§ 26.1-53.1-20 — Required disclosures

North Dakota § 26.1-53.1-20

• Jurisdiction: North Dakota
• Title 26.1: Insurance
• Ch. 26.1-53.1: Discount Plans

Text

1. A discount plan organization or marketer shall disclose clearly and conspicuously in
writing to any prospective member and on any advertisements, marketing materials, or
brochures relating to a discount plan:
a. The plan is a discount plan and is not insurance coverage;
b. The range of discounts for medical or ancillary services provided under the plan
will vary depending on the type of provider and medical or ancillary service
received;
c. Unless the discount plan organization has an active certificate of authority to act
as a third-party administrator as described in subsection 6 of section
26.1-53.1-19, that the plan does not make payments to providers for the medical
or ancillary services received under the discount plan;
d. The plan member is obligated to pay for all medical or ancillary services, but will
receive a discount from those providers that have contracted with the discount
plan organization; and
e. The toll-free telephone number and internet website address for the registered
discount plan organization for prospective members and members to obtain
additional information about and assistance on the discount plan and up-to-date
lists of providers participating in the discount plan.
2. If the initial contact with a prospective member is by telephone, the disclosures
required under subsection 1 must be made orally and be included in the initial written
materials that describe the benefits under the discount plan provided to the
prospective or new member.
3. In addition to the disclosures required under subsection 1, each discount plan
organization or marketer shall provide to each prospective member, at the time of
enrollment, information that describes the terms and conditions of the discount plan,
including any limitations or restrictions on the refund of any processing fees or periodic
charges associated with the discount plan.