NDAC 45-06-12-01
Definitions
Cite as N.D. Admin. Code ยง 45-06-12-01
As used in this chapter and North Dakota Century Code chapter 26.1-36.4:
1.
"Preexisting condition exclusion" means a limitation or exclusion of benefits relating to a
condition based on the fact that the condition was present before the effective date of
coverage, whether or not any medical advice, diagnosis, care, or treatment was
recommended or received before such date.
2.
"Waiting period" means, with respect to a health benefit plan, whether offered on a group or
individual basis, and an individual who is a potential participant or beneficiary in the plan, the
period that must pass with respect to the individual before the individual is eligible to be
covered for benefits under the terms of the plan.