reglab/housing_qa huggingface dataset:
SD Codified L § 58-16-49 (2021)
2021 South Dakota Codified Laws|Title 58 - Insurance|Chapter 16 - Group Life Insurance Policies|Section 58-16-49 - Carrier and group-type basis defined.

58-16-49. Carrier and group-type basis defined.Terms used in §§58-16-49 to 58-16-54, inclusive, mean:(1)"Carrier," a person or an entity that offers or provides a policy, contract, or certificate of group life insurance coverage in this state. Carrier includes an insurer, or any other person or entity providing a policy, contract, or certificate of group life insurance coverage subject to regulation under this title;(2)"Group-type basis," a benefit plan, other than a salary budget plan utilizing individual insurance policies or subscriber contracts, which meets the following conditions:(a)Coverage is provided through insurance policies to classes of employees or members defined in terms of conditions pertaining to employment or membership;(b)The coverage is not available to the general public and can be obtained and maintained only because of the covered person's membership in or connection with the particular organization or group;(c)There are arrangements for bulk payment of premiums or subscription charges to the carrier; and(d)There is sponsorship of the plan by the employer, union, or association. Source: SL 2009, ch 261, §1.
SD Codified L § 58-16-50 (2021)
2021 South Dakota Codified Laws|Title 58 - Insurance|Chapter 16 - Group Life Insurance Policies|Section 58-16-50 - Application of §§ 58-16-49 to 58-16-54.

58-16-50. Application of §§58-16-49 to 58-16-54.The provisions of §§58-16-49 to 58-16-54, inclusive, apply to any group life insurance policy issued or provided by a carrier on a group or group-type basis covering persons as employees of employers or as members of unions or associations. Source: SL 2009, ch 261, §2.
SD Codified L § 58-16-51 (2021)
2021 South Dakota Codified Laws|Title 58 - Insurance|Chapter 16 - Group Life Insurance Policies|Section 58-16-51 - Discontinuance of group life insurance policies.

58-16-51. Discontinuance of group life insurance policies.If a policy or contract subject to the provisions of §§58-16-49 to 58-16-54, inclusive, provides for automatic discontinuance of the policy or contract after a premium or subscription charge has remained unpaid through the grace period allowed for such payment, the carrier is liable for valid claims for covered losses incurred prior to the end of the grace period.If the actions of the carrier after the end of the grace period indicate that the carrier considers the policy or contract as continuing in force beyond the end of the grace period, such as, by continuing to recognize claims subsequently incurred, the carrier is liable for valid claims for losses beginning prior to the effective date of the written notice of discontinuance to the policyholder or other entity responsible for making payments or submitting subscription charges to the carrier. The effective date of discontinuance may not be prior to midnight at the end of the third scheduled workday after the date upon which the notice is delivered. Source: SL 2009, ch 261, §3.
SD Codified L § 58-16-52 (2021)
2021 South Dakota Codified Laws|Title 58 - Insurance|Chapter 16 - Group Life Insurance Policies|Section 58-16-52 - Notice of discontinuance.

58-16-52. Notice of discontinuance.A notice of discontinuance given by the carrier shall include a request to the group policyholder or other entity involved to notify employees covered under the policy of the date as of which the group policy, contract, or certificate will discontinue and to advise that, unless otherwise provided in the policy, contract, or certificate, the carrier is not liable for claims for losses incurred after the date of discontinuance. The notice of discontinuance also shall advise, in any instance in which the plan involves employee contributions, that if the policyholder or other entity continues to collect contributions for the coverage beyond the date of discontinuance, the policyholder or other entity may be held solely liable for the benefits with respect to which the contributions have been collected.The carrier shall prepare and furnish to the policyholder or other entity at the same time the carrier gives a notice of discontinuance, a supply of, or access to, notice forms to be distributed to the employees or members concerned, indicating the discontinuance and the effective date of the discontinuance, and urging the employees or members to refer to their certificates or contracts in order to determine what rights, if any, are available to them upon the discontinuance. Source: SL 2009, ch 261, §4.
SD Codified L § 58-16-53 (2021)
2021 South Dakota Codified Laws|Title 58 - Insurance|Chapter 16 - Group Life Insurance Policies|Section 58-16-53 - Extension of benefits at discontinuance in the event of total disability.

58-16-53. Extension of benefits at discontinuance in the event of total disability.Each group policy, contract, or certificate subject to the provisions of §§58-16-49 to 58-16-54, inclusive, issued on or after July 1, 2009, or under which the level of benefits is altered, modified, or amended on or after July 1, 2009, shall provide a reasonable provision for extension of benefits in the event of total disability at the date of discontinuance of the group policy, contract, or certificate as required by this section.In the case of a group life plan that contains a disability benefit extension of any type, including premium waiver extension, extended death benefit in event of total disability, or payment of income for a specified period during total disability, the discontinuance of the group policy, contract, or certificate may not operate to terminate the extension.Any applicable extension of benefits or accrued liability shall be described in any policy or contract involved as well as in group insurance certificates. The benefits payable during any period of extension of benefits or accrued liability may be subject to the policy's, contract's, or certificate's regular benefit limits, such as benefits ceasing at exhaustion of a benefit period or of maximum benefits. Source: SL 2009, ch 261, §5.
SD Codified L § 58-17-1 (2021)
2021 South Dakota Codified Laws|Title 58 - Insurance|Chapter 17 - Health Insurance Policies|Section 58-17-1 - Requirements for all health insurance policies delivered in state.

58-17-1. Requirements for all health insurance policies delivered in state.No policy of health insurance may be delivered or issued for delivery to any person in this state unless it otherwise complies with this title, with §§58-17-1.1 to 58-17-11, inclusive, and with §§58-17-84.1 and 58-18-45.1. Source: SL 1966, ch 111, ch 25, §2; SL 1991, ch 400, §1; SL 1999, ch 248, §1.
SD Codified L § 58-17-1.1 (2021)
2021 South Dakota Codified Laws|Title 58 - Insurance|Chapter 17 - Health Insurance Policies|Section 58-17-1.1 - Grandfathered plans required to cover low-dose mammography--Extent of coverage.

58-17-1.1. Grandfathered plans required to cover low-dose mammography--Extent of coverage.Each policy of health insurance that covers a female and that is delivered, issued for delivery, or renewed in this state, except for a policy that provides coverage for specified disease or other limited benefit coverage, shall provide coverage for screening by low-dose mammography for the presence of occult breast cancer that is subject to the same dollar limits, deductibles, and coinsurance factors as for other radiological examinations. Coverage for the screening shall be provided as follows: ages thirty-five to thirty-nine, one baseline mammography; ages forty to forty-nine, a mammography every other year; and age fifty and older, a mammography every year.As used in this section, "low-dose mammography" means the X-ray examination of the breast using equipment dedicated specifically for mammography, including the X-ray tube, filter, compression device, screens, films and cassettes, with an average radiation exposure delivery of less than one rad midbreast, with two views for each breast and with interpretation by a qualified radiologist.The provisions of this section apply only to grandfathered plans pursuant to 75 Fed. Reg. 116 (2010) to be codified at 26 C.F.R. §§54 and 602, 29 C.F.R. §2590, and 45 C.F.R. §147. (SL 2011, ch 216, §19 provides: "The provisions of this Act are repealed if the Patient Protection and Affordable Care Act, Pub. L. No. 111-148, 124 Stat. 119 (2010), as amended by the Health Care and Education Reconciliation Act of 2010, Pub. L. No. 111-152, 124 Stat. 1029 (2010) is found to be unconstitutional in its entirety by a final decision of a federal court of competent jurisdiction and all appeals exhausted or time for appeals elapsed.") Source: SL 1990, ch 397, §§1, 2; SL 1991, ch 400, §2; SL 2011, ch 216, §1.
SD Codified L § 58-17-1.2 (2021)
2021 South Dakota Codified Laws|Title 58 - Insurance|Chapter 17 - Health Insurance Policies|Section 58-17-1.2 - Policies to provide coverage for diabetes supplies, equipment and education--Exceptions--Conditions and limitations.

58-17-1.2. Policies to provide coverage for diabetes supplies, equipment and education--Exceptions--Conditions and limitations.Every policy of health insurance 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 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, §1.
SD Codified L § 58-17-1.3 (2021)
2021 South Dakota Codified Laws|Title 58 - Insurance|Chapter 17 - Health Insurance Policies|Section 58-17-1.3 - Diabetes coverage not required of certain plans and policies.

58-17-1.3. Diabetes coverage not required of certain plans and policies.The provisions of §58-17-1.2 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, §2.
SD Codified L § 58-17-1.4 (2021)
2021 South Dakota Codified Laws|Title 58 - Insurance|Chapter 17 - Health Insurance Policies|Section 58-17-1.4 - Policies required to cover occult breast cancer screening.

58-17-1.4.Policies required to cover occult breast cancer screening.Each policy of health insurance that covers a female and that is delivered, issued for delivery, or renewed in this state, except for a policy that provides coverage for specified disease or other limited benefit coverage, shall provide coverage for screening for the presence of occult breast cancer.The provisions of this section apply only to plans that are not grandfathered pursuant to 75 Fed. Reg. 116 (2010) to be codified at 26 C.F.R. §§54 and 602, 29 C.F.R. §2590, and 45 C.F. R. §147. (SL 2011, ch 216, §19 provides: "The provisions of this Act are repealed if the Patient Protection and Affordable Care Act, Pub. L. No. 111-148, 124 Stat. 119 (2010), as amended by the Health Care and Education Reconciliation Act of 2010, Pub. L. No. 111-152, 124 Stat. 1029 (2010) is found to be unconstitutional in its entirety by a final decision of a federal court of competent jurisdiction and all appeals exhausted or time for appeals elapsed.") Source: SL 2011, ch 216, §13.
SD Codified L § 58-17-2 (2021)
2021 South Dakota Codified Laws|Title 58 - Insurance|Chapter 17 - Health Insurance Policies|Section 58-17-2 - Persons covered by policy.

58-17-2. Persons covered by policy.A policy of health insurance shall purport to insure only one person, except that a policy may insure, originally or by subsequent amendment, upon the application of an adult member of a family, who shall be deemed the policyholder, any two or more eligible members of that family, including husband, wife, dependent children, or any children under a specified age which shall not exceed nineteen years and any other person dependent upon the policyholder or any other person related to and resident in the household of the insured. Source: SL 1966, ch 111, ch 25, §2 (3).
SD Codified L § 58-17-2.1 (2021)
2021 South Dakota Codified Laws|Title 58 - Insurance|Chapter 17 - Health Insurance Policies|Section 58-17-2.1 - Health insurance on a franchise plan.

58-17-2.1. Health insurance on a franchise plan.Health insurance on a franchise plan is hereby declared to be that form of health insurance issued to:(1)Three or more employees of any corporation, copartnership, or individual employer or any governmental corporation, agency, or department thereof; or(2)Ten or more members of any trade, occupational, or professional association, or of a labor union, or of any other association having had an active existence for at least two years where such association or union has a constitution or bylaws and is formed in good faith for purposes other than that of obtaining insurance; where such persons, with or without their dependents, are issued the same form of an individual policy varying only as to amounts and kinds of coverage applied for by such persons, under an arrangement whereby the premiums on such policies may be paid to the insurer periodically by the employer, with or without payroll deductions, or by the association for its members, or by some designated person acting on behalf of such employer or association or by the insured directly to the insurer, if permitted by the insurer. The term, employees, as used in this section may be deemed to include the officers, managers, and employees and retired employees of the employer and the individual proprietor or partnership.Health insurance may be marketed on a franchise basis to members or employees of an employer, labor union, or association. Except as provided for by §58-18B-2, health insurance marketed on a franchise basis may have the individual's premiums paid by the employer, labor union, or association. Marketing a policy on a franchise basis does not exempt any policy from any applicable requirement under this title except as provided in §58-33-13. Source: SL 1966, ch 111, ch 25, §30 as added by SL 1968, ch 137; SL 2000, ch 241, §§1, 2.
SD Codified L § 58-17-2.2 (2021)
2021 South Dakota Codified Laws|Title 58 - Insurance|Chapter 17 - Health Insurance Policies|Section 58-17-2.2 - Conversion privileges of insured's spouse upon divorce.

58-17-2.2. Conversion privileges of insured's spouse upon divorce.No accident or health insurance policy providing coverage of hospital or medical expense which in addition to covering the insured also provides coverage to the spouse of the insured shall be issued without a provision that provides that upon divorce of the insured and the insured's spouse, the spouse is entitled to have issued to him or her, without evidence of insurability, upon application to the company within thirty days following the eligibility, and upon payment of the appropriate premium, an individual policy of accident or health insurance. Such policy shall provide the coverage then being issued by the insurer which is most nearly similar to the existing coverages. This obligation can be met by continuation of coverage for spouse under existing policy at the appropriate premium. Any and all probationary or waiting periods set forth in such policy shall be considered as being met to the extent coverage was in force under the prior policy. Source: SL 1980, ch 354.
SD Codified L § 58-17-2.3 (2021)
2021 South Dakota Codified Laws|Title 58 - Insurance|Chapter 17 - Health Insurance Policies|Section 58-17-2.3 - Dependent coverage termination--Age--Full-time students.

58-17-2.3. Dependent coverage termination--Age--Full-time students.No insurer or health carrier issuing health insurance coverage, other than excepted benefits, that provides dependent coverage for any qualifying child, as defined by rules promulgated pursuant to §58-17-87, may terminate coverage due to attainment of a limiting age below age twenty-six. If the dependent remains a full-time student upon attaining the age of twenty-six, but not exceeding the age of twenty-nine, the insurer shall provide for the continuation of coverage for that dependent at the insured's option. However, the provisions of this section do not apply to any qualifying relative, as defined by rules promulgated pursuant to §58-17-87, whose gross income is less than the exemption amount as prescribed by the director by rules promulgated pursuant to chapter 1-26. Continuation of coverage for full-time students attaining the age of twenty-four is not required if the dependent has other creditable coverage in force nor required for any full-time students who attained the age of twenty-four prior to July 1, 2007. (SL 2011, ch 216, §19 provides: "The provisions of this Act are repealed if the Patient Protection and Affordable Care Act, Pub. L. No. 111-148, 124 Stat. 119 (2010), as amended by the Health Care and Education Reconciliation Act of 2010, Pub. L. No. 111-152, 124 Stat. 1029 (2010) is found to be unconstitutional in its entirety by a final decision of a federal court of competent jurisdiction and all appeals exhausted or time for appeals elapsed.") Source: SL 2005, ch 265, §1; SL 2007, ch 288, §1; SL 2011, ch 216, §2.
SD Codified L § 58-17-3 (2021)
2021 South Dakota Codified Laws|Title 58 - Insurance|Chapter 17 - Health Insurance Policies|Section 58-17-3 - Time of commencement and termination to be set out in policy.

58-17-3. Time of commencement and termination to be set out in policy.The time when the insurance takes effect and terminates shall be expressed in a policy of health insurance. Source: SL 1966, ch 111, ch 25, §2 (2).
SD Codified L § 58-17-4 (2021)
2021 South Dakota Codified Laws|Title 58 - Insurance|Chapter 17 - Health Insurance Policies|Section 58-17-4 - Consideration for policy to be stated.

58-17-4. Consideration for policy to be stated.The entire money and other considerations therefor shall be expressed in a policy of health insurance. Source: SL 1966, ch 111, ch 25, §2 (1).
SD Codified L § 58-17-4.1 (2021)
2021 South Dakota Codified Laws|Title 58 - Insurance|Chapter 17 - Health Insurance Policies|Section 58-17-4.1 - Filing and approval of individual policy premium rates.

58-17-4.1. Filing and approval of individual policy premium rates.Premium rates charged for any individual accident and health insurance policy issued pursuant to this chapter shall be filed with and are subject to the approval of the director. The rates shall be filed for approval, administered, and reviewed subject to all of the applicable procedures in accordance with §§58-11-64 to 58-11-76, inclusive. (SL 2011, ch 216, §19 provides: "The provisions of this Act are repealed if the Patient Protection and Affordable Care Act, Pub. L. No. 111-148, 124 Stat. 119 (2010), as amended by the Health Care and Education Reconciliation Act of 2010, Pub. L. No. 111-152, 124 Stat. 1029 (2010) is found to be unconstitutional in its entirety by a final decision of a federal court of competent jurisdiction and all appeals exhausted or time for appeals elapsed.") Source: SL 1988, ch 399, §1; SL 2006, ch 254, §1; SL 2011, ch 216, §3.
SD Codified L § 58-17-4.2 (2021)
2021 South Dakota Codified Laws|Title 58 - Insurance|Chapter 17 - Health Insurance Policies|Section 58-17-4.2 - Premium rates required to be reasonable--Rules to establish minimum standards promulgated by director.

58-17-4.2. Premium rates required to be reasonable--Rules to establish minimum standards promulgated by director.Premium rates charged for any individual accident and health insurance policy pursuant to this chapter shall be reasonable in relation to the benefits available under the policy. The director shall promulgate rules pursuant to chapter 1-26 to establish minimum standards in accordance with accepted actuarial principles and practices, for loss ratios of individual accident and health insurance policies on the basis of incurred claims experience and earned premiums. Source: SL 1988, ch 399, §2.
SD Codified L § 58-17-5 (2021)
2021 South Dakota Codified Laws|Title 58 - Insurance|Chapter 17 - Health Insurance Policies|Section 58-17-5 - Identification of forms, riders and endorsements--Form number, location.

58-17-5. Identification of forms, riders and endorsements--Form number, location.Each form for a policy of health insurance, including riders and endorsements, shall be identified by a form number in the lower left-hand corner of the first page thereof. Source: SL 1966, ch 111, ch 25, §2 (6).
SD Codified L § 58-17-6 (2021)
2021 South Dakota Codified Laws|Title 58 - Insurance|Chapter 17 - Health Insurance Policies|Section 58-17-6 - Style and arrangement of policy provisions--Printing, size of type.

58-17-6. Style and arrangement of policy provisions--Printing, size of type.The style, arrangement, and overall appearance of a policy of health insurance shall give no undue prominence to any portion of the text, and every printed portion of the text of the policy and of any endorsements or attached papers shall be plainly printed in light-faced type of a style in general use, the size of which shall be uniform and not less than ten point with a lower case unspaced alphabet length not less than one hundred twenty point; the "text" shall include all printed matter except the name and address of the insurer, name or title of the policy, the brief description, if any, and captions and subcaptions. Source: SL 1966, ch 111, ch 25, §2 (4).