South Dakota Administrative Rules
Title 20 - PUBLIC SAFETY
Article 20:06 - INSURANCE
Chapter 20:06:21 - Long-term care insurance
Section 20:06:21:73 - Providers in a different state

Universal Citation: SD Admin Rules 20:06:21:73

Current through Register Vol. 50, page 114, March 25, 2024

No long-term care issuer may deny a claim because services are provided in a state other than the state of policy issue if the following conditions are met:

(1) If the state other than the state of policy issue does not have the provider licensing, certification, or registration required in the policy, but the provider satisfies the policy requirements outlined for providers in lieu of licensure, certification, or registration; or

(2) If the state other than the state of policy issue licenses, certifies, or registers the provider under another classification.

For purposes of this section, "state of policy issue" means the state in which the individual policy or certificate was originally issued.

General Authority: SDCL 58-17B-4.

Law Implemented: SDCL 58-17B-4.

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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