South Dakota · Regulations
Chapter 20:06:39 — Individual plans
85 sections
85 sections
- ARSD 20:06:39:01ARSD 20:06:39:01. Dual eligibility
- ARSD 20:06:39:02ARSD 20:06:39:02. Creditable coverage and preexisting waiting periods for newborn and adopted children
- ARSD 20:06:39:03ARSD 20:06:39:03. Permissible rating factors
- ARSD 20:06:39:04ARSD 20:06:39:04. Certificates required upon loss of coverageRepealed
- ARSD 20:06:39:04.01ARSD 20:06:39:04.01. Certificates required upon loss of coverage
- ARSD 20:06:39:05ARSD 20:06:39:05. Standards for determinations on length of preexisting waiting periods
- ARSD 20:06:39:06ARSD 20:06:39:06. College plans -- Bona fide association plansRepealed
- ARSD 20:06:39:06.01ARSD 20:06:39:06.01. Student health plans -- Bona fide association plans (effective January 1, 2014)
- ARSD 20:06:39:07ARSD 20:06:39:07. Requirements for breaks in coverage when applying for a new policy
- ARSD 20:06:39:08ARSD 20:06:39:08. Active marketing requiredRepealed
- ARSD 20:06:39:08.01ARSD 20:06:39:08.01. Active marketing required
- ARSD 20:06:39:09ARSD 20:06:39:09. Prohibited practices
- ARSD 20:06:39:10ARSD 20:06:39:10. Prohibited compensation arrangements
- ARSD 20:06:39:11ARSD 20:06:39:11. Guaranteed issue -- Criteria for meeting the exception for issuing coverage to high-risk individualsRepealed
- ARSD 20:06:39:12ARSD 20:06:39:12. Guaranteed issue -- Premiums counted toward statutory thresholdRepealed
- ARSD 20:06:39:13ARSD 20:06:39:13. Guaranteed issue -- Formula for calculating percentage of premiums attributable to high-risk individualsRepealed
- ARSD 20:06:39:14ARSD 20:06:39:14. Guaranteed issue -- High-risk individualsRepealed
- ARSD 20:06:39:15ARSD 20:06:39:15. Guaranteed issue -- Report of meeting statutory thresholdRepealed
- ARSD 20:06:39:16ARSD 20:06:39:16. Guaranteed issue -- Application for determination of disproportionate shareRepealed
- ARSD 20:06:39:17ARSD 20:06:39:17. Guaranteed issue -- Filing of applicationRepealed
- ARSD 20:06:39:18ARSD 20:06:39:18. Guaranteed issue -- Director’s determinationRepealed
- ARSD 20:06:39:19ARSD 20:06:39:19. Guaranteed issue -- Effective date of coverage
- ARSD 20:06:39:20ARSD 20:06:39:20. Guaranteed issue -- Tolling of 63-day time frame
- ARSD 20:06:39:20.01ARSD 20:06:39:20.01. Required timeframe in which to submit subsequent applications for guaranteed issue plans if rejection was received after February 24, 2002Repealed
- ARSD 20:06:39:20.02ARSD 20:06:39:20.02. Required timeframe in which to submit subsequent applications for guaranteed issue plans if rejection was received prior to February 25, 2002Repealed
- ARSD 20:06:39:20.03ARSD 20:06:39:20.03. Subsequent rejections and timeframesRepealed
- ARSD 20:06:39:20.04ARSD 20:06:39:20.04. Exceptions for those applying during 63-day timeframe following loss of creditable coverageRepealed
- ARSD 20:06:39:20.05ARSD 20:06:39:20.05. Effective date of guaranteed issue plan
- ARSD 20:06:39:20.06ARSD 20:06:39:20.06. Notice requirements regarding guaranteed issue when rejecting applicationsRepealed
- ARSD 20:06:39:21ARSD 20:06:39:21. Definition of ordinarily prudent person in preexisting condition clauses
- ARSD 20:06:39:22ARSD 20:06:39:22. Fair market standards for carriers
- ARSD 20:06:39:23ARSD 20:06:39:23. Group applicability to individual market
- ARSD 20:06:39:24ARSD 20:06:39:24. Requirements for standard plan -- Schedule of benefitsRepealed
- ARSD 20:06:39:25ARSD 20:06:39:25. Requirements for standard plan -- Eligible expensesRepealed
- ARSD 20:06:39:26ARSD 20:06:39:26. Requirements for standard plan -- Allowable exceptions and limitationsRepealed
- ARSD 20:06:39:27ARSD 20:06:39:27. Requirements for basic plan -- Schedule of benefitsRepealed
- ARSD 20:06:39:28ARSD 20:06:39:28. Requirements for basic plan -- Eligible expensesRepealed
- ARSD 20:06:39:29ARSD 20:06:39:29. Requirements for basic plan -- Allowable exceptions and limitationsRepealed
- ARSD 20:06:39:30ARSD 20:06:39:30. Usual, customary, and reasonable charges for standard and basic plans
- ARSD 20:06:39:31ARSD 20:06:39:31. Network available for standard and basic plansRepealed
- ARSD 20:06:39:32ARSD 20:06:39:32. Contract of more than six months -- Defined
- ARSD 20:06:39:33ARSD 20:06:39:33. Coverages prior to August 1, 2003Repealed
- ARSD 20:06:39:34ARSD 20:06:39:34. Disclosure requirementsRepealed
- ARSD 20:06:39:34.01ARSD 20:06:39:34.01. Disclosure requirements
- ARSD 20:06:39:34.02ARSD 20:06:39:34.02. Renewability of short term major medical plans
- ARSD 20:06:39:35ARSD 20:06:39:35. Policy not subject to group requirements
- ARSD 20:06:39:36ARSD 20:06:39:36. Medically necessary leave of absence defined
- ARSD 20:06:39:37ARSD 20:06:39:37. Dependent coverage
- ARSD 20:06:39:38ARSD 20:06:39:38. Notification
- ARSD 20:06:39:39ARSD 20:06:39:39. Continued application in case of changed coverage
- ARSD 20:06:39:40ARSD 20:06:39:40. Effective date
- ARSD 20:06:39:41ARSD 20:06:39:41. Creditable coverage -- Children's Health Insurance Program
- ARSD 20:06:39:42ARSD 20:06:39:42. Association health insurance plans subject to individual market rating requirements
- ARSD 20:06:39:43ARSD 20:06:39:43. Definitions
- ARSD 20:06:39:44ARSD 20:06:39:44. Prohibition on genetic information in setting premium rates
- ARSD 20:06:39:45ARSD 20:06:39:45. Limitation on requesting or requiring genetic testing
- ARSD 20:06:39:46ARSD 20:06:39:46. Exceptions to requiring genetic testing
- ARSD 20:06:39:47ARSD 20:06:39:47. Research exception
- ARSD 20:06:39:48ARSD 20:06:39:48. Prohibitions on collection of genetic information for underwriting purposes
- ARSD 20:06:39:49ARSD 20:06:39:49. Medical appropriateness
- ARSD 20:06:39:50ARSD 20:06:39:50. Collection of genetic information prior to or in connection with enrollment
- ARSD 20:06:39:51ARSD 20:06:39:51. Incidental collection exception
- ARSD 20:06:39:52ARSD 20:06:39:52. Prohibition on genetic information as a condition of eligibility
- ARSD 20:06:39:53ARSD 20:06:39:53. Prohibition on genetic information as preexisting condition
- ARSD 20:06:39:54ARSD 20:06:39:54. Medicare supplemental health insurance
- ARSD 20:06:39:55ARSD 20:06:39:55. Applicability to excepted benefits
- ARSD 20:06:39:56ARSD 20:06:39:56. Effective date
- ARSD 20:06:39:57ARSD 20:06:39:57. Guaranteed availability of coverage in the individual market
- ARSD 20:06:39:58ARSD 20:06:39:58. Denial of coverage
- ARSD 20:06:39:59ARSD 20:06:39:59. Open enrollment
- ARSD 20:06:39:60ARSD 20:06:39:60. Initial open enrollment period
- ARSD 20:06:39:61ARSD 20:06:39:61. Annual open enrollment period
- ARSD 20:06:39:62ARSD 20:06:39:62. Special enrollment period effective dates
- ARSD 20:06:39:63ARSD 20:06:39:63. Coverage issued outside open enrollment
- ARSD 20:06:39:64ARSD 20:06:39:64. Enrollment in catastrophic plans
- ARSD 20:06:39:65ARSD 20:06:39:65. Student health insurance coverage
- ARSD 20:06:39:66ARSD 20:06:39:66. Clinical trial
- ARSD 20:06:39:67ARSD 20:06:39:67. Nonrenewal of coverage
- ARSD 20:06:39:68ARSD 20:06:39:68. Discontinuing a particular product
- ARSD 20:06:39:69ARSD 20:06:39:69. Discontinuing all coverage
- ARSD 20:06:39:70ARSD 20:06:39:70. Special enrollment periods for marriage, birth, and adoption
- ARSD 20:06:39:71ARSD 20:06:39:71. Special enrollment triggers
- ARSD 20:06:39:72ARSD 20:06:39:72. Preexisting condition exclusion and waiting period prohibited
- ARSD 20:06:39:73ARSD 20:06:39:73. Health insurance issuer defined
- ARSD 20:06:39:74ARSD 20:06:39:74. Applicability