S.D. Admin. R. 20:06:40:17.01

Current through Register Vol. 51, page 67, December 16, 2024

Section 20:06:40:17.01 - Written notification regarding coverage of reconstructive surgery after a mastectomy required

A group health plan, and a health insurance issuer providing insurance coverage in connection with a group health plan, shall provide notice to each participant and beneficiary under such plan regarding the coverage required by § 20:06:40:17. Such notice shall be in writing and prominently positioned in any literature or correspondence made available or distributed by the plan or issuer and shall be transmitted:

(1) In the first mailing made by the plan or issuer to the participant or beneficiary after September 6, 2000; and

(2) As a part of any yearly informational packet sent to the participant or beneficiary.

If a plan or issuer has made a mailing prior to September 6, 2000, that complies with subdivision (1), the requirement of subdivision (1) is met.

S.D. Admin. R. 20:06:40:17.01

27 SDR 15, effective 9/6/2000.

General Authority: SDCL 58-18-79.

Law Implemented: SDCL 58-18-79.