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Administrative Rules of South Dakota
Title 20
20:06
Chapter 20:06:13
ARSD 20:06:13
Medicare Supplement Insurance
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20:06:13:01
Repealed.
Repealed
20:06:13:02
Definitions.
20:06:13:02.01
Requirements for definition of "accident" and similar words in policies.
20:06:13:02.02
Requirements for definitions in policies.
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Applicability.
20:06:13:04
Repealed.
Repealed
20:06:13:05
Repealed.
Repealed
20:06:13:06
Repealed.
Repealed
20:06:13:07
Repealed.
Repealed
20:06:13:08
Repealed.
Repealed
20:06:13:09
Repealed.
Repealed
20:06:13:10
Repealed.
Repealed
20:06:13:11
Repealed.
Repealed
20:06:13:12
Repealed.
Repealed
20:06:13:13
Repealed.
Repealed
20:06:13:14
Eligible expenses under Medicare.
20:06:13:14.01
Repealed.
Repealed
20:06:13:15
Repealed.
Repealed
20:06:13:16
Waiver of coverage not allowed.
20:06:13:17
Applicability of benefit standards.
20:06:13:17.01
Repealed.
Repealed
20:06:13:17.02
General standards for 1990 standardized Medicare supplement benefit plans.
20:06:13:17.03
Standards for basic core benefits for 1990 standardized Medicare supplemen plans.
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Standards for additional benefits for 1990 standardized Medicare supplement plans.
20:06:13:17.05
Requirements for standard Medicare supplement benefit plans.
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Make-up of standardized benefit plans.
20:06:13:17.07
Suspension of coverage during period of eligibility for Medicaid.
20:06:13:17.08
Reinstitution of coverage following loss of eligibility for Medicaid.
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Suspension requested by policyholder.
20:06:13:17.10
Prescription drug benefits under Medicare supplement plans.
20:06:13:17.11
General standards for standardized Medicare supplement benefit plan -- Issued for delivery after May 31, 2010.
20:06:13:17.12
Standards for basic core benefits common to Medicare supplement insurance benefit Plans A, B, C, D, F, F with High Deductible, G. M. and N.
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Standards for additional benefits.
20:06:13:17.14
Requirements for standard Medicare supplement benefit plans -- Plans issued after May 31, 2010.
20:06:13:17.15
Make-up of standardized benefit plans -- Issued after May 31, 2010.
20:06:13:17.16
Standard Medicare supplement benefit plans for 2020 standardized Medicare supplement benefit plan policies or certificates issued for delivery to individuals newly eligible for Medicare after December 31, 2019.
20:06:13:18
Premium adjustments to match Medicare benefit adjustments.
20:06:13:19
Renewability.
20:06:13:20
Extended benefits on termination of insurance.
20:06:13:21
Loss ratio standards.
20:06:13:21.01
Refund or credit calculation.
20:06:13:22
Annual filing of premium rates.
20:06:13:22.01
Filing of premium adjustments after Medicare benefit change.
20:06:13:22.02
Public hearings.
20:06:13:22.03
Filing and approval of policies and certificates and of premium rates required.
20:06:13:22.04
One policy or certificate form allowed -- Exceptions.
20:06:13:22.05
Discontinuance of availability.
20:06:13:22.06
Combination of experience for calculation of refund or credit.
20:06:13:22.07
New or innovative benefits -- Policy or certificate form allowed -- Exceptions -- Issued after May 31, 2010.
20:06:13:23
Repealed.
Repealed
20:06:13:24
Disclosure of preexisting conditions.
20:06:13:25
Increased benefits after issue.
20:06:13:26
Separate additional premium disclosure.
20:06:13:27
Buyer's guide.
20:06:13:28
Delivery of buyer's guide.
20:06:13:29
Use of term "Medicare supplement."
20:06:13:30
Disclosure requirements for policies or subscriber contracts that are not Medicare supplement policies.
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Notice requirements for policies or certificates that are not Medicare supplement policies.
20:06:13:31.01
Disclosure requirements for Medicare supplement policies -- Riders and endorsements.
20:06:13:31.02
"Usual," "customary," and "reasonable" requirements prohibited.
20:06:13:31.03
Right of return.
20:06:13:32
Requirements concerning application forms and replacement coverage.
20:06:13:32.01
Transferred.
Repealed
20:06:13:32.02
Disclosure by agent.
20:06:13:33
Repealed.
Repealed
20:06:13:34
Replacement requirements for direct response insurers.
20:06:13:35
Notice of replacement.
20:06:13:36
Outline of coverage requirements.
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Delivery of outline of coverage.
20:06:13:38
Revisions of outline of coverage.
20:06:13:39
Repealed.
Repealed
20:06:13:40
Style and arrangement for outline of coverage.
20:06:13:41
Repealed.
Repealed
20:06:13:42
Repealed.
Repealed
20:06:13:43
Overinsurance.
20:06:13:43.01
Misrepresentation -- Unfair or deceptive trade practices.
20:06:13:43.02
Determination of suitability.
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Medicare supplement and Medicare Part C (Medicare Advantage) or Medicare Cost duplication.
20:06:13:44
Failure to provide required forms.
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Refund in replacement situations.
20:06:13:46
Coverage replaced within the same company.
20:06:13:47
Insurance replaced by the same agent.
20:06:13:48
Repealed.
Repealed
20:06:13:49
Requirements for claims payment.
20:06:13:50
Policy classification -- Requirements and limitations.
20:06:13:51
Notice of benefit change.
20:06:13:52
Repealed.
Repealed
20:06:13:53
Duplication of coverage prohibited.
20:06:13:54
Repealed.
Repealed
20:06:13:55
Exception to reinstitution of coverage.
20:06:13:56
Continuation and conversion rights.
20:06:13:57
Standards for marketing.
20:06:13:58
Marketing practices prohibited.
20:06:13:58.01
Health insurance advertisement rate disclosures.
20:06:13:58.02
Health insurance advertisement disclosure statements.
20:06:13:59
Reporting of multiple policies.
20:06:13:60
Cancellation or nonrenewal of policies.
20:06:13:60.01
Guaranteed renewable with benefit changes.
20:06:13:61
Agent compensation limited.
20:06:13:62
Repealed.
Repealed
20:06:13:63
Medicare select policies and certificates.
20:06:13:64
Medicare select authorization.
20:06:13:65
Approval required for issuance.
20:06:13:66
Filing plan of operation.
20:06:13:67
Filing of changes.
20:06:13:68
Network restrictions.
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Coverage for unavailable services.
20:06:13:70
Disclosure and outline of coverage requirements.
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Applicant signature required.
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Complaints and grievances.
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Required offer of other Medicare supplement coverage.
20:06:13:74
Required offer of replacement coverage without a restricted network provision.
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Continuation.
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Compliance with data requests.
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Creditable coverage.
20:06:13:78
Medicare Advantage plan.
20:06:13:79
Guaranteed issue.
20:06:13:80
Guaranteed issue -- Eligible persons.
20:06:13:80.01
Guaranteed issue time periods.
20:06:13:80.02
Extended medigap access for interrupted trial periods.
20:06:13:81
Guaranteed issue -- Products to which eligible persons are entitled.
20:06:13:82
Guaranteed issue -- Notification provisions.
20:06:13:83
Open enrollment.`
20:06:13:84
Open enrollment required for Medicare eligible individuals regardless of age.
20:06:13:85
Notice requirement.
20:06:13:86
Exchanging of standardized plan.
20:06:13:86.01
Exchanging of standardized plan -- Age rate schedule.
20:06:13:86.02
Excahnging of standardized plan -- Rating class.
20:06:13:86.03
Exchanging of standardized plan -- Preexisting conditions and incontestability period.
20:06:13:86.04
Exchanging of standardized plan -- Offering.
20:06:13:87
Applicability of genetic information.
20:06:13:88
Definitions applicable to genetic information.
20:06:13:89
Use of genetic information.
20:06:13:90
Request of genetic testing.
20:06:13:91
Requirement of genetic testing.
20:06:13:92
Genetic information -- Underwriting purposes and enrollment.
20:06:13:0A
Medicare Supplement Refund Calculation Forms.
20:06:13:0B
Form for Reporting Medicare Supplement Policies.
20:06:13:0C
Notice to Applicant Regarding Replacement of Medicare Supplement Insurance.
20:06:13:0D
Outline of Medicare Supplement Coverage Policies Plans A through N.
20:06:13:0E
Instructions for Use of the Disclosure Statements for Health Insurance Policies Sold to Medicare Beneficiaries that Duplicate Medicare.