2019 South Dakota Codified Laws
Title 58 - Insurance
Chapter 17I - Grievance Procedure
§ 58-17I-5 Report to director required--Contents.
58-17I-5. Report to director required--Contents. Each health carrier shall submit to the director, at least annually, a report in the format specified by the director. The report shall include for each type of health benefit plan offered by the health carrier:
(1) The certificate of compliance required by § 58-17I-6;
(2) The number of covered lives;
(3) The total number of grievances;
(4) The number of grievances resolved at each level, if applicable, and their resolution;
(5) The number of grievances appealed to the director of which the health carrier has been informed;
(6) The number of grievances referred to alternative dispute resolution procedures or resulting in litigation; and
(7) A synopsis of actions being taken to correct problems identified. (SL 2012, ch 239, § 1 provides: "The provisions of chapter 219 of the 2011 Session Laws shall be deemed repealed if the Patient Protection and Affordable Care Act, Pub. L. No. 111-148, 124 Stat. 119 (2010), as amended by the Health Care and Education Reconciliation Act of 2010, Pub. L. No. 111-152, 124 Stat. 1029 (2010) is found to be unconstitutional in its entirety by a final decision of a federal court of competent jurisdiction and all appeals exhausted or time for appeals elapsed.")
Source: SL 2011, ch 219, § 77.
