NDAC 45-06-06.1-10
Restrictive riders
Cite as N.D. Admin. Code ยง 45-06-06.1-10
1.
A restrictive rider, endorsement, or other provision that would violate the provisions of
paragraph 2 of subdivision e of subsection 3 of North Dakota Century Code section
26.1-36.3-06 and that was in force on the effective date of this chapter may not remain in force
beyond the first anniversary date of the health benefit plan subject to the restrictive provision
that follows the effective date of this chapter. A small employer carrier shall provide written
notice to those small employers whose coverage will be changed pursuant to this subsection
at least thirty days prior to the required change to the health benefit plan.
2.
Except as permitted in subdivision b of subsection 3 of North Dakota Century Code section
26.1-36.3-06, a small employer carrier shall not modify or restrict a basic or standard health
benefit plan in any manner for the purposes of restricting or excluding coverage or benefits for
specific diseases, medical conditions, or services otherwise covered by the plan.
3.
Except as permitted in subdivision b of subsection 3 of North Dakota Century Code section
26.1-36.3-06, a small employer carrier shall not modify or restrict any health benefit plan with
respect to any eligible employee or dependent of an eligible employee, through riders,
endorsements, or otherwise, for the purpose of restricting or excluding the coverage or
benefits provided to such employee or dependent for specific diseases, medical conditions, or
services otherwise covered by the plan.