S.D. Admin. R. 20:06:21:97
Current through Register Vol. 51, page 67, December 16, 2024
The insured or the insured's authorized representative may submit, at any time, new or additional information not previously provided to the insurer but pertinent to the benefit trigger denial. The insurer shall consider such information and affirm or overturn its benefit trigger determination. If the insurer affirms its benefit trigger determination, the insurer shall promptly provide such new or additional information to the independent review organization for its review, along with the insurer's analysis of such information.
S.D. Admin. R. 20:06:21:97
General Authority: SDCL 58-17B-4.
Law Implemented: SDCL 58-17B-4.