S.D. Admin. R. 20:06:53:72

Current through Register Vol. 50, page 159, June 17, 2024

Section 20:06:53:72 - Notice to enrollee

A plan or issuer shall provide notice to enrollees, in a culturally and linguistically appropriate manner, if ten percent or more of the population residing in the claimants county are literate only in the same non-English language, as determined based on American Community Survey data published by United States Census Bureau.

Plans and issuers must provide notice in accordance with SDCL 58-17H-32 and 58-17H-48. Insurers may comply with the notice requirements required in SDCL 58-17H-32 and 58-17H-48 by providing notification of the right to request and receive diagnoses and treatment codes and their meanings in all notices of adverse benefit determinations and final adverse benefit determinations.

S.D. Admin. R. 20:06:53:72

37 SDR 63, effective 9/23/2010; 37 SDR 111, effective 12/7/2010; 37 SDR 241, effective 7/1/2011; 38 SDR 59, effective 10/19/2011.

General Authority: SDCL 58-17-87, 58-18-79.

Law Implemented: SDCL 58-17-87, 58-17H-48, 58-18-79.

American Community Survey data published by United States Census Bureau. www.census.gov.