S.D. Admin. R. 20:06:53:07

Current through Register Vol. 51, page 71, January 6, 2025

Section 20:06:53:07 - Exhaustion of internal grievance process required

Except as provided in §§ 20:06:53:09 to 20:06:53:11, inclusive, a request for an external review pursuant to §§ 20:06:53:12 to 20:06:53:53, inclusive, may not be made until the covered person has exhausted the health carrier's internal grievance process as set forth in SDCL 58-17I-1 to 58-17I-16, inclusive.

S.D. Admin. R. 20:06:53:07

37 SDR 48, effective 9/22/2010; 37 SDR 241, effective 7/1/2011.

General Authority: SDCL 58-17-87, 58-17H-49, 58-17I-16 - 58-18-79.

Law Implemented: SDCL 58-17-87, 58-18-79.