North Dakota Code § 26.1-14-04

Board of directors - Articles of incorporation - Bylaws - Insuring powers
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1. The company will be governed by a board of directors consisting of eleven members. 
The commissioner shall appoint the initial board within thirty days of notification by the 
North Dakota board of medicine of its decision for implementation of this chapter from 
fifteen nominees proposed by that board. The initial board shall serve for an initial term 
of seven months. Thereafter, the directors must be elected by the members of the 
company in accordance with the articles of incorporation and bylaws.
2. At least seven members of the board of directors must be licensed physicians and at 
least two members of the board must have had insurance underwriting or claims 
handling experience.
3. Within thirty days after appointment by the commissioner, the initial board of directors 
shall prepare and file articles of incorporation and bylaws in accordance with this 
chapter and chapter 26.1-12.
4. Upon filing the articles of incorporation and bylaws with the commissioner, the articles 
and bylaws are operative and the commissioner shall issue a certificate of authority 
subject only to verification by the commissioner that the required initial surplus of the 
company has been paid and all deposits have been completed.
5. The certificate of authority authorizes the company to issue policies of casualty 
insurance as follows:
a. Insurance against liability of physicians for injury arising out of the rendering of or 
failure to render professional services by the insured.
b. Insurance against the liability of any person for whose act or omissions a 
physician is responsible under subdivision a, or with whom the physician is 
associated, including partners, employees, employers, associates, consultants, a 
professional service corporation whose stock is owned by an insured, or a 

professional service limited liability company whose membership interests are 
owned by the insured.
c. Insurance against other liabilities for injury by persons employed in, by property 
used in, or by activities incidental to, the practice of medicine by the named 
insured, when issued as incidental coverage with or supplemental to insurance 
specified in subdivision a.

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