S.D. Admin. R. 67:46:14:04

Current through Register Vol. 51, page 57, November 12, 2024
Section 67:46:14:04 - Good cause for dropping insurance under a group health plan

Good cause for dropping insurance under a group health plan exists if the insurance is dropped for reasons beyond the caretaker's control. Reasons for dropping the insurance include:

(1) The cost of the insurance to cover the parent's children exceeds five percent of the nonmedicaid children's health insurance program family's gross income;
(2) The parent providing the primary insurance is fired;
(3) The parent providing the primary insurance voluntarily quits a job and has not started a new job;
(4) The parent providing the primary insurance is laid off;
(5) The parent providing the primary insurance becomes disabled;
(6) The parent providing the primary insurance dies;
(7) The parent providing the primary insurance starts a new job and there is a lapse in insurance or the new employer does not provide dependent coverage; or
(8) The employer discontinued the insurance.

S.D. Admin. R. 67:46:14:04

26 SDR 168, effective 7/1/2000; 41 SDR 7, effective 7/29/2014; 51 SDR 052, effective 11/11/2024

General Authority: SDCL 28-6-1.

Law Implemented: SDCL 28-6-1.