NDAC 45-06-06.1-03
Establishment of classes of business
Cite as N.D. Admin. Code ยง 45-06-06.1-03
1.
A small employer carrier that establishes more than one class of business pursuant to the
provisions of North Dakota Century Code section 26.1-36.3-03 shall maintain on file for
inspection by the commissioner the following information with respect to each class of
business so established:
a.
A description of each criterion employed by the carrier or any of its agents for
determining membership in the class of business;
b.
A statement describing the justification for establishing the class as a separate class of
business and documentation that the establishment of the class of business is intended
to reflect substantial differences in expected claims experience or administrative costs
related to the reasons set forth in North Dakota Century Code section 26.1-36.3-03; and
c.
A statement disclosing which, if any, health benefit plans are currently available for
purchase in the class and any significant limitations related to the purchase of such
plans.
2.
A carrier may not directly or indirectly use group size as a criterion for establishing eligibility for
a health benefit plan or for a class of business.