N.D. Admin. Code 45-06-12-01

Current through Supplement No. 393, July, 2024
Section 45-06-12-01 - Definitions

As used in this chapter and North Dakota Century Code chapter 26.1-36.4:

1. "Preexisting condition exclusion" means a limitation or exclusion of benefits relating to a condition based on the fact that the condition was present before the effective date of coverage, whether or not any medical advice, diagnosis, care, or treatment was recommended or received before such date.

2. "Waiting period" means, with respect to a health benefit plan, whether offered on a group or individual basis, and an individual who is a potential participant or beneficiary in the plan, the period that must pass with respect to the individual before the individual is eligible to be covered for benefits under the terms of the plan.

N.D. Admin Code 45-06-12-01

Effective December 1, 1997.

General Authority: NDCC 28-32-02(1)

Law Implemented: NDCC 26.1-36.4