North Dakota
To obtain
coverage, print and complete an Enrollment Form and mail along with premium
amount made payable to RISC. If you are a new licensee enrolling after the
original renewal period, please refer to the Prorated Premium Chart to
determine the correct premium amount.
For
coverage effective during the 2010 policy period:
Individual Licensee Enrollment Form

Reinstatement Form
(For late
renewal by mail)
For
coverage effective during the 2009 policy period:
Individual Licensee Enrollment Form

Reinstatement Form
(For late
renewal by mail)
IMPORTANT
NOTICE:
If your
previous coverage expired January 1, you should request an effective date of
January 1. This will ensure that you maintain continuous
coverage. Otherwise, you will have a break in coverage and lose any
previously established Retroactive Date (for prior acts coverage). If you do
not have continuous coverage, your new Retroactive Date will be the
effective date of your new coverage. In addition, if you have a break in
coverage and are not covered during a period that your license is active,
you will not comply with the licensing requirements for your state and your
license may be placed inactive and/or other action may be taken against your
license.
If you
discover that you have missed timely renewal, you may qualify for
reinstatement of your coverage for 90 days after your coverage has expired.
If you would like to reinstate coverage to the inception date of the current
group policy within the 90-day period (1/1 - 3/31), you may send your
premium payment via check or money order in the mail with a Reinstatement
Form. Reinstatement will eliminate a break in coverage and loss of your
Retroactive Date.
If you
would like to backdate coverage a maximum of 90 days after the 90-day
reinstatement period has passed, please refer to the Prorated Premium Chart
to determine the correct amount to send with your Reinstatement Form.
Always pay your premium on time to avoid a break in coverage and to protect
yourself from uncovered claims and noncompliance with licensing
requirements.
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