REGULATION OF SMALL BUSINESSES' GROUP AND BLANKET HEALTH INSURANCE - Diabetes and Health Insurance in South Dakota

REGULATION OF SMALL BUSINESSES' GROUP AND BLANKET HEALTH INSURANCE
legis.state.sd.us

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-4, 58-18B-5. Repealed.
58-18B-6 Disclosure in solicitation and sales materials.
58-18B-7 Information and documentation required--Certification filed with director.
58-18B-8 Suspension of rate requirements.
58-18B-9 Application of chapter.
58-18B-10 Repealed.
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58-18B-16 Repealed.
58-18B-17 Limit on premium rates.
58-18B-18 Promulgation of rules for rating practices.
58-18B-19 Repealed.
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-22. Repealed.
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58-18B-29 Repealed.
58-18B-30 Repealed.
58-18B-31, 58-18B-32. Repealed.
58-18B-33 Repealed.
58-18B-34 Report on extending health insurance to medically uninsurable individuals not part of small employer group.
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.

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58-18B-39 Information regarding restricted network provision of carrier.
58-18B-40 Compensation of insurance producer not to be varied according to status, claims experience, industry, occupation, or location of small employer.
58-18B-41 Compensation of insurance producer based on percentage of premium.
58-18B-42 Repealed.
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-59 Association exempt from application of rating requirements of chapter-- Criteria.

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