ARSD 20:06:56:16

ARSD 20:06:56:16. Annual limitation on deductibles for plans in the small group market

Last amended: 2013Year: 2026Length: 140 wordsOfficial source

Cite as S.D. Admin. R. 20:06:56:16

For a plan year beginning in calendar year 2014, the annual deductible for a health plan in the small group market may not exceed the following (1) For self-only coverage--$2,000; or (2) For coverage other than self-only--$4,000. For a plan year beginning in a calendar year after 2014, the annual deductible for a health plan in the small group market may not exceed the following: (1) For self-only coverage--the annual limitation on deductibles for calendar year 2014 increased by an amount equal to the product of that amount and the premium adjustment percentage; and (2) For other than self-only coverage--twice the annual deductible limit for self-only coverage. A health plan's annual deductible may exceed the annual deductible limit if that plan may not reasonably reach the actuarial value of a given level of coverage without exceeding the annual deductible limit.
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