Title 58 — INSURANCE
79 chapters · 3,532 sections in this title.
SDCL § 58-18-87 Director to promulgate rules governing use of genetic information
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The director may promulgate rules pursuant to chapter 1-26 pertaining to the use of genetic information, whether the genetic information was derived from a genetic test or from another source, as it relates to group health benefit plans. Source: SL 2001, ch 267 , § 3.
SDCL § 58-18-88 Authorization of self-funded multiple employer trust sponsored by association--Conditions
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A self-funded multiple employer trust, as defined in section 3 of the federal Employee Retirement Income Security Act of 1974, 29 U.S.C. § 1002, paragraph 40, that is sponsored by an association, may be authorized by the director if the multiple employer trust meets all of the fo…
SDCL § 58-18-88.1 Request for waiver by association formed in another state
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An association not formed in this state may request a waiver of subdivisions 58-18-88(3) and (5) regarding organization in South Dakota to sponsor a multiple employer trust in this state if the association provides sufficient evidence a waiver is in the best interests of the insu…
SDCL § 58-18-89 Promulgation of rules pertaining to multiple employer trusts
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The director shall promulgate rules, pursuant to chapter 1-26 , pertaining to multiple employer trusts in the following areas: (1) Consumer protection issues including minimum coverage standards for health policies; claims processing and payment practices; resolution of consumer …
SDCL § 58-18-9 Summary statement of coverage for delivery to member of insured group
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Each such group health insurance policy shall contain in substance a provision that the insurer will furnish to the policyholder for delivery to each employee or member of the insured group, a statement in summary form of the essential features of the insurance coverage of such e…
SDCL § 58-18-90 Multiple employer trust not insurance company or association or subject to specified provisions--Exception
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Except as otherwise provided in this chapter, an authorized multiple employer trust may not be determined to be or considered to be an insurance company or association of any kind or character under this title, or subject to the provisions of §§ 58-8-6 to 58-8-19 , inclusive. Sou…
SDCL § 58-18-91 Suspension or revocation of authorization of multiple employer trust--Action in lieu of suspension or revocation
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A multiple employer trust authorized under this chapter may have its authorization suspended or revoked by the director for violating any applicable provision of this title. The director may take action in lieu of suspension or revocation as though the trust were an insurer as pr…
SDCL § 58-18-92 Payment of premium taxes
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If not otherwise provided, a multiple employer trust doing business in this state on a self-funded basis shall pay premium taxes as required in chapter 10-44 based upon the amount each participating employer contributes, including any amounts contributed by employees and dependen…
SDCL § 58-18-93 Agent licensing requirements
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No agent may sell, solicit, or negotiate a self-funded multiple employer trust authorized under this chapter unless the agent is licensed to sell life and health insurance pursuant to chapter 58-30 . Source: SL 2005, ch 272 , § 7; SL 2019, ch 212 , § 10.
SDCL § 58-18-94 Application of provisions regarding multiple employer trusts--Inclusion of large and small employers
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The provisions of this chapter regarding multiple employer trusts do not apply to any single employer self-funded plan as preempted by Employee Retirement Income Security Act of 1974, 29 U.S.C. § 1144 or any arrangement exempted pursuant to §
SDCL § 58-18-95 Coverage for treatment of hearing impairment for persons under age nineteen
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Any qualified health plan issued on or after January 1, 2015, that offers coverage for professional audiology services shall include coverage for medically necessary physician services appropriate for the treatment of hearing impairment to a person under the age of nineteen. This…