Section 58-17C-25 - Health carriers offering individual policies exempt--Conditions. - South Dakota Statutes

58-17C-25. Health carriers offering individual policies exempt--Conditions. Nothing in §§ 58-17C-7 to 58-17C-26, inclusive, applies to health carriers that only offer individual policies if:
(1) The policy does not use an individual or group to determine where or when services will be rendered, the course of treatment, or who will provide the services;
(2) The policy does not require pre-authorization for services provided under the policy; and
(3) The difference in policy benefits does not exceed ten percent whether an insured used a participating provider or nonparticipating provider.

Source: SL 1999, ch 245, § 22.