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20:06:21:98Process if determination overturned.

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

Rulemaking activity

If the insurer overturns its benefit trigger determination: (1) The insurer shall provide notice to the independent review organization and the insured and the insured's authorized representative, if applicable, and the director of its decision; and (2) The independent review process shall immediately cease.

Source: 36 SDR 209, effective July 1, 2010.

General Authority

Law Implemented