If a claim under a long-term care insurance contract is denied, the issuer shall, within 60 days of the date of a written request by the policyholder or certificateholder, or a representative thereof:

1. (1) Provide a written explanation of the reasons for the denial; and
2. (2) Make available all information directly related to the denial.

Source: 28 SDR 157, effective May 19, 2002.

General Authority: SDCL 58-17B-4 .

Law Implemented: SDCL 58-17B-4 .