reglab/housing_qa huggingface dataset:
SD Codified L § 58-18B-44 (2021)
2021 South Dakota Codified Laws|Title 58 - Insurance|Chapter 18B - Regulation Of Small Businesses' Group And Blanket Health Insurance|Section 58-18B-44 - Carrier or agent not to induce or encourage employer to exclude employee from coverage.

58-18B-44. Carrier or agent not to induce or encourage employer to exclude employee from coverage.No small employer carrier or agent may induce or otherwise encourage a small employer to separate or otherwise exclude an employee from health coverage or benefits provided in connection with the employee's employment. Source: SL 1995, ch 281, §39.
SD Codified L § 58-18B-45 (2021)
2021 South Dakota Codified Laws|Title 58 - Insurance|Chapter 18B - Regulation Of Small Businesses' Group And Blanket Health Insurance|Section 58-18B-45 - Reasons for denial of coverage to be in writing.

58-18B-45. Reasons for denial of coverage to be in writing.If a small employer carrier denies an application for coverage from a small employer, the denial shall be in writing and shall state the reason or reasons for the denial. Source: SL 1995, ch 281, §40.
SD Codified L § 58-18B-46 (2021)
2021 South Dakota Codified Laws|Title 58 - Insurance|Chapter 18B - Regulation Of Small Businesses' Group And Blanket Health Insurance|Section 58-18B-46 - Rules for additional standards for fair marketing and broad availability of benefit plans to small employers--Penalties.

58-18B-46. Rules for additional standards for fair marketing and broad availability of benefit plans to small employers--Penalties.The director may promulgate rules pursuant to chapter 1-26 setting forth additional standards to provide for the fair marketing and broad availability of health benefit plans to small employers in the state. Any violation of §§58-18B-37 to 58-18B-48, inclusive, by a small employer carrier or an insurance producer constitutes an unfair trade practice under chapter 58-33. Nothing in this section limits or excludes other penalties which are otherwise authorized by law. Source: SL 1995, ch 281, §41; SL 2001, ch 286, §129.
SD Codified L § 58-18B-47 (2021)
2021 South Dakota Codified Laws|Title 58 - Insurance|Chapter 18B - Regulation Of Small Businesses' Group And Blanket Health Insurance|Section 58-18B-47 - Third-party administrator treated as small employer carrier.

58-18B-47. Third-party administrator treated as small employer carrier.If a small employer carrier enters into a contract, agreement, or other arrangement with a third-party administrator to provide administrative, marketing, or other services related to the offering of health benefit plans to small employers in the state, the third-party administrator is subject to §§58-18B-37 to 58-18B-48, inclusive, as if it were a small employer carrier. Source: SL 1995, ch 281, §42.
SD Codified L § 58-18B-48 (2021)
2021 South Dakota Codified Laws|Title 58 - Insurance|Chapter 18B - Regulation Of Small Businesses' Group And Blanket Health Insurance|Section 58-18B-48 - Chapter not applicable to certain group health insurance plans.

58-18B-48. Chapter not applicable to certain group health insurance plans.Unless the carrier otherwise subjects itself to this chapter, this chapter does not apply to any bona fide association insurance plan or to the insurance carrier underwriting the group plan if the bona fide association meets the following criteria:(1)The association has been actively in existence for at least five years;(2)The association has been formed and maintained in good faith for purposes other than obtaining insurance;(3)The association does not condition membership in the association on any health status- related factor relating to an individual, including an employee of an employer or a dependent of an employee;(4)Health insurance coverage offered through the association is available to all members regardless of any health status-related factor relating to such members or individual eligible for coverage through a member;(5)The association does not make health insurance coverage offered through the association available other than in connection with a member of the association;(6)The association and any plan issued through the association are complying with any applicable provisions of Title 47 and §§58-18-42 to 58-18-62, inclusive. Source: SL 1995, ch 281, §43; SL 1997, ch 289, §23.
SD Codified L § 58-18B-49 (2021)
2021 South Dakota Codified Laws|Title 58 - Insurance|Chapter 18B - Regulation Of Small Businesses' Group And Blanket Health Insurance|Section 58-18B-49 - Establishing risk adjusters.

58-18B-49. Establishing risk adjusters.The director may establish a payment mechanism to adjust for the amount of risk covered by each small employer carrier. The director may appoint an advisory committee composed of individuals that have risk adjustment and actuarial expertise to help establish the risk adjusters. Source: SL 1995, ch 281, §44.
SD Codified L § 58-18B-50 (2021)
2021 South Dakota Codified Laws|Title 58 - Insurance|Chapter 18B - Regulation Of Small Businesses' Group And Blanket Health Insurance|Section 58-18B-50 - Minimum inpatient care coverage following delivery.

58-18B-50. Minimum inpatient care coverage following delivery.If a health benefit plan of a small employer carrier that is issued or renewed on or after July 1, 1996, provides maternity coverage, the plan 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 §58-18B-51. 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, §7; SL 1998, ch 290, §3.
SD Codified L § 58-18B-51 (2021)
2021 South Dakota Codified Laws|Title 58 - Insurance|Chapter 18B - Regulation Of Small Businesses' Group And Blanket Health Insurance|Section 58-18B-51 - Shorter hospital stay permitted--Follow-up visit within forty-eight hours required.

58-18B-51. Shorter hospital stay permitted--Follow-up visit 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 health benefit plan may provide coverage for a shorter length of hospital inpatient stay for services related to maternity and newborn care than is required in §58-18B-50 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, §8.
SD Codified L § 58-18B-52 (2021)
2021 South Dakota Codified Laws|Title 58 - Insurance|Chapter 18B - Regulation Of Small Businesses' Group And Blanket Health Insurance|Section 58-18B-52 - Notice to employees--Disclosures.

58-18B-52. Notice to employees--Disclosures.The small employer carrier shall provide notice to employees regarding the coverage required by §§58-18B-50 and 58-18B-51 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 in the next mailing to employees, in the yearly informational packet sent to employees, or by January 1, 1997, whichever is earliest. Source: SL 1996, ch 292, §9.
SD Codified L § 58-18B-53 (2021)
2021 South Dakota Codified Laws|Title 58 - Insurance|Chapter 18B - Regulation Of Small Businesses' Group And Blanket Health Insurance|Section 58-18B-53 - Health insurance policies to provide coverage for biologically-based mental illnesses.

58-18B-53. Health insurance policies to provide coverage for biologically-based mental illnesses.Every small employer health benefit plan 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, §3; SL 1999, ch 251, §3.
SD Codified L § 58-18B-54 (2021)
2021 South Dakota Codified Laws|Title 58 - Insurance|Chapter 18B - Regulation Of Small Businesses' Group And Blanket Health Insurance|Section 58-18B-54 - Application--Exemptions.

58-18B-54. Application--Exemptions.The provisions of §58-18B-53 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 § 58-18B-55 (2021)
2021 South Dakota Codified Laws|Title 58 - Insurance|Chapter 18B - Regulation Of Small Businesses' Group And Blanket Health Insurance|Section 58-18B-55 - Supplemental or short term individual health benefit plans exempt from provisions of chapter--Conditions.

58-18B-55. Supplemental or short term individual health benefit plans exempt from provisions of chapter--Conditions.Any policy or certificate of specified disease, short-term hospital-surgical care of six months or less duration, hospital confinement indemnity, limited benefit health insurance, or other policy or certificate that provide benefits less than that of a major medical plan that is offered to a small employer in this state is exempt from the provisions of this chapter only if the carrier offering the policy or certificate at the time of filing for policy form approval, submits a statement certifying that policies or certificates described in this section are being offered and marketed as supplemental health insurance or as individual health benefit plans of six-month duration or less and not renewable, and not as a substitute for hospital or medical expense insurance or major medical insurance. For policy forms approved prior to July 1, 1998, the carrier shall submit such a statement with the director.For purposes of this section a major medical policy is any policy which provides benefits which are actuarially equivalent to or exceed the basic plan as was approved and adopted by rule by the director pursuant to chapter 1-26. Policies which are not certified pursuant to this section and which are not major medical policies may not be used as a substitute for major medical policies and must provide for adequate disclosure of the scope of the benefits contained therein. Source: SL 1998, ch 289, §21; SL 2001, ch 279, §8.
SD Codified L § 58-18B-56 (2021)
2021 South Dakota Codified Laws|Title 58 - Insurance|Chapter 18B - Regulation Of Small Businesses' Group And Blanket Health Insurance|Section 58-18B-56 - Policies to provide coverage for diabetes supplies, equipment and education--Exceptions--Conditions and limitations.

58-18B-56. Policies to provide coverage for diabetes supplies, equipment and education--Exceptions--Conditions and limitations.Every small employer health benefit plan 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 plan. Source: SL 1999, ch 252, §5.
SD Codified L § 58-18B-57 (2021)
2021 South Dakota Codified Laws|Title 58 - Insurance|Chapter 18B - Regulation Of Small Businesses' Group And Blanket Health Insurance|Section 58-18B-57 - Diabetes coverage not required of certain plans.

58-18B-57. Diabetes coverage not required of certain plans.The provisions of §58-18B-56 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, §6.
SD Codified L § 58-18B-58 (2021)
2021 South Dakota Codified Laws|Title 58 - Insurance|Chapter 18B - Regulation Of Small Businesses' Group And Blanket Health Insurance|Section 58-18B-58 - Health benefit plans to provide coverage for prostate cancer screening.

58-18B-58. Health benefit plans to provide coverage for prostate cancer screening.Every health benefit plan of a small employer carrier that covers a male and that is delivered, issued for delivery, or renewed in this state 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, §3.
SD Codified L § 58-18B-60 (2021)
2021 South Dakota Codified Laws|Title 58 - Insurance|Chapter 18B - Regulation Of Small Businesses' Group And Blanket Health Insurance|Section 58-18B-60 - Coverage for treatment of hearing impairment for persons under age nineteen.

58-18B-60. Coverage for treatment of hearing impairment for persons under age nineteen.Any qualified health plan issued on or after January 1, 2015, that offers coverage for professional audiology services shall include coverage for medically necessary physician services appropriate for the treatment of hearing impairment to a person under the age of nineteen. This shall include professional services rendered by an audiologist licensed pursuant to chapter 36-24.The benefits provided shall be subject to the same dollar limits, deductibles, coinsurance and other limitations provided for other covered benefits in the policy.Nothing in this section requires the payment by the health plan of hearing aids, devices, or equipment to correct hearing impairment or loss. Source: SL 2014, ch 237, §3.
SD Codified L § 58-18C-1 (2021)
2021 South Dakota Codified Laws|Title 58 - Insurance|Chapter 18C - Continuation Of Health Care Coverage|Section 58-18C-1 - Continuation of coverage after employer ceases operations, fails to pay premiums, or cancels coverage--Persons covered--Time.

58-18C-1. Continuation of coverage after employer ceases operations, fails to pay premiums, or cancels coverage--Persons covered--Time.Every policy of group health insurance providing benefits for hospital or medical expenses delivered or issued for delivery in this state, by a commercial health insurance company, by a nonprofit medical and surgical service plan corporation, by a nonprofit hospital service plan corporation, by a health maintenance organization, or by any other similar mechanism shall, in addition to the provisions required by law, include the right of each employee, upon their employer ceasing operations and the termination of the policy or contract, to have the coverage continue for themselves and their eligible dependents, effective as of the date of loss of the previous group coverage, for a period of twelve months for which the employee shall be financially responsible. In addition, if an employer either fails to submit premium payment to the insurance company resulting in loss of coverage to its employees or cancels the coverage and does not notify the employees of such loss of coverage, the employees and their dependents are then eligible for continuation pursuant to this section if election is made within sixty days of the date of their being notified of the loss of coverage. The employer shall provide notice of any nonpayment of premiums or cancellation of coverage to employees as soon as reasonably possible but no later than ten days after the date of cancellation. If the employer fails to notify the employees and their dependents of the termination of coverage within ten days, the employees and dependents may not be denied coverage by the insurer provided timely election is made after actual receipt of notice. Whether notice is provided or not, the election period for continuation of coverage may expire ninety days from the date the group coverage terminated. Any premiums due for the continuation of coverage may be required to be paid by the employee or dependent as a condition of providing continuation coverage.Any former employee who is under continuation coverage at the time an employer ceases operation and terminates the policy, or fails to make premium payments resulting in loss of coverage, or cancels the insurance without notice, is eligible to remain on continuation coverage for the remainder of the continuation term or twelve months, whichever is less, if timely election is made and continuation payments received.For purposes of this section, the phrase, employer ceasing operations, means that the business has closed or discontinued its business operations or, in the case of a sole proprietorship or an owner-operated business, the sale of such business that results in the purchaser establishing its own taxpayer identification number. Source: SL 1998, ch 294, §1; SL 2001, ch 280, §1; SL 2005, ch 270, §10; SL 2008, ch 267, §1.
SD Codified L § 58-18C-3 (2021)
2021 South Dakota Codified Laws|Title 58 - Insurance|Chapter 18C - Continuation Of Health Care Coverage|Section 58-18C-3 - Eligibility requirements.

58-18C-3. Eligibility requirements.Continuation is only available to an employee who has been continuously insured under the group policy or under any creditable coverage which it replaced during the entire six-month period ending with such termination. Source: SL 1998, ch 294, §3; SL 2005, ch 270, §2; SL 2008, ch 268, §1.
SD Codified L § 58-18C-4 (2021)
2021 South Dakota Codified Laws|Title 58 - Insurance|Chapter 18C - Continuation Of Health Care Coverage|Section 58-18C-4 - Notice of termination required.

58-18C-4. Notice of termination required.Written notice of termination of group coverage shall be provided by the employer to each employee having coverage within ten days of termination. The notice shall contain such information as required by the director. Source: SL 1998, ch 294, §4.
SD Codified L § 58-18C-5 (2021)
2021 South Dakota Codified Laws|Title 58 - Insurance|Chapter 18C - Continuation Of Health Care Coverage|Section 58-18C-5 - Exercising continuation rights--Option to decrease benefits.

58-18C-5. Exercising continuation rights--Option to decrease benefits.Any employee may exercise the right to continuation within thirty days of receipt of due notice of termination of coverage of the group and upon payment of premiums from the date of termination.Any insurer providing continuation coverage pursuant to §58-18C-1 shall offer to all beneficiaries who are eligible to elect to continue coverage the option to decrease benefits of the continued coverage. The options shall include, at a minimum, those coverage options that would have been otherwise available to employees or dependents who initially enrolled into the coverage if the options decrease coverage or a carrier may offer a standardized plan to all those eligible for continuation that contains similar benefits to the beneficiaries prior coverage but at a higher deductible or other reduced benefit features. Source: SL 1998, ch 294, §5; SL 2005, ch 270, §3; SL 2008, ch 266, §2.
SD Codified L § 58-18C-7 (2021)
2021 South Dakota Codified Laws|Title 58 - Insurance|Chapter 18C - Continuation Of Health Care Coverage|Section 58-18C-7 - Continuation policy not required in certain circumstances.

58-18C-7. Continuation policy not required in certain circumstances.No insurer may be required to offer or renew a continuation policy covering any person if:(1)The person is covered for similar benefits by another individual or group policy;(2)Similar benefits are provided for or available to such person, by reason of any state or federal law;(3)The benefits under sources of the kind referred to in subdivision (1) for such person or benefits provided or available under sources of the kind referred to in subdivision (2) for such person, together with the continued policy's benefits, would result in overinsurance according to the insurer's standards for overinsurance;(4)There has been fraud or material misrepresentation in applying for any benefits under continued or converted policy;(5)The person failed to pay any required contribution; or(6)Cancellation of all similar insurance policies in the entire state. Source: SL 1998, ch 294, §7; SL 2005, ch 270, §4.