North Dakota Code § 50-09-37

Health insurance data match
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An insurer as defined in section 26.1 -36.5-01 shall exchange health insurance information 
with the state agency for the purpose of establishing or enforcing a medical support obligation. 
An insurer shall provide the health insurance information required in this section to the state 
agency or its agent not more frequently than twelve times in a year. The insurer shall provide 
the information required in this section at no cost if the information is in a readily available 
structure or format. If the state agency requests the information in a structure or format that is 
not readily available, the insurer may charge a reasonable fee for providing the information, not 
to exceed the actual cost of providing the information. The state agency and its agents may not 
use or disclose any information provided by the insurer under this section except to establish or 
enforce a child support or medical support obligation, or as otherwise permitted or required by 
law. An insurer may not be held liable for the release of health insurance information to the state 
agency or its agents under this section.

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