§ 26.1-36-09.2 — Health insurance policy and health service contract - Involuntary complications of pregnancy coverage

North Dakota § 26.1-36-09.2

• Jurisdiction: North Dakota
• Title 26.1: Insurance
• Ch. 26.1-36: Accident and Health Insurance

Text

complications of pregnancy coverage.
No insurance company, nonprofit health service corporation, or health maintenance
organization may deliver, issue, execute, or renew any health insurance policy, health service
contract, or evidence of coverage on an individual, group, blanket, franchise, or association
basis if the policy, contract, or evidence of coverage contains any exclusion, reduction, or other
limitation as to coverage, deductibles, or coinsurance provisions, as to involuntary complications
of pregnancy, unless the provisions apply generally to all benefits paid under the policy,
contract, or evidence of coverage. If a fixed amount is specified in the policy, contract, or
evidence of coverage for surgery, the fixed amounts for surgical procedures involving
involuntary complications of pregnancy must be commensurate with other fixed amounts
payable for procedures of comparable difficulty and severity. If a fixed amount is payable for
maternity benefits, involuntary complications of pregnancy are an illness and entitled to benefits
otherwise provided by the policy, contract, or evidence of coverage. If the policy, contract, or
evidence of coverage contains a maternity deductible, the maternity deductible applies only to
expenses resulting from normal delivery and caesarean section delivery; however, expenses for
caesarean section delivery in excess of the deductible must be treated as expenses for any
other illness under the policy, contract, or evidence of coverage. For purposes of this section,
"involuntary complications of pregnancy" includes nonelective caesarean section delivery.