§ 26.1-53.1-21 — Written agreement with member

North Dakota § 26.1-53.1-21

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

Text

Each new member must be provided a written document that contains the terms and
conditions of the discount plan that clearly provides:
1. The name of the member;
2. The benefits to be provided under the discount plan;
3. Any processing fees and periodic charges associated with the discount plan, including
any limitations or restrictions on the refund of any processing fees and periodic
charges;

4. The mode of payment of any processing fees and periodic charges, such as monthly
or quarterly, and procedures for changing the mode of payment;
5. Any limitations, exclusions, or exceptions regarding the receipt of discount plan
benefits;
6. Any waiting periods for certain medical or ancillary services under the discount plan;
7. Procedures for obtaining discounts under the discount plan, such as requiring
members to contact the discount plan organization to make an appointment with a
provider on the member's behalf;
8. Cancellation procedures, including information on the member's thirty-day cancellation
rights and refund requirements and procedures for obtaining refunds;
9. Renewal, termination, and cancellation terms and conditions;
10. Procedures for adding new members to a family discount plan, if applicable;
11. Procedures for filing complaints under the discount plan organization's complaint
system and information that, if the member remains dissatisfied after completing the
organization's complaint system, the plan member may contact the plan member's
state insurance department; and
12. The name and mailing address of the registered discount plan organization where the
member can make inquiries about the plan, send cancellation notices, and file
complaints.