South Dakota 18 — Group And Blanket Health Insurance Policies
- 58-18-1 — "Group health insurance" defined.
- 58-18-2 — Employee group insurance authorized--"Employees" defined.
- 58-18-3 — Association member and employee group insurance authorized--Inclusionof retired employees.
- 58-18-4 — Industry fund group insurance authorized--"Employees" defined.
- 58-18-5 — Issuance to person or organization to which group life insurance policymay be issued.
- 58-18-6 — Issuance to cover similar group subject to discretion of director.
- 58-18-6.1 — Coverage of proprietors, partners and executive corporate officeremployees.
- 58-18-7 — Continuation without evidence of insurability--Application.
- 58-18-7.1 — Coverage for inpatient treatment of alcoholism to be offered in grouppolicies--Treatment within state included.
- 58-18-7.2 — Benefits provided under alcoholism coverage--Maximum treatmentperiods permitted.
- 58-18-7.3 — Policies not within alcoholism coverage requirement.
- 58-18-7.4 — Coverage upon application by employee or beneficiary with right toconvert following notice of termination.
- 58-18-7.5 — Continuation of coverage upon leaving employment or termination ofcoverage by insurer--Duration.
- 58-18-7.6 — Repealed.
- 58-18-7.11 — Conversion policy not required to be issued--Grounds.
- 58-18-7.12 — Conditions for continuation.
- 58-18-7.13 — Premium for conversion policy and continuation policy.
- 58-18-7.14 — Notification of continuation and conversion rights.
- 58-18-7.15 — Group insurance coverage in lieu of converted individual policies.
- 58-18-7.16 — Repealed.
- 58-18-7.17 — Exclusion of benefits for injury while under the influence of alcohol ordrugs prohibited--Exception for sickness or injury caused in commissionof felony.
- 58-18-7.18 — Continuation coverage to be same as that available to similarly situatedbeneficiaries.
- 58-18-7.19 — Probationary period for continuation or conversion coverage prohibited.
- 58-18-7.20 — Construction with chapter 58-18C.
- 58-18-8 — Representations by applicant not warranties--Written statement requiredto avoid insurance or reduce benefits.
- 58-18-9 — Summary statement of coverage for delivery to member of insured group.
- 58-18-10 — Additions to group originally insured.
- 58-18-11 — Direct payment for hospital, medical, or surgical services--Option ofinsurer.
- 58-18-11.1 — Reduction of benefits because of increase in statutory disability benefitsprohibited.
- 58-18-11.2 — Coordination, integration, or lessening of benefits restricted.
- 58-18-12 — "Blanket health insurance" defined.
- 58-18-13 — Blanket health insurance for passengers on common carrier.
- 58-18-14 — Blanket health insurance for employees, dependents, or guests withreference to hazardous activities.
- 58-18-15 — Blanket health insurance for institutions of learning, camps, or sponsors.
- 58-18-16 — Blanket health insurance for religious, charitable, recreational,educational, or civic organizations.
- 58-18-17 — Blanket health insurance for sports team or sponsors.
- 58-18-18 — Blanket health insurance for volunteer group or agency.
- 58-18-19 — Blanket health insurance for other risks approved by director.
- 58-18-20 — Authority to issue blanket health insurance--Filing of copy of form--Required provisions.
- 58-18-21 — Policy and application constitute entire contract--Statements bypolicyholder not warranties--Written statement required for use indefense of claim.
- 58-18-22 — Sickness or injury--Provision for notice to insurer.
- 58-18-23 — Forms for filing proof of loss--Failure of insurer to furnish, submissionof written proof.
- 58-18-24 — Claim for loss of time--Time for furnishing proof of loss--Notice ofcontinuance of disability.
- 58-18-25 — Time for payment of benefits.
- 58-18-26 — Physical examination of insured--Autopsy in death claims.
- 58-18-27 — Time for commencement of action to recover under policy.
- 58-18-28 — Individual application and certificate not required under blanket policy.
- 58-18-29 — Persons to whom benefits payable under blanket health policy.
- 58-18-30 — Chapter inapplicable to prior policies.
- 58-18-31 — Continuation of coverage for physically handicapped or mentally retardedchild--Proof of dependency.
- 58-18-31.1 — Health benefit plan-Dependent coverage termination-Age-Application.
- 58-18-32 — Family coverage to include newborn and newly adopted children.
- 58-18-33 — Premature birth, congenital defects, and birth abnormalities covered--Applicability.
- 58-18-34 — Notice of birth or adoption required for continued coverage.
- 58-18-35 — Notice required for rate increase by group health insurance company.
- 58-18-36 — Policies required to cover low-dose mammography--Extent of coverage.
- 58-18-37 — Freedom of choice for pharmacy services.
- 58-18-38 — Annual period of enrollment for licensed pharmacies--Actual notice ofenrollment period not required.
- 58-18-39 — Provisions denying choice for pharmacy services as void.
- 58-18-40 — Enforcement of provisions permitting choice for pharmacy services.
- 58-18-41 — Coverage for phenylketonuria.
- 58-18-42 — "Health benefit plan" defined.
- 58-18-43 — "Late enrollee" defined.
- 58-18-44 — "Creditable coverage" defined.
- 58-18-45 — Preexisting conditions--Portability of health insurance--Limitation ofwaiting periods.
- 58-18-45.1 — Anesthesia and hospitalization for dental care to be provided certaincovered persons.
- 58-18-46 — Renewability of health benefit plans--Employer's election--Exceptions.
- 58-18-47 — Nonrenewal of health benefit plans by an employer carrier.
- 58-18-48 — Acceptance of new employees for coverage under employer's existinghealth benefit plan.
- 58-18-49 — Carrier's offer of coverage to employer--Coverage of all eligibleemployees.
- 58-18-50 — Repealed.
- 58-18-51.1 — Application of §§ 58-18-42 to 58-18-49, inclusive.
- 58-18-52 — Formation of voluntary health insurance purchasing organizations.
- 58-18-53 — Membership of voluntary health insurance purchasing organizations.
- 58-18-54 — Purchasing organization's responsibility for negotiating terms andconditions.
- 58-18-55 — Purchasing organization's notice of premium charge.
- 58-18-56 — Additional chapters applicable to purchasing organization.
- 58-18-57 — Approval of purchasing organization by Division of Insurance.
- 58-18-58 — Premiums held in trust by purchasing organization.
- 58-18-59 — Rates for group health insurance issued to purchasing organizations.
- 58-18-60 — Reasonable participation requirements for group members of purchasingorganizations.
- 58-18-61 — Purchasing organizations exempt from antitrust provisions.
- 58-18-62 — Promulgation of rules for purchasing organizations.
- 58-18-63 — Minimum loss ratio for employer health benefit plans--Application ofsection.
- 58-18-64 — Repealed.
- 58-18-76 — Minimum inpatient care coverage following delivery.
- 58-18-77 — Shorter hospital stay permitted--Follow-up within forty-eight hoursrequired.
- 58-18-78 — Notice to employees or members--Disclosures.
- 58-18-79 — Promulgation of rules to minimally meet federal standards--Additionalrules--Scope.
- 58-18-80 — Health insurance policies to provide coverage for biologically-basedmental illnesses.
- 58-18-81 — Application--Exemptions.
- 58-18-82 — Carrier to provide annual report--Time frame--Information.
- 58-18-83 — Policies to provide coverage for diabetes supplies, equipment andeducation--Exceptions--Conditions and limitations.
- 58-18-84 — Diabetes coverage not required of certain plans and policies.
- 58-18-85 — Policies to provide coverage for prostate cancer screening.
- 58-18-86 — Plans subject to § 58-18-45--Exceptions.
- 58-18-87 — Director to promulgate rules governing use of genetic information.
- 58-18-88 — Authorization of self-funded multiple employer trust--Conditions.
- 58-18-89 — Promulgation of rules pertaining to multiple employer trusts.
- 58-18-90 — Multiple employer trust not insurance company or association or subjectto specified provisions--Exception.
- 58-18-91 — Suspension or revocation of authorization of multiple employer trust--Action in lieu of suspension or revocation.
- 58-18-92 — Payment of premium taxes.
- 58-18-93 — Agent licensing requirements.
- 58-18-94 — Exemption from application of §§ 58-18-88 to 58-18-94, inclusive, and§ 58-18B-59--Trust authorized to include large and small employers.