§ 26.1-36-12 — Provisions prohibited in individual and group accident and health insurance policies, group health plans, and nonprofit health service contracts

North Dakota § 26.1-36-12

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

Text

insurance policies, group health plans, and nonprofit health service contracts.
1. Any provision in any individual or group accident and health insurance policy,
employee welfare benefit plan, or nonprofit health service contract issued by any
insurance company, group health plan as defined in section 607(1) of the Employee
Retirement Income Security Act of 1974 [Pub. L. 99-272; 100 Stat. 281; 29 U.S.C.
1167(1)], or nonprofit health service corporation denying or prohibiting the insured,
participant, beneficiary, or subscriber from assigning to the department of health and
human services any rights to medical benefits coverage to which the insured,
participant, beneficiary, or subscriber is entitled under the policy, plan, or contract is
void. An individual or group insurance company or nonprofit health service corporation
shall recognize the assignment of medical benefits coverage completed by the
insured, participant, beneficiary, or subscriber, notwithstanding any provision contained
in the policy or contract to the contrary.
2. Any individual or group provision in any accident and health insurance policy,
employee welfare benefit plan, or nonprofit health service corporation contract issued
by any insurance company, group health plan, or nonprofit health service corporation
which limits or excludes payments of medical benefits coverage to or on behalf of the
insured, participant, beneficiary, or subscriber if the insured, participant, beneficiary, or
subscriber is eligible for medical assistance benefits under chapter 50-24.1 is void.