NDAC 45-06-09-04
Commissioner duties - Filing requirements - Audits and examinations
Cite as N.D. Admin. Code ยง 45-06-09-04
1.
The commissioner has the authority to regulate the establishment and conduct of health
insurance purchasing cooperatives as set forth in this chapter.
2.
The commissioner has the authority to conduct financial and performance audits on health
insurance purchasing cooperatives operating in the state. The costs of such audits shall be
the responsibility of the purchasing cooperative.
3.
Each health insurance purchasing cooperative doing business in the state shall file with the
commissioner the following information or documents:
a.
A business plan for approval by the commissioner.
b.
Annual reports identifying the number of individuals insured through the cooperative, the
names of insurance companies providing coverage to cooperative members and rates
charged for insurance policies provided through the cooperative, and any proposed
changes in the business plan of the cooperative.
4.
a.
A health insurance purchasing cooperative may not enter the marketplace until the
commissioner has approved the business plan.
b.
Any material changes to the business plan must be submitted to the commissioner for
approval prior to implementation.