South Dakota · Regulations
Chapter 20:06:40 — Employer plans
96 sections
96 sections
- ARSD 20:06:40:01ARSD 20:06:40:01. Waiting periods, affiliation periods, and applications relating to breaks in coverageRepealed
- ARSD 20:06:40:01.01ARSD 20:06:40:01.01. Waiting periods and affiliation periods relating to breaks in coverage
- ARSD 20:06:40:02ARSD 20:06:40:02. Short-term, limited duration policies
- ARSD 20:06:40:03ARSD 20:06:40:03. Certificates required upon losing coverageRepealed
- ARSD 20:06:40:03.01ARSD 20:06:40:03.01. Certificates required upon losing coverage
- ARSD 20:06:40:04ARSD 20:06:40:04. Standards for determinations on length of preexisting waiting periods
- ARSD 20:06:40:05ARSD 20:06:40:05. Special enrollment periods for marriage, birth, and adoption
- ARSD 20:06:40:05.01ARSD 20:06:40:05.01. Special enrollment periods for loss of other coverage
- ARSD 20:06:40:06ARSD 20:06:40:06. Affiliation periods for health maintenance organizationsRepealed
- ARSD 20:06:40:07ARSD 20:06:40:07. Nondiscrimination in determining eligibility for coverageRepealed
- ARSD 20:06:40:08ARSD 20:06:40:08. Standards for determining when a condition is preexistingRepealed
- ARSD 20:06:40:09ARSD 20:06:40:09. Notification of determinations on preexisting waiting periods and appeal and reconsideration proceduresRepealed
- ARSD 20:06:40:10ARSD 20:06:40:10. Creditable coverage and preexisting waiting periods for newborn and adopted childrenRepealed
- ARSD 20:06:40:11ARSD 20:06:40:11. Renewal rights under association plansRepealed
- ARSD 20:06:40:12ARSD 20:06:40:12. Health benefit arrangement definedRepealed
- ARSD 20:06:40:13ARSD 20:06:40:13. Public health plan defined
- ARSD 20:06:40:14ARSD 20:06:40:14. Carrier definedRepealed
- ARSD 20:06:40:15ARSD 20:06:40:15. Permissible methods of crediting coverage -- Alternative method prohibitedRepealed
- ARSD 20:06:40:16ARSD 20:06:40:16. Notice describing plan’s special enrollment required
- ARSD 20:06:40:17ARSD 20:06:40:17. Group health plans to offer breast reconstruction options after covered mastectomy
- ARSD 20:06:40:17.01ARSD 20:06:40:17.01. Written notification regarding coverage of reconstructive surgery after a mastectomy required
- ARSD 20:06:40:17.02ARSD 20:06:40:17.02. Prohibited practices
- ARSD 20:06:40:17.03ARSD 20:06:40:17.03. Not a termination of collective bargaining agreement
- ARSD 20:06:40:17.04ARSD 20:06:40:17.04. Applicability
- ARSD 20:06:40:18ARSD 20:06:40:18. Claims experience defined
- ARSD 20:06:40:19ARSD 20:06:40:19. Additional continuation electionRepealed
- ARSD 20:06:40:20ARSD 20:06:40:20. Period of special continuationRepealed
- ARSD 20:06:40:21ARSD 20:06:40:21. Treatment of special continuationRepealed
- ARSD 20:06:40:22ARSD 20:06:40:22. Premium subsidyRepealed
- ARSD 20:06:40:23ARSD 20:06:40:23. Medically necessary leave of absence defined
- ARSD 20:06:40:24ARSD 20:06:40:24. Dependent coverage
- ARSD 20:06:40:25ARSD 20:06:40:25. Notification
- ARSD 20:06:40:26ARSD 20:06:40:26. Continued application in case of changed coverage
- ARSD 20:06:40:27ARSD 20:06:40:27. Effective date
- ARSD 20:06:40:28ARSD 20:06:40:28. Creditable coverage -- Children's Health Insurance Program
- ARSD 20:06:40:29ARSD 20:06:40:29. Definitions
- ARSD 20:06:40:30ARSD 20:06:40:30. Group rating based on health factors
- ARSD 20:06:40:31ARSD 20:06:40:31. No group-based discrimination based on genetic information
- ARSD 20:06:40:32ARSD 20:06:40:32. Limitation on requesting or requiring genetic testing
- ARSD 20:06:40:33ARSD 20:06:40:33. Exceptions to requiring genetic testing
- ARSD 20:06:40:34ARSD 20:06:40:34. Research exception
- ARSD 20:06:40:35ARSD 20:06:40:35. Prohibitions on collection of genetic information for underwriting purposes
- ARSD 20:06:40:36ARSD 20:06:40:36. Medical appropriateness
- ARSD 20:06:40:37ARSD 20:06:40:37. Collection of genetic information prior to or in connection with enrollment
- ARSD 20:06:40:38ARSD 20:06:40:38. Incidental collection exception
- ARSD 20:06:40:39ARSD 20:06:40:39. General exception for certain small group health plans
- ARSD 20:06:40:40ARSD 20:06:40:40. Applicability to excepted benefits
- ARSD 20:06:40:41ARSD 20:06:40:41. Effective date
- ARSD 20:06:40:42ARSD 20:06:40:42. DefinitionsRepealed
- ARSD 20:06:40:43ARSD 20:06:40:43. Parity requirements with respect to aggregate lifetime and annual dollar limitsRepealed
- ARSD 20:06:40:44ARSD 20:06:40:44. Plan with no limit or limits on less than one-third of all medical or surgical benefitsRepealed
- ARSD 20:06:40:45ARSD 20:06:40:45. Plan with a limit on at least two-thirds of all medical or surgical benefitsRepealed
- ARSD 20:06:40:46ARSD 20:06:40:46. Determining one-third and two-thirds of all medical or surgical benefitsRepealed
- ARSD 20:06:40:47ARSD 20:06:40:47. Plan not described in sections 20:06:40:44 or 20:06:40:45 of this chapterRepealed
- ARSD 20:06:40:48ARSD 20:06:40:48. Parity requirements with respect to financial requirements and treatment limitations -- Clarification of classification of benefitsRepealed
- ARSD 20:06:40:49ARSD 20:06:40:49. Parity requirements with respect to financial requirements and treatment limitations -- Clarification of type of financial requirement or treatment limitationRepealed
- ARSD 20:06:40:50ARSD 20:06:40:50. Parity requirements with respect to financial requirements and treatment limitations -- Clarification of level of a type of financial requirement or treatment limitationRepealed
- ARSD 20:06:40:51ARSD 20:06:40:51. Parity requirements with respect to financial requirements and treatment limitations -- Clarification of coverage unitRepealed
- ARSD 20:06:40:52ARSD 20:06:40:52. General parity requirementRepealed
- ARSD 20:06:40:53ARSD 20:06:40:53. Classifications of benefits used for applying rulesRepealed
- ARSD 20:06:40:54ARSD 20:06:40:54. Application to out-of-network providersRepealed
- ARSD 20:06:40:55ARSD 20:06:40:55. Financial requirements and quantitative treatment limitations -- Determining substantially allRepealed
- ARSD 20:06:40:56ARSD 20:06:40:56. Financial requirements and quantitative treatment limitations -- Determining predominantRepealed
- ARSD 20:06:40:57ARSD 20:06:40:57. Financial requirements and quantitative treatment limitations -- Determining portion based on plan paymentsRepealed
- ARSD 20:06:40:58ARSD 20:06:40:58. Financial requirements and quantitative treatment limitations -- Determining clarifications for certain threshold requirementsRepealed
- ARSD 20:06:40:59ARSD 20:06:40:59. Application to different coverage unitsRepealed
- ARSD 20:06:40:60ARSD 20:06:40:60. Special rule for multi-tiered prescription drug benefitsRepealed
- ARSD 20:06:40:61ARSD 20:06:40:61. No separate cumulative financial requirements or cumulative quantitative treatment limitationsRepealed
- ARSD 20:06:40:62ARSD 20:06:40:62. Nonquantitative treatment limitationsRepealed
- ARSD 20:06:40:63ARSD 20:06:40:63. Illustrative list of nonquantitative treatment limitationsRepealed
- ARSD 20:06:40:64ARSD 20:06:40:64. ExemptionsRepealed
- ARSD 20:06:40:65ARSD 20:06:40:65. Availability of plan information -- Criteria for medical necessity determinationsRepealed
- ARSD 20:06:40:66ARSD 20:06:40:66. Availability of plan information -- Reasons for denialRepealed
- ARSD 20:06:40:67ARSD 20:06:40:67. Applicability -- Group health plansRepealed
- ARSD 20:06:40:68ARSD 20:06:40:68. Applicability -- Health insurance issuersRepealed
- ARSD 20:06:40:69ARSD 20:06:40:69. ScopeRepealed
- ARSD 20:06:40:70ARSD 20:06:40:70. Small employer exemptionRepealed
- ARSD 20:06:40:71ARSD 20:06:40:71. Determining employer sizeRepealed
- ARSD 20:06:40:72ARSD 20:06:40:72. Sale of nonparity health insurance coverageRepealed
- ARSD 20:06:40:73ARSD 20:06:40:73. Special effective date for certain collectively-bargained plansRepealed
- ARSD 20:06:40:74ARSD 20:06:40:74. Establishment of sub-classifications for determining parity for outpatient benefitsRepealed
- ARSD 20:06:40:75ARSD 20:06:40:75. Definitions
- ARSD 20:06:40:76ARSD 20:06:40:76. Guaranteed issue
- ARSD 20:06:40:77ARSD 20:06:40:77. Disclosure requirements
- ARSD 20:06:40:78ARSD 20:06:40:78. Guaranteed availability of coverage in the group market
- ARSD 20:06:40:79ARSD 20:06:40:79. Denial of coverage
- ARSD 20:06:40:80ARSD 20:06:40:80. Special enrollment period effective dates
- ARSD 20:06:40:81ARSD 20:06:40:81. Special enrollment triggers
- ARSD 20:06:40:82ARSD 20:06:40:82. Nonrenew or discontinuance of coverage
- ARSD 20:06:40:83ARSD 20:06:40:83. Discontinuing a particular product
- ARSD 20:06:40:84ARSD 20:06:40:84. Discontinuing all coverage
- ARSD 20:06:40:85ARSD 20:06:40:85. Exception for uniform modification of coverage
- ARSD 20:06:40:86ARSD 20:06:40:86. Preexisting condition exclusion and waiting period prohibited
- ARSD 20:06:40:87ARSD 20:06:40:87. Clinical trial
- ARSD 20:06:40:88ARSD 20:06:40:88. Full-time equivalents treated as full-time employees
- ARSD 20:06:40:89ARSD 20:06:40:89. Applicability