NDAC 71-03-05-08
Erroneous payment of premiums - Underpayments
Cite as N.D. Admin. Code ยง 71-03-05-08
1.
An "underpayment" means a payment of money to the public employees retirement system for
group insurance premiums that is less than the premiums due for the level of coverage that
should have been in effect. Underpayment of premium is solely an error in the amount of
premium billed to the individual.
2.
An individual who underpays premiums is liable to pay those premiums upon receiving a
request for repayment and an explanation of the amount due from the executive director. All
underpayments must be collected using the care, skill, prudence, and diligence under the
circumstances then prevailing that a prudent person acting in like capacity and familiar with
such matters would use in the conduct of an enterprise of like character and with like gains. If
the cost of recovering the underpayment is estimated to exceed the amount of the
underpayment, the underpayment is considered to be unrecoverable.
3.
If an underpayment is discovered in the first month it occurs, the individual must pay the
amount due in a lump sum within thirty days of the discovery of the error.
4.
If an underpayment is not discovered within the first month it occurs, the following will apply:
a.
If not the result of any wrongdoing, negligence, misrepresentation, or omission by the
individual, then the individual must make arrangements within sixty days of receiving
written notification to either pay by lump sum or installments. The installment payment
schedule is subject to approval by the executive director with the minimum repayment
amount no less than fifty dollars a month. If repayment arrangements are not in place
within sixty days of the date of the written request for repayment, the executive director
shall authorize payment to be made in three equal installments, using the same payment
method the individual has authorized for paying current monthly premiums.
b.
If underpayment is the result, in whole or in part, of the wrongdoing, negligence,
misrepresentation, or omission of the individual, underpayments must be made in full
within sixty days of written notification.
5.
If an underpayment occurs and the individual no longer participates in the group insurance,
any premium amounts due are immediately payable.
6.
If the individual dies prior to paying in full, then the public employees retirement system must
make application to the estate of the deceased to recover the remaining balance.
7.
If the individual refuses to repay the underpayment, or the underpayment is not paid in full,
coverage may be canceled retroactive to the first day of the month following the month for
which full premium payment was received.