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Home > Health Care Reform
Health Care Reform

The Patient Protection and Affordable Care Act (PPACA) was signed into law on March 23, 2010.

Join our stakeholders email list to receive information and updates.

Click here for a list of North Dakota agents/brokers certified to sell health insurance on the federal marketplaces as of Sept. 2018.

Navigators

For federal marketplace assistance, customer service representatives are available by calling (800) 318-2596 and hearing-impaired callers using TTY/TDD technology can dial (855) 889-4325 for assistance. Small businesses can call (800) 706-7893 for federal marketplace assistance. For assistance navigating the federal marketplace or determining eligibility for subsidies and other programs in North Dakota, contact a navigator:

Family Healthcare, Fargo
 
Valley Community Health Center, Grand Forks

Northland Health Centers, Turtle Lake Office     (701) 448-2054

Coal Country Community Health Center, Beulah     (701) 873-7788

News

5/8/2018     Insurance Department to Analyze Options for Health Insurance Reform in North Dakota

10/30/2017   Insurance Department Encourages Consumers to Shop Around as Open Enrollment Period Begins

10/26/2017   Sanford Health Plan to Remain on the ACA Individual Health Insurance Exchange in 2018

10/17/2017   Insurance Commissioner to Deny Additional Rate Increase Following Non-payments of CSRs

10/6/2017     Insurance Department Releases Approved ACA Health Insurance Premiums, Encourages Consumers to Shop

9/28/2017     Medica Leaving North Dakota Individual Health Insurance Exchange in 2018

9/11/2017     Insurance Commissioner Provides Recommendations to Senate Committee on Health, Education, Labor and Pensions

1/17/2017    Commissioner Godfread Provides ACA Reform Recommendation to Congress

North Dakota Benchmark Plan file size: 223 kb

Essential Health Benefits

The following links include all documents submitted by North Dakota for its Essential Health Benefits (EHB) benchmark health plan submission sent to U.S. Department of Health and Human Services (HHS) Secretary Sebelius on Sept. 28, 2012. The information provided in these documents represents general benefit information included in the Sanford Health Plan, which was the recommended benchmark plan.

Sanford North Dakota Policy file size: 1210 kb

Sanford Summary of Coverage file size: 203 kb

CHIP Vision Plan file size: 625 kb

CHIP Dental Plan file size: 644 kb

North Dakota Benchmark Prescription Drug Formulary file size: 1506 kb

North Dakota also supplemented this plan with the North Dakota Children's Health Insurance Plan's (CHIP) pediatric and dental benefits.

HHS issued a final rule on EHB in February 2013.

The North Dakota Insurance Department will continue to review and provide prior approval to most health insurance policy forms and premium rates sold in the state.

If you have a question that is not answered here, please contact us at (800) 247-0560 or insurance@nd.gov.


North Dakota Insurance Department
600 E. Boulevard Ave.
Bismarck, ND 58505-0320
Phone 701.328.2440
Toll free 800.247.0560
Fax 701.328.4880

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