§ 19-03.6-01 — Definitions

North Dakota § 19-03.6-01

• Jurisdiction: North Dakota
• Title 19: Foods, Drugs, Oils, and Compounds
• Ch. 19-03.6: Pharmacy Records Audits

Text

For the purposes of this chapter:
1. "Entity" means a managed care company, an insurance company, a third-party payer,
a pharmacy benefits manager, or any other organization that represents an insurance
company, a third-party payer, or a pharmacy benefits manager.
2. "Insurance company" includes any corporation, association, benefit society, exchange,
partnership, or individual engaged as principal in the business of insurance.
3. "Managed care company" is an entity that handles both health care and health care
financing.
4. "Pharmacy benefits manager" means a person that performs pharmacy benefits
management and includes any other person acting for such person under a
contractual or employment relationship in the performance of pharmacy benefits
management for a managed care company, nonprofit hospital or medical service
organization, insurance company, third-party payer, or health program administered by
a state agency.
5. "Plan sponsor" means the employer in the case of an employee benefit plan
established or maintained by a single employer, or the employee organization in the
case of a plan established or maintained by an employee organization, an association,
joint board of trustees, committee, or other similar group that establishes or maintains
the plan.
6. "Third-party payer" means an organization other than the patient or health care
provider involved in the financing of personal health services.