S.D. Admin. R. 20:06:55:09
Any child enrolling in a group health plan pursuant to § 20:06:55:05 must be treated as if the child were a special enrollee, as provided under the rules of 45 C.F.R. § 146.117(d). Accordingly, the child and, if the child would not be a participant once enrolled in the plan, the participant through whom the child is otherwise eligible for coverage under the plan, must be offered all the benefit packages available to similarly situated individuals who did not lose coverage by reason of cessation of dependent status. For this purpose, any difference in benefits or cost-sharing requirements constitutes a different benefit package. The child also cannot be required to pay more for coverage than similarly situated individuals who did not lose coverage by reason of cessation of dependent status.
S.D. Admin. R. 20:06:55:09
General Authority: SDCL 58-17-87, 58-18-79.
Law Implemented: SDCL 58-17-87, 58-18-79.