South Dakota Administrative Rules
Title 20 - PUBLIC SAFETY
Article 20:06 - INSURANCE
Chapter 20:06:13 - Medicare supplement insurance
- Section 20:06:13:01 - Disclosure form required.Repealed
- Section 20:06:13:02 - Definitions
- Section 20:06:13:02.01 - Requirements for definition of "accident" and similar words in policies
- Section 20:06:13:02.02 - Requirements for definitions in policies
- Section 20:06:13:03 - Applicability
- Section 20:06:13:04 - Allowed restrictions on coverage of accidents.Repealed
- Section 20:06:13:05 - Effects of other insurance and coverage of accidents.Repealed
- Section 20:06:13:06 - Restrictions for accidents while employed.Repealed
- Section 20:06:13:07 - Denial of benefits to persons in skilled nursing facilities prohibited.Repealed
- Section 20:06:13:08 - Skilled nursing facility - Exclusions.Repealed
- Section 20:06:13:09 - Hospital reimbursement by nonprofit plans.Repealed
- Section 20:06:13:10 - Mental or emotional disorders - Limitations and exclusions.Repealed
- Section 20:06:13:11 - Nurse - Description of classes.Repealed
- Section 20:06:13:12 - Coverage of sickness - Allowed restrictions.Repealed
- Section 20:06:13:13 - Coverage of sickness - Other insurance. Repealed
- Section 20:06:13:14 - Eligible expenses under Medicare
- Section 20:06:13:14.01 - Health care expenses defined - Exclusions.Repealed
- Section 20:06:13:15 - Permitted policy limitations and exclusions. Repealed
- Section 20:06:13:16 - Waiver of coverage not allowed
- Section 20:06:13:17 - Applicability of benefit standards
- Section 20:06:13:17.01 - Benefits restored. Repealed
- Section 20:06:13:17.02 - General standards for 1990 standardized Medicare supplement benefit plans
- Section 20:06:13:17.03 - Standards for basic core benefits for 1990 standardized Medicare supplement benefit plans
- Section 20:06:13:17.04 - Standards for additional benefits for 1990 standardized Medicare supplement benefit plans
- Section 20:06:13:17.05 - Requirements for standard Medicare supplement benefit plans
- Section 20:06:13:17.06 - Make-up of standardized benefit plans
- Section 20:06:13:17.07 - Suspension of coverage during period of eligibility for Medicaid
- Section 20:06:13:17.08 - Reinstitution of coverage following loss of eligibility for Medicaid
- Section 20:06:13:17.09 - Suspension requested by policyholder
- Section 20:06:13:17.10 - Prescription drug benefits under Medicare supplement plans
- Section 20:06:13:17.11 - General standards for standardized Medicare supplement benefit plan - Issued for delivery after May 31, 2010
- Section 20:06:13:17.12 - Standards for basic core benefits common to Medicare supplement insurance benefit Plans A, B, C, D, F, F with High Deductible, G, M, and N
- Section 20:06:13:17.13 - Standards for additional benefits
- Section 20:06:13:17.14 - Requirements for standard Medicare supplement benefit plans - Plans issued after May 31, 2010
- Section 20:06:13:17.15 - Make-up of standardized benefit plans - Issued after May 31, 2010
- Section 20:06:13:17.16 - Standard Medicare supplement benefit plans for 2020 standardized Medicare supplement benefit plan policies or certificates issued for delivery to individuals newly eligible for Medicare after December 31, 2019
- Section 20:06:13:18 - Premium adjustments to match Medicare benefit adjustments
- Section 20:06:13:19 - Renewability
- Section 20:06:13:20 - Extended benefits on termination of insurance
- Section 20:06:13:21 - Loss ratio standards
- Section 20:06:13:21.01 - Refund or credit calculation
- Section 20:06:13:22 - Annual filing of premium rates
- Section 20:06:13:22.01 - Filing of premium adjustments after Medicare benefit change
- Section 20:06:13:22.02 - Public hearings
- Section 20:06:13:22.03 - Filing and approval of policies and certificates and of premium rates required
- Section 20:06:13:22.04 - One policy or certificate form allowed - Exceptions
- Section 20:06:13:22.05 - Discontinuance of availability
- Section 20:06:13:22.06 - Combination of experience for calculation of refund or credit
- Section 20:06:13:22.07 - New or innovative benefits - Policy or certificate form allowed - Exceptions - issued after May 31, 2010
- Section 20:06:13:23 - Rate increases.Repealed
- Section 20:06:13:24 - Disclosure of preexisting conditions
- Section 20:06:13:25 - Increased benefits after issue
- Section 20:06:13:26 - Separate additional premium disclosure
- Section 20:06:13:27 - Buyer's guide
- Section 20:06:13:28 - Delivery of buyer's guide
- Section 20:06:13:29 - Use of term "Medicare supplement."
- Section 20:06:13:30 - Disclosure requirements for policies or subscriber contracts that are not Medicare supplement policies
- Section 20:06:13:31 - Notice requirements for policies or certificates that are not Medicare supplement policies
- Section 20:06:13:31.01 - Disclosure requirements for Medicare supplement policies - Riders and endorsements
- Section 20:06:13:31.02 - "Usual," "customary," and "reasonable" requirements prohibited
- Section 20:06:13:31.03 - Right of return
- Section 20:06:13:32 - Requirements concerning application forms and replacement coverage
- Section 20:06:13:32.01 - Transferred
- Section 20:06:13:32.02 - Disclosure by agent
- Section 20:06:13:33 - Replacement requirements for agents. Repealed
- Section 20:06:13:34 - Replacement requirements for direct response insurers
- Section 20:06:13:35 - Notice of replacement
- Section 20:06:13:36 - Outline of coverage requirements
- Section 20:06:13:37 - Delivery of outline of coverage
- Section 20:06:13:38 - Revisions of outline of coverage
- Section 20:06:13:39 - Outline of coverage requirements for "usual and customary" benefits. Repealed
- Section 20:06:13:40 - Style and arrangement for outline of coverage
- Section 20:06:13:41 - Supplemental disclosure form.Repealed
- Section 20:06:13:42 - Variable information for supplemental disclosure form. Repealed
- Section 20:06:13:43 - Overinsurance
- Section 20:06:13:43.01 - Misrepresentation - Unfair or deceptive trade practices
- Section 20:06:13:43.02 - Determination of suitability
- Section 20:06:13:43.03 - Medicare supplement and Medicare Part C (Medicare Advantage) or Medicare Cost duplication
- Section 20:06:13:44 - Failure to provide required forms
- Section 20:06:13:45 - Refund in replacement situations
- Section 20:06:13:46 - Coverage replaced within the same company
- Section 20:06:13:47 - Insurance replaced by the same agent
- Section 20:06:13:48 - Payment and recognition of physicians. Repealed
- Section 20:06:13:49 - Requirements for claims payment
- Section 20:06:13:50 - Policy classification - Requirements and limitations
- Section 20:06:13:51 - Notice of benefit change
- Section 20:06:13:52 - Filing of policies to comply with Medicare changes. Repealed
- Section 20:06:13:53 - Duplication of coverage prohibited
- Section 20:06:13:54 - Reinstitution of coverage. Repealed
- Section 20:06:13:55 - Exception to reinstitution of coverage
- Section 20:06:13:56 - Continuation and conversion rights
- Section 20:06:13:57 - Standards for marketing
- Section 20:06:13:58 - Marketing practices prohibited
- Section 20:06:13:58.01 - Health insurance advertisement rate disclosures
- Section 20:06:13:58.02 - Health insurance advertisement disclosure statements
- Section 20:06:13:59 - Reporting of multiple policies
- Section 20:06:13:60 - Cancellation or nonrenewal of policies
- Section 20:06:13:60.01 - Guaranteed renewable with benefit changes
- Section 20:06:13:61 - Agent compensation limited
- Section 20:06:13:62 - Requirements of insurers. Repealed
- Section 20:06:13:63 - Medicare select policies and certificates
- Section 20:06:13:64 - Medicare select authorization
- Section 20:06:13:65 - Approval required for issuance
- Section 20:06:13:66 - Filing plan of operation
- Section 20:06:13:67 - Filing of changes
- Section 20:06:13:68 - Network restrictions
- Section 20:06:13:69 - Coverage for unavailable services
- Section 20:06:13:70 - Disclosure and outline of coverage requirements
- Section 20:06:13:71 - Applicant signature required
- Section 20:06:13:72 - Complaints and grievances
- Section 20:06:13:73 - Required offer of other Medicare supplement coverage
- Section 20:06:13:74 - Required offer of replacement coverage without a restricted network provision
- Section 20:06:13:75 - Continuation
- Section 20:06:13:76 - Compliance with data requests
- Section 20:06:13:77 - Creditable coverage
- Section 20:06:13:78 - Medicare Advantage plan
- Section 20:06:13:79 - Guaranteed issue
- Section 20:06:13:80 - Guaranteed issue - Eligible persons
- Section 20:06:13:80.01 - Guaranteed issue time periods
- Section 20:06:13:80.02 - Extended medigap access for interrupted trial periods
- Section 20:06:13:81 - Guaranteed issue - Products to which eligible persons are entitled
- Section 20:06:13:82 - Guaranteed issue - Notification provisions
- Section 20:06:13:83 - Open enrollment
- Section 20:06:13:84 - Open enrollment required for Medicare eligible individuals regardless of age
- Section 20:06:13:85 - Notice requirements
- Section 20:06:13:86 - Exchanging of standardized plan
- Section 20:06:13:86.01 - Exchanging of standardized plan - Age rate schedule
- Section 20:06:13:86.02 - Exchanging of standardized plan - Rating class
- Section 20:06:13:86.03 - Exchanging of standardized plan - Preexisting conditions and incontestability period
- Section 20:06:13:86.04 - Exchanging of standardized plan - Offering
- Section 20:06:13:87 - Applicability of genetic information
- Section 20:06:13:88 - Definitions applicable to genetic information
- Section 20:06:13:89 - Use of genetic information
- Section 20:06:13:90 - Request of genetic testing
- Section 20:06:13:91 - Requirement of genetic testing
- Section 20:06:13:92 - Genetic information - Underwriting purposes and enrollment
- Appendix A - Medicare Supplement Refund Calculation Forms
- Appendix B - Form for Reporting Medicare Supplement Policies
- Appendix C - Notice to Applicant Regarding Replacement of Medicare Supplement Insurance
- Appendix D - Outline of Medicare Supplement Coverage Policies Plans A Through N
- Appendix E - Instructions for Use of the Disclosure Statements for Health Insurance Policies Sold to Medicare Beneficiaries that Duplicate Medicare
Disclaimer: These regulations may not be the most recent version. South Dakota may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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