There is a newer version of the South Dakota Codified Laws
2012 South Dakota Codified Laws
Title 58 INSURANCE
Chapter 41. Health Maintenance Organizations
- §58-41-1 Definition of terms.
- §58-41-2 Organizations subject to chapter.
- §58-41-3 Certificate of authority required for health maintenance organization or contracts--Violation as misdemeanor.
- §58-41-4 Application for certificate of authority required.
- §58-41-5 Repealed.
- §58-41-6 Verification and form of application--Contents.
- §58-41-7 Financial statements required with application.
- §58-41-8 Copies of forms required with application.
- §58-41-9 Marketing, charges, and financial plans required with application.
- §58-41-10 Appointment to receive process required of foreign applicant.
- §58-41-11 Surety bond or deposit required--Waiver.
- §58-41-12 Transmittal of application to secretary of health--Determination of health care qualifications.
- §58-41-13 Coordination with federal professional standards review.
- §58-41-14 Obsolete.
- §58-41-15 Health maintenance not considered practice of healing arts.
- §58-41-15.1 Certain healing arts practitioners to participate in alternate health care delivery systems.
- §58-41-16 Certification as to meeting health care requirements--Deficiencies specified.
- §58-41-17 Time for issuance or denial of certificate--Fee--Conditions for issuance.
- §58-41-18 Factors considered in determining financial responsibility.
- §58-41-19 Insurance arrangements permitted.
- §58-41-20 Corporation operating after certification.
- §58-41-21 Foreign corporations qualifying--Exemption from other requirements.
- §58-41-22 Filing of notice of modification of operation--Approval if not disapproved--Exemptions.
- §58-41-23 Composition of governing body--Required consumer representation.
- §58-41-24 Mechanisms for enrollee participation in policy and operation of governing body.
- §58-41-25 Fiduciary responsibilities to enrollees.
- §58-41-25.1 Investments.
- §58-41-26 Exemption from insurance laws--Taxation.
- §58-41-27 Repealed.
- §58-41-28 Solicitation of enrollment not deemed professional advertising.
- §58-41-29 Contracts and necessary activities.
- §58-41-29.1 Notice required for rate increase in health maintenance contract by a health maintenance organization.
- §58-41-30 Sources of payment for enrollee services--Application by medical assistance recipient.
- §58-41-31 Direct payments to enrollees prohibited.
- §58-41-32 Use of words descriptive of insurance, casualty, or surety business as misdemeanor--Exception.
- §58-41-33 Trade practice laws applicable.
- §58-41-34 Evidence of coverage issued to enrollees.
- §58-41-35 Contents required in evidence of coverage.
- §58-41-35.1 Alcoholism coverage to be offered at time contract is negotiated.
- §58-41-35.2 to 58-41-35.4. Repealed.
- §58-41-35.5 Grandfathered contracts required to cover low-dose mammography--Extent of coverage.
- §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.
- §58-41-35.7 Contracts required to cover occult breast cancer screening.
- §58-41-36 Unfair and misleading information in evidence of coverage as misdemeanor.
- §58-41-37 Deceptive advertising or evidence of coverage as misdemeanor.
- §58-41-38 Statements deemed untrue.
- §58-41-39 Statements deemed misleading.
- §58-41-40 Evidence of coverage deemed deceptive.
- §58-41-41 Issuance to enrollees of change in evidence of coverage.
- §58-41-42 Evidence of coverage to be approved before use--Violation as misdemeanor.
- §58-41-43 Filing and approval requirements applicable.
- §58-41-44 Charges to enrollees--Fairness--Actuary's certificate.
- §58-41-45 Discrimination as misdemeanor.
- §58-41-46 Filing and approval of schedule of charges required--Exception for employer sponsored plan.
- §58-41-47 Approval of forms and schedules--Time.
- §58-41-48 Notice of disapproval of filing--Request for hearing.
- §58-41-49 Information required by director.
- §58-41-50 Authorized expenses.
- §58-41-51 Cancellation or nonrenewal of coverage--Grounds--Notice--Violation as misdemeanor.
- §58-41-51.1 Individual policy required for covered spouse of insured--Eligibility--Coverage--Waiting periods.
- §58-41-51.2 Conversion privileges of insured's spouse upon divorce.
- §58-41-51.3 Continuation and conversion coverage to be offered.
- §58-41-52 Contracts with providers of health care services.
- §58-41-53 Repealed.
- §58-41-54 Contracts with insurance companies and nonprofit health service plan corporations authorized--Limitations.
- §58-41-55 Insurance contracts authorized--Group coverage--Benefit payments.
- §58-41-56 Contracts for management and administrative services authorized.
- §58-41-57 Payment of unreasonably high expenses as misdemeanor.
- §58-41-58 to 58-41-62. Repealed.
- §58-41-63 General annual report required--Form and contents.
- §58-41-64 Repealed.
- §58-41-65 Applications, filings and reports as public documents.
- §58-41-66 Annual summary for enrollees required--Contents.
- §58-41-67 Rules--Minimum services and permissible exclusions.
- §58-41-68 Periodic examination of activities.
- §58-41-69 Examination of finances and provider agreements--Minimum frequency.
- §58-41-70 Examination of health care services--Minimum frequency.
- §58-41-71 Investigative powers of director and secretary.
- §58-41-72 Administration of oaths--Subpoena power.
- §58-41-73 Physician-patient privileges.
- §58-41-74 Confidential data--Exceptions.
- §58-41-75 Assessment of examination expense.
- §58-41-76 Examination report from another state.
- §58-41-77 Repealed.
- §58-41-78 Cease and desist orders.
- §58-41-79 Hearing on cease and desist order--Procedure--Judicial review.
- §58-41-80 Injunctive relief against violations--Venue.
- §58-41-81 Suspension or revocation of certificate of authority on findings by director.
- §58-41-82 Suspension or revocation on grounds certified by secretary of health.
- §58-41-83 Voluntary conference before commencing actions for violation.
- §58-41-84 Informality in voluntary conferences.
- §58-41-85 Money penalty in lieu of suspension or revocation.
- §58-41-86 Requirements for suspension or revocation.
- §58-41-86.1 Suspension without notice or hearing.
- §58-41-87 Notice of grounds for denial, suspension, or revocation of certificate--Time of hearing--Summary proceedings excepted.
- §58-41-88 Administrative procedure and rules.
- §58-41-89 Participation of health department in hearings--Findings on health care conclusive.
- §58-41-90 Action of directors after hearing--Written findings.
- §58-41-91 Judicial review--Power of court.
- §58-41-92 Activities prohibited during suspension of certificate.
- §58-41-93 Winding up after revocation of certificate--Continued operation to protect enrollees.
- §58-41-94 Summary proceeding to reorganize organization--Grounds.
- §58-41-95 Rehabilitation, liquidation, or conservation under insurance company laws.
- §58-41-96 Severability of provisions.
- §58-41-97 Citation of chapter.
- §58-41-98 Coverage for phenylketonuria.
- §58-41-99 Formation of voluntary health insurance purchasing organizations.
- §58-41-100 Membership of voluntary health insurance purchasing organizations.
- §58-41-101 Purchasing organization's responsibility for negotiating terms and conditions.
- §58-41-102 Purchasing organization's notice of premium charge.
- §58-41-103 Additional chapters applicable to purchasing organization.
- §58-41-104 Approval of purchasing organization by Division of Insurance.
- §58-41-105 Premiums held in trust by purchasing organization.
- §58-41-106 Rates for group health insurance issued to purchasing organizations.
- §58-41-107 Reasonable participation requirements for group members of purchasing organizations.
- §58-41-108 Purchasing organizations exempt from antitrust provisions.
- §58-41-109 Promulgation of rules for purchasing organizations.
- §58-41-110 Application of chapter to provider contracting with state.
- §58-41-111 Application of chapter to provider contracting with licensed health maintenance organization.
- §58-41-112 Minimum inpatient care coverage following delivery.
- §58-41-113 Shorter hospital stay permitted--Follow-up visit within forty-eight hours required.
- §58-41-114 Notice to enrollees--Disclosures.
- §58-41-115 Health insurance policies to provide coverage for biologically-based mental illnesses.
- §58-41-116 Application--Exemptions.
- §58-41-117 Policies to provide coverage for diabetes supplies, equipment, and education--Exceptions--Conditions and limitations.
- §58-41-118 Diabetes coverage not required of certain plans and policies.
- §58-41-119 Contracts to provide coverage for prostate cancer screening.
Disclaimer: These codes may not be the most recent version. South Dakota may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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