North Dakota Code 26.1-36.4-09 – Health insurance utilization reports
1. Once each calendar year, any employer with fifty-one or more eligible employees, any employer investigating becoming part of a health plan, including a plan sponsored by an association or a multiple employer welfare arrangement, or any employer upon termination of health insurance coverage, the employer is entitled to a report from the insurer or administrator of that employer’s employee health plan which includes:
Terms Used In North Dakota Code 26.1-36.4-09
- year: means twelve consecutive months. See North Dakota Code 1-01-33
a. Annual data for the previous three years on the premiums paid by the employer and the claims paid by the insurer or administrator.
b. A current census of employees and dependents covered under the employer’s health plan.
2. Insurers shall provide the report pursuant to subsection 1 to an employer within thirty days of receipt of a request for the information.
3. The information provided pursuant to subsection 1 may not identify specific employee claims or other confidential health care information.
4. Upon notification of termination of health insurance before the end of a benefit period, the terminated insurer, at the request of the employer and within thirty days of the request, shall supply the succeeding or new insurer a report of all deductibles and coinsurance payments for each employee covered by the employer’s health insurance plan for the most recent benefit period.