All carriers writing hospital, surgical and medical expense and major medical business in the individual, small group and large group markets in North Dakota are required by law to submit annual data report forms [N.D.C.C. 26.1-36.4-06(3) & N.D. Admin. Code 45-06-06.1-11].
Please complete the forms below and return them to the Department no later than March 15. If a form is not applicable, no submission is required. Companies with zero business to report are not required to file these forms.
Small group annual actuarial certifications must also be received on March 15. The certification must be filed as a rate filing and must address all aspects of N.D.C.C. 26.1-36.3-04(2). Please note also that there is a substantial penalty for small group data forms received after March 15.
Please address all questions and forms to:
North Dakota Insurance Department
State Capitol, fifth floor
600 E. Boulevard Ave.
Bismarck, ND 58505
Individual Health Insurance Data Report SFN 54182
Large Group Health Insurance Data Report SFN 54180
Small Group Health Insurance Data Report SFN 54181
Companies with zero business to report are not required to file these forms.