You should submit your request for an external review to either your health insurer or the North Dakota Department of Insurance (“Department”) by mail to the following address:[6]

North Dakota Department of Insurance
600 E. Boulevard Ave., #401
Bismarck, ND 58505.

You must file your written request for an external review within four months from the date that your insurer sent you the final decision.[7] If you submit your request to your health insurer, your insurer will forward your request to the Department.[8] You should include any new information and documentation that you did not include with your previous request for an internal appeal with your request.