reglab/housing_qa huggingface dataset:
SD Codified L § 58-18-49 (2021)
2021 South Dakota Codified Laws|Title 58 - Insurance|Chapter 18 - Group And Blanket Health Insurance Policies|Section 58-18-49 - Carrier's offer of coverage to employer--Coverage of all eligible employees.

58-18-49. Carrier's offer of coverage to employer--Coverage of all eligible employees.If an employer carrier offers coverage to an employer, the employer carrier shall offer coverage to all of the eligible employees of an employer and their dependents. An employer carrier may not offer coverage to only certain individuals in an employer group or to only part of the group, except in the case of late enrollees. Source: SL 1994, ch 383, §9; SL 1995, ch 281, §21.
SD Codified L § 58-18-51.1 (2021)
2021 South Dakota Codified Laws|Title 58 - Insurance|Chapter 18 - Group And Blanket Health Insurance Policies|Section 58-18-51.1 - Application of §§ 58-18-42 to 58-18-49, inclusive.

58-18-51.1. Application of §§58-18-42 to 58-18-49, inclusive.The provisions of §§58-18-42 to 58-18-49, inclusive, apply to health benefit plans which provide health coverage on a self-funded basis through nonfederal government employers, college plans issued on a blanket basis, and church plans. Any self-funded nonfederal government employer plan is subject to the provisions of §§58-18-42 to 58-18-49, inclusive, whether or not it is a single employer plan, a pooled arrangement, a cooperative, through a joint powers agreement, or other similar mechanism for providing health coverage. Source: SL 1997, ch 289, §24; SL 2000, ch 250, §2.
SD Codified L § 58-18-52 (2021)
2021 South Dakota Codified Laws|Title 58 - Insurance|Chapter 18 - Group And Blanket Health Insurance Policies|Section 58-18-52 - Formation of voluntary health insurance purchasing organizations.

58-18-52. Formation of voluntary health insurance purchasing organizations. Notwithstanding the provisions of chapter 47-34A and §§ 47-15-2 and 47-22-4, any organization may form for the purposes of purchasing group health insurance on a voluntary basis. For purposes of §§58-18-52 to 58-18-62, inclusive, an organization means any nonprofit organization or nonprofit corporation formed under South Dakota law. Stop loss or excess insurance may be purchased in the same manner as group health insurance is purchased pursuant to §§58-18-52 to 58-18-62, inclusive. Source: SL 1994, ch 382, §1; SL 1998, ch 293, §2; SL 2021, ch 210, § 16.
SD Codified L § 58-18-52.1 (2021)
2021 South Dakota Codified Laws|Title 58 - Insurance|Chapter 18 - Group And Blanket Health Insurance Policies|Section 58-18-52.1 - Political subdivisions permitted to join with health insurance purchasing organizations.

58-18-52.1. Political subdivisions permitted to join with health insurance purchasing organizations.Any political subdivision of the state may join with other organizations which are not political subdivisions of the state to operate as an organization formed under §58-18-52 for the purpose of purchasing health insurance pursuant to the provisions in §§58-18-52 to 58-18-62, inclusive, and reducing costs to local government. Source: SL 2012, ch 246, §1.
SD Codified L § 58-18-53 (2021)
2021 South Dakota Codified Laws|Title 58 - Insurance|Chapter 18 - Group And Blanket Health Insurance Policies|Section 58-18-53 - Membership of voluntary health insurance purchasing organizations.

58-18-53. Membership of voluntary health insurance purchasing organizations.Any organization may have a group health insurance policy issued to that organization on behalf of its members who would be insured under such policy. Members may join the organization, for the purpose of obtaining group health insurance, as individuals, employers, labor unions, associations, or substantially similar groups. Source: SL 1994, ch 382, §2.
SD Codified L § 58-18-54 (2021)
2021 South Dakota Codified Laws|Title 58 - Insurance|Chapter 18 - Group And Blanket Health Insurance Policies|Section 58-18-54 - Purchasing organization's responsibility for negotiating terms and conditions.

58-18-54. Purchasing organization's responsibility for negotiating terms and conditions.The organization shall be responsible for negotiating the terms and conditions of insurance contracts, collection of premiums, and providing notice to members. Source: SL 1994, ch 382, §3.
SD Codified L § 58-18-55 (2021)
2021 South Dakota Codified Laws|Title 58 - Insurance|Chapter 18 - Group And Blanket Health Insurance Policies|Section 58-18-55 - Purchasing organization's notice of premium charge.

58-18-55. Purchasing organization's notice of premium charge.The organization may provide not less than forty-five days advance notice of any benefit or premium change to its members. Source: SL 1994, ch 382, §4.
SD Codified L § 58-18-56 (2021)
2021 South Dakota Codified Laws|Title 58 - Insurance|Chapter 18 - Group And Blanket Health Insurance Policies|Section 58-18-56 - Additional chapters applicable to purchasing organization.

58-18-56. Additional chapters applicable to purchasing organization.Any organization is subject to all applicable provisions of chapter 58-3 and chapter 58-33. Source: SL 1994, ch 382, §5.
SD Codified L § 58-18-57 (2021)
2021 South Dakota Codified Laws|Title 58 - Insurance|Chapter 18 - Group And Blanket Health Insurance Policies|Section 58-18-57 - Approval of purchasing organization by Division of Insurance.

58-18-57. Approval of purchasing organization by Division of Insurance.Any organization shall, prior to its engaging in the business of insurance, obtain approval from the Division of Insurance. The division may deny approval or withdraw approval of an organization to engage in the business of insurance for any of the following reasons:(1)Any of the grounds specified in §58-6-8;(2)Insufficient membership control of the organization;(3)Unreasonable compensation to officers, directors, or employees of the organization;(4)Misuse of premiums; or(5)Refusal to be examined or to cooperate in an examination. Source: SL 1994, ch 382, §6.
SD Codified L § 58-18-58 (2021)
2021 South Dakota Codified Laws|Title 58 - Insurance|Chapter 18 - Group And Blanket Health Insurance Policies|Section 58-18-58 - Premiums held in trust by purchasing organization.

58-18-58. Premiums held in trust by purchasing organization.The organization shall hold all premiums received in trust and promptly remit premiums to the person entitled thereto. Source: SL 1994, ch 382, §7.
SD Codified L § 58-18-59 (2021)
2021 South Dakota Codified Laws|Title 58 - Insurance|Chapter 18 - Group And Blanket Health Insurance Policies|Section 58-18-59 - Rates for group health insurance issued to purchasing organizations.

58-18-59. Rates for group health insurance issued to purchasing organizations.Any insurer issuing group health insurance pursuant to §§58-18-52 to 58-18-62, inclusive, is subject to all of the provisions of chapter 58-18B relating to rates. Source: SL 1994, ch 382, §8.
SD Codified L § 58-18-60 (2021)
2021 South Dakota Codified Laws|Title 58 - Insurance|Chapter 18 - Group And Blanket Health Insurance Policies|Section 58-18-60 - Reasonable participation requirements for group members of purchasing organizations.

58-18-60. Reasonable participation requirements for group members of purchasing organizations.An insurer may as a condition of offering coverage or continuing coverage require reasonable participation requirements of groups who become members of an organization. Source: SL 1994, ch 382, §9.
SD Codified L § 58-18-61 (2021)
2021 South Dakota Codified Laws|Title 58 - Insurance|Chapter 18 - Group And Blanket Health Insurance Policies|Section 58-18-61 - Purchasing organizations exempt from antitrust provisions.

58-18-61. Purchasing organizations exempt from antitrust provisions.Any organization formed pursuant to §§58-18-52 to 58-18-62, inclusive, is exempt from the antitrust provisions under chapter 37-1. Source: SL 1994, ch 382, §10.
SD Codified L § 58-18-62 (2021)
2021 South Dakota Codified Laws|Title 58 - Insurance|Chapter 18 - Group And Blanket Health Insurance Policies|Section 58-18-62 - Promulgation of rules for purchasing organizations.

58-18-62. Promulgation of rules for purchasing organizations.The director may promulgate rules pursuant to chapter 1-26 to further the provisions of §§58-18-52 to 58-18-62, 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.
SD Codified L § 58-18-63 (2021)
2021 South Dakota Codified Laws|Title 58 - Insurance|Chapter 18 - Group And Blanket Health Insurance Policies|Section 58-18-63 - Minimum loss ratio for employer health benefit plans--Application of section.

58-18-63. Minimum loss ratio for employer health benefit plans--Application of section.Premium rates for employer health benefit plans shall produce a minimum lifetime loss ratio of not less than seventy-five percent. The director may promulgate rules pursuant to chapter 1-26 which modify the minimum loss ratio required based upon the specific plan design or other objective and pertinent criteria. An insurer is not required to meet the minimum loss ratio on each policy issued. An insurer which does not make a filing specifying the blocks of business for which it will meet the minimum loss ratio requirements of this section will be required to meet the minimum loss ratio requirement in the aggregate on its entire employer block of business in this state. This section does not apply to any insurer which is required to comply with §58-17-64. Source: SL 1994, ch 381, §1; SL 1995, ch 280.
SD Codified L § 58-18-76 (2021)
2021 South Dakota Codified Laws|Title 58 - Insurance|Chapter 18 - Group And Blanket Health Insurance Policies|Section 58-18-76 - Minimum inpatient care coverage following delivery.

58-18-76. Minimum inpatient care coverage following delivery.If a group health insurance policy that is issued or renewed on or after July 1, 1996, provides maternity coverage, the policy shall provide coverage for a minimum of forty-eight hours of inpatient care following a vaginal delivery and a minimum of ninety-six hours of inpatient care following delivery by cesarean section for a mother and her newborn child in a health care facility licensed pursuant to chapter 34-12, except as otherwise provided in §58-18-77. Any policy issued to employers with less than fifteen employees that provides coverage for complications of pregnancy, and does not provide other maternity benefits, is not required to comply with this section. Source: SL 1996, ch 292, §4; SL 1998, ch 290, §2.
SD Codified L § 58-18-77 (2021)
2021 South Dakota Codified Laws|Title 58 - Insurance|Chapter 18 - Group And Blanket Health Insurance Policies|Section 58-18-77 - Shorter hospital stay permitted--Follow-up within forty-eight hours required.

58-18-77. Shorter hospital stay permitted--Follow-up within forty-eight hours required.If the treating physician determines that the mother and the newborn meet medical criteria contained in Guidelines for Perinatal Care, Third Edition, of the American Academy of Pediatrics and the American College of Obstetricians and Gynecologists as in effect on January 1, 1996, a group health insurance policy may provide coverage for a shorter length of hospital inpatient stay for services related to maternity and newborn care than is required in §58-18-76 if the coverage includes one follow-up visit in the first forty-eight hours after discharge to verify the condition of the mother and newborn. Source: SL 1996, ch 292, §5.
SD Codified L § 58-18-78 (2021)
2021 South Dakota Codified Laws|Title 58 - Insurance|Chapter 18 - Group And Blanket Health Insurance Policies|Section 58-18-78 - Notice to employees or members--Disclosures.

58-18-78. Notice to employees or members--Disclosures.The group health insurer shall provide notice to employees or members regarding the coverage required by §§58-18-76 and 58-18-77 in accordance with rules adopted by the director of the Division of Insurance pursuant to chapter 1-26. The notice shall be in writing and prominently positioned in any literature or correspondence. The notice shall be transmitted to employees or members in the next mailing to employees or members, in the yearly informational packet sent to employees or members, or by January 1, 1997, whichever is earliest. Source: SL 1996, ch 292, §6.
SD Codified L § 58-18-79 (2021)
2021 South Dakota Codified Laws|Title 58 - Insurance|Chapter 18 - Group And Blanket Health Insurance Policies|Section 58-18-79 - Promulgation of rules to minimally meet federal standards--Additional rules--Scope.

58-18-79. Promulgation of rules to minimally meet federal standards--Additional rules--Scope.If any federal standards are in place which require additional steps to meet those standards beyond what is required by this chapter, the director may promulgate rules, pursuant to chapter 1-26, to require the offering of health insurance plans, the underwriting criteria that may be utilized for such health insurance plans, the type and scope of preexisting waiting periods and creditable coverage, the standards for nonrenewability of coverage, and other requirements related to the availability of health insurance to employers and their employees and dependents in this state in order to minimally meet the federal standards.The director may also promulgate rules, pursuant to chapter 1-26, pertaining to employer health benefit plans in the areas of:(1)Definition of terms;(2)The issuance of certificates of coverage upon loss of health insurance coverage;(3)Determinations relative to the application of waiting periods;(4)Special enrollment periods;(5)Treatment of late enrollees;(6)Preexisting condition and other waiting periods;(7)Breaks in coverage;(8)Affiliation periods;(9)Nondiscrimination standards;(10)Notices;(11)Renewal rights;(12)Dates of enrollment;(13)Creditable coverages including methods of crediting coverage;(14)Risk spreading mechanisms;(15)Requirements pertaining to mental health benefit levels in employer group plans other than small employer group plans;(16)Continuation and conversion requirements; and(17)Claims, provided the rules are consistent with applicable federal requirements for claims procedures, administration, and enforcement, including 29 CFR Part 2560. Source: SL 1997, ch 289, §25; SL 1998, ch 289, §22; SL 2001, ch 280, §16; SL 2002, ch 236, §1.
SD Codified L § 58-18-80 (2021)
2021 South Dakota Codified Laws|Title 58 - Insurance|Chapter 18 - Group And Blanket Health Insurance Policies|Section 58-18-80 - Health insurance policies to provide coverage for biologically-based mental illnesses.

58-18-80. Health insurance policies to provide coverage for biologically-based mental illnesses.Every group health insurance policy, including a certificate that is subject to approval pursuant to §58-11-12, that is delivered, issued for delivery, or renewed in this state, except for policies that provide coverage for specified disease or other limited benefit coverage, shall provide, in writing, coverage for the treatment and diagnosis of biologically-based mental illnesses with the same dollar limits, deductibles, coinsurance factors, and restrictions as for other covered illnesses.The term, biologically-based mental illness, means schizophrenia and other psychotic disorders, bipolar disorder, major depression, and obsessive-compulsive disorder. Source: SL 1998, ch 291, §2; SL 1999, ch 251, §2; SL 2000, ch 244, §1.
SD Codified L § 58-18-81 (2021)
2021 South Dakota Codified Laws|Title 58 - Insurance|Chapter 18 - Group And Blanket Health Insurance Policies|Section 58-18-81 - Application--Exemptions.

58-18-81. Application--Exemptions.The provisions of §58-18-80 do not apply to any plan, policy, or contract that provides coverage only for:(1)Specified disease;(2)Hospital indemnity;(3)Fixed indemnity;(4)Accident-only;(5)Credit;(6)Dental;(7)Vision;(8)Prescription drug;(9)Medicare supplement;(10)Long-term care;(11)Disability income insurance;(12)Coverage issued as a supplement to liability insurance;(13)Workers' compensation or similar insurance;(14)Automobile medical payment insurance; or(15)Individual health benefit plans of six-months duration or less that are not renewable. Source: SL 1998, ch 291, §7.
SD Codified L § 58-18-82 (2021)
2021 South Dakota Codified Laws|Title 58 - Insurance|Chapter 18 - Group And Blanket Health Insurance Policies|Section 58-18-82 - Carrier to provide annual report--Time frame--Information.

58-18-82. Carrier to provide annual report--Time frame--Information.Any carrier who is or has provided coverage to an employer shall provide, at the written request of the employer, annual reports of the claims experience of that employer for the immediate past policy period and for any time frames which are not in excess of three years prior to the policy period for which the request was made. A carrier is not required to provide any claims information that pertains to a prior carrier's experience with that employer. The claims report shall be in sufficient detail so as to provide the employer with data necessary to realistically assess the employer's future health insurance needs. Source: SL 1998, ch 289, §8.
SD Codified L § 58-18-83 (2021)
2021 South Dakota Codified Laws|Title 58 - Insurance|Chapter 18 - Group And Blanket Health Insurance Policies|Section 58-18-83 - Policies to provide coverage for diabetes supplies, equipment and education--Exceptions--Conditions and limitations.

58-18-83. Policies to provide coverage for diabetes supplies, equipment and education--Exceptions--Conditions and limitations.Every group health insurance policy, including a certificate that is subject to approval pursuant to §58-11-12, delivered, issued for delivery, or renewed in this state, except for policies that provide coverage for special disease or other limited benefit coverage, shall provide, in writing, coverage for equipment, supplies, and self-management training and education, including medical nutrition therapy, for treatment of persons diagnosed with diabetes if prescribed by a physician or other licensed health care provider legally authorized to prescribe such treatment . Medical nutrition therapy does not include any food items or nonprescription drugs.Coverage for medically necessary equipment and supplies shall include blood glucose monitors, blood glucose monitors for the legally blind, test strips for glucose monitors, urine testing strips, insulin, injection aids, lancets, lancet devices, syringes, insulin pumps and all supplies for the pump, insulin infusion devices, prescribed oral agents for controlling blood sugars, glucose agents, glucagon kits, insulin measurement and administration aids for the visually impaired, and other medical devices for treatment of diabetes.Diabetes self-management training and education shall be covered if: (a) the service is provided by a physician, nurse, dietitian, pharmacist, or other licensed health care provider who satisfies the current academic eligibility requirements of the National Certification Board for Diabetic Educators and has completed a course in diabetes education and training or has been certified as a diabetes educator; and (b) the training and education is based upon a diabetes program recognized by the American Diabetes Association or a diabetes program with a curriculum approved by the American Diabetes Association or the South Dakota Department of Health.Coverage of diabetes self-management training is limited to (a) persons who are newly diagnosed with diabetes or have received no prior diabetes education; (b) persons who require a change in current therapy; (c) persons who have a co-morbid condition such as heart disease or renal failure; or (d) persons whose diabetes condition is unstable. Under these circumstances, no more than two comprehensive education programs per lifetime and up to eight follow-up visits per year need be covered. Coverage is limited to the closest available qualified education program that provides the necessary management training to accomplish the prescribed treatment.The benefits provided in this section are subject to the same dollar limits, deductibles, coinsurance, and other restrictions established for all other benefits covered in the policy. Source: SL 1999, ch 252, §3; SL 2000, ch 244, §2.
SD Codified L § 58-18-84 (2021)
2021 South Dakota Codified Laws|Title 58 - Insurance|Chapter 18 - Group And Blanket Health Insurance Policies|Section 58-18-84 - Diabetes coverage not required of certain plans and policies.

58-18-84. Diabetes coverage not required of certain plans and policies.The provisions of §58-18-83 do not apply to any plan, policy, or contract that provides coverage only for:(1)Specified disease;(2)Hospital indemnity;(3)Fixed indemnity;(4)Accident-only;(5)Credit;(6)Dental;(7)Vision;(8)Prescription drug;(9)Medicare supplement;(10)Long-term care;(11)Disability income insurance;(12)Coverage issued as a supplement to liability insurance;(13)Workers' compensation or similar insurance;(14)Automobile medical payment insurance;(15)Individual health benefit plans of six-months duration or less that are not renewable; or(16)Individual nonmajor medical insurance. Source: SL 1999, ch 252, §4.
SD Codified L § 58-18-85 (2021)
2021 South Dakota Codified Laws|Title 58 - Insurance|Chapter 18 - Group And Blanket Health Insurance Policies|Section 58-18-85 - Policies to provide coverage for prostate cancer screening.

58-18-85. Policies to provide coverage for prostate cancer screening.Every group health insurance policy that covers a male and that is delivered, issued for delivery, or renewed in this state, except for policies that provide coverage for specified disease or other limited benefit coverage, shall provide the following coverage for diagnostic screening for prostate cancer:(1)An annual medically recognized diagnostic examination, including a digital rectal examination and a prostate-specific antigen test, as follows:(a)For asymptomatic men aged fifty and over; and(b)For men aged forty-five and over at high risk for prostate cancer; and(2)For males of any age who have a prior history of prostate cancer, medically indicated diagnostic testing at intervals recommended by a physician, including the digital rectal examination, prostate-specific antigen test, and bone scan. Source: SL 2001, ch 277, §2.
SD Codified L § 58-18-86 (2021)
2021 South Dakota Codified Laws|Title 58 - Insurance|Chapter 18 - Group And Blanket Health Insurance Policies|Section 58-18-86 - Plans subject to § 58-18-45--Exceptions.

58-18-86. Plans subject to §58-18-45--Exceptions.Any accident and sickness plan or certificate other than credit health insurance as defined in subdivision 58-19-2(1) and a health benefit plan is subject to subdivision 58-18-45(1). Source: SL 2001, ch 275, §6; SL 2013, ch 248, §2.
SD Codified L § 58-18-87 (2021)
2021 South Dakota Codified Laws|Title 58 - Insurance|Chapter 18 - Group And Blanket Health Insurance Policies|Section 58-18-87 - Director to promulgate rules governing use of genetic information.

58-18-87. Director to promulgate rules governing use of genetic information.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.