South Dakota Administrative Rules
Title 20 - PUBLIC SAFETY
Article 20:06 - INSURANCE
Chapter 20:06:39 - Individual plans
- Section 20:06:39:01 - Dual eligibility
- Section 20:06:39:02 - Creditable coverage and preexisting waiting periods for newborn and adopted children
- Section 20:06:39:03 - Permissible rating factors
- Section 20:06:39:04 - Certificates required upon loss of coverage. Repealed
- Section 20:06:39:04.01 - Certificates required upon loss of coverage (effective January 1, 2014)
- Section 20:06:39:05 - Standards for determinations on length of preexisting waiting periods
- Section 20:06:39:06 - College plans - Bona fide association plans. Repealed
- Section 20:06:39:06.01 - Student health plans - Bona fide association plans
- Section 20:06:39:07 - Requirements for breaks in coverage when applying for a new policy
- Section 20:06:39:08 - Active marketing required. Repealed
- Section 20:06:39:08.01 - Active marketing required
- Section 20:06:39:09 - Prohibited practices
- Section 20:06:39:10 - Prohibited compensation arrangements
- Section 20:06:39:11 - Guaranteed issue - Criteria for meeting the exception for issuing coverage to high-risk individuals. Repealed
- Section 20:06:39:12 - Guaranteed issue - Premiums counted toward statutory threshold. Repealed
- Section 20:06:39:13 - Guaranteed issue - Formula for calculating percentage of premiums attributable to high-risk individuals. Repealed
- Section 20:06:39:14 - Guaranteed issue - High-risk individuals. Repealed
- Section 20:06:39:15 - Guaranteed issue - Report of meeting statutory threshold. Repealed
- Section 20:06:39:16 - Guaranteed issue - Application for determination of disproportionate share. Repealed
- Section 20:06:39:17 - Guaranteed issue - Filing of application. Repealed
- Section 20:06:39:18 - Guaranteed issue - Director's determination. Repealed
- Section 20:06:39:19 - Guaranteed issue - Effective date of coverage
- Section 20:06:39:20 - Guaranteed issue - Tolling of 63-day time frame
- Section 20:06:39:20.01 - Required timeframe in which to submit subsequent applications for guaranteed issue plans if rejection was received after February 24, 2002. Repealed
- Section 20:06:39:20.02 - Required timeframe in which to submit subsequent applications for guaranteed issue plans if rejection was received prior to February 25, 2002. Repealed
- Section 20:06:39:20.03 - Subsequent rejections and timeframes. Repealed
- Section 20:06:39:20.04 - Exceptions for those applying during 63-day timeframe following loss of creditable coverage. Repealed
- Section 20:06:39:20.05 - Effective date of guaranteed issue plan
- Section 20:06:39:20.06 - Notice requirements regarding guaranteed issue when rejecting applications. Repealed
- Section 20:06:39:21 - Definition of ordinarily prudent person in preexisting condition clauses
- Section 20:06:39:22 - Fair market standards for carriers
- Section 20:06:39:23 - Group applicability to individual market
- Section 20:06:39:24 - Requirements for standard plan - Schedule of benefits. Repealed
- Section 20:06:39:25 - Requirements for standard plan - Eligible expenses. Repealed
- Section 20:06:39:26 - Requirements for standard plan - Allowable exceptions and limitations. Repealed
- Section 20:06:39:27 - Requirements for basic plan - Schedule of benefits. Repealed
- Section 20:06:39:28 - Requirements for basic plan - Eligible expenses. Repealed
- Section 20:06:39:29 - Requirements for basic plan - Allowable exceptions and limitations. Repealed
- Section 20:06:39:30 - Usual, customary, and reasonable charges for standard and basic plans
- Section 20:06:39:31 - Network available for standard and basic plans. Repealed
- Section 20:06:39:32 - Contract of more than six months - Defined
- Section 20:06:39:33 - Coverages prior to August 1, 2003. Repealed
- Section 20:06:39:34 - Disclosure requirements. Repealed
- Section 20:06:39:34.01 - Disclosure requirements
- Section 20:06:39:34.02 - Renewability of short term major medical plans
- Section 20:06:39:35 - Policy not subject to group requirements
- Section 20:06:39:36 - Medically necessary leave of absence defined
- Section 20:06:39:37 - Dependent coverage
- Section 20:06:39:38 - Notification
- Section 20:06:39:39 - Continued application in case of changed coverage
- Section 20:06:39:40 - Effective date
- Section 20:06:39:41 - Creditable coverage - Children's Health Insurance Program
- Section 20:06:39:42 - Association health insurance plans subject to individual market rating requirements
- Section 20:06:39:43 - Definitions
- Section 20:06:39:44 - Prohibition on genetic information in setting premium rates
- Section 20:06:39:45 - Limitation on requesting or requiring genetic testing
- Section 20:06:39:46 - Exceptions to requiring genetic testing
- Section 20:06:39:47 - Research exception
- Section 20:06:39:48 - Prohibitions on collection of genetic information for underwriting purposes
- Section 20:06:39:49 - Medical appropriateness
- Section 20:06:39:50 - Collection of genetic information prior to or in connection with enrollment
- Section 20:06:39:51 - Incidental collection exception
- Section 20:06:39:52 - Prohibition on genetic information as a condition of eligibility
- Section 20:06:39:53 - Prohibition on genetic information as preexisting condition
- Section 20:06:39:54 - Medicare supplemental health insurance
- Section 20:06:39:55 - Applicability to excepted benefits
- Section 20:06:39:56 - Effective date
- Section 20:06:39:57 - Guaranteed availability of coverage in the individual market
- Section 20:06:39:58 - Denial of coverage
- Section 20:06:39:59 - Open enrollment
- Section 20:06:39:60 - Initial open enrollment period
- Section 20:06:39:61 - Annual open enrollment period
- Section 20:06:39:62 - Special enrollment period effective dates
- Section 20:06:39:63 - Coverage issued outside open enrollment
- Section 20:06:39:64 - Enrollment in catastrophic plans
- Section 20:06:39:65 - Student health insurance coverage
- Section 20:06:39:66 - Clinical trial
- Section 20:06:39:67 - Nonrenewal of coverage
- Section 20:06:39:68 - Discontinuing a particular product
- Section 20:06:39:69 - Discontinuing all coverage
- Section 20:06:39:70 - Special enrollment periods for marriage, birth, and adoption
- Section 20:06:39:71 - Special enrollment triggers
- Section 20:06:39:72 - Preexisting condition exclusion and waiting period prohibited
- Section 20:06:39:73 - Health insurance issuer defined
- Section 20:06:39:74 - Applicability
- Appendix A
- Appendix B - Notice of Research Exception
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.
This site is protected by reCAPTCHA and the Google
Privacy Policy and
Terms of Service apply.