S.D. Admin. R. 20:06:35:01
The notice to policyholders of a change in maternity coverage, whether it is a separate notice or is incorporated within a mailing to policyholders, must contain the following language, with the caption in 14-point bold type or greater:
IMPORTANT NOTICE OF CHANGES IN MATERNITY COVERAGE
"Your health insurance contract now contains additional coverage for maternity. Coverage for at least 48 hours of in-patient care following a vaginal delivery and 96 hours following a delivery by cesarean for the mother and her newborn child is required. However, if the treating physician determines, using appropriate medical criteria, that a shorter length of hospitalization is appropriate, you have coverage for that shorter stay and also for one follow-up visit in the first 48 hours after discharge to verify the condition of the mother and newborn. Deductibles and copayments may still apply to this extension of coverage."
The language, but not the caption, of the actual notice used by insurers may vary from the language of this notice if it is substantially similar to this notice; unless the coverage in question specifically provides for the statutorially required maternity coverage, the notice prominently discloses there is additional coverage; and the notice contains the amount and type of maternity coverage available.
S.D. Admin. R. 20:06:35:01
General Authority: SDCL 58-17-90, 58-18-78, 58-18B-52, 58-38-39, 58-40-36, 58-41-114.
Law Implemented: SDCL 58-17-90, 58-18-78, 58-18B-52, 58-38-39, 58-40-36, 58-41-114.