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S.D. Codified Laws ch. 58-18B – Regulation of Small Businesses' Group and Blanket Health Insurance | Midpage
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South Dakota Codified Laws
Title 58
Chapter 58-18B
S.D. Codified Laws ch. 58-18B
Regulation of Small Businesses' Group and Blanket Health Insurance
58-18B-1
Definition of terms.
58-18B-2
Chapter applicable to small employer benefit plans.
58-18B-3
Regulations on premium rates.
58-18B-3.1
Base rate increase to be filed with director--Approval or disapproval.
58-18B-4
58-18B-4, 58-18B-5. Repealed by SL 1994, ch 383, §§ 12, 13
58-18B-6
Disclosure in solicitation and sales materials.
58-18B-7
Information and documentation required--Disclosure.
58-18B-8
Suspension of rate requirements.
58-18B-9
Application of chapter.
58-18B-11
Health maintenance organization considered separate carrier.
58-18B-12
Ceding arrangements resulting in less than fifty percent of obligation or risk retained by carrier prohibited.
58-18B-13
Transition period when acquiring additional class of business.
58-18B-14
Rate changes only for small employer business.
58-18B-15
Provisions for premium rates.
58-18B-17
Limit on premium rates.
58-18B-18
Promulgation of rules for rating practices.
58-18B-20
Small employer carrier to issue plan to any small employer--Criteria--Exceptions--Two percent earned premium threshold.
58-18B-21
58-18B-21, 58-18B-22. Repealed by SL 1998, ch 289, §§ 15, 16
58-18B-23
Uniform application of requirements used to determine eligibility of employers.
58-18B-24
Application of minimum participation and minimum employer contribution requirements.
58-18B-25
Considerations in applying minimum participation requirements--Premium discounts.
58-18B-26
Increase in minimum requirements for employee participation or employer contribution prohibited after acceptance for coverage.
58-18B-27
Modification to exclude certain diseases prohibited.
58-18B-27.1
Exclusion of benefits for injury while under the influence of alcohol or drugs prohibited--Exception for sickness or injury caused in commission of felony.
58-18B-28
Requirements lifted from small employer carrier in financially impaired condition.
58-18B-31
58-18B-31, 58-18B-32. Repealed by SL 2001, ch 279, §§ 6, 7
58-18B-35
Director to promulgate rules regulating sale of multiple employer trusts and welfare arrangements--Scope of rules.
58-18B-36
Rules governing implementation and administration of this chapter.
58-18B-37
Marketing health benefit plans--Denial of coverage to employer.
58-18B-38
Prohibited activities of small employer carriers or insurance producers.
58-18B-39
Information regarding restricted network provision of carrier.
58-18B-40
Agent compensation based on characteristics of small employer prohibited--Commission on sale of health insurance plan through exchange.
58-18B-41
Compensation of insurance producer based on percentage of premium.
58-18B-43
Status of insurance producer's employment may not be affected by health status, claims experience, occupation, or location of small employer placed with carrier.
58-18B-44
Carrier or agent not to induce or encourage employer to exclude employee from coverage.
58-18B-45
Reasons for denial of coverage to be in writing.
58-18B-46
Rules for additional standards for fair marketing and broad availability of benefit plans to small employers--Penalties.
58-18B-47
Third-party administrator treated as small employer carrier.
58-18B-48
Chapter not applicable to certain group health insurance plans.
58-18B-49
Establishing risk adjusters.
58-18B-50
Minimum inpatient care coverage following delivery.
58-18B-51
Shorter hospital stay permitted--Follow-up visit within forty-eight hours required.
58-18B-52
Notice to employees--Disclosures.
58-18B-53
Health insurance policies to provide coverage for biologically-based mental illnesses.
58-18B-54
Application--Exemptions.
58-18B-55
Supplemental or short term individual health benefit plans exempt from provisions of chapter--Conditions.
58-18B-56
Policies to provide coverage for diabetes supplies, equipment and education--Exceptions--Conditions and limitations.
58-18B-57
Diabetes coverage not required of certain plans.
58-18B-58
Health benefit plans to provide coverage for prostate cancer screening.
58-18B-60
Coverage for treatment of hearing impairment for persons under age nineteen.