North Dakota § 26.1-36.4-09 Health insurance utilization reports

North Dakota Statutes

§ 26.1-36.4-09 — Health insurance utilization reports

North Dakota § 26.1-36.4-09

Title 26.1Insurance

Ch. 26.1-36.4Hospital and Medical Insurance

This text of North Dakota § 26.1-36.4-09 (Health insurance utilization reports) 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 § 26.1-36.4-09 (2026).

Text

1.Once each calendar year, any employer with fifty-one or more eligible employees, any employer investigating becoming part of a health plan, including a plan sponsored by an association or a multiple employer welfare arrangement, or any employer upon termination of health insurance coverage, the employer is entitled to a report from the insurer or administrator of that employer's employee health plan which includes:

a.Annual data for the previous three years on the premiums paid by the employer and the claims paid by the insurer or administrator.

b.A current census of employees and dependents covered under the employer's health plan.

2.Insurers shall provide the report pursuant to subsection 1 to an employer within thirty days of receipt of a request for the information.

3.The inform

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1. Once each calendar year, any employer with fifty-one or more eligible employees, any
employer investigating becoming part of a health plan, including a plan sponsored by
an association or a multiple employer welfare arrangement, or any employer upon
termination of health insurance coverage, the employer is entitled to a report from the
insurer or administrator of that employer's employee health plan which includes:
a. Annual data for the previous three years on the premiums paid by the employer
and the claims paid by the insurer or administrator.
b. A current census of employees and dependents covered under the employer's
health plan.
2. Insurers shall provide the report pursuant to subsection 1 to an employer within thirty
days of receipt of a request for the information.
3. The information provided pursuant to subsection 1 may not identify specific employee
claims or other confidential health care information.
4. Upon notification of termination of health insurance before the end of a benefit period,
the terminated insurer, at the request of the employer and within thirty days of the
request, shall supply the succeeding or new insurer a report of all deductibles and

coinsurance payments for each employee covered by the employer's health insurance
plan for the most recent benefit period.