S.D. Admin. R. 20:06:40:03.01

Current through Register Vol. 50, page 151, June 10, 2024
Section 20:06:40:03.01 - Certificates required upon losing coverage

A health insurance issuer must provide a certificate or simply certify that the individual has creditable coverage to any individual losing coverage or qualifying for continuation under the Consolidated Omnibus Budget Reconciliation Act (COBRA), 29 U.S.C.S. § 1163, as in effect July 1, 1997, or SDCL chapter 58-18 upon requests by or on behalf of an individual. At any time within 24 months after coverage ceases, a health insurance issuer must also provide additional certificates or certifications upon requests by or on behalf of an individual. Each certificate or certification must be provided in a reasonable and prompt fashion. A separate fee may not be charged for the provision of a certificate or certification, but the cost of this service may be factored into the policy premium.

If a health insurance issuer provides coverage in connection with another type of creditable coverage, the health insurance issuer must provide a certificate or certification as required by this section.

S.D. Admin. R. 20:06:40:03.01

39 SDR 203, adopted June 10, 2013, effective 1/1/2014.
42 SDR 83, effective 12/3/2015

General Authority: SDCL 58-18-79.

Law Implemented: SDCL 58-11-1, 58-18-44, 58-18-45, 58-18-48, 58-18-79, 58-33-36.