An administrator is any person who directly or indirectly underwrites, collects charges or premiums from, or adjusts or settles claims on, residents of North Dakota in connection with life, annuity or health coverage, including coverage provided by a self-funded plan.
N.D.C.C. § 26.1-27-03 prohibits a person from acting as an administrator without first obtaining a Certificate of Authority from the North Dakota Insurance Department. Pharmacy benefits managers must also hold a certificate of authority/license as an administrator.
- You can submit an application through the National Insurance Producer Registry (NIPR).
- If you are unable to submit your application electronically through NIPR, please complete the National Association of Insurance Commissioners (NAIC) Uniform Application for Third Party Administrator License/Registration and file with the North Dakota Insurance Department with a $100 filing fee. For resident applications, the attachments listed in question 25 are not required. All attachments for question 24 are required but a Certificate of Authority from the North Dakota Secretary of State is acceptable in lieu of attachments #1 and #2.
- The Department must have proof of the resident third party administrator license. If that information is not available through the NIPR Producer Database, attach proof of resident license. If submitting the application electronically, you can email the proof of resident third-party administrator to the Department at ndlicensing@nd.gov.
- The applicant should also contact the North Dakota Secretary of State to ensure compliance with North Dakota corporate law.
Administrators of self-insured plans must maintain a surety bond or proof of insurance satisfactory to the North Dakota Insurance Department. The bond must be the greater of $100,000 or 10 percent of the aggregate total amount of administered coverages under the plans handled in North Dakota.
Records for all transactions between the administrator, insurers and insured persons must be retained for five years following the end of the contractual relationship.
All third party administrator licensees must renew by April 30 each year. The renewal fee is $50. If the renewal is not completed by April 30, the license will be canceled. There is no grace period. Certificates of Authority issued after January 1 will not be required to renew until April 30 of the following calendar year.
A renewal application can be submitted through the National Insurance Producer Registry (NIPR) beginning on February 1 each year. The renewal fee is $50 and the transaction fee is $5. If you are unable to submit your renewal application electronically, you may print the NAIC Uniform Application for Business Entity Insurance License Renewal/Continuation form. Complete, sign and date the form and mail it with the renewal fee of $50 to the North Dakota Insurance Department. If submitting a paper application, allow additional processing time. The form must contain an original signature. The uniform application form asks for an individual designated responsible licensed producer (DRLP). This information is not needed to renew a third party administrator license. Please leave this section blank.