S.D. Admin. R. 20:06:56:11

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

Section 20:06:56:11 - Levels of coverage

The levels of coverage are calculated as follows:

(1) A bronze health plan is a health plan that has an actuarial value of 60 percent;

(2) A silver health plan is a health plan that has an actuarial value of 70 percent;

(3) A gold health plan is a health plan that has an actuarial value of 80 percent; and

(4) A platinum health plan is a health plan that has an actuarial value of 90 percent.

Actuarial value within a de minimis variation determines whether a health plan offers a bronze, silver, gold, or platinum level of coverage.

S.D. Admin. R. 20:06:56:11

39 SDR 203, effective 6/10/2013.

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

Law Implemented: SDCL 58-17-87, 58-18-79, 58-18-80.