ND HB1028

Creates chapter 26.1-36.6 to establish regulatory framework for self-insurance health plans under the insurance commissioner's jurisdiction, applying specific policy and health benefit provisions from group accident and health insurance regulations.

Authorizes the Public Employees Retirement Board to establish self-insurance health plans for hospital, medical, and prescription drug benefits coverage under administrative services only (ASO) or third-party administrator (TPA) contracts, provided the plan is less costly than the lowest carrier bid.

Requires self-insurance health plans to maintain a contingency reserve fund between 1.5 to 3 months of average monthly claims paid, with an additional reserve of 1 to 1.5 months for incurred but unreported claims.

Establishes a Bank of North Dakota line of credit not to exceed $50 million available to the board for claims payment, stop-loss coverage, and administration of the self-insurance health plan, with funds appropriated for repayment of claims and program costs.

Repeals eight sections of existing law relating to self-insurance plan mandated health benefits and declares the act an emergency measure.