North Dakota Code § 26.1-45-05.2

Nursing home policy - Guaranteed renewable for life - Limitation on
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pre-existing conditions.
Any long -term care insurance policy or certificate providing benefits for confinement to a 
nursing home must be guaranteed renewable for life. For purposes of this section, "guaranteed 
renewable for life" means the insured has the right to continue the policy in force for life subject 
to the policy's terms by the timely payment of premiums during which the insurer has no right to 
make unilaterally any change in any provision of the policy while the policy is in force. The 
insurer may, however, in accordance with the provisions of the policy, make changes in premium 
rates as to all insureds who are placed in the same class for purposes of rate determination in 
the process of issuance of the policy or making it guaranteed renewable.
A policy or certificate of insurance providing benefits for confinement to a nursing home 
which is sold to a consumer in addition to another nursing home policy or which is sold to a 
consumer to replace such a policy may not contain any provision limiting payment of benefits 
due to pre-existing conditions of the insured except if there is any time period remaining relating 
to the exclusion of coverage for pre-existing conditions as specified in the underlying policy that 
the remaining waiting period for coverage of pre-existing conditions shall apply to the new policy 
unless the policy otherwise provides.

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