North Dakota Code 26.1-19-08 – Contract forms
1. All contracts or other documents evidencing coverage issued by the prepaid legal services organization to participants and marketing documents purporting to describe the organization’s prepaid legal services plan must contain:
Terms Used In North Dakota Code 26.1-19-08
- Contract: A legal written agreement that becomes binding when signed.
- Organization: includes a foreign or domestic association, business trust, corporation, enterprise, estate, joint venture, limited liability company, limited liability partnership, limited partnership, partnership, trust, or any legal or commercial entity. See North Dakota Code 1-01-49
a. A complete description of the legal services to which the participant is entitled.
b. The predetermined periodic rate of payment for legal services, if any, which the participant is obligated to pay.
c. All exclusions and limitations on services to be provided, including any deductible or copayment feature and all restrictions relating to pre-existing conditions.
d. All criteria by which a participant may be disenrolled or denied re-enrollment.
2. A contract between a legal services organization authorized to do business under this chapter and any provider or any participant may not contain any provisions which require participants to guaranty payment, other than copayments and deductibles, to the provider in the event of nonpayment by the legal services organization for any covered services which have been performed under contracts between the participant and the legal services organization.