S.D. Admin. R. 20:06:22:30
With respect to family coverage under a health insurance plan, the rating variations permitted under § 20:06:22:27(3) and (4), must be applied based on the portion of the premium attributable to each family member covered under the coverage. The total premium for family coverage must be determined by summing the premiums for each individual family member. In determining the total premium for family members, premiums for no more than the three oldest covered children who are under age 21 may be taken into account.
In the case of the small group market, the total premium charged to the group shall be determined by summing the premiums of covered participants and beneficiaries in accordance with this section.
S.D. Admin. R. 20:06:22:30
General Authority: SDCL 58-17-4.2, 58-17-87, 58-18B-18, 58-18B-36.
Law Implemented: SDCL 58-17-74.1. 58-17-87, 58-18B-18, 58-18B-36.