Individuals & Families
Small Businesses
Nonprofits
Employers
Employee Benefits Brokers
PEOs
Credit Unions
Membership Groups
Legal Information
Sign In
/
U.S. State Codes
/
South-Dakota
/
Title 58 - Insurance
/
Chapter 18 - Group And Blanket Health Insurance...
Chapter 18 - Group And Blanket Health Insurance Policies
§ 58-18-1 Group health insurance defined.
§ 58-18-2 Employee group insurance authorized--Employees defined.
§ 58-18-3 Employer association group health insurance authorized--Employees defined.
§ 58-18-4 Industry fund group insurance authorized--Employees defined.
§ 58-18-4.1 Restrictions on issuance of group health insurance policy to association.
§ 58-18-4.2 Required duration of participation by employer member in association plan.
§ 58-18-4.3 Association plan covering state residents to comply with state law.
§ 58-18-4.4 Requirements for insurer offering fully insured health benefit plan through association.
§ 58-18-5 Issuance to person or organization to which group life insurance policy may be issued.
§ 58-18-6 Issuance to cover similar group subject to discretion of director.
§ 58-18-6.1 Coverage of proprietors, partners and executive corporate officer employees.
§ 58-18-7 Continuation without evidence of insurability--Application.
§ 58-18-7.1 Coverage for inpatient treatment of alcoholism to be offered in group policies--Treatment within state included.
§ 58-18-7.2 Benefits provided under alcoholism coverage--Maximum treatment periods permitted.
§ 58-18-7.3 Policies not within alcoholism coverage requirement.
§ 58-18-7.4 Coverage upon application by employee or beneficiary with right to convert following notice of termination.
§ 58-18-7.5 Continuation of coverage upon leaving employment or termination of coverage by insurer--Duration.
§ 58-18-7.6 to 58-18-7.10. Repealed.
§ 58-18-7.11 Continuation or conversion policy not required under certain circumstances.
§ 58-18-7.12 Conditions for continuation.
§ 58-18-7.13 Premium for conversion policy and continuation policy.
§ 58-18-7.14 Notification of continuation and conversion rights.
§ 58-18-7.15 Group insurance coverage in lieu of converted individual policies.
§ 58-18-7.16 Repealed.
§ 58-18-7.17 Exclusion of benefits for injury while under the influence of alcohol or drugs prohibited--Exception for sickness or injury caused in commission of felony.
§ 58-18-7.18 Continuation coverage to be same as that available to similarly situated beneficiaries--Option to decrease benefits.
§ 58-18-7.19 Probationary period for continuation or conversion coverage prohibited.
§ 58-18-7.20 Construction with chapter 58-18C.
§ 58-18-7.21 Continued coverage--Insurer's use of experience for rating purposes not limited--Options unavailable in market not required.
§ 58-18-8 Representations by applicant not warranties--Written statement required to avoid insurance or reduce benefits.
§ 58-18-9 Summary statement of coverage for delivery to member of insured group.
§ 58-18-10 Additions to group originally insured.
§ 58-18-11 Direct payment for hospital, medical, or surgical services--Option of insurer.
§ 58-18-11.1 Reduction of benefits because of increase in statutory disability benefits prohibited.
§ 58-18-11.2 Repealed.
§ 58-18-12 Blanket health insurance defined.
§ 58-18-13 Blanket health insurance for passengers on common carrier.
§ 58-18-14 Blanket health insurance for employees, dependents, or guests with reference to hazardous activities.
§ 58-18-15 Blanket health insurance for institutions of learning, camps, or sponsors.
§ 58-18-16 Blanket health insurance for religious, charitable, recreational, educational, or civic organizations.
§ 58-18-17 Blanket health insurance for sports team or sponsors.
§ 58-18-18 Blanket health insurance for volunteer group or agency.
§ 58-18-19 Blanket health insurance for other risks approved by director.
§ 58-18-20 Authority to issue blanket health insurance--Filing of copy of form--Required provisions.
§ 58-18-21 Policy and application constitute entire contract--Statements by policyholder not warranties--Written statement required for use in defense of claim.
§ 58-18-22 Sickness or injury--Provision for notice to insurer.
§ 58-18-23 Forms for filing proof of loss--Failure of insurer to furnish, submission of written proof.
§ 58-18-24 Claim for loss of time--Time for furnishing proof of loss--Notice of continuance of disability.
§ 58-18-25 Time for payment of benefits.
§ 58-18-26 Physical examination of insured--Autopsy in death claims.
§ 58-18-27 Time for commencement of action to recover under policy.
§ 58-18-28 Individual application and certificate not required under blanket policy.
§ 58-18-29 Persons to whom benefits payable under blanket health policy.
§ 58-18-30 Chapter inapplicable to prior policies.
§ 58-18-31 Continuation of coverage for child with intellectual or physical disability--Proof of dependency.
§ 58-18-31.1 Dependent coverage termination--Age--Full-time student.
§ 58-18-32 Family coverage to include newborn and newly adopted children.
§ 58-18-33 Premature birth, congenital defects, and birth abnormalities covered--Applicability.
§ 58-18-34 Notice of birth or adoption required for continued coverage.
§ 58-18-35 Notice required for rate increase by group health insurance company.
§ 58-18-36 Grandfathered plans required to cover low-dose mammography--Extent of coverage.
§ 58-18-36.1 Policies required to cover occult breast cancer screening.
§ 58-18-37 Freedom of choice for pharmacy services.
§ 58-18-38 Annual period of enrollment for licensed pharmacies--Actual notice of enrollment period not required.
§ 58-18-39 Provisions denying choice for pharmacy services as void.
§ 58-18-40 Enforcement of provisions permitting choice for pharmacy services.
§ 58-18-41 Coverage for phenylketonuria.
§ 58-18-42 Health benefit plan defined.
§ 58-18-43 Late enrollee determined.
§ 58-18-44 Creditable coverage determined.
§ 58-18-45 Preexisting conditions--Limitation of waiting periods .
§ 58-18-45.1 Anesthesia and hospitalization for dental care to be provided certain covered persons (Effective until January 1, 2019).
§ 58-18-45.1 Anesthesia and hospital or ambulatory surgery center charges for dental care to be covered for certain persons (Effective January 1, 2019).
§ 58-18-46 Renewability of health benefit plans--Employer's election--Exceptions.
§ 58-18-47 Nonrenewal of health benefit plans by an employer carrier.
§ 58-18-48 Acceptance of new employees for coverage under employer's existing health benefit plan.
§ 58-18-49 Carrier's offer of coverage to employer--Coverage of all eligible employees.
§ 58-18-50 , 58-18-51. Repealed.
§ 58-18-51.1 Application of §§ 58-18-42 to 58-18-49, inclusive.
§ 58-18-52.1 Political subdivisions permitted to join with health insurance purchasing organizations.
§ 58-18-52 Formation of voluntary health insurance purchasing organizations.
§ 58-18-53 Membership of voluntary health insurance purchasing organizations.
§ 58-18-54 Purchasing organization's responsibility for negotiating terms and conditions.
§ 58-18-55 Purchasing organization's notice of premium charge.
§ 58-18-56 Additional chapters applicable to purchasing organization.
§ 58-18-57 Approval of purchasing organization by Division of Insurance.
§ 58-18-58 Premiums held in trust by purchasing organization.
§ 58-18-59 Rates for group health insurance issued to purchasing organizations.
§ 58-18-60 Reasonable participation requirements for group members of purchasing organizations.
§ 58-18-61 Purchasing organizations exempt from antitrust provisions.
§ 58-18-62 Promulgation of rules for purchasing organizations.
§ 58-18-63 Minimum loss ratio for employer health benefit plans--Application of section.
§ 58-18-64 to 58-18-75. Repealed.
§ 58-18-76 Minimum inpatient care coverage following delivery.
§ 58-18-77 Shorter hospital stay permitted--Follow-up within forty-eight hours required.
§ 58-18-78 Notice to employees or members--Disclosures.
§ 58-18-79 Promulgation of rules to minimally meet federal standards--Additional rules--Scope.
§ 58-18-80 Health insurance policies to provide coverage for biologically-based mental illnesses.
§ 58-18-81 Application--Exemptions.
§ 58-18-82 Carrier to provide annual report--Time frame--Information.
§ 58-18-83 Policies to provide coverage for diabetes supplies, equipment and education--Exceptions--Conditions and limitations.
§ 58-18-84 Diabetes coverage not required of certain plans and policies.
§ 58-18-85 Policies to provide coverage for prostate cancer screening.
§ 58-18-86 Plans subject to § 58-18-45--Exceptions.
§ 58-18-87 Director to promulgate rules governing use of genetic information.
§ 58-18-88 Authorization of self-funded multiple employer trust sponsored by association--Conditions.
§ 58-18-88.1 Request for waiver by association formed in another state.
§ 58-18-89 Promulgation of rules pertaining to multiple employer trusts.
§ 58-18-90 Multiple employer trust not insurance company or association or subject to specified provisions--Exception.
§ 58-18-91 Suspension or revocation of authorization of multiple employer trust--Action in lieu of suspension or revocation.
§ 58-18-92 Payment of premium taxes.
§ 58-18-93 Agent licensing requirements.
§ 58-18-94 Application of provisions regarding multiple employer trusts--Inclusion of large and small employers.
§ 58-18-95 Coverage for treatment of hearing impairment for persons under age nineteen.