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This document is a health insurance application for the North Dakota Public Employees Retirement System, intended for individuals applying for health coverage under BlueCross BlueShield of North Dakota.
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How to fill out North Dakota Public Employees Retirement System (NDPERS) Group Health Application

01
Obtain the North Dakota Public Employees Retirement System (NDPERS) Group Health Application form from the official NDPERS website or your employer.
02
Read the instructions carefully to understand the requirements and the information needed.
03
Fill out the personal information section, including your name, address, date of birth, and Social Security number.
04
Provide your employment details, including your current employer and job title.
05
Indicate whether you are enrolling for yourself or your dependents by checking the appropriate boxes.
06
Complete the health coverage selection section, specifying the type of coverage you desire.
07
Review the dependent information section and include details for each dependent you wish to enroll, such as their names, dates of birth, and relationship to you.
08
Sign and date the application form to verify that all information is accurate and complete.
09
Submit the completed application form to your employer or the designated NDPERS office.

Who needs North Dakota Public Employees Retirement System (NDPERS) Group Health Application?

01
Employees of the State of North Dakota, political subdivisions, and eligible participating employers who wish to enroll in the NDPERS group health plan.
02
Dependents of eligible employees who are seeking health coverage under the NDPERS program.
03
New hires or employees transitioning to include health benefits under the NDPERS group health plan.
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People Also Ask about

The North Dakota Public Safety Retirement Plan is a defined benefit plan, wherein the employee contributes 5.5% of their income and the employer contributes either 9.81% or 7.93% of covered payroll — depending on the start date of employer participation in the plan — and 1.14% of the health credit.
Sign up for Kiplinger's Free E-Newsletters 30 Cheapest StatesHow much savings you need to retire:Annual expenditures after Social Security: 12 North Dakota $822,572 $32,903 13 Michigan $825,577 $33,023 14 South Dakota $825,577 $33,023 15 Texas $830,083 $33,20326 more rows • May 19, 2025
North Dakota Retirement Taxes Since the 2021 tax year, North Dakota exempts Social Security retirement benefits from taxation. However, income from retirement accounts or a pension is taxable, although a portion of pension income may be deductible.
North Dakota Public Employees Retirement System's (NDPERS) and Teachers' Fund for Retirement (TFFR) are defined-benefit pension plans that are a valuable recruiting tool for North Dakota job growth and provide stable retirement savings for our public workers and educators.
Plan Design ing to the US Government Accountability Office, 95 percent of employees of state and local government in North Dakota participate in Social Security.
Most of these employees don't pay into Social Security and so they don't collect Social Security benefits for their time in public employment. But some of them have, at some point, had jobs where they contributed to Social Security.
Similar to other states with such laws, North Dakota's right to work statute states that a person's right to secure employment should not be conditional on union membership (which already is enforced through federal labor law).

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The North Dakota Public Employees Retirement System (NDPERS) Group Health Application is a form used by public employees in North Dakota to apply for health insurance coverage provided through the NDPERS program.
Employees of state agencies, political subdivisions, and other entities that participate in the NDPERS program are required to file the NDPERS Group Health Application.
To fill out the NDPERS Group Health Application, individuals should provide personal information including their name, employee identification number, contact information, and details regarding dependents, as well as select their desired health plan options.
The purpose of the NDPERS Group Health Application is to enroll eligible public employees and their dependents in health insurance plans offered by the NDPERS, ensuring access to necessary health services.
The NDPERS Group Health Application must report information such as the applicant's full name, social security number, date of birth, contact information, employment details, and information about any dependents being covered under the insurance plan.
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