ARSD 20:06:21:105. Payment of a clean claim

Within 30 business days after receipt of a claim for benefits under a long-term care insurance policy or certificate, an insurer shall pay such claim if it is a clean claim, or send a written notice acknowledging the date of receipt of the claim and one of the following: (1) The insurer is declining to pay all or part of the claim and each specific reason for the denial; or (2) That additional information is necessary to determine if all or any part of the claim is payable and the specific additional information that is necessary.