PPO/Basic Non-Grandfathered

Overview

PPO/Basic Non-Grandfathered Plan - Only for employees of Mercer County and Ward County

• Sanford Health Plan is the carrier for this plan. Visit their online portal here: Sanford Health Plan.
• Eligible employees are those employed by a participating employer (Mercer County and Ward County) who are at least 18 years of age, work at least 20 hours per week for 20 or more weeks per year, and whose positions are regularly funded and not of limited duration (i.e., permanent).  
• Temporary employees may be eligible to participate as well, however, their employer will determine eligibility.
• Initial enrollment period is within 31 days of employment into an eligible position or within 31 days of a qualifying event.
• NDPERS conducts an Annual Enrollment in the fall each year with coverage effective January 1 of the following year.

Carrier Contact Information   Forms

Other Health Insurance Benefits

These additional programs are available to you. Click on each of the images below for more information.

Additional Information

• Health Plan Coverage Information
  • Health Plan Member Handbook
  • PPO/Basic Non-Grandfathered Certificate of Insurance
  • PPO/Basic Non-Grandfathered Certificate of Insurance - 2023 Amendment
  • PPO/Basic Non-Grandfathered Overview of Benefits & Services
  • PPO/Basic Non-Grandfathered Pharmacy Handbook
  • PPO/Basic Non-Grandfathered Summary of Benefits & Coverage
• Helpful Tools & Resources
  • What Services Require Pre-authorization/Prior Approval
  • What is the Medication Delivered at Home service?
  • Using the OptumRx mobile app
  • OptumRx prescription mail-in order form
  • Pay for the medication, not the name
  • Is my medication covered?
• Privacy and Legal Notices
  • HIPAA Privacy notice
  • Continuation of Insurance Coverage - COBRA Notice
  • Creditable Coverage Notice for Medicare Eligible Active Members