North Dakota § 26.1-49-05 Contract filing - Approval

North Dakota Statutes

§ 26.1-49-05 — Contract filing - Approval

North Dakota § 26.1-49-05

Title 26.1Insurance

Ch. 26.1-49Health Provider Cooperatives

This text of North Dakota § 26.1-49-05 (Contract filing - Approval) 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 § 26.1-49-05 (2026).

Text

The health provider cooperative shall file each contract between the cooperative and a purchaser with the commissioner. The commissioner shall disapprove any contract:

1.In which the consideration paid for health services is unreasonably high in relationship to the services provided.

2.That fails to include evidence of the specific procedures used to inform prospective enrollees of any limitations imposed on the enrollee's right to receive care from a health provider of the enrollee's choice.

3.Under which a health provider cooperative assumes a corridor of risk greater than fifteen percent in its first year of operation, or greater than thirty percent in any year thereafter. Any actuarial costs incurred by the department in review of that filing must be borne by the cooperative. The c

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The health provider cooperative shall file each contract between the cooperative and a
purchaser with the commissioner. The commissioner shall disapprove any contract:
1. In which the consideration paid for health services is unreasonably high in relationship
to the services provided.
2. That fails to include evidence of the specific procedures used to inform prospective
enrollees of any limitations imposed on the enrollee's right to receive care from a
health provider of the enrollee's choice.

3. Under which a health provider cooperative assumes a corridor of risk greater than
fifteen percent in its first year of operation, or greater than thirty percent in any year
thereafter.
Any actuarial costs incurred by the department in review of that filing must be borne by the
cooperative. The commissioner may adopt rules implementing this section.