Learn More
Log In
Sign Up
ARSD 20:06:46 – Hipaa Rules -- Nondiscrimination in the Group Market | Midpage
Collections
Administrative Rules of South Dakota
Title 20
20:06
Chapter 20:06:46
ARSD 20:06:46
Hipaa Rules -- Nondiscrimination in the Group Market
20:06:46:01
Definitions.
20:06:46:02
Criteria that cannot be used to determine benefit eligibility.
20:06:46:03
Rules for eligibility may not discriminate based on any health factor.
20:06:46:04
Condition of enrollment or continued enrollment may not require additional premium for similarly situated individuals.
20:06:46:05
Premium or contribution differential based on completion of a bona fide wellness program.
20:06:46:06
Benefit restrictions must be uniformly applied to all similarly situated individuals.
20:06:46:07
Treatment resulting from domestic violence or a medical condition.
20:06:46:08
Preexisting condition exclusion requirements.
20:06:46:09
Treatment of similarly situated individuals.
20:06:46:10
Employment based factors in determining two or more distinct groups of participants.
20:06:46:11
Beneficiaries treated as two or more distinct groups.
20:06:46:12
Creation or modification of an employment or coverage classification not permitted.
20:06:46:13
Rule of eligibility or individual's premium or contribution rate.
20:06:46:14
Actively-at-work not a condition of eligibility or premium or contribution rate.
20:06:46:15
Rule of eligibility or individual premium or contribution permitted.