South Dakota Administrative Rules
Title 20 - PUBLIC SAFETY
Article 20:06 - INSURANCE
Chapter 20:06:53 - External and internal review
Section 20:06:53:11 - Waiver of exhaustion requirement

Universal Citation: SD Admin Rules 20:06:53:11
Current through Register Vol. 50, page 114, March 25, 2024

A request for an external review of an adverse determination may be made before the covered person has exhausted the health carrier's internal grievance procedures as set forth in SDCL 58-17I-7 to 58-17I-11, inclusive, whenever the health carrier agrees to waive the exhaustion requirement. If the requirement to exhaust the health carrier's internal grievance procedures is waived under this section, the covered person or the covered person's authorized representative may file a request in writing for a standard external review as set forth in §§ 20:06:53:12 to 20:06:53:22, inclusive, or §§ 20:06:53:33 to 20:06:53:54, inclusive.

General Authority: SDCL 58-17-87, 58-17H-49, 58-17I-16, 58-18-79.

Law Implemented: SDCL 58-17-87, 58-18-79.

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.