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Group And Blanket Health Insurance Policies
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South Dakota Codified Laws
Insurance
Group And Blanket Health Insurance Policies
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Section
58-18-1
"Group health insurance" defined.
Section
58-18-2
Employee group insurance authorized--"Employees" defined.
Section
58-18-3
Employer association group health insurance authorized--Employees defined.
Section
58-18-4
Industry fund group insurance authorized--"Employees" defined.
Section
58-18-4.1
Restrictions on issuance of group health insurance policy to association.
Section
58-18-4.2
Required duration of participation by employer member in association plan.
Section
58-18-4.3
Association plan covering state residents to comply with state law.
Section
58-18-4.4
Requirements for insurer offering fully insured health benefit plan through association.
Section
58-18-5
Issuance to person or organization to which group life insurance policy may be issued.
Section
58-18-6
Issuance to cover similar group subject to discretion of director.
Section
58-18-6.1
Coverage of proprietors, partners and executive corporate officer employees.
Section
58-18-7
Continuation without evidence of insurability--Application.
Section
58-18-7.1
Coverage for inpatient treatment of alcoholism to be offered in group policies--Treatment within state included.
Section
58-18-7.2
Benefits provided under alcoholism coverage--Maximum treatment periods permitted.
Section
58-18-7.3
Policies not within alcoholism coverage requirement.
Section
58-18-7.4
Coverage upon application by employee or beneficiary with right to convert following notice of termination.
Section
58-18-7.5
Continuation of coverage upon leaving employment or termination of coverage by insurer--Duration.
Section
58-18-7.6
58-18-7.6 to 58-18-7.10.Repealed by SL 2001, ch 280, §§7 to 11
Section
58-18-7.11
Continuation or conversion policy not required under certain circumstances.
Section
58-18-7.12
Conditions for continuation.
Section
58-18-7.13
Premium for conversion policy and continuation policy.
Section
58-18-7.14
Notification of continuation and conversion rights.
Section
58-18-7.15
Group insurance coverage in lieu of converted individual policies.
Section
58-18-7.16
58-18-7.16.Repealed by SL 2001, ch 280, §15
Section
58-18-7.17
Exclusion of benefits for injury while under the influence of alcohol or drugs prohibited--Exception for sickness or injury caused in commission of felony.
Section
58-18-7.18
Continuation coverage to be same as that available to similarly situated beneficiaries--Option to decrease benefits.
Section
58-18-7.19
Probationary period for continuation or conversion coverage prohibited.
Section
58-18-7.20
Construction with chapter 58-18C.
Section
58-18-7.21
Continued coverage--Insurer's use of experience for rating purposes not limited--Options unavailable in market not required.
Section
58-18-8
Representations by applicant not warranties--Written statement required to avoid insurance or reduce benefits.
Section
58-18-9
Summary statement of coverage for delivery to member of insured group.
Section
58-18-10
Additions to group originally insured.
Section
58-18-11
Direct payment for hospital, medical, or surgical services--Option of insurer.
Section
58-18-11.1
Reduction of benefits because of increase in statutory disability benefits prohibited.
Section
58-18-11.2
58-18-11.2.Repealed by SL 2009, ch 266, §1.
Section
58-18-12
"Blanket health insurance" defined.
Section
58-18-13
Blanket health insurance for passengers on common carrier.
Section
58-18-14
Blanket health insurance for employees, dependents, or guests with reference to hazardous activities.
Section
58-18-15
Blanket health insurance for institutions of learning, camps, or sponsors.
Section
58-18-16
Blanket health insurance for religious, charitable, recreational, educational, or civic organizations.
Section
58-18-17
Blanket health insurance for sports team or sponsors.
Section
58-18-18
Blanket health insurance for volunteer group or agency.
Section
58-18-19
Blanket health insurance for other risks approved by director.
Section
58-18-20
Authority to issue blanket health insurance--Filing of copy of form--Required provisions.
Section
58-18-21
Policy and application constitute entire contract--Statements by policyholder not warranties--Written statement required for use in defense of claim.
Section
58-18-22
Sickness or injury--Provision for notice to insurer.
Section
58-18-23
Forms for filing proof of loss--Failure of insurer to furnish, submission of written proof.
Section
58-18-24
Claim for loss of time--Time for furnishing proof of loss--Notice of continuance of disability.
Section
58-18-25
Time for payment of benefits.
Section
58-18-26
Physical examination of insured--Autopsy in death claims.
Section
58-18-27
Time for commencement of action to recover under policy.
Section
58-18-28
Individual application and certificate not required under blanket policy.
Section
58-18-29
Persons to whom benefits payable under blanket health policy.
Section
58-18-30
Chapter inapplicable to prior policies.
Section
58-18-31
Continuation of coverage for child with intellectual or physical disability--Proof of dependency.
Section
58-18-31.1
Dependent coverage termination--Age--Full-time student.
Section
58-18-32
Family coverage to include newborn and newly adopted children.
Section
58-18-33
Premature birth, congenital defects, and birth abnormalities covered--Applicability.
Section
58-18-34
Notice of birth or adoption required for continued coverage.
Section
58-18-35
Notice required for rate increase by group health insurance company.
Section
58-18-36
Grandfathered plans required to cover low-dose mammography--Extent of coverage.
Section
58-18-36.1
Policies required to cover occult breast cancer screening.
Section
58-18-37
Freedom of choice for pharmacy services.
Section
58-18-38
Annual period of enrollment for licensed pharmacies--Actual notice of enrollment period not required.
Section
58-18-39
Provisions denying choice for pharmacy services as void.
Section
58-18-40
Enforcement of provisions permitting choice for pharmacy services.
Section
58-18-41
Coverage for phenylketonuria.
Section
58-18-42
"Health benefit plan" defined.
Section
58-18-43
"Late enrollee" defined.
Section
58-18-44
"Creditable coverage" defined.
Section
58-18-45
Preexisting conditions--Limitation of waiting periods.
Section
58-18-45.1
(Text of section effective until the first plan year, policy year, or renewal date on or after January 1, 2019) Anesthesia and hospitalization for dental care to be provided certain covered persons.
Section
58-18-46
Renewability of health benefit plans--Employer's election--Exceptions.
Section
58-18-47
Nonrenewal of health benefit plans by an employer carrier.
Section
58-18-48
Acceptance of new employees for coverage under employer's existing health benefit plan.
Section
58-18-49
Carrier's offer of coverage to employer--Coverage of all eligible employees.
Section
58-18-50
58-18-50, 58-18-51.Repealed by SL 1997, ch 289, §§12, 13
Section
58-18-51.1
Application of §§ 58-18-42 to 58-18-49, inclusive.
Section
58-18-52
Formation of voluntary health insurance purchasing organizations.
Section
58-18-52.1
Political subdivisions permitted to join with health insurance purchasing organizations.
Section
58-18-53
Membership of voluntary health insurance purchasing organizations.
Section
58-18-54
Purchasing organization's responsibility for negotiating terms and conditions.
Section
58-18-55
Purchasing organization's notice of premium charge.
Section
58-18-56
Additional chapters applicable to purchasing organization.
Section
58-18-57
Approval of purchasing organization by Division of Insurance.
Section
58-18-58
Premiums held in trust by purchasing organization.
Section
58-18-59
Rates for group health insurance issued to purchasing organizations.
Section
58-18-60
Reasonable participation requirements for group members of purchasing organizations.
Section
58-18-61
Purchasing organizations exempt from antitrust provisions.
Section
58-18-62
Promulgation of rules for purchasing organizations.
Section
58-18-63
Minimum loss ratio for employer health benefit plans--Application of section.
Section
58-18-64
58-18-64 to 58-18-75.Repealed by SL 2000, ch 243, §§4 to 15
Section
58-18-76
Minimum inpatient care coverage following delivery.
Section
58-18-77
Shorter hospital stay permitted--Follow-up within forty-eight hours required.
Section
58-18-78
Notice to employees or members--Disclosures.
Section
58-18-79
Promulgation of rules to minimally meet federal standards--Additional rules--Scope.
Section
58-18-80
Health insurance policies to provide coverage for biologically-based mental illnesses.
Section
58-18-81
Application--Exemptions.
Section
58-18-82
Carrier to provide annual report--Time frame--Information.
Section
58-18-83
Policies to provide coverage for diabetes supplies, equipment and education--Exceptions--Conditions and limitations.
Section
58-18-84
Diabetes coverage not required of certain plans and policies.
Section
58-18-85
Policies to provide coverage for prostate cancer screening.
Section
58-18-86
Plans subject to § 58-18-45--Exceptions.
Section
58-18-87
Director to promulgate rules governing use of genetic information.
Section
58-18-88
Authorization of self-funded multiple employer trust sponsored by association--Conditions.
Section
58-18-88.1
Request for waiver by association formed in another state.
Section
58-18-89
Promulgation of rules pertaining to multiple employer trusts.
Section
58-18-90
Multiple employer trust not insurance company or association or subject to specified provisions--Exception.
Section
58-18-91
Suspension or revocation of authorization of multiple employer trust--Action in lieu of suspension or revocation.
Section
58-18-92
Payment of premium taxes.
Section
58-18-93
Agent licensing requirements.
Section
58-18-94
Application of provisions regarding multiple employer trusts--Inclusion of large and small employers.
Section
58-18-95
Coverage for treatment of hearing impairment for persons under age nineteen.