North Dakota Code § 26.1-24-09

Sale or negotiation of premium note prohibited - Penalty
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A promissory note taken in settlement of the first premium on any life, health, or accident 
insurance policy may not be sold or negotiated in any manner prior to the applicant's medical 
examination, when one is required, nor a binding receipt for the premium signed by an 
authorized insurance producer of the insurance company has been delivered to the applicant, 
nor until the insurance company has received the application and medical examination. Any 
person violating this section is guilty of a class B misdemeanor.

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