North Dakota Code § 26.1-36-09.2

Health insurance policy and health service contract - Involuntary
Open in Lexace · Ask the AI about this section
complications of pregnancy coverage.
No insurance company, nonprofit health service corporation, or health maintenance 
organization may deliver, issue, execute, or renew any health insurance policy, health service 
contract, or evidence of coverage on an individual, group, blanket, franchise, or association 
basis if the policy, contract, or evidence of coverage contains any exclusion, reduction, or other 
limitation as to coverage, deductibles, or coinsurance provisions, as to involuntary complications 
of pregnancy, unless the provisions apply generally to all benefits paid under the policy, 
contract, or evidence of coverage. If a fixed amount is specified in the policy, contract, or 
evidence of coverage for surgery, the fixed amounts for surgical procedures involving 
involuntary complications of pregnancy must be commensurate with other fixed amounts 
payable for procedures of comparable difficulty and severity. If a fixed amount is payable for 
maternity benefits, involuntary complications of pregnancy are an illness and entitled to benefits 
otherwise provided by the policy, contract, or evidence of coverage. If the policy, contract, or 
evidence of coverage contains a maternity deductible, the maternity deductible applies only to 
expenses resulting from normal delivery and caesarean section delivery; however, expenses for 
caesarean section delivery in excess of the deductible must be treated as expenses for any 
other illness under the policy, contract, or evidence of coverage. For purposes of this section, 
"involuntary complications of pregnancy" includes nonelective caesarean section delivery.

‹ Prev All North Dakota sections Next ›


Lexace provides legal information, not legal advice, and no attorney–client relationship is created. Statute text is provided for general information and may not reflect the most recent amendments; verify against the official state code.