S.D. Admin. R. 20:06:58:09

Current through Register Vol. 51, page 57, November 12, 2024
Section 20:06:58:09 - Parity requirements with respect to financial requirements and treatment limitations - Clarification of level of a type of financial requirement or treatment limitation

For purposes of §§ 20:06:58:07 to 20:06:58:25, inclusive, when referring to a level of a type of financial requirement or treatment limitation, level is the magnitude of the type of financial requirement of treatment limitation. For example, different levels of coinsurance include 20 percent and 30 percent; different levels of a co-payment include $15 and $20; different levels of a deductible include $250 and $500; and different levels of an episode limit include 21 inpatient days per episode and 30 inpatient days per episode.

S.D. Admin. R. 20:06:58:09

41 SDR 93, effective 12/3/2014.

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

Law Implemented: SDCL 58-17-87, 58-18-79(1), 58-18-79(15), 58-18-80.