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§ 58-38-35 Promulgation of rules for purchasing organizations.

SD Codified L § 58-38-35 (2019) (N/A)
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58-38-35. Promulgation of rules for purchasing organizations. The director may promulgate rules pursuant to chapter 1-26 to further the provisions of §§ 58-38-25 to 58-38-35, inclusive, and for purposes of carrying out the provisions of §§ 58-18-1 to 58-18-6, inclusive, and to ensure that group health insurance coverage is issued to eligible groups and that organizations are formed and operated to further the purpose of providing economical group health insurance for its members. The rules may include:

(1) Definition of terms;

(2) Criteria for determining groups, associations, organizations, and trusts and their eligibility for coverage;

(3) Criteria for determining substantially similar groups or for determining related industries;

(4) Application requirements and procedures;

(5) Reasonable compensation; and

(6) Organizational structure.Source: SL 1994, ch 382, § 11.

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§ 58-38-34 Purchasing organizations exempt from antitrust provisions.
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§ 58-38-36 Minimum loss ratio for small employer health benefit plans.