South Dakota · Regulations
Chapter 20:06:13 — Medicare supplement insurance
136 sections
136 sections
- ARSD 20:06:13:01ARSD 20:06:13:01. Disclosure form requiredRepealed
- ARSD 20:06:13:02ARSD 20:06:13:02. Definitions
- ARSD 20:06:13:02.01ARSD 20:06:13:02.01. Requirements for definition of "accident" and similar words in policies
- ARSD 20:06:13:02.02ARSD 20:06:13:02.02. Requirements for definitions in policies
- ARSD 20:06:13:03ARSD 20:06:13:03. Applicability
- ARSD 20:06:13:04ARSD 20:06:13:04. Allowed restrictions on coverage of accidentsRepealed
- ARSD 20:06:13:05ARSD 20:06:13:05. Effects of other insurance and coverage of accidentsRepealed
- ARSD 20:06:13:06ARSD 20:06:13:06. Restrictions for accidents while employedRepealed
- ARSD 20:06:13:07ARSD 20:06:13:07. Denial of benefits to persons in skilled nursing facilities prohibitedRepealed
- ARSD 20:06:13:08ARSD 20:06:13:08. Skilled nursing facility -- ExclusionsRepealed
- ARSD 20:06:13:09ARSD 20:06:13:09. Hospital reimbursement by nonprofit plansRepealed
- ARSD 20:06:13:10ARSD 20:06:13:10. Mental or emotional disorders -- Limitations and exclusionsRepealed
- ARSD 20:06:13:11ARSD 20:06:13:11. Nurse -- Description of classesRepealed
- ARSD 20:06:13:12ARSD 20:06:13:12. Coverage of sickness -- Allowed restrictionsRepealed
- ARSD 20:06:13:13ARSD 20:06:13:13. Coverage of sickness -- Other insuranceRepealed
- ARSD 20:06:13:14ARSD 20:06:13:14. Eligible expenses under Medicare
- ARSD 20:06:13:14.01ARSD 20:06:13:14.01. Health care expenses defined -- ExclusionsRepealed
- ARSD 20:06:13:15ARSD 20:06:13:15. Permitted policy limitations and exclusionsRepealed
- ARSD 20:06:13:16ARSD 20:06:13:16. Waiver of coverage not allowed
- ARSD 20:06:13:17ARSD 20:06:13:17. Applicability of benefit standards
- ARSD 20:06:13:17.01ARSD 20:06:13:17.01. Benefits restoredRepealed
- ARSD 20:06:13:17.02ARSD 20:06:13:17.02. General standards for 1990 standardized Medicare supplement benefit plans
- ARSD 20:06:13:17.03ARSD 20:06:13:17.03. Standards for basic core benefits for 1990 standardized Medicare supplement benefit plans
- ARSD 20:06:13:17.04ARSD 20:06:13:17.04. Standards for additional benefits for 1990 standardized Medicare supplement benefit plans
- ARSD 20:06:13:17.05ARSD 20:06:13:17.05. Requirements for standard Medicare supplement benefit plans
- ARSD 20:06:13:17.06ARSD 20:06:13:17.06. Make-up of standardized benefit plans
- ARSD 20:06:13:17.07ARSD 20:06:13:17.07. Suspension of coverage during period of eligibility for Medicaid
- ARSD 20:06:13:17.08ARSD 20:06:13:17.08. Reinstitution of coverage following loss of eligibility for Medicaid
- ARSD 20:06:13:17.09ARSD 20:06:13:17.09. Suspension requested by policyholder
- ARSD 20:06:13:17.10ARSD 20:06:13:17.10. Prescription drug benefits under Medicare supplement plans
- ARSD 20:06:13:17.11ARSD 20:06:13:17.11. General standards for standardized Medicare supplement benefit plan -- Issued for delivery after May 31, 2010
- ARSD 20:06:13:17.12ARSD 20:06:13:17.12. Standards for basic core benefits common to Medicare supplement insurance benefit Plans A, B, C, D, F, F with High Deductible, G, M, and N
- ARSD 20:06:13:17.13ARSD 20:06:13:17.13. Standards for additional benefits
- ARSD 20:06:13:17.14ARSD 20:06:13:17.14. Requirements for standard Medicare supplement benefit plans -- Plans issued after May 31, 2010
- ARSD 20:06:13:17.15ARSD 20:06:13:17.15. Make-up of standardized benefit plans -- Issued after May 31, 2010
- ARSD 20:06:13:17.16ARSD 20:06:13:17.16. Standard Medicare supplement benefit plans for 2020 standardized Medicare supplement benefit plan policies or certificates issued for delivery to individuals newly eligible for Medicare after December 31, 2019
- ARSD 20:06:13:18ARSD 20:06:13:18. Premium adjustments to match Medicare benefit adjustments
- ARSD 20:06:13:19ARSD 20:06:13:19. Renewability
- ARSD 20:06:13:20ARSD 20:06:13:20. Extended benefits on termination of insurance
- ARSD 20:06:13:21ARSD 20:06:13:21. Loss ratio standards
- ARSD 20:06:13:21.01ARSD 20:06:13:21.01. Refund or credit calculation
- ARSD 20:06:13:22ARSD 20:06:13:22. Annual filing of premium rates
- ARSD 20:06:13:22.01ARSD 20:06:13:22.01. Filing of premium adjustments after Medicare benefit change
- ARSD 20:06:13:22.02ARSD 20:06:13:22.02. Public hearings
- ARSD 20:06:13:22.03ARSD 20:06:13:22.03. Filing and approval of policies and certificates and of premium rates required
- ARSD 20:06:13:22.04ARSD 20:06:13:22.04. One policy or certificate form allowed -- Exceptions
- ARSD 20:06:13:22.05ARSD 20:06:13:22.05. Discontinuance of availability
- ARSD 20:06:13:22.06ARSD 20:06:13:22.06. Combination of experience for calculation of refund or credit
- ARSD 20:06:13:22.07ARSD 20:06:13:22.07. New or innovative benefits -- Policy or certificate form allowed -- Exceptions -- Issued after May 31, 2010
- ARSD 20:06:13:23ARSD 20:06:13:23. Rate increasesRepealed
- ARSD 20:06:13:24ARSD 20:06:13:24. Disclosure of preexisting conditions
- ARSD 20:06:13:25ARSD 20:06:13:25. Increased benefits after issue
- ARSD 20:06:13:26ARSD 20:06:13:26. Separate additional premium disclosure
- ARSD 20:06:13:27ARSD 20:06:13:27. Buyer's guide
- ARSD 20:06:13:28ARSD 20:06:13:28. Delivery of buyer's guide
- ARSD 20:06:13:29ARSD 20:06:13:29. Use of term "Medicare supplement."
- ARSD 20:06:13:30ARSD 20:06:13:30. Disclosure requirements for policies or subscriber contracts that are not Medicare supplement policies
- ARSD 20:06:13:31ARSD 20:06:13:31. Notice requirements for policies or certificates that are not Medicare supplement policies
- ARSD 20:06:13:31.01ARSD 20:06:13:31.01. Disclosure requirements for Medicare supplement policies -- Riders and endorsements
- ARSD 20:06:13:31.02ARSD 20:06:13:31.02. "Usual," "customary," and "reasonable" requirements prohibited
- ARSD 20:06:13:31.03ARSD 20:06:13:31.03. Right of return
- ARSD 20:06:13:32ARSD 20:06:13:32. Requirements concerning application forms and replacement coverage
- ARSD 20:06:13:32.01ARSD 20:06:13:32.01. Transferred to § 20:06:13:32Transferred
- ARSD 20:06:13:32.02ARSD 20:06:13:32.02. Disclosure by agent
- ARSD 20:06:13:33ARSD 20:06:13:33. Replacement requirements for agentsRepealed
- ARSD 20:06:13:34ARSD 20:06:13:34. Replacement requirements for direct response insurers
- ARSD 20:06:13:35ARSD 20:06:13:35. Notice of replacement
- ARSD 20:06:13:36ARSD 20:06:13:36. Outline of coverage requirements
- ARSD 20:06:13:37ARSD 20:06:13:37. Delivery of outline of coverage
- ARSD 20:06:13:38ARSD 20:06:13:38. Revisions of outline of coverage
- ARSD 20:06:13:39ARSD 20:06:13:39. Outline of coverage requirements for "usual and customary" benefitsRepealed
- ARSD 20:06:13:40ARSD 20:06:13:40. Style and arrangement for outline of coverage
- ARSD 20:06:13:41ARSD 20:06:13:41. Supplemental disclosure formRepealed
- ARSD 20:06:13:42ARSD 20:06:13:42. Variable information for supplemental disclosure formRepealed
- ARSD 20:06:13:43ARSD 20:06:13:43. Overinsurance
- ARSD 20:06:13:43.01ARSD 20:06:13:43.01. Misrepresentation -- Unfair or deceptive trade practices
- ARSD 20:06:13:43.02ARSD 20:06:13:43.02. Determination of suitability
- ARSD 20:06:13:43.03ARSD 20:06:13:43.03. Medicare supplement and Medicare Part C (Medicare Advantage) or Medicare Cost duplication
- ARSD 20:06:13:44ARSD 20:06:13:44. Failure to provide required forms
- ARSD 20:06:13:45ARSD 20:06:13:45. Refund in replacement situations
- ARSD 20:06:13:46ARSD 20:06:13:46. Coverage replaced within the same company
- ARSD 20:06:13:47ARSD 20:06:13:47. Insurance replaced by the same agent
- ARSD 20:06:13:48ARSD 20:06:13:48. Payment and recognition of physiciansRepealed
- ARSD 20:06:13:49ARSD 20:06:13:49. Requirements for claims payment
- ARSD 20:06:13:50ARSD 20:06:13:50. Policy classification -- Requirements and limitations
- ARSD 20:06:13:51ARSD 20:06:13:51. Notice of benefit change
- ARSD 20:06:13:52ARSD 20:06:13:52. Filing of policies to comply with Medicare changesRepealed
- ARSD 20:06:13:53ARSD 20:06:13:53. Duplication of coverage prohibited
- ARSD 20:06:13:54ARSD 20:06:13:54. Reinstitution of coverageRepealed
- ARSD 20:06:13:55ARSD 20:06:13:55. Exception to reinstitution of coverage
- ARSD 20:06:13:56ARSD 20:06:13:56. Continuation and conversion rights
- ARSD 20:06:13:57ARSD 20:06:13:57. Standards for marketing
- ARSD 20:06:13:58ARSD 20:06:13:58. Marketing practices prohibited
- ARSD 20:06:13:58.01ARSD 20:06:13:58.01. Health insurance advertisement rate disclosures
- ARSD 20:06:13:58.02ARSD 20:06:13:58.02. Health insurance advertisement disclosure statements
- ARSD 20:06:13:59ARSD 20:06:13:59. Reporting of multiple policies
- ARSD 20:06:13:60ARSD 20:06:13:60. Cancellation or nonrenewal of policies
- ARSD 20:06:13:60.01ARSD 20:06:13:60.01. Guaranteed renewable with benefit changes
- ARSD 20:06:13:61ARSD 20:06:13:61. Agent compensation limited
- ARSD 20:06:13:62ARSD 20:06:13:62. Requirements of insurersRepealed