North Dakota Code § 14-09-08.18

Health insurance reimbursements received by but not owed to obligor to
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be paid over - Finding of contempt - Treatment as delinquent child support.
1. A payment for services rendered by a medical provider to an obligor's dependent 
which is directed to the obligor in the form of reimbursements from health insurance 
must be paid to the medical provider, custodial parent, or child support agency when 
the reimbursement is not owed to the obligor.
2. Any child support order that requires an obligor to provide health insurance is deemed 
to include the requirements of this section. An obligor retaining insurance 
reimbursement not owed to the obligor may be found in contempt of a child support 
order that requires the obligor to provide health insurance.
3. Any insurance reimbursement received by the obligor, but not owed to the obligor, may 
be treated as delinquent child support thirty days after receipt by the obligor if not 
sooner paid to the medical provider, custodial parent, or child support agency, as their 

interests may appear, and is subject to all remedies available under this code for the 
collection of delinquent child support.

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