S.D. Admin. R. 20:06:53:75

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

Section 20:06:53:75 - One level of internal appeals

A health insurance issuer offering individual health insurance coverage may only have one level of internal appeals. A claimant may seek either external review or judicial review immediately after an adverse benefit determination is upheld in the first level of the internal appeals process.

S.D. Admin. R. 20:06:53:75

37 SDR 63, effective 9/23/2010; 37 SDR 111, effective 12/7/2010.

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

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