For a plan year beginning in calendar year 2014, the annual deductible for a health plan in the small group market may not exceed the following

1. (1) For self-only coverage--$2,000; or

2. (2) For coverage other than self-only--$4,000.

   For a plan year beginning in a calendar year after 2014, the annual deductible for a health plan in the small group market may not exceed the following:

3. (1) For self-only coverage--the annual limitation on deductibles for calendar year 2014 increased by an amount equal to the product of that amount and the premium adjustment percentage; and

4. (2) For other than self-only coverage--twice the annual deductible limit for self-only coverage.

   A health plan's annual deductible may exceed the annual deductible limit if that plan may not reasonably reach the actuarial value of a given level of coverage without exceeding the annual deductible limit.

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.