There Is a Newer Version of the South Dakota Codified Laws
2013 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 orcontracts--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- § 58-41-5 Repealed.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 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 caredelivery systems.
- § 58-41-16 Repealed.
- § 58-41-17 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 notdisapproved--Exemptions.
- § 58-41-23 Composition of governing body--Required consumer representation.
- § 58-41-24 Mechanisms for enrollee participation in policy and operation ofgoverning body.
- § 58-41-25 Fiduciary responsibilities to enrollees.
- § 58-41-25.1 Investments.
- § 58-41-26 Exemption from insurance laws--Exceptions--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- § 58-41-27 Repealed.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 ahealth maintenance organization.
- § 58-41-30 Sources of payment for enrollee services--Application by medicalassistance recipient.
- § 58-41-31 Direct payments to enrollees prohibited.
- § 58-41-32 Use of words descriptive of insurance, casualty, or surety business asmisdemeanor--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 ordrugs prohibited--Exception for sickness or injury caused in commissionof felony.
- § 58-41-35.7 Contracts required to cover occult breast cancer screening.
- § 58-41-36 Unfair and misleading information in evidence of coverage asmisdemeanor.
- § 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 asmisdemeanor.
- § 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 to 58-41-49. Repealed.
- § 58-41-50 Authorized expenses.
- § 58-41-51 Repealed.
- § 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 plancorporations 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 Promulgation of rules.
- § 58-41-68 to 58-41-72. Repealed.
- § 58-41-73 Physician-patient privileges.
- § 58-41-74 Confidential data--Exceptions.
- § 58-41-75 , 58-41-76. Repealed.
- § 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 bydirector.
- § 58-41-82 Additional grounds for suspension or revocation.
- § 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 Repealed.
- § 58-41-90 Action of director after hearing--Written findings.
- § 58-41-91 Judicial review.
- § 58-41-92 Activities prohibited during suspension of certificate.
- § 58-41-93 Winding up after revocation of certificate--Continued operation toprotect enrollees.
- § 58-41-94 Summary proceeding to reorganize organization--Grounds.
- § 58-41-95 Rehabilitation, liquidation, or conservation under insurance companylaws.
- § 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 andconditions.
- § 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 purchasingorganizations.
- § 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 healthmaintenance organization.
- § 58-41-112 Minimum inpatient care coverage following delivery.
- § 58-41-113 Shorter hospital stay permitted--Follow-up visit within forty-eight hoursrequired.
- § 58-41-114 Notice to enrollees--Disclosures.
- § 58-41-115 Health insurance policies to provide coverage for biologically-basedmental illnesses.
- § 58-41-116 Application--Exemptions.
- § 58-41-117 Policies to provide coverage for diabetes supplies, equipment, andeducation--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.
- § 58-41-120 Annual report on risk bearing entities.
- § 58-41-121 Documents provided to risk bearing entity by health maintenanceorganization.
- § 58-41-122 Documents provided to health maintenance organization by risk bearingentity.
- § 58-41-123 Notice by risk bearing entity of change in conditions--Assignment ofcontract.
- § 58-41-124 Notice to director that risk bearing entity has materially failed to performcontract.
- § 58-41-125 Confidentiality of information.
- § 58-41-126 Nontransferable responsibilities of health maintenance organization.
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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