S.D. Admin. R. 20:06:40:75

Current through Register Vol. 50, page 147, May 28, 2024

Section 20:06:40:75 - Definitions

(1) "Employer contribution rule," a requirement relating to the minimum level or amount of employer contribution toward the premium for enrollment of participants and beneficiaries;

(2) "Group participation rule," a requirement relating to the minimum number of participants or beneficiaries that must be enrolled in relation to a specified percentage or number of eligible individuals or employees of an employer;

(3) "Health insurance issuer," any person that provides health insurance in this state including an insurance company, a prepaid hospital or similar plan, a health maintenance organization, a multiple employer welfare arrangement, and any other entity providing a plan of health insurance or health benefits subject to state insurance regulation. A health insurance issuer does not include a person providing only excepted benefits; and

(4) "Small employer," in connection with a group health plan with respect to a calendar year and a plan year, an employer who employed an average of at least one but not more than 50 employees on business days during the preceding calendar year and who employs at least one employee on the first day of the plan year.

S.D. Admin. R. 20:06:40:75

39 SDR 203, effective 6/10/2013.

General Authority: SDCL 58-18B-36(7)(8)(11), 58-18B-46.

Law Implemented: SDCL 58-18B-36, 58-18B-37, 58-18B-46.