N.D. Cent. Code § 26.1-18.1-17
26.1-18.1-17. Powers of insurers
26.1-18.1-17. Powers of insurers
1. An insurance company licensed in this state, or a hospital or medical service
corporation authorized to do business in this state, may either directly or through a
subsidiary or affiliate, organize and operate a health maintenance organization under
the provisions of this chapter. Notwithstanding any other law which may be
inconsistent, any two or more insurance companies, hospital or medical service
corporations, or subsidiaries or affiliates thereof, may jointly organize and operate a
health maintenance organization. The business of insurance is deemed to include the
providing of health care by a health maintenance organization owned or operated by
an insurer or a subsidiary thereof.
2. Notwithstanding any provision of insurance and hospital or medical service corporation
laws, an insurer or a hospital or medical service corporation may contract with a health
maintenance organization to provide insurance or similar protection against the cost of
care provided through health maintenance organizations and to provide coverage in
the event of the failure of the health maintenance organization to meet its obligations.
The enrollees of a health maintenance organization constitute a permissible group
under the laws. Among other things, under the contracts, the insurer or hospital or
medical service corporation may make benefit payments to health maintenance
organizations for health care services rendered by providers.