North Dakota Code § 26.1-36-09.10

Health insurance policy and health service contract - Prehospital
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emergency medical services.
1. In this section, unless the context or subject matter otherwise requires:
a. "Emergency medical condition" means a medical condition that manifests itself by 
symptoms of sufficient severity which may include severe pain and that a prudent 
layperson who possesses an average knowledge of health and medicine could 
reasonably expect the absence of medical attention to result in placing the 
person's health in jeopardy, serious impairment of a bodily function, or serious 
dysfunction of any body part.

b. "Prehospital emergency medical services" means a service or its personnel either 
licensed under chapter 23-27 or certified by the department of health and human 
services.
2. An insurance company, nonprofit health service corporation, or health maintenance 
organization may not deliver, issue, execute, or renew any health insurance policy, 
health service contract, or evidence of coverage that provides prehospital emergency 
medical services benefits on an individual, group, blanket, franchise, or association 
basis unless the policy, contract, or evidence of coverage provides prehospital 
emergency medical services benefits in the case of an emergency medical condition.
3. The coverage required under this section does not require coverage in excess of 
policy aggregate limits or internal policy limits dealing specifically with prehospital 
emergency medical services.
4. This section does not prevent an insurance company, nonprofit health service 
corporation, or health maintenance organization from imposing deductibles, 
coinsurance, or other cost sharing in relation to benefits for prehospital emergency 
medical services.

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