Chapter
HEALTH INSURANCE POLICIES
- S.D. Codified Laws § 58-17-1— Requirements for all health insurance policies delivered in state
- S.D. Codified Laws § 58-17-1.1— Grandfathered plans required to cover low-dose mammography--Extent of coverage
- S.D. Codified Laws § 58-17-1.2— Policies to provide coverage for diabetes supplies, equipment and education--Exceptions--Conditions and limitations
- S.D. Codified Laws § 58-17-1.3— Diabetes coverage not required of certain plans and policies
- S.D. Codified Laws § 58-17-1.4— Policies required to cover occult breast cancer screening
- S.D. Codified Laws § 58-17-2— Persons covered by policy
- S.D. Codified Laws § 58-17-2.1— Health insurance on a franchise plan
- S.D. Codified Laws § 58-17-2.2— Conversion privileges of insured's spouse upon divorce
- S.D. Codified Laws § 58-17-2.3— Dependent coverage termination--Age--Full-time students
- S.D. Codified Laws § 58-17-3— Time of commencement and termination to be set out in policy
- S.D. Codified Laws § 58-17-4— Consideration for policy to be stated
- S.D. Codified Laws § 58-17-4.1— Filing and approval of individual policy premium rates
- S.D. Codified Laws § 58-17-4.2— Premium rates required to be reasonable--Rules to establish minimum standards promulgated by director
- S.D. Codified Laws § 58-17-4.3— 58-17-4.3. Transferred to § 58-17-74.1 by SL 2005, ch 10, § 41
- S.D. Codified Laws § 58-17-5— Identification of forms, riders and endorsements--Form number, location
- S.D. Codified Laws § 58-17-6— Style and arrangement of policy provisions--Printing, size of type
- S.D. Codified Laws § 58-17-7— Documents forming part of policy--Setting forth in full, rates and classifications excepted
- S.D. Codified Laws § 58-17-8— Exceptions and reductions of coverage to be clearly set out
- S.D. Codified Laws § 58-17-9— Renewal of policy at option of insurer--Statement in policy so informing the policyholder
- S.D. Codified Laws § 58-17-10— 58-17-10. Repealed by SL 2006, ch 259, § 32
- S.D. Codified Laws § 58-17-10.1— Reduction of benefits because of increase in statutory disability benefits prohibited
- S.D. Codified Laws § 58-17-10.2— Individual policy for insured's spouse required in policies covering spouse--Eligibility--Coverage--Waiting periods
- S.D. Codified Laws § 58-17-11— Return of policy by purchaser--Refund of premium paid--Dissatisfaction with terms after examination
- S.D. Codified Laws § 58-17-11.1— Issuance of policies by insurance company, nonprofit hospital service plan, medical service corporation, or fraternal benefit society--Delivery receipts--Certificates of mailing--Term of retention
- S.D. Codified Laws § 58-17-12— Required provisions--Captions--Substitutes, approval by director
- S.D. Codified Laws § 58-17-13— Omission from policy of inapplicable provision--Approval of director--Modification of inconsistent provision
- S.D. Codified Laws § 58-17-14— Entire contract and change clauses required--Signed acceptance required for endorsements
- S.D. Codified Laws § 58-17-15— Time limit on certain defenses--Application of section
- S.D. Codified Laws § 58-17-16— 58-17-16. Repealed by SL 2011, ch 216, § 5
- S.D. Codified Laws § 58-17-17— Grace period on premiums required in policy
- S.D. Codified Laws § 58-17-18— Renewal of policy--Restriction on company's right to refuse
- S.D. Codified Laws § 58-17-19— Reinstatement when premium not paid within grace period
- S.D. Codified Laws § 58-17-20— Omission of provision as to application of premiums accepted in connection with reinstatement--Right of insured to continue policy in force by payment of premiums
- S.D. Codified Laws § 58-17-21— Notice of claim--Provision required in policy
- S.D. Codified Laws § 58-17-22— Notice of claim--Loss of time benefit--Optional provision, insertion by insurer
- S.D. Codified Laws § 58-17-23— Claim forms--Furnishing by insurer
- S.D. Codified Laws § 58-17-24— Proofs of loss--Provision required in policy
- S.D. Codified Laws § 58-17-25— Time of payment of claims--Provision required in policy
- S.D. Codified Laws § 58-17-26— Payment of claims--Persons to whom benefits payable--Provision required in policy
- S.D. Codified Laws § 58-17-27— Payment of claims--Optional provisions, insertion by insurer
- S.D. Codified Laws § 58-17-28— Physical examination of insured--Autopsy in death claims--Provision required in policy
- S.D. Codified Laws § 58-17-29— Action to recover under policy--Time for beginning
- S.D. Codified Laws § 58-17-30— Beneficiary--Changes reserved to insured
- S.D. Codified Laws § 58-17-30.1— Continuation of coverage for child with intellectual or physical disability--Proof of dependency
- S.D. Codified Laws § 58-17-30.2— Family coverage to include newborn or newly adopted children--Payment of claim not to be withheld during bonding period of adopted child
- S.D. Codified Laws § 58-17-30.3— Premature birth and congenital defects covered--Applicability
- S.D. Codified Laws § 58-17-30.4— Notice of birth or adoption required for continued coverage
- S.D. Codified Laws § 58-17-30.5— Coverage for inpatient alcoholism treatment required
- S.D. Codified Laws § 58-17-30.6— Alcoholism benefits provided--Days of care
- S.D. Codified Laws § 58-17-30.7— Policies excluded from alcoholism coverage requirements
- S.D. Codified Laws § 58-17-30.8— Exclusion of benefits for injury while under the influence of alcohol or drugs prohibited--Exception for sickness or injury caused in commission of felony
- S.D. Codified Laws § 58-17-30.9— Notice that dependent is no longer eligible for coverage--Premium adjustment
- S.D. Codified Laws § 58-17-31— Optional policy provisions
- S.D. Codified Laws § 58-17-32— Occupational change--Policy provision for adjustment of premium or benefits
- S.D. Codified Laws § 58-17-33— Misstatement of age--Policy provision for adjustment of benefits
- S.D. Codified Laws § 58-17-34— Earnings of insured--Policy provision for adjustment of benefits
- S.D. Codified Laws § 58-17-35— Earnings adjustment clause to be coupled with insured's right to continue policy in force
- S.D. Codified Laws § 58-17-36— Option of insurer to define "valid loss of time coverage"
- S.D. Codified Laws § 58-17-37— Unpaid premiums--Deduction from benefits
- S.D. Codified Laws § 58-17-38— Conformity with state statutes of insured
- S.D. Codified Laws § 58-17-39— Illegal occupation of insured
- S.D. Codified Laws § 58-17-40— Renewal of policy at option of insurer
- S.D. Codified Laws § 58-17-41— Order of policy provisions
- S.D. Codified Laws § 58-17-42— Age limit in policy--Effect of acceptance of premiums or misstatement of age
- S.D. Codified Laws § 58-17-43— Third parties taking policy covering insured
- S.D. Codified Laws § 58-17-44— Foreign or alien insurer--Policy provision required by home state
- S.D. Codified Laws § 58-17-45— Policy of domestic insurer delivered in other state--Compliance with laws of other state
- S.D. Codified Laws § 58-17-46— Policy provisions not subject to chapter--Conforming to statute required
- S.D. Codified Laws § 58-17-47— Nonconforming and conflicting provisions construed in conformity with statute
- S.D. Codified Laws § 58-17-48— Liability and workers' compensation insurance--Inapplicability of health insurance provisions
- S.D. Codified Laws § 58-17-49— Health insurance provisions inapplicable to group or blanket policy
- S.D. Codified Laws § 58-17-50— Life insurance, endowment or annuity contracts not subject to health insurance provisions
- S.D. Codified Laws § 58-17-51— Health insurance provisions inapplicable to reinsurance
- S.D. Codified Laws § 58-17-52— Prior contracts or policies excepted
- S.D. Codified Laws § 58-17-53— Optometric services--Reimbursement, exceptions
- S.D. Codified Laws § 58-17-54— Reimbursement provisions applicable to all healing arts licensees--Self-insurance plans for public employees--Restrictions on policy limitations
- S.D. Codified Laws § 58-17-54.1— Copayment or coinsurance amounts for chiropractic, physical therapy, or occupational therapy services
- S.D. Codified Laws § 58-17-55— Reimbursement provisions applicable to licensed hospitals
- S.D. Codified Laws § 58-17-56— Reimbursement for service rendered or supervised by qualified mental health professional
- S.D. Codified Laws § 58-17-57— "Abuse of health insurance" defined--Violation as misdemeanor
- S.D. Codified Laws § 58-17-58— Waiver of required deductible or co-payment for charitable purposes permitted
- S.D. Codified Laws § 58-17-59— When waiver presumed
- S.D. Codified Laws § 58-17-60— Certain payments exempt
- S.D. Codified Laws § 58-17-61— Assignment of health insurance proceeds to certain hospitals authorized
- S.D. Codified Laws § 58-17-62— Coverage for phenylketonuria
- S.D. Codified Laws § 58-17-63— "Health benefit plan" defined
- S.D. Codified Laws § 58-17-64— Minimum loss ratio for individual health benefit plans
- S.D. Codified Laws § 58-17-65— Individual health insurance plan used in conjunction with managed care plan or utilization review organization
- S.D. Codified Laws § 58-17-66— Definitions for 58-17-66 through 58-17-87
- S.D. Codified Laws § 58-17-67— "Professional association" defined
- S.D. Codified Laws § 58-17-68— "Professional association plan" defined
- S.D. Codified Laws § 58-17-69— "Creditable coverage" defined
- S.D. Codified Laws § 58-17-70— Application of 58-17-66 to 58-17-87, inclusive
- S.D. Codified Laws § 58-17-71— Separate classes of individual business--Reasons--Number
- S.D. Codified Laws § 58-17-72— Transitional period when additional class of business acquired
- S.D. Codified Laws § 58-17-73— Director approval required to establish additional classes of business--Rates or rating methodologies
- S.D. Codified Laws § 58-17-74— Provisions for premium rates for individual health benefit plans
- S.D. Codified Laws § 58-17-74.1— Premium rate limitations
- S.D. Codified Laws § 58-17-75— Promulgation of rules for rates charged for individual health benefit plans
- S.D. Codified Laws § 58-17-76— Transfer into or out of class of business
- S.D. Codified Laws § 58-17-77— Temporary suspension of premium rates for individual health insurance--Reasons
- S.D. Codified Laws § 58-17-78— Required disclosure when offering individual health benefit plan
- S.D. Codified Laws § 58-17-79— Documentation of rating methods and practices
- S.D. Codified Laws § 58-17-80— 58-17-80. Repealed by SL 2009, ch 262, § 1
- S.D. Codified Laws § 58-17-81— Availability of information on rating methods and practices of carriers offering individual health benefit plans
- S.D. Codified Laws § 58-17-82— Renewal of individual health benefit plans--Exceptions
- S.D. Codified Laws § 58-17-83— Election not to renew individual health benefit plan--Future business restricted
- S.D. Codified Laws § 58-17-84— Provisions for carriers providing individual coverage other than excepted benefits
- S.D. Codified Laws § 58-17-84.1— (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
- S.D. Codified Laws § 58-17-85— 58-17-85, 58-17-85.1. Repealed by SL 2015, ch 249, §§ 2, 3
- S.D. Codified Laws § 58-17-86— 58-17-86. Repealed by SL 2003 (SS) ch 1, § 33
- S.D. Codified Laws § 58-17-87— Director to promulgate rules for individual health insurance--Scope of rules
- S.D. Codified Laws § 58-17-88— Minimum inpatient care coverage following delivery
- S.D. Codified Laws § 58-17-89— Shorter hospital stay permitted--Follow-up visit within forty-eight hours required
- S.D. Codified Laws § 58-17-90— Notice to policyholders--Disclosures
- S.D. Codified Laws § 58-17-91— 58-17-91 to 58-17-96. Repealed by SL 2000, ch 243, §§ 16 to 21
- S.D. Codified Laws § 58-17-97— Provisions covering preexisting conditions
- S.D. Codified Laws § 58-17-98— Health insurance policies to provide coverage for biologically-based mental illnesses
- S.D. Codified Laws § 58-17-99— Application of § 58-17-98--Exemptions
- S.D. Codified Laws § 58-17-100— Definitions
- S.D. Codified Laws § 58-17-101— Insurer may not exclude certain off-label uses of prescription drugs
- S.D. Codified Laws § 58-17-102— Exceptions
- S.D. Codified Laws § 58-17-103— Provisions limited to cancer or life threatening diseases
- S.D. Codified Laws § 58-17-104— Deductibles, copayments, and managed care review not affected
- S.D. Codified Laws § 58-17-105— Drugs used in research trials not covered
- S.D. Codified Laws § 58-17-106— No reduction or limitation of coverage otherwise required by law
- S.D. Codified Laws § 58-17-107— Health insurance policies to provide coverage for prostate cancer screening
- S.D. Codified Laws § 58-17-108— "Disability income insurance" defined
- S.D. Codified Laws § 58-17-109— Exclusion or reduction of benefits
- S.D. Codified Laws § 58-17-110— Commencement of loss
- S.D. Codified Laws § 58-17-111— Minimum standards--Exceptions
- S.D. Codified Laws § 58-17-112— Promulgation of rules regarding disability income policies--Content
- S.D. Codified Laws § 58-17-113— 58-17-113, 58-17-114. Repealed by SL 2015, ch 249, § 36, eff. Jan. 1, 2017
- S.D. Codified Laws § 58-17-115— 58-17-115. Repealed by SL 2015, ch 249, § 5
- S.D. Codified Laws § 58-17-116— 58-17-116. Repealed by SL 2015, ch 249, § 36, eff. Jan. 1, 2017
- S.D. Codified Laws § 58-17-117— 58-17-117, 58-17-118. Repealed by SL 2015, ch 249, §§ 6, 7
- S.D. Codified Laws § 58-17-125— 58-17-125. Repealed by SL 2015, ch 249, § 10
- S.D. Codified Laws § 58-17-126— 58-17-126. Repealed by SL 2015, ch 249, § 36, eff. Jan. 1, 2017
- S.D. Codified Laws § 58-17-127— 58-17-127 to 58-17-137. Repealed by SL 2015, ch 249, §§ 12 to 22
- S.D. Codified Laws § 58-17-138— 58-17-138. Repealed by SL 2015, ch 249, § 36, eff. Jan. 1, 2017
- S.D. Codified Laws § 58-17-139— 58-17-139 to 58-17-141. Repealed by SL 2015, ch 249, §§ 24 to 26
- S.D. Codified Laws § 58-17-142— Maximum premium rates for plans issued prior to August 1, 2003--Rate provisions of § 58-17-75 to apply upon carrier's discontinuance of active marketing
- S.D. Codified Laws § 58-17-143— 58-17-143. Repealed by SL 2015, ch 249, § 36, eff. Jan. 1, 2017
- S.D. Codified Laws § 58-17-144— 58-17-144, 58-17-145. Repealed by SL 2015, ch 249, §§ 28, 29
- S.D. Codified Laws § 58-17-145.1— Repealed
- S.D. Codified Laws § 58-17-146— Dental insurers prohibited from setting fees for noncovered service
- S.D. Codified Laws § 58-17-146.1— Certain contract terms voidable by dentist
- S.D. Codified Laws § 58-17-147— Elective abortion coverage prohibited in qualified health plan offered through health insurance exchange
- S.D. Codified Laws § 58-17-148— Qualified health plan sold through exchange to provide for placement through licensed insurance producer--Commissions
- S.D. Codified Laws § 58-17-149— Definitions regarding retrospective payment of clean claims for covered services provided during credentialing period
- S.D. Codified Laws § 58-17-150— Retrospective payment of clean claims for covered services provided by health care professional during credentialing period--Requirements
- S.D. Codified Laws § 58-17-151— Applications to be credentialed
- S.D. Codified Laws § 58-17-152— Application of §§ 58-17-149 to 58-17-151
- S.D. Codified Laws § 58-17-153— Coverage for treatment of hearing impairment for persons under age nineteen
- S.D. Codified Laws § 58-17-154— Definitions for §§ 58-17-155 to 58-17-162
- S.D. Codified Laws § 58-17-155— Exceptions to application of §§ 58-17-154 to 58-17-162
- S.D. Codified Laws § 58-17-156— Policies, contracts, certificates, and plans subject to §§ 58-17-154 to 58-17-162
- S.D. Codified Laws § 58-17-157— Coverage for applied behavior analysis for treatment of autism spectrum disorders
- S.D. Codified Laws § 58-17-158— Authorization, prior approval, and other care management requirements--Annual maximum benefit
- S.D. Codified Laws § 58-17-159— Qualifications of person performing or supervising applied behavior analysis
- S.D. Codified Laws § 58-17-160— Review of treatment
- S.D. Codified Laws § 58-17-161— Services under individualized service plan, family service plan, or education program
- S.D. Codified Laws § 58-17-162— Effective date of §§ 58-17-154 to 58-17-161
- S.D. Codified Laws § 58-17-163— Dental care insurers to honor assignment of benefits
- S.D. Codified Laws § 58-17-164— Revocation of assignment of dental insurance benefits
- S.D. Codified Laws § 58-17-165— Reimbursement of payment from insured following receipt of payment from insurer
- S.D. Codified Laws § 58-17-166— Scope of benefits not affected--Medical benefits not included
- S.D. Codified Laws § 58-17-167— Definitions pertaining to telehealth coverage
- S.D. Codified Laws § 58-17-168— Coverage for health care services provided through telehealth
- S.D. Codified Laws § 58-17-169— Discrimination between coverage for services provided in person and through telehealth prohibited
- S.D. Codified Laws § 58-17-170— Application of telehealth coverage requirements
- S.D. Codified Laws § 58-17-171— Payment for dental services--Credit card requirement prohibited