The levels of coverage are calculated as follows:

1. (1) A bronze health plan is a health plan that has an actuarial value of 60 percent;
2. (2) A silver health plan is a health plan that has an actuarial value of 70 percent;
3. (3) A gold health plan is a health plan that has an actuarial value of 80 percent; and

4. (4) A platinum health plan is a health plan that has an actuarial value of 90 percent.

   Actuarial value within a de minimis variation determines whether a health plan offers a bronze, silver, gold, or platinum level of coverage.

Source: 39 SDR 203, effective June 10, 2013.

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

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