STATE STATUTES & CODES

SOUTH DAKOTA STATUTES AND CODES

Chapter 18B - Regulation Of Small Businesses' Group And Blanket Health Insurance

• 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.
• Sections 58-18B-4, 58-18B-5 - Repealed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• Section 58-18B-10 - Repealed.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 orrisk 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• Section 58-18B-16 - Repealed.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• Section 58-18B-19 - Repealed.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.
• Sections 58-18B-21, 58-18B-22 - Repealed
• Section 58-18B-23 - Uniform application of requirements used to determine eligibility ofemployers.
• Section 58-18B-24 - Application of minimum participation and minimum employercontribution requirements.
• Section 58-18B-25 - Considerations in applying minimum participation requirements--Premiumdiscounts.
• Section 58-18B-26 - Increase in minimum requirements for employee participation or employercontribution 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 ordrugs prohibited--Exception for sickness or injury caused in commissionof felony.
• Section 58-18B-28 - Requirements lifted from small employer carrier in financially impairedcondition.
• Section 58-18B-29 - Repealed.
• Section 58-18B-30 - Repealed.
• Sections 58-18B-31, 58-18B-32 - Repealed
• Section 58-18B-33 - Repealed.
• Section 58-18B-34 - Report on extending health insurance to medically uninsurable individualsnot part of small employer group.
• Section 58-18B-35 - Director to promulgate rules regulating sale of multiple employer trustsand 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.
• Sections 58-18B-38, 58-18B-39 - Prohibited activities of small employer carriers or insurance producers. Information regarding restricted network provision of carrier
• Section 58-18B-40 - Compensation of insurance producer not to be varied according to status,claims experience, industry, occupation, or location of small employer.
• 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 healthstatus, claims experience, occupation, or location of small employer placedwith carrier.
• Section 58-18B-44 - Carrier or agent not to induce or encourage employer to exclude employeefrom 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 ofbenefit 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 hoursrequired.
• Section 58-18B-52 - Notice to employees--Disclosures.
• Section 58-18B-53 - Health insurance policies to provide coverage for biologically-basedmental illnesses.
• Section 58-18B-54 - Application--Exemptions.
• Section 58-18B-55 - Supplemental or short term individual health benefit plans exempt fromprovisions of chapter--Conditions.
• Section 58-18B-56 - Policies to provide coverage for diabetes supplies, equipment andeducation--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.