2013 North Dakota Century Code
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In chapters 26.1-02 through 26.1-04, unless the context or subject matter otherwise
1. "Domestic" means incorporated or formed in this state.
2. "Foreign", when used without limitation, means formed by the authority of any state or
government other than this state.
3. "Foreign decree" means any decree or order in equity of a court located in a reciprocal
state, including a court of the United States, against any insurer incorporated or
authorized to do business in this state.
4. "Insurance company" includes any corporation, association, benefit society, exchange,
partnership, or individual engaged as principal in the business of insurance.
5. "Qualified party" means a state regulatory agency acting in its capacity to enforce the
insurance laws of its state.
6. "Reciprocal state" means any state the laws of which contain procedures substantially
similar to those specified in this chapter for the enforcement of decrees or orders in
equity issued by courts located in other states, against any insurance company
incorporated or authorized to do business in that state.
26.1-02-01.1. Definition of limited benefit policy - Application.
In this title, "limited benefit policy" means a policy or certificate issued under a group
insurance policy that provides coverage for accident-only, credit, dental, vision, medicare
supplement, long-term care, or disability income insurance; coverage issued as a supplement to
liability insurance, or automobile medical payment or no-fault insurance; or a policy or certificate
of specified disease, hospital confinement indemnity, or any other type of limited benefit health
insurance. Any statute that becomes effective after January 1, 1997, and affects accident and
health insurance, or any hospital, medical, or major medical policy, whether issued on a group
or individual basis, does not apply to a limited benefit policy unless the statute specifically
identifies application to a limited benefit policy.
26.1-02-02. Duty of commissioner before granting or renewing certificate of authority.
The commissioner must be satisfied by examination and evidence that an insurance
company is legally qualified to transact business in this state, including compliance with section
26.1-03-11, before granting a certificate of authority to the company to issue policies or make
insurance contracts. A certificate of authority issued under this title remains in force in perpetuity
if the required renewal fee is paid by April thirtieth of each year and the commissioner is
satisfied that the documents required by section 26.1-03-11 have been filed, the statements and
evidences of investment required of the company have been furnished, the required capital or
surplus or both, securities, and investments remain secure, and all other requirements of law
are met. Any company which neglects to pay the renewal fee by April thirtieth forfeits twenty-five
dollars for each day's neglect.
26.1-02-03. Inquiry into condition of company - Information supplied to commissioner
The commissioner may address to any insurance company doing or applying for permission
to do business in this state any inquiries in relation to the company's activities, condition, or any
other matter connected with the company's transactions. The company shall reply in writing to
such an inquiry within twenty days of receipt of the inquiry unless within that twenty days the
company requests and the commissioner grants an extension of time. It is a violation of this title
for a person to knowingly supply the commissioner with false, misleading, or incomplete
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26.1-02-04. Company controlled by foreign government prohibited - Penalty.
An insurance company or other insurance entity financially owned or financially controlled
by any foreign government outside the United States may not do any insurance business in this
state. The commissioner may not grant a license or issue a certificate of authority to any
insurance company or other insurance entity financially owned or financially controlled by any
foreign government outside the United States to transact any insurance business in this state.
This section does not affect any insurance company qualified to do business in this state before
January 2, 1955.
26.1-02-05. Unauthorized insurance prohibited - Exceptions.
An insurance company may not transact insurance business in this state, as set forth in
section 26.1-02-06, without a certificate of authority from the commissioner. This section does
not apply to:
1. The lawful transaction of surplus lines insurance.
2. The lawful transaction of reinsurance by insurers.
3. Transactions involving a policy lawfully solicited, written, and delivered outside of this
state covering only subjects of insurance not resident, located, or expressly to be
performed in this state at the time of issuance, and which transactions are subsequent
to the issuance of such policy.
4. Transactions involving life insurance, health insurance, or annuities provided to
educational or religious or charitable institutions organized and operated without profit
to any private shareholder or individual, for the benefit of the institutions and
individuals engaged in the service of the institutions.
5. Attorneys acting in the ordinary relation of attorney and client in the adjustment of
claims or losses.
6. Transactions involving group life, accident, and health, or blanket accident and health
insurance, or group annuities if the master policy of the group was lawfully issued and
delivered in and pursuant to the laws of a state in which the insurance company was
authorized to do an insurance business, to a group organized for purposes other than
the procurement of insurance, and where the policyholder is domiciled or otherwise
has a bona fide situs.
7. Transactions involving any insurance policy or annuity contract issued before July 1,
8. Transactions relative to a policy issued or to be issued outside this state involving
insurance on vessels, craft or hulls, cargoes, marine builder's risk, marine protection
and indemnity or other risk, including strikes and war risks commonly insured under
ocean or wet marine forms of policy.
9. Transactions involving insurance contracts issued to one or more industrial insureds;
provided, that this does not relieve an industrial insured from taxation imposed upon
independently procured insurance. An industrial insured is an insured:
a. Which procures the insurance of any risk or risks other than life and annuity
contracts by use of the services of a full-time employee acting as an insurance
manager or buyer or the services of a regularly and continuously retained
qualified insurance consultant;
b. Whose aggregate annual premiums for insurance on all risks total at least
twenty-five thousand dollars; and
c. Which has at least twenty-five full-time employees.
26.1-02-05.1. Group life and health insurance trust filing - Exemption requirements.
Any insurance company claiming an exemption under subsection 6 of section 26.1-02-05
from a requirement that the company have a certificate of authority to do business in this state
or comply with the insurance laws of this state shall provide the following information to the
insurance commissioner for the commissioner's approval of the exemption:
1. A copy of the trust agreement for the group.
2. A full copy of the master contract.
3. A copy of the certificate of insurance to be issued or sold in this state.
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A copy of the application for the certificate of insurance.
A copy of a disclosure statement used in the solicitation of the insurance indicating that
the protection of North Dakota's insurance laws will not be provided to the holders of
certificates of insurance issued by the group.
6. An assurance that only one type of insurance coverage may be included in each
mailing or mass market solicitation.
7. Such other information as the commissioner deems necessary to assure that the
group is organized for purposes other than the procurement of insurance or otherwise
meets the requirements of subsection 6 of section 26.1-02-05.
No company may issue or deliver a policy of insurance or issue or deliver for issue a certificate
of insurance in this state without a certificate of authority unless it has first been granted
approval in writing to do so by the commissioner under this section.
26.1-02-06. Insurance transactions defined - Venue.
Any of the following acts in this state effected by mail or otherwise by or on behalf of an
unauthorized insurance company constitutes the transaction of an insurance business in this
1. Making or proposing to make, as an insurance company, an insurance contract.
2. Making or proposing to make, as guarantor or surety, any contract of guaranty or
suretyship as a vocation and not merely incidental to any other legitimate business or
activity of the guarantor or surety.
3. Taking or receiving of any application for insurance.
4. Receiving or collecting any premium, commission, membership fees, assessments,
dues, or other consideration for any insurance or any part thereof.
5. Issuing or delivering an insurance contract to residents of this state or to persons
authorized to do business in this state.
6. Directly or indirectly acting as an insurance producer for or otherwise representing or
aiding on behalf of another, any person or insurance company in the solicitation,
negotiation, procurement, or effectuation of insurance or renewals thereof or in the
dissemination of information as to coverage or rates, or forwarding of applications, or
delivery of policies or contracts, or inspection of risks, or fixing of rates, or investigation
or adjustment of claims or losses, or in the transaction of matters subsequent to
effectuation of the contract and arising out of it, or in any other manner representing or
assisting a person or insurance company in the transaction of insurance with respect
to subjects of insurance resident, located, or to be performed, in this state. This
subsection does not prohibit full-time salaried employees of a corporate insured from
acting in the capacity of an insurance manager or buyer in placing insurance on behalf
of the employer.
7. Transacting any kind of insurance business specifically recognized as transacting an
insurance business within the meaning of the statutes relating to insurance.
8. Transacting or proposing to transact any insurance business in substance equivalent
to any of the foregoing in a manner designed to evade these statutes.
The venue of an act committed by mail is at the point where the matter transmitted by mail is
delivered and takes effect.
26.1-02-07. Unauthorized contracts valid.
The failure of an insurance company transacting insurance business in this state to obtain a
certificate of authority does not impair the validity of any act or contract of the company and
does not prevent the company from defending any civil action in any court of this state, but a
company transacting insurance business in this state without a certificate of authority may not
maintain a civil action in any court of this state to enforce any right, claim, or demand arising out
of the transaction of insurance business until the company has obtained a certificate of
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26.1-02-08. Liability of unauthorized company.
If any unauthorized insurance company fails to pay any claim or loss within the provisions of
its insurance contract, any person who assisted or in any manner aided, directly or indirectly, in
the procurement of the insurance contract is liable to the insured for the full amount of the claim
or loss in the manner provided by the contract.
26.1-02-09. Restraint of violations - Jurisdiction.
Whenever the commissioner believes that any insurance company is violating or is about to
violate this chapter, the commissioner, through the attorney general of this state, may cause a
complaint to be filed in the district court of Burleigh County to enjoin and restrain the company
from continuing or engaging in any violation or doing any act in furtherance thereof. The court
may make and enter an order or judgment awarding preliminary or final injunctive relief as in its
judgment is proper.
26.1-02-10. Agent for service of process - Unauthorized company.
Any act of transacting insurance business as set forth in this chapter by any unauthorized
insurance company is an irrevocable appointment by the company, binding upon the company,
its executor or administrator, or successor in interest if a corporation, of the secretary of state or
the secretary's successor in office, as the attorney of the company upon whom may be served
all lawful process in any action or proceeding in any court by the commissioner or by the state
and upon whom may be served any notice, order, pleading, or process in any proceeding before
the commissioner and which arises out of transacting insurance business in this state by the
company. Any act of transacting insurance business in this state by any unauthorized company
signifies its agreement that any lawful process in any court action or proceeding and any notice,
order, pleading, or process in any administrative proceeding before the commissioner so served
is of the same legal force and validity as personal service of process in this state upon the
26.1-02-11. Service of process - How made.
Service of process is made by delivering to the secretary of state, or some person in
apparent charge of the secretary of state's office, two copies thereof and by payment to the
secretary of state of the fee prescribed by law. The secretary of state immediately shall forward
by registered mail one copy to the defendant in a court proceeding, or to whom the process is
addressed or directed in an administrative proceeding, at its last reasonably ascertainable
address. The secretary of state shall keep a record of the date and hour of service. This service
is sufficient if notice of the service and a copy of the process is mailed within ten days thereafter
by certified mail to the defendant by the plaintiff or the plaintiff's attorney in a court proceeding,
or to whom the process is addressed or directed by the commissioner in an administrative
proceeding, at its last reasonably ascertainable address, and the defendant's receipt issued by
the post office with which the letter is registered, showing the name of the sender of the letter
and the name and address of the person or insurer to whom the letter is addressed, and an
affidavit of mailing showing compliance herewith is filed with the clerk of the court in which the
proceeding is pending, or with the commissioner in an administrative proceeding. No judgment
or determination by default may be entered in any proceeding until the expiration of forty-five
days from the date of filing of the affidavit of compliance.
This section does not limit or affect the right to serve any process upon any person or
insurer in any other manner permitted by law.
26.1-02-12. Pleading by unauthorized insurance company - When permitted.
Before any unauthorized insurance company files or causes to be filed any pleading in any
court proceeding instituted against the company by service made as provided in section
26.1-02-11, the company shall either:
1. File with the clerk of the court in which the proceeding is pending a cash or other bond
with good and sufficient sureties, to be approved by the clerk, in an amount fixed by
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the court sufficient to secure payment of any final judgment which may be rendered in
the action; or
Procure a certificate of authority to transact the business of insurance in this state. In
considering the application for a certificate of authority, for the purposes of this
subsection, the commissioner need not assert section 26.1-11-06 against the company
with respect to its application if the commissioner determines that the company would
otherwise comply with the requirements for the certificate of authority.
26.1-02-13. Enforcement of decisions or orders.
The attorney general upon request of the commissioner may proceed in the court of this
state or any reciprocal state to enforce an order or decision in any court proceeding or in any
administrative proceeding before the commissioner.
26.1-02-14. List of reciprocal states.
The commissioner shall determine which states qualify as reciprocal states and shall
maintain at all times an up-to-date list of reciprocal states.
26.1-02-15. Filing and status of foreign decrees.
A certified copy of any foreign decree may be filed in the office of the clerk of any district
court of this state and concurrently in the office of the commissioner with information showing
which district court is being used. The clerk, upon receiving verification from the commissioner,
shall treat the foreign decree in the same manner as a decree of the district court. A filed foreign
decree has the same effect as a decree of a district court of this state, and is subject to the
same procedures, defenses, and proceedings for reopening, vacating, or staying as a decree of
a district court and may be enforced or satisfied in like manner.
26.1-02-16. Verification - Notice of filing.
At the time a foreign decree is filed in this state, the commissioner shall make and file with
the clerk of the appropriate district court an affidavit setting forth the name and last-known
post-office address of the defendant and verifying that the decree or order is a foreign decree.
Promptly upon receipt of the affidavit, the clerk shall mail notice of the filing of the foreign decree
to the defendant at the address contained in the affidavit and to the commissioner and shall
make a note of the mailing in the docket.
26.1-02-17. Enforcement of foreign decrees - Time limit.
No execution or other process for enforcement of a foreign decree may issue until thirty
days after the date the decree is filed.
26.1-02-18. Stay of enforcement.
If the defendant shows the district court that an appeal from the foreign decree is pending or
will be taken, or that a stay of execution has been granted, the court shall stay enforcement of
the foreign decree until the appeal is concluded, the time for appeal expires, or the stay of
execution expires or is vacated, upon proof that the defendant has furnished the security for the
satisfaction of the decree required by the state in which it was rendered. If the defendant shows
the district court any ground upon which enforcement of a decree of any district court of this
state would be stayed, the court shall stay enforcement of the foreign decree for an appropriate
period, upon requiring the same security for satisfaction of the decree as would be required in
Any person filing a foreign decree shall pay a filing fee as prescribed in subdivision d of
subsection 1 of section 27-05.2-03 to the clerk of court. Fees for docketing, transcriptions, or
other enforcement proceedings are as provided for decrees of the district court.
Page No. 5
26.1-02-20. Reinsurance permitted - Limitations.
Except as otherwise provided by this section and section 26.1-02-22, any insurance
company organized or admitted to transact business in this state, including a mutual company,
may reinsure any part or all of any risk taken by it in any insurance company or insurer licensed
in any state or any insurance company or insurer not so licensed or any nonprofit health service
corporation whether or not licensed in this state provided it was approved or accepted by the
commissioner, if that company or insurer or nonprofit health service corporation conforms to the
same standards of solvency which would be required if, at the time the reinsurance is effected, it
was licensed in this state. A county mutual insurance company also may reinsure with any other
county mutual insurance company. No reinsurance, however, may be effected with any
company disapproved therefor by written order of the commissioner filed in the commissioner's
office. A domestic insurance company organized to engage in the business of life, accident, or
health insurance may not reinsure its risks or any part thereof without complying with chapter
26.1-02-21. Reinsurance - Treatment upon insolvency, liquidation, or dissolution.
1. Credit may not be allowed, as an admitted asset or as a deduction from liability, to any
ceding insurer for reinsurance unless the reinsurance contract provides, in substance,
that in the event of the insolvency of the ceding insurer, the reinsurance must be
payable under one or more contracts reinsured by the assuming insurer on the basis
of reported claims allowed by the liquidation court or proof of payment of the claim by
a guaranty association without diminution because of the insolvency of the ceding
insurer. The payments must be made directly to the ceding insurer or to the ceding
insurer's domiciliary liquidator except if:
a. The contract or other written agreement specifically provides another payee of
such reinsurance in the event of the insolvency of the ceding insurer; or
b. The assuming insurer, with the consent of the direct insured, has assumed such
policy obligations of the ceding insurer as direct obligations of the assuming
insurer to the payees under the policies and in substitution for the obligations of
the ceding insurer to the payees.
2. Notwithstanding subsection 1, if a life and health insurance guaranty association has
elected to succeed to the rights and obligations of the insolvent insurer under the
contract of reinsurance, the reinsurer's liability to pay covered reinsured claims
continues under the contract of reinsurance, subject to the payment to the reinsurer of
the reinsurance premiums for such coverage. Payment for such reinsured claims may
only be made by the reinsurer pursuant to the direction of the guaranty association or
the guaranty association's designated successor. Any payment made at the direction
of the guaranty association or the guaranty association's designated successor by the
reinsurer will discharge the reinsurer of all further liability to any other party for the
3. The reinsurance agreement may provide that the domiciliary liquidator of an insolvent
ceding insurer shall give written notice to the assuming insurer of the pendency of a
claim against such ceding insurer on the contract reinsured within a reasonable time
after the claim is filed in the liquidation proceeding. During the pendency of the claim,
any assuming insurer may investigate the claim and interpose, at the assuming
insurer's own expense, in the proceeding in which the claim is to be adjudicated any
defenses the assuming insurer determines available to the ceding insurer, or the
ceding insurer's liquidator. The expense may be filed as a claim against the insolvent
ceding insurer as a class 7 claim under section 26.1-06.1-41 to the extent of a
proportionate share of the benefit which may accrue to the ceding insurer solely as a
result of the defense undertaken by the assuming insurer. If two or more assuming
insurers are involved in the same claim and a majority in interest elect to interpose one
or more defenses to the claim, the expense must be apportioned in accordance with
the terms of the reinsurance agreement as though the expense had been incurred by
the ceding insurer.
Page No. 6
26.1-02-22. Accepting reinsurance of unauthorized company prohibited.
An insurance or surety company may not assume the whole or any part of any risk covering
property located in this state, as a reinsurance company or in any other manner, insured by any
insurance company not authorized to transact business in this state.
26.1-02-23. Revocation of company's authority to do business in this state.
The commissioner shall revoke the certificate of authority of an insurance, bonding, surety,
or indemnity company immediately if, at any time after examination, the commissioner has
reason to believe that:
1. Any annual statement or other report required to be submitted by an officer or agent of
the company pursuant to this title is false; or
2. The company is practicing discrimination against individual risks in the issue or
cancellation of policies, bonds, or other insurance contracts or corporate suretyship.
26.1-02-24. Copy of revocation to be mailed to company - Company to discontinue
business - Setting aside of revocation.
If the certificate of authority of an insurance, bonding, surety, or indemnity company is
revoked pursuant to section 26.1-02-23, the commissioner shall mail a copy of the revocation to
the company or to the agents thereof in this state. Thereafter, the company and its agents may
not issue any new policy, bond, or surety contract nor renew any policy, bond, or surety contract
previously issued. The revocation may not be set aside, nor may a new certificate of authority
be issued, until satisfactory evidence has been submitted to the commissioner showing that the
company is in the condition set forth in its annual statement or other report, or that the
discrimination alleged has not been practiced, or that the practice of discrimination will cease
immediately, as the case may be, and that this title has been complied with by the company.
For the purpose of this section and section 26.1-02-24.2, "fraudulent insurance act" means
an act committed by any person who, knowingly and with intent to defraud, presents, causes to
be presented, or prepares with knowledge or belief that it will be presented to or by an insurer,
purported insurer, insurance producer, or any agent thereof, any written statement as part of, or
in support of, an application for the issuance of, or the rating of an insurance policy for
commercial insurance, or a claim for payment or other benefit pursuant to an insurance policy
for commercial or personal insurance which the person knows to contain materially false
information concerning any fact material thereto; or conceals, for the purpose of misleading,
information concerning any fact material thereto.
26.1-02-24.2. Immunity from liability.
In the absence of fraud or bad faith, no person is subject to civil liability of any kind,
including for libel and slander, by virtue of filing reports, without malice, or furnishing other
information, without malice, required by the insurance laws of this state or required by the
commissioner, and no civil cause of action of any nature may arise against such person for any
of the following:
1. Any information relating to suspected fraudulent insurance acts furnished to or
received from law enforcement officials, their agents and employees.
2. Any information relating to suspected fraudulent insurance acts furnished to or
received from other persons subject to the provisions of section 26.1-02-24.1 and this
3. Any such information furnished in reports to the insurance fraud bureau, national
association of insurance commissioners, or any organization established to detect and
prevent fraudulent insurance acts, their agents, employees or designees, nor is the
commissioner or any employee of the insurance fraud bureau, in the absence of fraud
or bad faith, subject to civil liability and no civil cause of actions of any nature may
arise against such person by virtue of the publication of any report or bulletin related to
the official activities of the insurance fraud bureau. Nothing herein is intended to
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abrogate or modify in any way any common law or statutory privilege or immunity
heretofore enjoyed by any person.
26.1-02-24.3. Insurance counseling programs - Volunteers - Immunity from liability.
A person who, on a volunteer basis, provides services or performs duties on behalf of the
insurance commissioner for an insurance counseling program is immune from civil liability for
any act or omission resulting in damage or injury if at the time of the act or omission the person
who caused the damage or injury was acting in good faith, in the exercise of reasonable and
ordinary care, and in the scope of that person's duties as a volunteer and the act or omission
did not constitute willful misconduct or gross negligence. This section does not grant immunity
to a person causing damage as a result of the negligent operation of a motor vehicle.
Any unauthorized insurance company or other insurance entity or any representative or
agent of the company or entity that transacts any unauthorized act of insurance business as
provided by this chapter is guilty of a class C felony.
26.1-02-26. Accounting practices and procedures manual.
The commissioner shall adopt by rule the accounting practices and procedures manual
published by the national association of insurance commissioners. The provisions of the
accounting practices and procedures manual adopted by the commissioner govern the statutory
accounting practices of all insurance companies, including health maintenance organizations,
licensed to do business in this state. Any reference to the accounting practices and procedures
manual in this title means the manual the commissioner adopts by rule, unless specifically
26.1-02-27. Disclosing nonpublic personal information.
1. An insurance company, nonprofit health service corporation, or health maintenance
organization may not disclose to a nonaffiliated third party a customer's nonpublic
personal information contrary to the provisions of title V of the Gramm-Leach-Bliley Act
[Pub. L. 106-102; 113 Stat. 1436] or contrary to the rules adopted by the commissioner
under this section.
2. a. The commissioner shall adopt rules necessary to carry out this section.
b. The rules must be consistent with and not more restrictive than the model
regulation adopted by the national association of insurance commissioners
entitled "Privacy of Consumer Financial and Health Information Regulation".
c. Notwithstanding subdivision b and subject to the exceptions, including the affiliate
sharing exception provided for in the national association of insurance
commissioners' model regulation, the rules may prohibit the disclosure of
nonpublic personal health and financial information concerning an individual
unless an authorization is obtained from the individual whose nonpublic personal
health and financial information is sought to be disclosed.
3. This section does not create a private right of action.
26.1-02-28. Child support insurance data match.
1. As used in this section:
a. "Claimant" means a resident of this state over fourteen years of age who:
(1) Is a beneficiary under a life insurance policy;
(2) Is an individual who brings a third-party claim against an insured or under an
insurance policy for compensation under insurance coverage for bodily
injury or workers' compensation; or
(3) Is an individual who brings a first-party claim under an insurance policy for
uninsured or underinsured motorist benefits.
b. "Department" means the department of human services and any designee of the
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"Insurer" includes a government self-insurance pool and any designee of an
insurer or government self-insurance pool, but does not include any health
insurer participating in a data match under section 50-09-37.
d. "Personal information" means the name, address, and date of birth of a person;
the person's social security number, current motor vehicle operator's license
number issued to the claimant by the department of transportation under title 39,
or the last four digits of the person's social security number; and any other
relevant and available information regarding the person that is requested by the
Before paying a claim to a claimant for a claim occurring in this state under a contract
of insurance issued in this state, an insurer may exchange personal information about
the claimant with the department, but a government self-insurance pool shall
exchange personal information about the claimant with the department. The
information must be exchanged as soon as reasonably possible after the first
submission of the claim, but not less than ten days prior to making a payment to a
claimant. This section applies notwithstanding any provision of law making the
Any personal information that is exchanged under this section is confidential and may
only be used to establish or enforce a child support or medical support obligation, or
as otherwise permitted or required by law. To the extent feasible, the department shall
provide secure electronic processes for exchanging personal information under this
section. An insurer shall not be assessed any fee by the department for exchanging
claim information under this section.
An insurer that exchanges personal information with the department under
subsection 2 also shall provide the telephone number of a facsimile machine or
electronic mail address to which a lien or demand may be sent to the insurer by the
department under chapter 35-34.
Notwithstanding anything to the contrary in section 35-34-06, upon agreement of the
insurer and the department, if the department files a lien against a claim that is
identified under this section:
a. The department may delay sending the claimant a copy of the notice of the lien
until requested by the insurer or until a payment to the claimant is delayed as a
result of the lien, whichever occurs first; or
b. The insurer may provide the claimant with the copy of the notice of lien that is
required under section 35-34-06 no later than the date a payment to the claimant
is delayed as a result of the lien.
If a claimant's receipt of notice of a lien is delayed under this subsection, the time for
seeking a review of the lien under section 50-09-14 does not begin until the date the
notice is mailed or otherwise provided to the claimant.
A person is immune from suit or any liability under any federal or state law, including
chapter 12.1-13 or 44-04, for acting in good faith under this section. The court shall
award reasonable attorney's fees and costs against any person that commences an
action that is subsequently dismissed by reason of the immunity granted by this
A government self-insurance pool that complies with this section is not subject to
subsection 1 of section 50-09-08.2.
Nothing in this section shall require an insurer to make a payment that is not otherwise
required under the contract of insurance.
A claimant who refuses to provide to an insurer the personal information that the
insurer is required to exchange with the department under this section may not receive
payment on the claim and may not pursue a suit against the insured or the insurer in
this state for the amount of the claim until the information is provided.
An individual who willfully fails to comply with this section is subject to the same
liabilities as an income payer under section 14-09-09.3 unless the context indicates
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26.1-02-29. Compliance with federal law.
The commissioner shall administer and enforce the provisions of the Patient Protection and
Affordable Care Act [Pub. L. 111-148] and the provisions of the Health Care and Education
Reconciliation Act of 2010 [Pub. L. 111-152] to the extent that the provisions apply to insurance
companies subject to the commissioner's jurisdiction and to the extent that the provisions are
not under the exclusive jurisdiction of any federal agency.
26.1-02-30. Consumer assistance records - Exempt.
1. Personal, financial, or health information related to requests for consumer assistance
received by the commissioner is an exempt record as defined in section 44-04-17.1.
2. As used in this section, "personal, financial, or health information" means information
collected from or on behalf of an individual requesting consumer assistance which
a. The individual's personal health condition, disease, or injury;
b. The existence, nature, source, or amount of the individual's personal income;
c. The existence, nature, source, or amount of the individual's personal expenses;
d. Records of or relating to the individual's personal financial transactions of any
e. The existence, identification, nature, or value of the individual's personal assets,
liabilities, or net worth;
f. A history of the individual's personal medical diagnosis or treatment;
g. The existence, identification, nature, value, or content of the individual's coverage
or status under any insurance policy;
h. The individual's personal contractual rights or obligations; or
i. Any social security number, date of birth, file number, bank account number, or
other number used for identification of the individual or any account in which the
individual has a personal financial interest.
3. The name of a regulated entity that is the subject of a complaint or inquiry; is not
"personal, financial, or health information"; and is not subject to the restrictions in this
Page No. 10
Title 26.1 Insurance
Chapter 26.1-02 General Provisions
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