S.D. Admin. R. 20:06:39:03

Current through Register Vol. 50, page 159, June 17, 2024
Section 20:06:39:03 - Permissible rating factors

A health benefit plan may use health status and weight in determining the rate charged for an individual when issuing a new policy or certificate. The application of rating factors based on health status or weight is limited to a 30 percent deviation from the index rate. Adjustments in the rating factors based on health status or weight may not be made after coverage is issued.

S.D. Admin. R. 20:06:39:03

24 SDR 35, effective 9/29/1997.

General Authority: SDCL 58-17-75.

Law Implemented: SDCL 58-17-74.

Definition of index rate, SDCL 58-17-66.