There Is a Newer Version of the South Dakota Codified Laws
2013 South Dakota Codified Laws
Title 58 - INSURANCE
Chapter 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 to 58-18-7.10. Repealed.
- § 58-18-7.11 Continuation or conversion policy not required under certaincircumstances.
- § 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- § 58-18-7.16 Repealed.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--Option to decrease benefits.
- § 58-18-7.19 Probationary period for continuation or conversion coverage prohibited.
- § 58-18-7.20 Construction with chapter 58-18C.
- § 58-18-7.21 Continued coverage--Insurer's use of experience for rating purposes notlimited--Options unavailable in market not required.
- § 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 Repealed.
- § 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 child with intellectual or physical disability--Proof of dependency.
- § 58-18-31.1 Dependent coverage termination--Age--Full-time student.
- § 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 Grandfathered plans required to cover low-dose mammography--Extentof coverage.
- § 58-18-36.1 Policies required to cover occult breast cancer screening.
- § 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--Limitation of waiting 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 , 58-18-51. Repealed.
- § 58-18-51.1 Application of §§ 58-18-42 to 58-18-49, inclusive.
- § 58-18-52.1 Political subdivisions permitted to join with health insurance purchasingorganizations.
- § 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 to 58-18-75. 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.
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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