North Dakota § 26.1-18.1-25 Coordination of benefits

North Dakota Statutes

§ 26.1-18.1-25 — Coordination of benefits

North Dakota § 26.1-18.1-25

Title 26.1Insurance

Ch. 26.1-18.1Health Maintenance Organizations

This text of North Dakota § 26.1-18.1-25 (Coordination of benefits) is published on Counsel Stack Legal Research, covering North Dakota primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

N.D. Cent. Code § 26.1-18.1-25 (2026).

Text

1.Health maintenance organizations are permitted, but not required, to adopt coordination of benefits provisions to avoid overinsurance and to provide for the orderly payment of claims when a person is covered by two or more group health insurance or health care plans.

2.If health maintenance organizations adopt coordination of benefits, the provisions must be consistent with the coordination of benefits provisions that are in general use in the state for coordinating coverage between two or more group health insurance or health care plans.

3.To the extent necessary for health maintenance organizations to meet their obligations as secondary carriers under the rules for coordination, health maintenance organizations shall make payments for services that are received from nonparticipating

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1. Health maintenance organizations are permitted, but not required, to adopt
coordination of benefits provisions to avoid overinsurance and to provide for the
orderly payment of claims when a person is covered by two or more group health
insurance or health care plans.
2. If health maintenance organizations adopt coordination of benefits, the provisions must
be consistent with the coordination of benefits provisions that are in general use in the
state for coordinating coverage between two or more group health insurance or health
care plans.
3. To the extent necessary for health maintenance organizations to meet their obligations
as secondary carriers under the rules for coordination, health maintenance
organizations shall make payments for services that are received from nonparticipating
providers, provided outside their service areas, or not covered under the terms of their
group contracts or evidence of coverage.