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2020 South Dakota Codified Laws
Title 58 - Insurance
Chapter 17I - Grievance Procedure
- Section 58-17I-1 - Definitions.
- Section 58-17I-2 - Health benefit plan defined.
- Section 58-17I-3 - Urgent care request defined.
- Section 58-17I-4 - Register of grievances required--Information to be compiled--Maintenance.
- Section 58-17I-5 - Report to director required--Contents.
- Section 58-17I-6 - Grievance procedures--Filing--Certificate of compliance--Contact information.
- Section 58-17I-7 - Review of adverse determination--Time for filing--Designation and notice of reviewers--Scope of review.
- Section 58-17I-8 - Rights of covered person or authorized representative on review--Access to documentation.
- Section 58-17I-9 - Time for decision and notice--Calculation of time periods.
- Section 58-17I-10 - Procedures for providing new or additional evidence.
- Section 58-17I-11 - Issuance of decision--Required contents.
- Section 58-17I-12 - Expedited review for adverse determinations involving urgent care requests--Appointment of peers for review.
- Section 58-17I-13 - Transmission of necessary information for certain expedited reviews.
- Section 58-17I-14 - Expedited review decision not initial determination for benefits--Notification--Time periods--Continuation of service involving concurrent review urgent care requests.
- Section 58-17I-15 - Expedited review decision--Notification--Required contents.
- Section 58-17I-16 - Promulgation of rules.
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