Upon receipt of the notice a decision pursuant to § 20:06:53:29 reversing the adverse determination or final adverse determination, the health carrier immediately shall approve the coverage that was the subject of the adverse determination or final adverse determination.

Source: 37 SDR 48, effective September 22, 2010; 37 SDR 241, effective July 1, 2011.

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

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