N.D. Admin. Code 75-02-01.2-66

Current through Supplement No. 395, January, 2025

Section 75-02-01.2-66 - Medical insurance premiums

1. The county agency may authorize payment for the cost of premiums for health insurance carried by the household, as a special item of need. Payment may be made for only one policy of health insurance. If the policy covers individuals who are not members of the household, payment is limited to:

a. If the household or insurer provides information that describes the manner in which the insurance company allocates premium charges between the insureds, the allocation attributable to the members of the household; or, if that allocation is unavailable; and

b. The total premium amount, divided by the number of individuals covered, and then multiplied by the number of covered members of the household.

2. For purposes of this section, "premiums for health insurance" includes payments made for insurance, health care plans, or nonprofit health service plan contracts that provide benefits for hospital, surgical, medical care and dental or vision insurance, but do not include payments made for coverage that is:

a. Limited to disability or income protection coverage;

b. Automobile medical payment coverage;

c. Supplemental to liability insurance;

d. Designed solely to provide payments on a per diem basis, daily indemnity, or nonexpense-incurred basis; or

e. Credit accident and health insurance.

3. Payment for the cost of premiums for health insurance:

a. May be provided in the cash grant only if the cost or pro rata cost has been established; and

b. Must be budgeted and paid in the month in which the county agency is informed of the insurance and receives verification of the cost.

N.D. Admin Code 75-02-01.2-66

Effective December 9, 1996; amended effective July 1, 1997; January 1, 2003; January 1, 2011.

General Authority: NDCC 50-09-02, 50-09-25

Law Implemented: NDCC 50-09-02