§ 58-41-19 Insurance arrangements permitted.

SD Codified L § 58-41-19 (2019) (N/A)
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58-41-19. Insurance arrangements permitted. The requirement of subdivision 58-41-17(5) shall not prohibit a health maintenance organization from obtaining insurance or making other arrangements:

(1) For the cost of providing to any enrollee comprehensive health maintenance services, the aggregate value of which exceeds five thousand dollars in any year;

(2) For the cost of providing comprehensive health care services to its members on a nonelective emergency basis, or while they are outside the area served by the organization; or

(3) For not more than ninety-five percent of the amount by which the health maintenance organization's costs for any of its fiscal years exceeds one hundred five percent of its income for such fiscal years.Source: SL 1974, ch 321, § 10 (5).