NDID Printer Page
Definition of administrator: An administrator is any 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, including coverage provided by a self-funded plan.

Certificate of Authority required

Section 26.1-27-03 of the North Dakota Century Code prohibits a person from acting as an administrator without first obtaining a Certificate of Authority from the North Dakota Insurance Department.

To apply for Certificate of Authority from the Insurance Department
  • Complete the Application form (SFN 16853) and file with the North Dakota Insurance Department with a $100.00 filing fee.
  • The Department must have proof of the resident TPA license. If that information is not available on the National Insurance Producer Registry Producer DataBase (PDB), attach a Letter of Certification from the resident state.
  • The applicant should also contact the North Dakota Secretary of State (701.328.4284) to ensure compliance with North Dakota corporate law.

Bond or insurance requirement:

Administrators of self-insured plans must maintain a surety bond or proof of insurance satisfactory to the commissioner. The bond must be the greater of $100,000 or 10% of the aggregate total amount of administered coverages under the plans handled in North Dakota.

Records that MUST be retained by administrators:

Records for all transactions between the administrator, insurers and insured persons must be retained for five years following the end of the contractual relationship.

Renewal of Certificate of Authority:

All certificates of authority to act as administrators issued by the North Dakota Insurance Department expire April 30 of each year. The annual renewal fee of $50 is due by April 15 each year. Renewal reminders are mailed to administrators in March.

For more information, or for application forms, contact:

North Dakota Insurance Department
ndlicensing@nd.gov
State Capitol, fifth floor
Dept. 401
600 E. Boulevard Ave.
Bismarck, ND 58505-0320

701.328.3548
701.328.4880 fax
800.247.0560 toll free
800.366.6888 TTY line

Links
Application for Administrator-Certificate of Registration SFN 16853
Back to nd.gov/ndin