South Dakota Administrative Rules
Title 20 - PUBLIC SAFETY
Article 20:06 - INSURANCE
Chapter 20:06:40 - Employer plans
- Section 20:06:40:01 - Waiting periods, affiliation periods, and applications relating to breaks in coverage. Repealed
- Section 20:06:40:01.01 - Waiting periods and affiliation periods relating to breaks in coverage
- Section 20:06:40:02 - Short-term, limited duration policies
- Section 20:06:40:03 - Certificates required upon losing coverage. Repealed
- Section 20:06:40:03.01 - Certificates required upon losing coverage
- Section 20:06:40:04 - Standards for determinations on length of preexisting waiting periods
- Section 20:06:40:05 - Special enrollment periods for marriage, birth, and adoption
- Section 20:06:40:05.01 - Special enrollment periods for loss of other coverage
- Section 20:06:40:06 - Affiliation periods for health maintenance organizations. Repealed
- Section 20:06:40:07 - Nondiscrimination in determining eligibility for coverage.Repealed
- Section 20:06:40:08 - Standards for determining when a condition is preexisting. Repealed
- Section 20:06:40:09 - Notification of determinations on preexisting waiting periods and appeal and reconsideration procedures. Repealed
- Section 20:06:40:10 - Creditable coverage and preexisting waiting periods for newborn and adopted children. Repealed
- Section 20:06:40:11 - Renewal rights under association plans. Repealed
- Section 20:06:40:12 - Health benefit arrangement defined.Repealed
- Section 20:06:40:13 - Public health plan defined
- Section 20:06:40:14 - Carrier defined. Repealed
- Section 20:06:40:15 - Permissible methods of crediting coverage - Alternative method prohibited. Repealed
- Section 20:06:40:16 - Notice describing plan's special enrollment required
- Section 20:06:40:17 - Group health plans to offer breast reconstruction options after covered mastectomy
- Section 20:06:40:17.01 - Written notification regarding coverage of reconstructive surgery after a mastectomy required
- Section 20:06:40:17.02 - Prohibited practices
- Section 20:06:40:17.03 - Not a termination of collective bargaining agreement
- Section 20:06:40:17.04 - Applicability
- Section 20:06:40:18 - Claims experience defined
- Section 20:06:40:19 - Additional continuation election. Repealed
- Section 20:06:40:20 - Period of special continuation. Repealed
- Section 20:06:40:21 - Treatment of special continuation. Repealed
- Section 20:06:40:22 - Premium subsidy. Repealed
- Section 20:06:40:23 - Medically necessary leave of absence defined
- Section 20:06:40:24 - Dependent coverage
- Section 20:06:40:25 - Notification
- Section 20:06:40:26 - Continued application in case of changed coverage
- Section 20:06:40:27 - Effective date
- Section 20:06:40:28 - Creditable coverage - Children's Health Insurance Program
- Section 20:06:40:29 - Definitions
- Section 20:06:40:30 - Group rating based on health factors
- Section 20:06:40:31 - No group-based discrimination based on genetic information
- Section 20:06:40:32 - Limitation on requesting or requiring genetic testing
- Section 20:06:40:33 - Exceptions to requiring genetic testing
- Section 20:06:40:34 - Research exception
- Section 20:06:40:35 - Prohibitions on collection of genetic information for underwriting purposes
- Section 20:06:40:36 - Medical appropriateness
- Section 20:06:40:37 - Collection of genetic information prior to or in connection with enrollment
- Section 20:06:40:38 - Incidental collection exception
- Section 20:06:40:39 - General exception for certain small group health plans
- Section 20:06:40:40 - Applicability to excepted benefits
- Section 20:06:40:41 - Effective date
- Section 20:06:40:42 - Definitions. Repealed
- Section 20:06:40:43 - Parity requirements with respect to aggregate lifetime and annual dollar limits. Repealed
- Section 20:06:40:44 - Plan with no limit or limits on less than one-third of all medical or surgical benefits. Repealed
- Section 20:06:40:45 - Plan with a limit on at least two-thirds of all medical or surgical benefits. Repealed
- Section 20:06:40:46 - Determining one-third and two-thirds of all medical or surgical benefits. Repealed
- Section 20:06:40:47 - Plan not described in sections 20:06:40:44 or 20:06:40:45 of this chapter. Repealed
- Section 20:06:40:48 - Parity requirements with respect to financial requirements and treatment limitations - Clarification of classification of benefits. Repealed
- Section 20:06:40:49 - Parity requirements with respect to financial requirements and treatment limitations - Clarification of type of financial requirement or treatment limitation. Repealed
- Section 20:06:40:50 - Parity requirements with respect to financial requirements and treatment limitations - Clarification of level of a type of financial requirement or treatment limitation. Repealed
- Section 20:06:40:51 - Parity requirements with respect to financial requirements and treatment limitations - Clarification of coverage unit. Repealed
- Section 20:06:40:52 - General parity requirement. Repealed
- Section 20:06:40:53 - Classifications of benefits used for applying rules. Repealed
- Section 20:06:40:54 - Application to out-of-network providers. Repealed
- Section 20:06:40:55 - Financial requirements and quantitative treatment limitations - Determining substantially all. Repealed
- Section 20:06:40:56 - Financial requirements and quantitative treatment limitations - Determining predominant. Repealed
- Section 20:06:40:57 - Financial requirements and quantitative treatment limitations - Determining portion based on plan payments. Repealed
- Section 20:06:40:58 - Financial requirements and quantitative treatment limitations - Determining clarifications for certain threshold requirements. Repealed
- Section 20:06:40:59 - Application to different coverage units. Repealed
- Section 20:06:40:60 - Special rule for multi-tiered prescription drug benefits. Repealed
- Section 20:06:40:61 - No separate cumulative financial requirements or cumulative quantitative treatment limitations. Repealed
- Section 20:06:40:62 - Nonquantitative treatment limitations. Repealed
- Section 20:06:40:63 - Illustrative list of nonquantitative treatment limitations. Repealed
- Section 20:06:40:64 - Exemptions. Repealed
- Section 20:06:40:65 - Availability of plan information - Criteria for medical necessity determinations. Repealed
- Section 20:06:40:66 - Availability of plan information - Reasons for denial. Repealed
- Section 20:06:40:67 - Applicability - Group health plans. Repealed
- Section 20:06:40:68 - Applicability - Health insurance issuers. Repealed
- Section 20:06:40:69 - Scope. Repealed
- Section 20:06:40:70 - Small employer exemption. Repealed
- Section 20:06:40:71 - Determining employer size. Repealed
- Section 20:06:40:72 - Sale of nonparity health insurance coverage. Repealed
- Section 20:06:40:73 - Special effective date for certain collectively-bargained plans. Repealed
- Section 20:06:40:74 - Establishment of sub-classifications for determining parity for outpatient benefits. Repealed
- Section 20:06:40:75 - Definitions
- Section 20:06:40:76 - Guaranteed issue
- Section 20:06:40:77 - Disclosure requirements
- Section 20:06:40:78 - Guaranteed availability of coverage in the group market
- Section 20:06:40:79 - Denial of coverage
- Section 20:06:40:80 - Special enrollment period effective dates
- Section 20:06:40:81 - Special enrollment triggers
- Section 20:06:40:82 - Nonrenew or discontinuance of coverage
- Section 20:06:40:83 - Discontinuing a particular product
- Section 20:06:40:84 - Discontinuing all coverage
- Section 20:06:40:85 - Exception for uniform modification of coverage
- Section 20:06:40:86 - Preexisting condition exclusion and waiting period prohibited
- Section 20:06:40:87 - Clinical trial
- Section 20:06:40:88 - Full-time equivalents treated as full-time employees
- Section 20:06:40:89 - Applicability
- Appendix A - Example of Certificate of Prior Group Health Plan Coverage, repealed, 39 SDR 203, effective June 10, 2013
- 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.
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