North Dakota Code § 14-15-12.1

Health insurance requirements for adoptees
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The department or child -placing agency involved in an adoption action may at any time 
before a final decree of adoption, if legal custody of the individual to be adopted is not held by 
the department, a county social service board, human service zone, a child-placing agency, or 
an equivalent office or agency outside the state, require the petitioner for the adoption of 
another individual to show proof that a health insurance policy is in effect which provides 
coverage for the individual to be adopted. If proof of health insurance coverage is submitted by 
the petitioner, no further bond of any kind may be required by the department or a human 
service zone in regard to health coverage of the individual to be adopted.

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