North Dakota Code 26.1-36.1-01 – Medicare supplement policies – Definitions
For purposes of this chapter:
Terms Used In North Dakota Code 26.1-36.1-01
- Contract: A legal written agreement that becomes binding when signed.
- Corporation: A legal entity owned by the holders of shares of stock that have been issued, and that can own, receive, and transfer property, and carry on business in its own name.
- Individual: means a human being. See North Dakota Code 1-01-49
- 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
- Person: means an individual, organization, government, political subdivision, or government agency or instrumentality. See North Dakota Code 1-01-49
- State: when applied to the different parts of the United States, includes the District of Columbia and the territories. See North Dakota Code 1-01-49
1. “Applicant” means:
a. In the case of an individual Medicare supplement policy or subscriber contract, the person who seeks to contract for insurance benefits.
b. In the case of a group Medicare supplement policy or subscriber contract, the proposed certificate holder.
2. “Certificate” means any certificate issued under a group Medicare supplement policy which has been delivered or issued for delivery in this state.
3. “Medicare” means the Health Insurance for the Aged and Disabled Act, title XVIII of the Social Security Act of 1965 [Pub. L. 92-603; 86 Stat. 1370 et seq.], as amended.
4. “Medicare supplement policy” means a group or individual accident and health insurance policy or a subscriber contract of a health service corporation or a health care plan of a health maintenance organization or preferred provider organization, other than a policy issued pursuant to a contract under section 1876 of the federal Social Security Act [42 U.S.C. § 1395 et seq.] or an issued policy under a demonstration project specified in 42 U.S.C. § 1395ss(g)(1), which is advertised, marketed, or designed primarily as a supplement to reimbursements under Medicare for the hospital, medical, or surgical expenses of persons eligible for Medicare. The term does not include a policy or contract of one or more employers or labor organizations, or of the trustees of a fund established by one or more employers or labor organizations, or combination thereof, for employees or former employees, or combination thereof, or for members or former members, or combination thereof, of the labor organizations.