S.D. Admin. R. 20:06:13:81

Current through Register Vol. 51, page 57, November 12, 2024

Section 20:06:13:81 - Guaranteed issue - Products to which eligible persons are entitled

The Medicare supplement policies to which an eligible person is entitled are as follows:

(1) A person eligible under subdivisions 20:06:13:80(1),(2), (3), or (4) is entitled to a Plan A, B, C, F, F with high deductible, K, or L Medicare supplement policy offered by an issuer;

(2) A person eligible under subdivision 20:06:13:80(5) is entitled to the same Medicare supplement policy in which the individual was most recently enrolled, if available from the same issuer, or, if not available, a policy described in subdivision (1) of this section. After December 31, 2005, if the individual was most recently enrolled in a Medicare supplement policy with an outpatient prescription drug benefit, a Medicare supplement policy described in this subdivision is:

(a) The policy available from the same issuer but modified to remove outpatient prescription drug coverage; or

(b) At the election of the policyholder, an A, B, C, F, F with high deductible, K, or L policy that is offered by any issuer;

(3) A person eligible under subdivision 20:06:13:80(6) is entitled to any Medicare supplement policy offered by an issuer;

(4) A person eligible under subdivision 20:06:13:80(7) is entitled to a Plan A, B, C, F, F with high deductible, K, or L that is offered and available for issuance to new enrollees by the same issuer that issued the individual's Medicare supplement policy with outpatient prescription drug coverage.

S.D. Admin. R. 20:06:13:81

25 SDR 44, effective 9/30/1998; 31 SDR 214, effective 7/6/2005; 36 SDR 209, effective 7/1/2010.

General Authority: SDCL 58-17A-2(2)(16).

Law Implemented: SDCL 58-17A-2(2)(16).