Section 65-01-16 - Decisions by organization - Disputed decisionsThe following procedures must be followed in claims for benefits, notwithstanding any provisions to the contrary in chapter 28-32:
1. The organization shall send a copy of each initial claim form filed with the organization to the claimant's employer, by regular mail, along with a form for the employer's response, if the employer's response has not been filed at the time the claim is filed.2. The organization may conduct a hearing on any matter within its jurisdiction by informal internal review of the information of record.3. The organization may issue a notice of decision for any decision made by informal internal review and shall serve the notice of decision on the parties by regular mail. A notice of decision must include a statement of the decision, a short summary of the reason for the decision, and notice of the right to reconsideration.4. A party has forty-five days from the day the notice of decision was mailed by the organization to file a written request for reconsideration. The request for reconsideration is considered filed only upon receipt by the organization. The employer is not required to file the request through an attorney. The request must state the reason for disagreement with the organization's decision and the desired outcome. The request may be accompanied by additional evidence not previously submitted to the organization. The organization shall reconsider the matter by informal internal review of the information of record. Absent a timely and sufficient request for reconsideration, the notice of decision is final and may not be reheard or appealed.5. After receiving a request for reconsideration, the organization shall serve on the parties by regular mail a notice of decision reversing the previous decision or, in accordance with the North Dakota Rules of Civil Procedure, an administrative order that includes its findings, conclusions, and order. The organization may serve an administrative order on any decision made by informal internal review without first issuing a notice of decision and receiving a request for reconsideration. If the organization does not issue an order within sixty days of receiving a request for reconsideration, any interested party may request, and the organization shall promptly issue, an appealable determination.6. An employee has forty-five days from the day the administrative order was mailed in which to file a request for assistance from the decision review office under section 65-02-27.7. A party has forty-five days, from the date of service of an administrative order or from the day the decision review office mails its notice that the office's assistance is complete, in which to file a written request for rehearing. The request must specifically state each alleged error of fact and law to be reheard and the relief sought. Absent a timely and sufficient request for rehearing, the administrative order is final and may not be reheard or appealed.8. Rehearings must be conducted as hearings under chapter 28-32 to the extent the provisions of that chapter do not conflict with this section.9. A party may appeal a posthearing administrative order to district court in accordance with chapter 65-10. Chapter 65-10 does not preclude the organization from appealing to district court a final order issued by a hearing officer under this title.10. Any notice of decision, administrative order, or posthearing administrative order is subject to review and reopening under section 65-05-04.Amended by S.L. 2023, ch. 581 (HB 1052),§ 2, eff. 8/1/2023, app. to all requests for reconsideration regardless of the date of decision issued by the organization.Amended by S.L. 2021 , ch. 502( HB 1040 ), § 1, eff. 8/1/2021.Amended by S.L. 2017 , ch. 435( SB 2093 ), § 2, eff. 8/1/2017.Amended by S.L. 2011, ch. 507 (SB 2205),§ 2, eff. 8/1/2011.Amended by S.L. 2011, ch. 507 (SB 2205),§ 1, eff. 8/1/2011.See S.L. 2021 , ch. 502( HB 1040 ), § 3.