the justification for establishing the class as a separate class of
business and documentation that the establishment of the class of business is
intended to reflect substantial differences in expected claims experience or
administrative costs related to the reasons set forth in North Dakota Century
Code section 26.1-36.3-03; and
c.
A statement disclosing which, if any, health benefit plans are currently
available for purchase in the class and any significant limitations related to
the purchase of such plans.
2. A carrier may not directly or indirectly use group size as a criterion for establishing eligibility for a health benefit plan or for a class of business.
General Authority: NDCC 26.1-01-08, 26.1-36.3-03
Law Implemented: NDCC 26.1-36.3-03
Disclaimer: These regulations may not be the most recent version. North Dakota may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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