North Dakota Code § 26.1-45-03

Limits of group long-term care insurance
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No group long -term care insurance coverage may be offered to a resident of this state 
under a group policy issued in another state to a group described in subdivision d of 
subsection 3 of section 26.1 -45-01 unless the insurance commissioner or an insurance 
department in another state having statutory and regulatory long -term care insurance 
requirements substantially similar to those in this state has made a determination that the 
long-term care insurance requirements have been met.

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