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- SDCL § 58-17I-8 · Rights of covered person or authorized representative on review--Access to documentation.
- SDCL § 58-17I-9 · Time for decision and notice--Calculation of time periods.
- SDCL § 58-17I-10 · Procedures for providing new or additional evidence.
- SDCL § 58-17I-11 · Issuance of decision--Required contents.
- SDCL § 58-17I-12 · Expedited review for adverse determinations involving urgent care requests--Appointment of peers for review.
- SDCL § 58-17I-13 · Transmission of necessary information for certain expedited reviews.
- SDCL § 58-17I-14 · Expedited review decision not initial determination for benefits--Notification--Time periods--Continuation of service involving concurrent review urgent care requests.
- SDCL § 58-17I-15 · Expedited review decision--Notification--Required contents.
- SDCL § 58-17I-16 · Promulgation of rules.
- SDCL § 58-17J-1 · Definitions.
- SDCL § 58-17J-2 · Patient choice--Health care provider participation.
- SDCL § 58-17K-1 · Definitions.
- SDCL § 58-17K-2 · Cost-sharing information described--Required disclosure to enrollees.
- SDCL § 58-17K-3 · Cost-sharing information disclosed--Required internet method and format.
- SDCL § 58-17K-4 · Cost-sharing information disclosed--Paper or other method on request--Limit on providers per request.
- SDCL § 58-17K-5 · Prescription drug file--Required public disclosure--Method, format, and updates.
- SDCL § 58-17K-6 · Cost-sharing information or prescription drug file--Third party contract to provide information--Health insurer responsible.
- SDCL § 58-17K-7 · Acting in good faith--Error or omission--Reliance on other entity.
- SDCL § 58-17K-8 · Compliance with applicable laws required.
- SDCL § 58-17K-9 · Applicability to certain plans.
- SDCL § 58-17K-10 · Rules and regulations.
- SDCL § 58-17K-11 · Plan years effective.
- SDCL § 58-18-1 · Group health insurance defined.
- SDCL § 58-18-2 · Employee group insurance authorized--Employees defined.
- SDCL § 58-18-3 · Employer association group health insurance authorized--Employees defined.
- SDCL § 58-18-4 · Industry fund group insurance authorized--Employees defined.
- SDCL § 58-18-4.1 · Restrictions on issuance of group health insurance policy to association.
- SDCL § 58-18-4.2 · Required duration of participation by employer member in association plan.
- SDCL § 58-18-4.3 · Association plan covering state residents to comply with state law.
- SDCL § 58-18-4.4 · Requirements for insurer offering fully insured health benefit plan through association.
- SDCL § 58-18-5 · Issuance to person or organization to which group life insurance policy may be issued.
- SDCL § 58-18-6 · Issuance to cover similar group subject to discretion of director.
- SDCL § 58-18-6.1 · Coverage of proprietors, partners and executive corporate officer employees.
- SDCL § 58-18-7 · Continuation without evidence of insurability--Application.
- SDCL § 58-18-7.1 · Coverage for inpatient treatment of alcoholism to be offered in group policies--Treatment within state included.
- SDCL § 58-18-7.2 · Benefits provided under alcoholism coverage--Maximum treatment periods permitted.
- SDCL § 58-18-7.3 · Policies not within alcoholism coverage requirement.
- SDCL § 58-18-7.4 · Coverage upon application by employee or beneficiary with right to convert following notice of termination.
- SDCL § 58-18-7.5 · Continuation of coverage upon leaving employment or termination of coverage by insurer--Duration.
- SDCL § 58-18-7.6
- SDCL § 58-18-7.11 · Continuation or conversion policy not required under certain circumstances.
- SDCL § 58-18-7.12 · Conditions for continuation.
- SDCL § 58-18-7.13 · Premium for conversion policy and continuation policy.
- SDCL § 58-18-7.14 · Notification of continuation and conversion rights.
- SDCL § 58-18-7.15 · Group insurance coverage in lieu of converted individual policies.
- SDCL § 58-18-7.16
- SDCL § 58-18-7.17 · Exclusion of benefits for injury while under the influence of alcohol or drugs prohibited--Exception for sickness or injury caused in commission of felony.
- SDCL § 58-18-7.18 · Continuation coverage to be same as that available to similarly situated beneficiaries--Option to decrease benefits.
- SDCL § 58-18-7.19 · Probationary period for continuation or conversion coverage prohibited.
- SDCL § 58-18-7.20 · Construction with chapter 58-18C.
- SDCL § 58-18-7.21 · Continued coverage--Insurer's use of experience for rating purposes not limited--Options unavailable in market not required.
- SDCL § 58-18-8 · Representations by applicant not warranties--Written statement required to avoid insurance or reduce benefits.
- SDCL § 58-18-9 · Summary statement of coverage for delivery to member of insured group.
- SDCL § 58-18-10 · Additions to group originally insured.
- SDCL § 58-18-11 · Direct payment for hospital, medical, or surgical services--Option of insurer.
- SDCL § 58-18-11.1 · Reduction of benefits because of increase in statutory disability benefits prohibited.
- SDCL § 58-18-11.2
- SDCL § 58-18-12 · Blanket health insurance defined.
- SDCL § 58-18-13 · Blanket health insurance for passengers on common carrier.
- SDCL § 58-18-14 · Blanket health insurance for employees, dependents, or guests with reference to hazardous activities.
- SDCL § 58-18-15 · Blanket health insurance for institutions of learning, camps, or sponsors.
- SDCL § 58-18-16 · Blanket health insurance for religious, charitable, recreational, educational, or civic organizations.
- SDCL § 58-18-17 · Blanket health insurance for sports team or sponsors.
- SDCL § 58-18-18 · Blanket health insurance for volunteer group or agency.
- SDCL § 58-18-19 · Blanket health insurance for other risks approved by director.
- SDCL § 58-18-20 · Authority to issue blanket health insurance--Filing of copy of form--Required provisions.
- SDCL § 58-18-21 · Policy and application constitute entire contract--Statements by policyholder not warranties--Written statement required for use in defense of claim.
- SDCL § 58-18-22 · Sickness or injury--Provision for notice to insurer.
- SDCL § 58-18-23 · Forms for filing proof of loss--Failure of insurer to furnish, submission of written proof.
- SDCL § 58-18-24 · Claim for loss of time--Time for furnishing proof of loss--Notice of continuance of disability.
- SDCL § 58-18-25 · Time for payment of benefits.
- SDCL § 58-18-26 · Physical examination of insured--Autopsy in death claims.
- SDCL § 58-18-27 · Time for commencement of action to recover under policy.
- SDCL § 58-18-28 · Individual application and certificate not required under blanket policy.
- SDCL § 58-18-29 · Persons to whom benefits payable under blanket health policy.
- SDCL § 58-18-30 · Chapter inapplicable to prior policies.
- SDCL § 58-18-31 · Continuation of coverage for child with intellectual or physical disability--Proof of dependency.
- SDCL § 58-18-31.1 · Dependent coverage termination--Age--Full-time student.
- SDCL § 58-18-32 · Family coverage to include newborn and newly adopted children.
- SDCL § 58-18-33 · Premature birth, congenital defects, and birth abnormalities covered--Applicability.
- SDCL § 58-18-34 · Notice of birth or adoption required for continued coverage.
- SDCL § 58-18-35 · Notice required for rate increase by group health insurance company.
- SDCL § 58-18-36 · Grandfathered plans required to cover low-dose mammography--Extent of coverage.
- SDCL § 58-18-36.1 · Policies required to cover occult breast cancer screening.
- SDCL § 58-18-37 · Freedom of choice for pharmacy services.
- SDCL § 58-18-38 · Annual period of enrollment for licensed pharmacies--Actual notice of enrollment period not required.
- SDCL § 58-18-39 · Provisions denying choice for pharmacy services as void.
- SDCL § 58-18-40 · Enforcement of provisions permitting choice for pharmacy services.
- SDCL § 58-18-41 · Coverage for phenylketonuria.
- SDCL § 58-18-42 · Health benefit plan defined.
- SDCL § 58-18-43 · Late enrollee determined.
- SDCL § 58-18-44 · Creditable coverage determined.
- SDCL § 58-18-45 · Preexisting conditions--Limitation of waiting periods.
- SDCL § 58-18-45.1 · (Text of section effective until the first plan year, policy year, or renewal date on or after January 1, 2019) Anesthesia and hospitalization for dental care to be provided certain covered persons.
- SDCL § 58-18-46 · Renewability of health benefit plans--Employer's election--Exceptions.
- SDCL § 58-18-47 · Nonrenewal of health benefit plans by an employer carrier.
- SDCL § 58-18-48 · Acceptance of new employees for coverage under employer's existing health benefit plan.
- SDCL § 58-18-49 · Carrier's offer of coverage to employer--Coverage of all eligible employees.
- SDCL § 58-18-50
- SDCL § 58-18-51.1 · Application of §§ 58-18-42 to 58-18-49, inclusive.