20:06:13Medicare

Chapter · Administrative Rules of South Dakota · View on sdlegislature.gov ↗

Rulemaking activity

Division of Insurance - Chapter 20:06:13 Appendix DEffective
Chapter 20:06:13 Appendix DEffective
ARSD Chapter 20:06:13 Appendix DEffective
Updating Chapter 20:06:13 Appendix DEffective
20:06:12, 20:06:13, 20:06:19, 20:06:25, 20:06:26, 20:06:36, 20:06:59, and 20:06:60Effective
Updates to the Division of Insurance administrative rules.Effective
Updates to Division of Insurance administrative rules.Effective
Division of Insurance Administrative RulesEffective
Changes and updates to Insurance Administrative RulesEffective

Sections (136)

20:06:13:01Disclosure form required.
20:06:13:02Definitions.
20:06:13:02.01Requirements for definition of
20:06:13:02.02Requirements for definitions in policies.
20:06:13:03Applicability.
20:06:13:04Allowed restrictions on coverage of accidents.
20:06:13:05Effects of other insurance and coverage of
20:06:13:06Restrictions for accidents while employed.
20:06:13:07Denial of benefits to persons in skilled nursing
20:06:13:08Skilled nursing facility -- Exclusions.
20:06:13:09Hospital reimbursement by nonprofit plans.
20:06:13:10Mental or emotional disorders -- Limitations and
20:06:13:11Nurse -- Description of classes.
20:06:13:12Coverage of sickness -- Allowed restrictions.
20:06:13:13Coverage
20:06:13:14Eligible expenses under Medicare.
20:06:13:14.01Health care expenses defined -- Exclusions.
20:06:13:15Permitted
20:06:13:16Waiver
20:06:13:17Applicability of benefit standards.
20:06:13:17.01Benefits restored.
20:06:13:17.02General standards for 1990 standardized Medicare
20:06:13:17.03Standards for basic core benefits for 1990
20:06:13:17.04Standards
20:06:13:17.05Requirements for standard Medicare supplement
20:06:13:17.06Make-up
20:06:13:17.07Suspension of coverage during period of
20:06:13:17.08Reinstitution of coverage following loss of
20:06:13:17.09Suspension requested by policyholder.
20:06:13:17.10Prescription drug benefits under Medicare
20:06:13:17.11General standards for standardized Medicare
20:06:13:17.12Standards
20:06:13:17.13Standards for additional benefits.
20:06:13:17.14Requirements
20:06:13:17.15Make-up
20:06:13:17.16Standard
20:06:13:18Premium adjustments to match Medicare benefit
20:06:13:19Renewability.
20:06:13:20Extended benefits on termination of insurance.
20:06:13:21Loss
20:06:13:21.01Refund or
20:06:13:22Annual filing of premium rates.
20:06:13:22.01Filing of premium adjustments after Medicare
20:06:13:22.02Public hearings.
20:06:13:22.03Filing and approval of policies and certificates
20:06:13:22.04One policy or certificate form allowed --
20:06:13:22.05Discontinuance of availability.
20:06:13:22.06Combination of experience for calculation of
20:06:13:22.07New or innovative benefits -- Policy or
20:06:13:23Rate increases.
20:06:13:24Disclosure of preexisting conditions.
20:06:13:25Increased benefits after issue.
20:06:13:26Separate additional premium disclosure.
20:06:13:27Buyer's guide.
20:06:13:28Delivery
20:06:13:29Use of term "Medicare supplement.
20:06:13:30Disclosure requirements for policies or
20:06:13:31Notice requirements for policies or certificates
20:06:13:31.01Disclosure requirements for Medicare supplement
20:06:13:31.02"Usual," "customary," and
20:06:13:31.03Right of return.
20:06:13:32Requirements
20:06:13:32.01Transferred to § 20:06:13:32.
20:06:13:32.02Disclosure by agent.
20:06:13:33Replacement
20:06:13:34Replacement requirements for direct response
20:06:13:35Notice
20:06:13:36Outline
20:06:13:37Delivery
20:06:13:38Revisions of outline of coverage.
20:06:13:39Outline
20:06:13:40Style and arrangement for outline of coverage.
20:06:13:41Supplemental disclosure form.
20:06:13:42Variable
20:06:13:43Overinsurance.
20:06:13:43.01Misrepresentation -- Unfair or deceptive trade
20:06:13:43.02Determination of suitability.
20:06:13:43.03Medicare
20:06:13:44Failure
20:06:13:45Refund
20:06:13:46Coverage
20:06:13:47Insurance
20:06:13:48Payment
20:06:13:49Requirements for claims payment.
20:06:13:50Policy classification -- Requirements and
20:06:13:51Notice
20:06:13:52Filing
20:06:13:53Duplication of coverage prohibited.
20:06:13:54Reinstitution
20:06:13:55Exception to reinstitution of coverage.
20:06:13:56Continuation
20:06:13:57Standards for marketing.
20:06:13:58Marketing
20:06:13:58.01Health insurance advertisement rate disclosures.
20:06:13:58.02Health insurance advertisement disclosure
20:06:13:59Reporting of multiple policies.
20:06:13:60Cancellation
20:06:13:60.01Guaranteed renewable with benefit changes.
20:06:13:61Agent
20:06:13:62Requirements
20:06:13:63Medicare select policies and certificates.
20:06:13:64Medicare select authorization.
20:06:13:65Approval required for issuance.
20:06:13:66Filing plan of operation.
20:06:13:67Filing of changes.
20:06:13:68Network restrictions.
20:06:13:69Coverage for unavailable services.
20:06:13:70Disclosure and outline of coverage requirements.
20:06:13:71Applicant signature required.
20:06:13:72Complaints and grievances.
20:06:13:73Required offer of other Medicare supplement
20:06:13:74Required offer of replacement coverage without a
20:06:13:75Continuation.
20:06:13:76Compliance with data requests.
20:06:13:77Creditable
20:06:13:78Medicare Advantage plan.
20:06:13:79Guaranteed issue.
20:06:13:80Guaranteed issue -- Eligible persons.
20:06:13:80.01Guaranteed issue time periods.
20:06:13:80.02Extended medigap access for interrupted trial
20:06:13:81Guaranteed
20:06:13:82Guaranteed issue -- Notification provisions.
20:06:13:83Open enrollment.
20:06:13:84Open enrollment required for Medicare eligible
20:06:13:85Notice requirement.
20:06:13:86Exchanging of standardized plan.
20:06:13:86.01Exchanging of standardized plan -- Age rate
20:06:13:86.02Exchanging of standardized plan -- Rating class.
20:06:13:86.03Exchanging of standardized plan -- Preexisting
20:06:13:86.04Exchanging of standardized plan -- Offering.
20:06:13:87Applicability of genetic information.
20:06:13:88Definitions applicable to genetic information.
20:06:13:89Use of genetic information.
20:06:13:90Request of genetic testing.
20:06:13:91Requirement of genetic testing.
20:06:13:92Genetic information -- Underwriting purposes and