The Center for Consumer Information & Insurance Oversight
North Dakota Health Insurance Consumer Help
North Dakota does not operate a Consumer Assistance Program under the Affordable Care Act. The new consumer protections and benefits of the law still apply to you, however.
The agencies listed below can help you take advantage of some of these new protections and benefits. They can answer your questions about different types of coverage.
If you need health insurance, be sure to check out HealthCare.gov’s Plan Finder. It will help you find and compare health care coverage options in your area.
If you have questions about insurance you bought for yourself and/or your family or you have insurance provided by an employer who does business only in North Dakota, contact:
North Dakota Insurance Department
State Capitol, fifth floor
600 E. Boulevard Ave.
Bismarck, ND 58505-0320
(701) 328-2440
(800) 247-0560
TTY: (800) 366-6888
http://www.nd.gov/ndins/
insurance@nd.gov
If you have a hard time affording health coverage and you have questions about eligibility or current Medicaid benefits, go to:
North Dakota Medicaid Program
Medical Services Division
North Dakota Department of Human Services
600 E. Boulevard Ave., Dept. 325
Bismarck, ND 58505-0250
(701) 328-2321
Toll Free: (800) 755-2604
http://www.nd.gov/dhs/services/medicalserv/medicaid/
dhsmed@nd.gov
If you are not eligible for Medicaid, your child may still be eligible for the Children’s Health Insurance Program. For questions about eligibility or benefits, go to:
Healthy Steps (North Dakota CHIP)
Department of Human Services
600 E. Boulevard Avenue, Dept. 325
Bismarck, ND 58505-0250
(877) 543-7669
http://www.nd.gov/dhs/services/medicalserv/chip/
pahinsz@nd.gov
If you have a question, complaint, or dispute regarding insurance you get through a “self-insured” employer (typically a large company or one with locations in multiple states or countries), go to:
U.S. Department of Labor
Employee Benefits Security Administration
200 Constitution Ave., NW
Washington, DC 20210
(866) 4-USA-DOL (866-487-2365)
http://www.dol.gov/ebsa/consumer_info_health.html
If you are on Medicare and have a question, or if you have a disability or end stage renal disease and want to enroll or find out if you are eligible for Medicare, contact:
Senior Health Insurance Counseling (SHIC)
Toll Free: (888) 576-6611
Local: (701) 328-2440
Local: 211
http://nd.gov/ndins/shic
If you are a veteran and have a question or concern about veterans’ health care benefits, go to:
US Department of Veterans Affairs
(877) 222-VETS (8387)
http://www1.va.gov/health/
If you have questions about your health insurance that are not covered by the above resources, call the Health Insurance Assistance Team of the U.S. Center for Consumer Information and Insurance Oversight at (888) 393-2789.
Updates
- November 5, 2019 FAQ: Quality Rating Information Bulletin’s (Quality Bulletin’s) Display Guidelines for Direct Enrollment (DE) Entities
- November 1, 2019 Enhanced Direct Enrollment Approved Partners (Updated)
- September 11, 2019 FAQ: Enhanced Direct Enrollment Participation Requirements for Non-Issuer of a Primary EDE Entity Environment
- August 15, 2019 Quality Rating Information Bulletin for Plan Year 2020 Health Insurance Exchanges Quality Rating System (QRS) for Plan Year (PY) 2019: Results at a Glance
- April 18, 2019 CMS-9926-F: Final HHS Notice of Benefit and Payment Parameters for 2020 Final 2020 Letter to Issuers on Federally-facilitated Exchanges Key Dates for Calendar Year 2019: QHP Certification in the FFEs; Rate Review; Risk Adjustment
- April 4, 2019 Guidance on Unified Rate Review Timeline: Timing of Submission of Rate Filing Justifications for the 2019 Filing Year for Single Risk Pool Coverage Effective on or after January 1, 2020
- March 19, 2019 2020 Final Actuarial Value Calculator 2020 Final Actuarial Value Calculator Methodology
- March 6, 2019 CMS-9921-NC: Request for Information Regarding the Sale of Individual Health Insurance Coverage Across State Lines Through Health Care Choice Compacts
- February 28, 2019 Section 1332 Pass-through Funding Tools and Resources