Regulation Of Small Businesses' Group And Blanket Health Insurance

  1. Law
  2. South Dakota Codified Laws
  3. Insurance
  4. Regulation Of Small Businesses' Group And Blanket Health Insurance

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Section
58-18B-1

Definition of terms.

Section
58-18B-2

Chapter applicable to small employer benefit plans.

Section
58-18B-3

Regulations on premium rates.

Section
58-18B-3.1

Base rate increase to be filed with director--Approval or disapproval.

Section
58-18B-4

58-18B-5. Repealed.

Section
58-18B-6

Disclosure in solicitation and sales materials.

Section
58-18B-7

Information and documentation required--Disclosure.

Section
58-18B-8

Suspension of rate requirements.

Section
58-18B-9

Application of chapter.

Section
58-18B-10

Repealed.

Section
58-18B-11

Health maintenance organization considered separate carrier.

Section
58-18B-12

Ceding arrangements resulting in less than fifty percent of obligation or risk retained by carrier prohibited.

Section
58-18B-13

Transition period when acquiring additional class of business.

Section
58-18B-14

Rate changes only for small employer business.

Section
58-18B-15

Provisions for premium rates.

Section
58-18B-16

Repealed.

Section
58-18B-17

Limit on premium rates.

Section
58-18B-18

Promulgation of rules for rating practices.

Section
58-18B-19

Repealed.

Section
58-18B-20

Small employer carrier to issue plan to any small employer--Criteria--Exceptions--Two percent earned premium threshold.

Section
58-18B-21

58-18B-22. Repealed.

Section
58-18B-23

Uniform application of requirements used to determine eligibility of employers.

Section
58-18B-24

Application of minimum participation and minimum employer contribution requirements.

Section
58-18B-25

Considerations in applying minimum participation requirements--Premium discounts.

Section
58-18B-26

Increase in minimum requirements for employee participation or employer contribution prohibited after acceptance for coverage.

Section
58-18B-27

Modification to exclude certain diseases prohibited.

Section
58-18B-27.1

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
58-18B-28

Requirements lifted from small employer carrier in financially impaired condition.

Section
58-18B-29

Repealed.

Section
58-18B-30

Repealed.

Section
58-18B-31

58-18B-32. Repealed.

Section
58-18B-33

Repealed.

Section
58-18B-34

Repealed.

Section
58-18B-35

Director to promulgate rules regulating sale of multiple employer trusts and welfare arrangements--Scope of rules.

Section
58-18B-36

Rules governing implementation and administration of this chapter.

Section
58-18B-37

Marketing health benefit plans--Denial of coverage to employer.

Section
58-18B-38

Prohibited activities of small employer carriers or insurance producers.

Section
58-18B-39

Information regarding restricted network provision of carrier.

Section
58-18B-40

Agent compensation based on characteristics of small employer prohibited--Commission on sale of health insurance plan through exchange.

Section
58-18B-41

Compensation of insurance producer based on percentage of premium.

Section
58-18B-42

Repealed.

Section
58-18B-43

Status of insurance producer's employment may not be affected by health status, claims experience, occupation, or location of small employer placed with carrier.

Section
58-18B-44

Carrier or agent not to induce or encourage employer to exclude employee from coverage.

Section
58-18B-45

Reasons for denial of coverage to be in writing.

Section
58-18B-46

Rules for additional standards for fair marketing and broad availability of benefit plans to small employers--Penalties.

Section
58-18B-47

Third-party administrator treated as small employer carrier.

Section
58-18B-48

Chapter not applicable to certain group health insurance plans.

Section
58-18B-49

Establishing risk adjusters.

Section
58-18B-50

Minimum inpatient care coverage following delivery.

Section
58-18B-51

Shorter hospital stay permitted--Follow-up visit within forty-eight hours required.

Section
58-18B-52

Notice to employees--Disclosures.

Section
58-18B-53

Health insurance policies to provide coverage for biologically-based mental illnesses.

Section
58-18B-54

Application--Exemptions.

Section
58-18B-55

Supplemental or short term individual health benefit plans exempt from provisions of chapter--Conditions.

Section
58-18B-56

Policies to provide coverage for diabetes supplies, equipment and education--Exceptions--Conditions and limitations.

Section
58-18B-57

Diabetes coverage not required of certain plans.

Section
58-18B-58

Health benefit plans to provide coverage for prostate cancer screening.

Section
58-18B-59

Repealed.

Section
58-18B-60

Coverage for treatment of hearing impairment for persons under age nineteen.