Title 58 — INSURANCE
79 chapters · 3,532 sections in this title.
SDCL § 58-17-82 Renewal of individual health benefit plans--Exceptions
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An individual health benefit plan subject to §§ 58-17-66 to 58-17-87 , inclusive, is renewable with respect to any person or dependent at the option of the person and may not be terminated by the insurer at any time, except as provided in § 58-17-15 or in any of the following cas…
SDCL § 58-17-83 Election not to renew individual health benefit plan--Future business restricted
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No carrier that elects not to renew an individual health benefit plan under subdivision 58-17-82(4) may write new business in the individual health benefit plan market in the state for a period of five years from the date of notice to the director. Source: SL 1996, ch 286 , § 18.
SDCL § 58-17-84 Provisions for carriers providing individual coverage other than excepted benefits
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Any health carrier providing individual coverage, other than excepted benefits, shall comply with the following provisions: (1) No individual coverage may deny, exclude, or limit benefits for a covered individual for claims incurred more than twelve months following the effective…
SDCL § 58-17-84.1 (Text of section effective until the first plan year, policy year, or renewal date on or after January 1, 2019) Anesthesia and hospitalization for dental care to be provided certain covered persons
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Any health benefit plan as defined by § 58-17-63 shall cover anesthesia and hospital charges for dental care provided to a covered person who: (1) Is a child under age five; or (2) Is severely disabled or otherwise suffers from a developmental disability as determined by a licens…
SDCL § 58-17-86 Repealed by SL 2003 (SS) ch 1, § 33
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58-17-87 Director to promulgate rules for individual health insurance--Scope of rules. 58-17-88 Minimum inpatient care coverage following delivery. 58-17-89 Shorter hospital stay permitted--Follow-up visit within forty-eight hours required. 58-17-90 Notice to policyholders--Discl…
SDCL § 58-17-87 Director to promulgate rules for individual health insurance--Scope of rules
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The director shall promulgate rules pursuant to chapter 1-26 to cover: (1) Terms or renewability; (2) Conditions of eligibility; (3) Benefit limitations, exceptions, and reductions; (4) Definition of terms; (5) Filing requirements for forms, rates, and rate schedules; (6) Marketi…
SDCL § 58-17-88 Minimum inpatient care coverage following delivery
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If a health insurance policy that is issued or renewed on or after July 1, 1996, provides maternity coverage, the policy shall provide coverage for a minimum of forty - eight hours of inpatient care following a vaginal delivery and a minimum of ninety - six hours of inpatient car…
SDCL § 58-17-89 Shorter hospital stay permitted--Follow - up visit within forty - eight hours required
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If the treating physician determines that the mother and the newborn meet medical criteria contained in Guidelines for Perinatal Care, Third Edition, of the American Academy of Pediatrics and the American College of Obstetricians and Gynecologists as in effect on January 1, 1996,…
SDCL § 58-17-9 Renewal of policy at option of insurer--Statement in policy so informing the policyholder
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In any case where a policy of health insurance is subject to renewal at the option of the insurer there shall be prominently printed both on the cover page and on the first page of such policy a statement so informing the policyholder. Source: SL 1966, ch 111 , ch 25, § 2 (9). 58…
SDCL § 58-17-90 Notice to policyholders--Disclosures
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The health insurer shall provide notice to policyholders regarding the coverage required by §§ 58-17-88 and 58-17-89 in accordance with rules adopted by the director of the Division of Insurance pursuant to chapter 1-26 . The notice shall be in writing and prominently positioned …
SDCL § 58-17-97 Provisions covering preexisting conditions
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Any accident and sickness policy or certificate subject to the provisions of this chapter, other than credit health insurance as defined in subdivision 58-19-2(1) and a health benefit plan as defined in § 58-17-66 , shall comply with the following provisions: (1) No policy or cer…
SDCL § 58-17-98 Health insurance policies to provide coverage for biologically - based mental illnesses
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Every policy of health insurance that is delivered, issued for delivery, or renewed in this state, except for policies that provide coverage for specified disease or other limited benefit coverage, shall provide, in writing, coverage for the treatment and diagnosis of biologicall…
SDCL § 58-17-99 Application of § 58-17-98 --Exemptions
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The provisions of § 58-17-98 do not apply to any plan, policy, or contract that provides coverage only for: (1) Specified disease; (2) Hospital indemnity; (3) Fixed indemnity; (4) Accident - only; (5) Credit; (6) Dental; (7) Vision; (8) Prescription drug; (9) Medicare supplement;…