S.D. Admin. R. 20:06:21:105

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

Section 20:06:21:105 - Payment of clean claim

Within 30 business days after receipt of a claim for benefits under a long-term care insurance policy or certificate, an insurer shall pay such claim if it is a clean claim, or send a written notice acknowledging the date of receipt of the claim and one of the following:

(1) The insurer is declining to pay all or part of the claim and each specific reason for the denial; or

(2) That additional information is necessary to determine if all or any part of the claim is payable and the specific additional information that is necessary.

S.D. Admin. R. 20:06:21:105

36 SDR 209, effective 7/1/2010.

General Authority: SDCL 58-17B-4.

Law Implemented: SDCL 58-17B-4.