S.D. Admin. R. 20:06:13:17.05

Current through Register Vol. 51, page 57, November 12, 2024
Section 20:06:13:17.05 - Requirements for standard Medicare supplement benefit plans

An issuer shall make available to each prospective policyholder and certificateholder a policy form or certificate form containing only the basic core benefits, as defined in § 20:06:13:17.03.

No groups, packages, or combinations of Medicare supplement benefits other than those listed in § 20:06:13:17.06 may be offered for sale in this state, except as permitted in §§ 20:06:13:17.02 to 20:06:13:17.04, inclusive, and §§ 20:06:13:63 to 20:06:13:76, inclusive.

Benefit plans must be uniform in structure, language, designation, and format to the standard benefit Plans A to L, inclusive, listed in § 20:06:13:17.06 and must conform to the definitions in SDCL chapter 58-17 A and §§ 20:06:13:17.02 to 20:06:13:17.04, inclusive. Each benefit must be structured in accordance with the format provided in §§ 20:06:13:17.02 to 20:06:13:17.04, inclusive, and must list the benefits in the order shown in § 20:06:13:17.06. For purposes of this section, the phrase, structure, language, and format, means style, arrangement, and overall content of a benefit.

An issuer may use, in addition to the benefit plan designations required in this section, other designations to the extent permitted by this chapter.

S.D. Admin. R. 20:06:13:17.05

18 SDR 225, effective 7/17/1992; 31 SDR 214, effective 7/6/2005; 35 SDR 183, effective 2/2/2009.

General Authority: SDCL 58-17A-2.

Law Implemented: SDCL 58-17A-2.