26.1-27 Administrators of Life or Health Insurance or Annuities
Loading PDF...
state in connection with life or health insurance coverage or annuities other than:1.An employer on behalf of its employees or the employees of one or more subsidiary
or affiliated corporations or limited liability companies of the employer.2.A union on behalf of its members.3.An insurance company, health maintenance organization, or nonprofit health service
corporation either licensed in this state or acting as an insurer with respect to a
policy lawfully issued and delivered by it in and pursuant to the laws of a state in
which the insurer was authorized to do an insurance business or prepaid health care
plan, including its sales representatives licensed in this state when engaged in the
performance of their duties as such.4.A life or health insurance producer licensed in this state, whose activities are limited
exclusively to the sale of insurance.5.A creditor on behalf of its debtors with respect to insurance covering a debt between
the creditor and its debtors.6.A trust, its trustees, agents, and employees acting thereunder, established in
conformity with 29 U.S.C. 186.7.A trust exempt from taxation under section 501(a) of the federal Internal Revenue
Code of 1954, as amended, its trustees, and employees acting thereunder, or a
custodian, its agents and employees acting pursuant to a custodian account which
meets the requirements of section 401(f) of the federal Internal Revenue Code of
1954, as amended.8.A financial institution subject to supervision or examination by federal or state
banking authorities.9.A credit card issuing company that advances for and collects premiums or charges
from its credit card holders who have authorized it to do so, provided the company
does not adjust or settle claims.10.A person who adjusts or settles claims in the normal course of practice or
employment as an attorney at law, and who does not collect charges or premiums in
connection with life or health insurance coverage or annuities.26.1-27-01.1. Pharmacy benefits manager. A pharmacy benefits manager, as definedunder section 26.1-27.1-01, is an administrator for purposes of this chapter.26.1-27-02. Insurer defined. In this chapter, "insurer" means any person, including aself-insurer, engaged as a principal in the business of annuities or life or health insurance.26.1-27-03. Certificate of authority required - Penalty.1.A person, including a person who directly or indirectly underwrites, collects charges
or premiums from, or adjusts or settles claims on residents of this state in
connection with life, annuity, or health coverage provided by a self-funded plan, may
not act as or hold oneself out to be an administrator in this state, for the kinds of
business for which the person is acting as an administrator, without a certificate ofPage No. 1authority issued by the commissioner. Any person violating this subsection is guilty
of a class C felony.2.All applications must be accompanied by a filing fee of one hundred dollars.3.The commissioner shall issue a certificate unless the commissioner after due notice
and hearing determines that the administrator is not competent, trustworthy,
financially responsible, or of good personal and business reputation, or has had a
previous application for an insurance license denied for cause within five years.4.The administrator shall pay an annual renewal fee of fifty dollars to maintain the
certificate.5.After notice and hearing, the commissioner may revoke a certificate or fine the
administrator not more than ten thousand dollars, or both, or the commissioner may
suspend a certificate, or fine the administrator not more than five thousand dollars,
or both, upon finding that either the administrator violated section 26.1-27-05 and
subsection 4 of section 26.1-27-06 and also violated subsection 1, 2, or 3 of section
26.1-27-06orsection26.1-27-07,26.1-27-08,26.1-27-10,26.1-27-11,or26.1-27-12,ortheadministratoris not competent, trustworthy, financiallyresponsible, or of good personal and business reputation.26.1-27-03.1.Bond or insurance requirement. An administrator that administers orwill administer self-insured plans in this state shall maintain a surety bond or proof of insurance
satisfactory to the commissioner for the use and benefit of the commissioner for covered persons
who have remitted premiums or insurance charges or other moneys to the administrator in the
course of the administrator's business in the greater of the following amounts:1.One hundred thousand dollars; or2.Ten percent of the aggregate total amount of administered coverage under the plans
handled in this state.26.1-27-04. Waiving of registration requirements. Repealed by S.L. 2005, ch. 268,