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79 chapters · 3,426 sections in this title.
SDCL § 58-17K-1 Definitions
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Terms used in this chapter mean: (1) "Accumulated amount," the amount of financial responsibility an enrollee has incurred at the time a request for cost-sharing information is made, with respect to a deductible or out-of-pocket limit as calculated under rules promulgated by the …
SDCL § 58-17K-10 Rules and regulations
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The director shall promulgate rules, pursuant to chapter 1-26 , for the following: (1) The definition of terms; (2) Required cost-sharing liability disclosures; (3) The method and format requirements for disclosures; (4) Calculations pertaining to information, disclosure, and his…
SDCL § 58-17K-11 Plan years effective
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The provisions of § 58-17K-5 are effective for plan years beginning on or after January 1, 2022. The provisions of §§ 58-17K-2 to 58-17K-4 , inclusive, are effective for plan years beginning on or after January 1, 2024. Source: SL 2021, ch 213 , § 11.
SDCL § 58-17K-2 Cost-sharing information described--Required disclosure to enrollees
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At the request of an enrollee, the health insurer shall provide: (1) An estimate, which is accurate at the time of the request, of the enrollee's cost-sharing liability for a requested covered item or service furnished by a provider reflecting any cost-sharing reductions the enro…
