Chapter
HEALTH MAINTENANCE ORGANIZATIONS
- S.D. Codified Laws § 58-41-1— Definition of terms
- S.D. Codified Laws § 58-41-2— Organizations subject to chapter
- S.D. Codified Laws § 58-41-3— Certificate of authority required for health maintenance organization or contracts--Violation as misdemeanor
- S.D. Codified Laws § 58-41-4— Application for certificate of authority required
- S.D. Codified Laws § 58-41-5— 58-41-5. Repealed by SL 1985, ch 393, § 7
- S.D. Codified Laws § 58-41-6— Verification and form of application--Contents
- S.D. Codified Laws § 58-41-7— Financial statements required with application
- S.D. Codified Laws § 58-41-8— Copies of forms required with application
- S.D. Codified Laws § 58-41-9— Marketing, charges, and financial plans required with application
- S.D. Codified Laws § 58-41-10— Appointment to receive process required of foreign applicant
- S.D. Codified Laws § 58-41-11— Surety bond or deposit required--Waiver
- S.D. Codified Laws § 58-41-12— Determination of health care qualifications
- S.D. Codified Laws § 58-41-13— Coordination with federal professional standards review
- S.D. Codified Laws § 58-41-14— 58-41-14. Obsolete
- S.D. Codified Laws § 58-41-15— Health maintenance not considered practice of healing arts
- S.D. Codified Laws § 58-41-15.1— Certain healing arts practitioners to participate in alternate health care delivery systems
- S.D. Codified Laws § 58-41-16— 58-41-16. Repealed by SL 2013, ch 256, § 7
- S.D. Codified Laws § 58-41-17— Issuance or denial of certificate--Fee--Conditions for issuance
- S.D. Codified Laws § 58-41-18— Factors considered in determining financial responsibility
- S.D. Codified Laws § 58-41-19— Insurance arrangements permitted
- S.D. Codified Laws § 58-41-20— Corporation operating after certification
- S.D. Codified Laws § 58-41-21— Foreign corporations qualifying--Exemption from other requirements
- S.D. Codified Laws § 58-41-22— Filing of notice of modification of operation--Approval if not disapproved--Exemptions
- S.D. Codified Laws § 58-41-23— Composition of governing body--Consumer representation
- S.D. Codified Laws § 58-41-24— Mechanisms for enrollee participation in policy and operation of governing body
- S.D. Codified Laws § 58-41-25— Fiduciary responsibilities to enrollees
- S.D. Codified Laws § 58-41-25.1— Investments
- S.D. Codified Laws § 58-41-26— Exemption from insurance laws--Exceptions--Taxation
- S.D. Codified Laws § 58-41-28— Solicitation of enrollment not deemed professional advertising
- S.D. Codified Laws § 58-41-29— Contracts and necessary activities
- S.D. Codified Laws § 58-41-29.1— Notice required for rate increase in health maintenance contract by a health maintenance organization
- S.D. Codified Laws § 58-41-30— Sources of payment for enrollee services--Application by medical assistance recipient
- S.D. Codified Laws § 58-41-31— Direct payments to enrollees prohibited
- S.D. Codified Laws § 58-41-32— Use of words descriptive of insurance, casualty, or surety business as misdemeanor--Exception
- S.D. Codified Laws § 58-41-33— Trade practice laws applicable
- S.D. Codified Laws § 58-41-34— Evidence of coverage issued to enrollees
- S.D. Codified Laws § 58-41-35— Contents required in evidence of coverage
- S.D. Codified Laws § 58-41-35.1— Alcoholism coverage to be offered at time contract is negotiated
- S.D. Codified Laws § 58-41-35.2— 58-41-35.2 to 58-41-35.4. Repealed by SL 2001, ch 274, §§ 10 to 12
- S.D. Codified Laws § 58-41-35.5— Grandfathered contracts required to cover low-dose mammography--Extent of coverage
- S.D. Codified Laws § 58-41-35.6— 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 § 58-41-35.7— Contracts required to cover occult breast cancer screening
- S.D. Codified Laws § 58-41-36— Unfair and misleading information in evidence of coverage as misdemeanor
- S.D. Codified Laws § 58-41-37— Deceptive advertising or evidence of coverage as misdemeanor
- S.D. Codified Laws § 58-41-38— Statements deemed untrue
- S.D. Codified Laws § 58-41-39— Statements deemed misleading
- S.D. Codified Laws § 58-41-40— Evidence of coverage deemed deceptive
- S.D. Codified Laws § 58-41-41— Issuance to enrollees of change in evidence of coverage
- S.D. Codified Laws § 58-41-42— Evidence of coverage to be approved before use--Violation as misdemeanor
- S.D. Codified Laws § 58-41-43— Filing and approval requirements applicable
- S.D. Codified Laws § 58-41-44— Charges to enrollees--Fairness--Actuary's certificate
- S.D. Codified Laws § 58-41-45— Discrimination as misdemeanor
- S.D. Codified Laws § 58-41-46— 58-41-46 to 58-41-49. Repealed by SL 2013, ch 256, §§ 12 to 15
- S.D. Codified Laws § 58-41-50— Authorized expenses
- S.D. Codified Laws § 58-41-51— 58-41-51. Repealed by SL 2013, ch 256, § 16
- S.D. Codified Laws § 58-41-51.1— Individual policy required for covered spouse of insured--Eligibility--Coverage--Waiting periods
- S.D. Codified Laws § 58-41-51.2— Conversion privileges of insured's spouse upon divorce
- S.D. Codified Laws § 58-41-51.3— Continuation and conversion coverage to be offered
- S.D. Codified Laws § 58-41-52— Contracts with providers of health care services
- S.D. Codified Laws § 58-41-52.1— Collection for covered services prohibited
- S.D. Codified Laws § 58-41-52.2— Contracts--Hold harmless provision
- S.D. Codified Laws § 58-41-52.3— Hold harmless provision--Language of provision
- S.D. Codified Laws § 58-41-53— 58-41-53. Repealed by SL 1999, ch 245, § 21
- S.D. Codified Laws § 58-41-54— Contracts with insurance companies and nonprofit health service plan corporations authorized--Limitations
- S.D. Codified Laws § 58-41-55— Insurance contracts authorized--Group coverage--Benefit payments
- S.D. Codified Laws § 58-41-56— Contracts for management and administrative services authorized
- S.D. Codified Laws § 58-41-57— Payment of unreasonably high expenses as misdemeanor
- S.D. Codified Laws § 58-41-58— 58-41-58 to 58-41-62. Repealed by SL 1996, ch 296, §§ 9 to 13
- S.D. Codified Laws § 58-41-63— General annual report required--Form and contents
- S.D. Codified Laws § 58-41-64— 58-41-64. Repealed by SL 1985, ch 393, § 10
- S.D. Codified Laws § 58-41-65— Applications, filings and reports as public documents
- S.D. Codified Laws § 58-41-66— Annual summary for enrollees required--Contents
- S.D. Codified Laws § 58-41-67— Promulgation of rules
- S.D. Codified Laws § 58-41-68— 58-41-68 to 58-41-72. Repealed by SL 2013, ch 256, §§ 20 to 24
- S.D. Codified Laws § 58-41-73— Physician-patient privileges
- S.D. Codified Laws § 58-41-74— Confidential data--Exceptions
- S.D. Codified Laws § 58-41-75— 58-41-75, 58-41-76. Repealed by SL 2013, ch 256, §§ 25, 26
- S.D. Codified Laws § 58-41-77— 58-41-77. Repealed by SL 1978, ch 359, § 3
- S.D. Codified Laws § 58-41-78— Cease and desist orders
- S.D. Codified Laws § 58-41-79— Hearing on cease and desist order--Procedure--Judicial review
- S.D. Codified Laws § 58-41-80— Injunctive relief against violations--Venue
- S.D. Codified Laws § 58-41-81— Suspension or revocation of certificate of authority on findings by director
- S.D. Codified Laws § 58-41-82— Additional grounds for suspension or revocation
- S.D. Codified Laws § 58-41-83— Voluntary conference before commencing actions for violation
- S.D. Codified Laws § 58-41-84— Informality in voluntary conferences
- S.D. Codified Laws § 58-41-85— Money penalty in lieu of suspension or revocation
- S.D. Codified Laws § 58-41-86— Requirements for suspension or revocation
- S.D. Codified Laws § 58-41-86.1— Suspension without notice or hearing
- S.D. Codified Laws § 58-41-87— Notice of grounds for denial, suspension, or revocation of certificate--Time of hearing--Summary proceedings excepted
- S.D. Codified Laws § 58-41-88— Administrative procedure and rules
- S.D. Codified Laws § 58-41-89— 58-41-89. Repealed by SL 2013, ch 256, § 32
- S.D. Codified Laws § 58-41-90— Action of director after hearing--Written findings
- S.D. Codified Laws § 58-41-91— Judicial review
- S.D. Codified Laws § 58-41-92— Activities prohibited during suspension of certificate
- S.D. Codified Laws § 58-41-93— Winding up after revocation of certificate--Continued operation to protect enrollees
- S.D. Codified Laws § 58-41-94— Summary proceeding to reorganize organization--Grounds
- S.D. Codified Laws § 58-41-95— Rehabilitation, liquidation, or conservation under insurance company laws
- S.D. Codified Laws § 58-41-96— Severability of provisions
- S.D. Codified Laws § 58-41-97— Citation of chapter
- S.D. Codified Laws § 58-41-98— Coverage for phenylketonuria
- S.D. Codified Laws § 58-41-99— Formation of voluntary health insurance purchasing organizations
- S.D. Codified Laws § 58-41-100— Membership of voluntary health insurance purchasing organizations
- S.D. Codified Laws § 58-41-101— Purchasing organization's responsibility for negotiating terms and conditions
- S.D. Codified Laws § 58-41-102— Purchasing organization's notice of premium charge
- S.D. Codified Laws § 58-41-103— Additional chapters applicable to purchasing organization
- S.D. Codified Laws § 58-41-104— Approval of purchasing organization by Division of Insurance
- S.D. Codified Laws § 58-41-105— Premiums held in trust by purchasing organization
- S.D. Codified Laws § 58-41-106— Rates for group health insurance issued to purchasing organizations
- S.D. Codified Laws § 58-41-107— Reasonable participation requirements for group members of purchasing organizations
- S.D. Codified Laws § 58-41-108— Purchasing organizations exempt from antitrust provisions
- S.D. Codified Laws § 58-41-109— Promulgation of rules for purchasing organizations
- S.D. Codified Laws § 58-41-110— Application of chapter to provider contracting with state
- S.D. Codified Laws § 58-41-111— Application of chapter to provider contracting with licensed health maintenance organization
- S.D. Codified Laws § 58-41-112— Minimum inpatient care coverage following delivery
- S.D. Codified Laws § 58-41-113— Shorter hospital stay permitted--Follow-up visit within forty-eight hours required
- S.D. Codified Laws § 58-41-114— Notice to enrollees--Disclosures
- S.D. Codified Laws § 58-41-115— Health insurance policies to provide coverage for biologically-based mental illnesses
- S.D. Codified Laws § 58-41-116— Application--Exemptions
- S.D. Codified Laws § 58-41-117— Policies to provide coverage for diabetes supplies, equipment, and education--Exceptions--Conditions and limitations
- S.D. Codified Laws § 58-41-118— Diabetes coverage not required of certain plans and policies
- S.D. Codified Laws § 58-41-119— Contracts to provide coverage for prostate cancer screening
- S.D. Codified Laws § 58-41-120— Annual report on risk bearing entities
- S.D. Codified Laws § 58-41-121— Documents provided to risk bearing entity by health maintenance organization
- S.D. Codified Laws § 58-41-122— Documents provided to health maintenance organization by risk bearing entity
- S.D. Codified Laws § 58-41-123— Notice by risk bearing entity of change in conditions--Assignment of contract
- S.D. Codified Laws § 58-41-124— Notice to director that risk bearing entity has materially failed to perform contract
- S.D. Codified Laws § 58-41-125— Confidentiality of information
- S.D. Codified Laws § 58-41-126— Nontransferable responsibilities of health maintenance organization
- S.D. Codified Laws § 58-41-127— Coverage for treatment of hearing impairment for persons under age nineteen