ARSD 20:06:56:04 – Substantially equal benefits.

Plans must provide for benefits that are substantially equal to the essential health benefits-benchmark plan including:

(1) Covered benefits listed in § 20:06:56:02;
(2) Limitations on coverage including coverage of benefit amount, duration, and scope; and
(3) Prescription drug benefits described in § 20:06:56:08.

Source: 39 SDR 203, effective June 10, 2013; 40 SDR 102, effective December 3, 2013

General Authority: SDCL 58-17-87 , 58-18-79.

Law Implemented: SDCL 58-17-87 , 58-18-79 , 58-18-80.