Limited Health Benefit Plans

Bulletin 15-02     To: Health Insurance Issuers From: Larry Deiter, Director Date: April 22, 2015 Re: Limited Health Benefit Plans The purpose of this Bulletin is to remind all health insurance issuers offering limited health benefit plans in the individual and small group markets of ARSD 20:06:39:57 and 20:06:40:78. Benefit plans not meeting the essential health benefit parameters as defined in ARSD 20:06:56:03 must be issued as a supplement to other health insurance coverage and may not be used to replace essential health benefits coverage, a grandfathered health benefit plan, or a catastrophic plan. Furthermore, ARSD 20:06:39:34.01 requires policies and certificates to prominently disclose that the product is a limited benefit policy and does not provide comprehensive medical coverage in order to meet minimum essential coverage requirements.   124 South Euclid, 2nd Floor  Pierre, SD  57501  Division of Insurance Tel: 605.773.3563 Fax: 605.773.5369 www.dlr.sd.gov/insurance