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 Repealed by SL 2001, ch 280, §§ 7 to 11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 Repealed by SL 2001, ch 280, § 15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